Health Care
According to the U.S. Census Bureau, there were 46 million people without health insurance living in the United States as of 2009. From the same report, roughly 30% of people with health insurance are covered by a government program.
In 2007, life expectancy in the United States ranked 42nd in the world. “Researchers said several factors have contributed to the United States falling behind other industrialized nations. A major one is that 45 million Americans lack health insurance, while Canada and many European countries have universal health care.” (Other factors include obesity, racial disparities, and higher infant mortality.)
A PBS Frontline report compares health care in the U.S. to Japan, Switzerland, Germany, and the U.K. The report finds that the U.S. spends more of its GDP on health care, yet we have the lowest life expectancy and the highest infant mortality rate.
I linked last week to the story of author Melissa Mia Hall, who died of a heart attack. There’s a very good chance that she could have survived, but she was one of those 46 million without health insurance. The treatment that might have saved her life would likely have bankrupted her.
More than sixty percent of U.S. bankruptcies are due to medical expenses. The article notes that roughly 3/4 of those being bankrupted actually had health insurance, “but many of them were bankrupted anyway because there were gaps in their coverage like co-payments and deductibles and uncovered services.” Others lost their jobs and benefits as a result of health-related issues.
People are terrified that “socialized” medicine is going to destroy the country. Yet a 2010 study comparing health care in the U.S. and other nations found that “Britain, whose nationalized healthcare system was widely derided by opponents of U.S. healthcare reform, ranks first in quality while the Netherlands ranked first overall on all scores.” This despite the fact that we in the U.S. spend more than twice as much, per person, as any of the other nations studied. (Author Liz Williams describes her first-hand experiences with U.K. health care here.)
Basically, many of these countries with evil, scary, government-run health care appear to be kicking our ass when it comes to actually taking care of their people.
Over the past few years, I’ve heard some groups arguing that the U.S. is or should be a Christian nation. Wasn’t Christ the guy who commanded his followers to love and care for the poor? “It is estimated that the changes made by the [Health Care Reform] law will result in 16 million additional individuals enrolling in the Medicaid program.” (See Stephen Colbert for more on America’s Christian attitudes toward the poor.)
I don’t get it. I don’t understand the fear. I don’t understand the greed. No health care system is or ever will be perfect, but we could do so much better. Instead, health insurance companies rake in billions in profits while an estimated “68 adults under age 65 die every day because they don’t have coverage.” (Emphasis added.)
Our current health care reform has much room for improvement. But for God’s sake, can we please try to move forward and make things better instead of fighting so damned hard to move backward?
Discussion and debate are welcome, as always.
Steve Buchheit
February 8, 2011 @ 10:31 am
You just like kicking the bee-hive over, dontcha? I knew there was a reason I liked you so much. 🙂
Much of the anti-HCR rhetoric, IMHO, doesn’t have much to do with the actual benefits, costs, etc. Instead it has to do with the Democratic Party getting the credit. Republicans remember losing the Social Security/Medicare/Great Society debate and their political fortunes afterward. They’re working overtime to make sure it doesn’t happen again.
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Jann
February 8, 2011 @ 11:04 am
There is so much wrong with our current health care “system” that it is hard to know where to start to fix it. There seem to be a lot of politicians that are not able to give up personal motivations and special interest favoritism for the common good. And as long as I am making generalizations, there seem to be a lot of Americans that don’t want to let go of what they have for the common good either. Makes change very challenging.
The main issue that concerns me with health care reform is American bureaucracy. I work for a company that deals with Medicare. The amount of BS, screw-ups, and incompentancy is astounding. And we don’t even deal with Medicare directly – that is subcontracted by our government to a third party that has a virtual monopoly on Medicare processing. We have to deal with them and they do not seem to know what they are doing. So who knows what will happen with even more government programs with complicated rules and hidden agendas attached.
Thanks for your post. As always, gets me thinking!
Jann
February 8, 2011 @ 11:06 am
Oops. Spelled incompetency wrong. My bad. Gee, who’s incompetent now?? lol
Jim C. Hines
February 8, 2011 @ 11:51 am
When I was younger, my brother stepped onto a beehive in the ground and got badly stung. This is my revenge upon beekind!
That’s an interesting point about credit, and one I hadn’t considered. Depressing, but a valid argument about everyone wanting credit for the good while working to avoid any responsibility for the negative. Damn politics…
Jason
February 8, 2011 @ 12:20 pm
All I have to say is with all the great successes of our government like the United States Post Office, our government school system, Social security, medicare, the tax system that is so simple everyone understands it, and all the other LOVELY contributions our government has given us that work so WONDERFULLY how could anyone NOT want them running our Health care system? It is BOUND to come in like all government projects, under budget and work PERFECTLY. There will be no fraud, no massive waiting lists as seen in all the other countries that have been mentioned, no problems with the elderly receiving care. Man if we just get this universal health care like all the other countries.. we’ll have a UTOPIA. Spending will go down, taxes will go down, and everyone will be happy.. just like all the other countries with Universal health care.
