Snowy

Universal Health Care group

Comments

[this is good]
I have health insurance and I make a decent living and still an MRI put me into debt for a while recently. A person working at Wal*Mart would be buried by a single MRI or CAT Scan. Something must be done.

I look forward to some terrific discussions, Snowy.
I'm thrilled that you've started this. I'll see what I can do to dig up information about our own version of medicare here in Canada. Also not a perfect system by any stretch. Right now Alberta is making rumblings about establishing a privatised alternative to combat the medical tourism that occurs here and offer a different level of care for those who would pay to be outside the public system. I'm an advocate for such a system. A 100% publicly ran system gets bogged down in bureaucracy and hospitals become forced to burn money in order to make sure they're not hit by budget cuts.

However a 100% privately owned healthcare system where companies can conspire to charge whatever they want with no real competition and no regard for actual human health or life is not the way either. A combination where the private sector competes for a larger portion of those who might consider using the public system sounds much more efficient, which would also take some of the burden off of us as taxpayers.
I think the place to start is to identify what you don't like about the existing system, what you do like about it, and then compare with other systems around the world to see how their systems compare. Decide on the model you want, and then go political with it. You're up against powerful vested interests, so the task won't be easy, but think of the sense of accomplishment. I'd be interested to know what Ralph Nader's system entails. Good luck.
Yes, there's room for improvement in all health systems, so comparing notes is a good idea. I have to say that I personally have no complaints with our system. That isn't to say that others don't have cause. The main complaint in the public system is waiting times for elective surgery, and under staffing. That is why people take out private insurance so that they can use the private system.
This issue and the questions, points raised in the posts you've linked Snowy, are being discussed daily in this household by my husband and me, Snowy. I am going to keep reading for a while and so is he, before I come up with a sound comment. It bears serious consideration. But I congratulate you on picking up of a point and riding with it. I think you're right. if there is one thing that everyone needs- neo cons to liberals is decent medical coverage and we really do have enough time before the next election to make it a primary issue.
I've been giving it some thought, Patricia. I think the only way to get the major parties to commit to single payer health insurance is for voters to campaign for Ralph Nader, stating that his single payer health policy is the main reason for switching. Nothing gets action faster from a politician than the threat of losing votes, particularly in an election that promises to be as close as this one.
Uh- oh - I'd be careful about this one. I see the strategy, but there are some peolpe who will actually vote for Nader, taking away crucial votes needed for the democratic candidates. A lot of people here feel that Nader lost the election for Gore back in 2000 because the crucial deciding votes went to Nader. I see what you mean in theory, though. It just seems a bit risky in as you say an election that once again, promises to be so close. But, with this comment, I know I am just giving you another problem, instead of coming up with a solution. I'm still thinking... I do have some ideas germinating....
I know how nervous Democrat supporters are about Ralph Nader's presence in the election. Think how nervous the Democrat candidate would be. That's why the "threat" to vote for Ralph Nader would be more likely to produce a realistic UHC policy from the Dems. The UHC activists don't have to actually vote for him
I get that last part. But the thing is, they might. Most people vote for who they like, never giving a thought to whether or not their candiddate can actually win or whether they are splitting the party or not.
Then if UHC becomes the issue that brought down the Dem candidate you'll get some long term gain from short term pain won't you, as the next Dem (or even Republican?) candidate will have to come up with a viable UHC system.
The U.S. currently has several single payer sytems operating at the moment. Medicare (age 65+), Active Military and Veterans Health Administration (for active military and war veterans) and Medicaid (indigent) all operate at the moment with a single payer and administrator, either the Federal or state government. All are very, very HEAVILY subsidised by the taxpayer. There are no cost controls on any of the programs other than denial of service. The costs and expenses go up double digits every year and are passed thru to the taxpayers. All generate incredible numbers of complaints about the substandard quality of care provided and generally crappy treatment given to patients. None are great examples of a system that should be increased to cover everyone in the country. Trying to run this as a campaign issue this election will be a disaster and result in the party willing to remain status quo being elected for sure. This country is not ready to accept a single payer system yet. Too easy to argue against such change. Bill Clinton found out how difficult implementing health care change would be when he proposed changes to the current system during his first term. Didn't come close to succeeding. If you watch the film "Sicko", you can get a perspective from Michael Moore that generates a lot of questions and also suggests that SPS would be a nice answer. But the politicians largely scoffed at the film and ignored making any changes. One thing you must keep in mind as we think about this issue: All medical costs in the U.S. are paid for by the taxpayer, either through government programs, directly to the providers, or through purchase of products and services (every car manufactured by GM has over $1,000 added onto the sticker for the employee health insurance program). You didn't think the employers cut into profits did you? Insurance is a tax deductible expense they simply PASS THRU to the consumer. More to come.
Thank you for that information. I appreciate the problems to be overcome. It is really up to Americans to decide if they are satisfied with the current system for all its faults, or whether they want change. If they want change, it isn't going to happen overnight, and will only come about after a sustained political campaign by informed activists, always keeping mind the wise words of Niccolo Machiavelli:

"We must bear in mind, then, that there is nothing more difficult and dangerous, or more doubtful of success, than an attempt to introduce a new order of things in any state. For the innovator has for enemies all those who derived advantages from the old order of things, whilst those who expect to be benefited by the new institutions will be but lukewarm defenders. This indifference arises in part from fear of their adversaries who were favoured by the existing laws, and partly from the incredulity of men who have no faith in anything new that is not the result of well-established experience. Hence it is that, whenever the opponents of the new order of things have the opportunity to attack it, they will do it with the zeal of partisans, whilst the others defend it but feebly, so that it is dangerous to rely upon the latter.''

Only if the constituents want it. And I believe most are in the dark about the long term effects of the health system currently in place here in the US. Reason being? Most people have coverage and don't know whether it's any good or not until they get really sick. Most people are healthy. Most people don't understand that the last year of their lives, if they linger, instead of dying quickly, the hospital/doctor costs will cut into their estate like nobody's business. The problem is that most people don't see these problems, until it effects them, personally, of course. Thats' why I'd have to disagee with the idea that UHC would be a priority to enough voters to make a difference. Most voters right now are concerned with a) national security- "are we safe? are we safe?The goverment says we're not safe" b) the economy- "am I going to get laid-off? Can I sell my house for what I need to? Will fuel prices go back down to $2.00 a gallon, or will I have to start taking the bus to work? What about my kid's college costs- are those going to go up? What about my retirment fund- is it losing money because of the stock market fluctuations?" and c) the war in Iraq and Afghanistan.

No- if we want to get every American on board with health system changes, we've got to get US doctors on board. Somehow we've got to convince doctors in a capitalist system that we can offer them something else besides money that they are willing to trade to charge less for the more expense surgeries, thus lowering insurance cost,which as a result, will lower insurance company expenses when an insured person becomes really ill. We also have to put a ceiling on malpractice awards. You ask why a UHC can't work here- it can, but the question is- do the majority of the American people want it to? That what's we need- a majority.

From what you say, I can understand then why UHC is not getting much traction in the election campaign. If most voters have higher priorities then nothing will change. Oh well. Not much point in pursuing it then, is there. Or else, consider emigrating.

No.no.no- I am not at all suggesting that people wouldn't like a change, as long as someone else thought about what it should be and instituted it, that is. It seems that the average person can only absorb so many issues at a time. I'm only suggesting that going through the presidential candidates might not be the most effective way to do it. On the other hand, I wouldn't mind immigrating, if you let my husband and me live in your garden shack where you make your moonshine. : )

Seriously, though, my thoughts are unfinished in that to my mind, the only way to institute change is to get the doctors here on board. We have to be able to offer them something else they want besides money, to lower their fees on the more expensive surgeries. But how and what? Perhaps some relief on malpractive insurance costs, which are astronomical in some areas, such as obstetrics, for example. I have to mull this one over while I'm on the plane today,going to NY. I have seven hours to think about it. Unless a terrorist gets my plane, of course. George W. warns me that's a very likely possibility. Our 'terrorist alert' is up to Code Orange today. ; D

Seriously, though, my thoughts are unfinished in that to my mind, the only way to institute change is to get the doctors here on board. We have to be able to offer them something else they want besides money, to lower their fees on the more expensive surgeries.
This expat American has referred to those reasons in her blog. I'm sure having to defer to the wishes of a health fund when trying to treat a patient must be an endless source of frustration for doctors.
My friend - I am in NY for the next couple of days negotiating with my agent on the book I've talked abot endlessly her eon VOX. I'll not be able to give this topic the serious attention it deserves until next week and I just wanted to let you know that I am not being rude or dismissive by not replying in detail. We'll discuss this more next week. I have a feeling the problem won't be solved by then anyway,sadly.
But of course I understand, Patricia. Hope all goes well with the book negotiations.

Post a comment

Already a Vox member? Sign in

Advertisement