BTW it’s not hard to cut spending on health care as part of your GDP when you can refuse treatment or when people have to wait 7 years for liposuction and still haven’t even seen the doctor yet.
Jim C. Hines
February 8, 2011 @ 12:22 pm
Thank you for your sarcasm.
Do you have anything useful to contribute? Actual facts, studies, and data are always welcome.
Steve Buchheit
February 8, 2011 @ 12:30 pm
I’m sorry you also hate the military and think they’re wasteful and incompetent. I noticed you didn’t include them in your list. I just want to make sure your point got across.
BTW, you might not want to drive on the roads out there. It’s just another government conspiracy to make you think they do something to help you.
Wellescent Health Discussions
February 8, 2011 @ 2:22 pm
Part of the reason that it seems impossible to move ahead in health care is because the population and the politicians that represent them seem to be framing the discussions in such a highly divergent manner. Democrats are seeing the need to improve the quality of health care for everybody and the Republicans are framing the same discussion in terms of unsustainable financial risks, big government and loss of freedoms.
Unfortunately neither side seems to be willing to concede the points of the other and the result is the current impasse whether real or created artificially. The difference of opinions is demonstrated by the polls that routinely have the health reform bill being highly opposed, but the individual components of it being largely supported. In my mind, unless the Democrats can gain traction in either moving the discussion away from big government, loss of freedoms and higher taxes or address the these concerns, their efforts to convince majority of the population will fall on deaf ears.
Stephen Watkins
February 8, 2011 @ 4:44 pm
OMG. Seven Years for liposuction? That’s like… cruel and inhumane. I mean, what if the poor soul suddenly discovers they look fat in the mirror?
The Health-care debate is about improving health care outcomes for all people. Procedures like liposuction are mostly cosmetic – they’re not about health outcomes, generally, so much as looking good.
Frankly, the intense focus in this country on cosmetic and lifestyle-related medical care is probably one of the (many) contributing factors that’s driving up the cost of care in this country. (To whit: cosmetic surgeons make boat-loads of money, moreso than general practitioners; witness the flood of med students fleeing general practice for specialty practices like cosmetic surgery, and in the end cost of care for healthcare goes up… QED.)
This post is exactly what infuriates me about this whole debate especially (as a christian) the point you make about christianity. I simply don’t comprehend why so many supposed “followers of Christ” can so soundly reject so basic a christian principle as caring for the poor and needy without feeling a profound sense of cognitive dissonance.
The evidence that we’re “doing it wrong” is so overwhelming… why can’t the folks on the right see through that.
Instead, we get straw-man arguments like the one presented by Jason here that present the government as some kind of boogeyman that can’t be trusted. And we should trust profit-oriented corporations more than we trust the government, whom we can at least vote out of office? Nevermind that much of the government inefficiency is driven by contracting and lobbying efforts on behalf of corporations and special interests…
Stephen Watkins
February 8, 2011 @ 4:48 pm
I should caveat my snarky opening statement in such a way as to make it clear that I’m not trying to be offensive or insensitive to people who may be overweight. I’m just trying to draw a contrast between procedures that can be life-saving or improve health outcomes and procedures that are “feel-good”. a) I’m aware that liposuction can fall in the former life-saving category, but the majority of such procedures fail to rise to that level. b) I’ve nothing against “feel-good” outcomes… but these aren’t the same level of challenge that should be driving this debate. That’s a world where private insurance actually makes sense.
anon
February 9, 2011 @ 1:00 am
It’s because Americans don’t euthanize sick babies like some pet. In most countries premature babies are unpersons who are either killed after delivery or let to die. So yes, if we killed off underweight and defective babies we would have a nice European life expectancy statistic…
Jim C. Hines
February 9, 2011 @ 7:28 am
Wow. Um … you read the part where I said our life expectancy is lower in part *because* we have a higher infant mortality rate, right?
KatG
February 9, 2011 @ 6:37 pm
People aren’t scared of socialized medicine in the majority. About 18% of the country is terrified, as well as scared of a host of other conspiracy ideas that they seem to have. And they help elect some crazy politicians. These politicians join with the ones who are working with the health insurance industry not only for that industry’s profit, but simply to tear down a large, groundbreaking piece of legislation by a Democratic president. They did the same thing with Medicare — Reagan called it a communist plot. Now everybody who’s against the healthcare act loves Medicare and worries that the reform act will somehow hurt it. But they want Medicare only to go to the “good” people — i.e. people they think are just like them. B
But they aren’t the majority. The majority are, largely, apathetic. Some of them are underinsured or uninsured, others have decent insurance. And they don’t pay attention to politics, which they feel won’t help anyway, while wondering why the economy isn’t better. When polled, they like the aspects of the reform bill that are kicking in in stages. They even want more government aid for healthcare. But they’re ignored and since they ignore their politicians, those politicians can run amok for financial and electoral reasons. The Republicans had a good time screaming about how they were going to repeal the act because they knew there was no way that they could actually repeal the act. Various governors in red states will do the same. It’s all show — a show that costs us oodles of tax money. And because Reagan sold the Republican party to the far right, all the moderate Republicans have become greedy Blue Dog Democrats and the Republican party has become that weird uncle who thinks aliens are signaling him through the metal plate in his head. But still effective with extremists who vote — for now, until they finally realize that attacking Latinos for decades was demographically a really bad idea.
America had its labor unions destroyed successfully in the 1980’s, coupled with deregulation, globalization of corporations, and shipping jobs overseas, and since then, it’s been downhill for the American worker, including health insurance benefits. So we get things like Chrysler doing a moving tribute Superbowl commercial to Detroit making its cars despite its devastation, conveniently ignoring that Chrysler largely caused the devastation over the last forty years and shipped the jobs away from Detroit, and has itself routinely faced bankruptcy because it’s run by incompetent executives who line their own pockets and then walk away.
The large chunk of the healthcare reform act is concentrated on keeping private insurers from cheating their customers. And the majority of people actually do like that idea.
Sean
February 9, 2011 @ 6:58 pm
I tell you what i will get behind the federal health care plan as long as congress agrees to dump their health care plan and use what they force upon us. I have not seen a worthwhile reason why they voted down taking the medicine they are feeding us (aside they fact their health care is sweeeeeet). Also i want the ability to opt out and sign a disclaimer saying i don’t have or want this health care i will not pay into it and can never receive any benefits from it for my entire life. I am an atheist and there is a separation of faith and government for a reason in the US (we all remember religious persecution) . I payed my $12,000 in personal taxes last year, i take care of my girlfriend and her 3 kids, we are not married so i get no tax breaks. I can live with all this, but i cannot live with anyone telling me i HAVE to have pay for someone else to have health care when they have no ambition to help themselves. Yes i am cynical and the argument would be people will help themselves, how can you prove this. You keep getting unemployment because you can prove you put in a job application once a month (or whatever the time frame is)??? How bout the lady yesterday who bought milk and bread with her food stamp card and bought $50 bucks (yes 50) in lottery tickets.
The problem Jason seems to be pointing out is, as with medicaid and medicare, there will be abuse of the system and the taxpayers will have to pay for it in the end. Everyone has heard of 2nd and 3rd generation welfare families. My neighbor rides the system like there is no tomorrow, has no ambition of ever getting a job again if he does not have to (does not mean i don’t like him).
But i also have the flu right now so that makes me even worse.
Sean
Jim C. Hines
February 9, 2011 @ 7:03 pm
Everyone’s heard of a lot of things. Why, one commenter told me about a friend’s cousin’s ex-boyfriend who knew a guy in Canada who… And so on. The welfare queen myth is a popular one, and I’m sure there are people out there who actually fit that stereotype. Personally, I’d rather not condemn millions of people to death to punish the few that I’ve judged to be unworthy of my help.
“i cannot live with anyone telling me i HAVE to have pay for someone else to have health care…”
Dude, you do realize you’re *already* paying for other people’s health care, don’t you? For one thing, that’s how insurance works. For another, you’ve got 46 million uninsured people who aren’t able to get proper preventative care, and as a result let conditions go untreated until they end up in the emergency room, where the cost ends up being so much more. And since they can’t pay, the cost gets pushed into higher prices for all of us.
I have no idea where you’re going with your separation of church and state argument, or how that ties into this discussion.
Sean
February 9, 2011 @ 7:30 pm
I do realize i pay for medicare and medicaid, believe me i do, but not full blown health insurance. Maybe if there was some clause in the bill stating people, who are physically capable of working, would contribute someone for getting this free health care. But what sort of checks and balances will be built into this health care to prevent people from just using it and not attempt to get a job and contribute back. I would love to not work again and get everything for free too, well that is a lie because i would be bored without work.
Only reason i brought up separation of church and state is due to the followers of Christ comment above. No i don’t want to watch people die left and right but i also want people to actually take some sort of responsibility for their own lives.
One last thought, do you think Gabrielle Gifford would have gotten the medical treatment she received if she was on the new federal health care plan as opposed to the congressional health care plan?
peace,
Sean
Jim C. Hines
February 9, 2011 @ 7:37 pm
Do you ever visit a doctor or a hospital? Because their prices are higher in order to cover expenses of those who are uninsured and can’t pay. I.e., you’re paying for them whether you have Medicaid or a full-blown health insurance policy.
It seems like your priority here is to make sure the “undeserving” don’t get any help, as opposed to things like saving lives or cutting health care costs for all of us. (See my blog post above, which explains how we’re paying about twice what people pay in countries with universal health care. That’s not just Medicaid/Medicare paying higher costs, it’s all of us.)
“One last thought, do you think Gabrielle Gifford would have gotten the medical treatment she received if she was on the new federal health care plan as opposed to the congressional health care plan?”
Yes.
Sean
February 9, 2011 @ 8:01 pm
“Do you ever visit a doctor or a hospital? Because their prices are higher in order to cover expenses of those who are uninsured and can’t pay.”
So then with the new health care plan in place the prices will lower is what you are saying?
If i didn’t want the “undeserving” to get any help i would rail about medicaid and medicare.
But the cost will never go down, prices never lower.
for the sake of me note being the heartless bastard i appear lets just agree to disagree, because i do not want anyone telling me i need to purchase health care, i just want my family, my cat, my house and my bike and don’t want anyone telling me that i HAVE to purchase any sort of health care. If i want to die a miserable wretch alone and in misery that is my right. I want my option to opt out. I can opt out of health care at work if i choose.
On a better note we finally reached above freezing for the first time today in San Antonio Texas.
Sean
Sean
Jim C. Hines
February 9, 2011 @ 8:27 pm
“But the cost will never go down, prices never lower.”
So despite all of the evidence that all of these other countries have drastically lower per-person costs, while providing *better* health care, you’ve decided it’s impossible for U.S. costs to be any lower? That kind of flies in the face of reality.
“So then with the new health care plan in place the prices will lower is what you are saying?”
Well, according to PolitiFact, 4/5 of people would see slight declines in health care premiums under the new plan. And as I said in the post, I’d like to see us continue to move forward and improve the health care situation in this country.
Stephen Watkins
February 10, 2011 @ 9:30 am
My only point in bringing up the “Followers of Christ” issue was to point out that a significant population of those who oppose the healthcare law supposedly consider themselves Christian.
I too am a big fan of separation of church & state myself, but other than to point out the obvious hypocrisy of self-proclaimed followers of Christ being among the loudest and most shrill anti-healthcare reform protestors, that’s an issue that’s neither here nor there. Healthcare reform, in general, is a secular issue. It just happens to be a secular issue that I think religious people of a particular persuasion ought to be in support of if they followed the teachings of their religion’s founder more closely.
As a secular issue, this is really about what’s best for our society: it’s about “promot[ing] the general Welfare, and secur[ing] the Blessings of Liberty to ourselves and our Posterity”. You can’t have those things without proper healthcare.
KatG
February 12, 2011 @ 5:41 pm
Sean: “If i want to die a miserable wretch alone and in misery that is my right. I want my option to opt out. I can opt out of health care at work if i choose.”
Yeah, that’s because you think you’re independent in the system. See, if you had insurance and you go to a doctor and cure your respiratory infection, all well and good. But you don’t, so you don’t, so you end up infecting a bunch of other people (more health costs,) and those kids of your girlfriend get it and spread it all over the school (epidemic, massive health costs,) and your infection turns into pneumonia and you end up in an ambulance (health costs) going to the hospital where massive costs are then spent to save your life because you wouldn’t go to the doctor, all of which you can’t pay for with your lack of insurance, plus you’re incapacitated and lose your job, then your house. (More costs for the government, loss of the resources of your income and productivity.) You have to try and pay costs and the government has to deal with the rest, using tax money. Then you have to go on Medicaid, which costs us more money, and so on and so forth. And even if you get better, well, you can’t get a new job because there’s only 1 job for every 5 people who want it right now and most companies don’t want to hire people who’ve been unemployed, not to mention employees who refuse to have health insurance and have been ill, that’s assuming they hire anyone at all as they prefer to ship jobs overseas. So you’ll have to collect unemployment — oh, look, you’re costing your neighbors more money.
But let’s say that you don’t get that ambulance. They’re required by law to get you to the hospital, but let’s say that they learn of your condition too late and you die in your house. Well, then there’s the corpse transportation and handling costs and probably an autopsy to confirm you died of natural causes (more costs,) and then there’s dealing with the matter of your house and your cat, who may have to go to the animal control shelter (more costs,) and so on and so forth.
What happens to you happens to your neighbors and costs them money. There is no frontier any more. The only way you will save us from having to pay for you is if you have health insurance and go to the doctor in the first place or if you leave the country. You’re not alone because you don’t live on an island. It’s in your best interests if both you and your neighbors, however much you hate them, can go see a doctor.