The entry below was a White Paper written by SCC poster NEactuary. I have taken the liberty of posting segments of the paper on this blog to ensure that others have had the opportunity of reading this excellent commentary on the need for Universal Healthcare.
To read the entire white paper click on the link below.
http://www.maturecommunications.com/whitepapers/universalhealthcare.pdf ”
UNIVERSAL HEALTHCARE
Way Past Time forAmerica to Adopt It
Universal healthcare is coming because our healthcare system is broken and it can’t be fixed. Our healthcare system is built on a false premise that for over a half century has not worked, but has been kept alive because so many people are getting rich off it.
Universal Healthcare or Socialized Medicine:
Universal healthcare is frequently called “Socialized medicine” by the medical industry lobbies. I’m in Medicare – also called socialized medicine by those same lobbies – and I love it as do most people that are covered by it.
In addition the term Socialized Medicine is wrong. In almost all universal healthcare systems in the world (and certainly in any system we eventually will adopt), doctors remain in private practice and most hospitals are owned in the private sector. Socialism means the means of production is owned by the government. In a socialized system the doctors would work for the state and the hospitals would be owned by the state. The term is wrong and it was designed as a propaganda tool by the lobbyists.
The function of the government in a universal healthcare system is to pay the bills. Today most healthcare decisions are made by insurance companies in VERY PRIVATE conference rooms that few have access to. Frankly, I prefer the transparency of the government making such decisions. In such cases the interests of shareholders doesn’t get into the decision.
The term is universal healthcare. The minute you hear socialized medicine you know who the speaker is representing. So please, let’s can the name tags and think for ourselves on this subject.
The Problem – Employers Can’t Continue Providing HC Funding:
Today the poor have healthcare because of Medicaid and the old have it because of Medicare. The rest of the population is dependant upon their employer for their funding of healthcare costs.
In the late 1940’s through the 1960’s the labor union movement set the standard for employer provided benefits, including health insurance. We were in situations where we had no competition from the rest of the world so as healthcare costs increased we simply increased prices with little or no concern. As the rest of the world caught up with us (the WW II damage was repaired a new plants came on line for them) we began to feel the pains of our healthcare system and the continual increase in prices. But in the 70’s and 80’s it was oil that dominated the economic front and healthcare was a minor pain. That all changed in the late 80’s and 90’s. Now the pain of healthcare cost increases was causing us to lose whole industries to good strong foreign competition, whose healthcare systems weren’t paid for by employers and whose prices didn’t carry the burden of the cost of healthcare. Frankly, asking employers to fund healthcare is not very efficient, particularly for smaller employers. This terrible way of providing healthcare simply developed out of our circumstances in the post war period. It was not thought out, it just developed and now it is biting us very badly not only on the healthcare perspective, but also our industry is being decimated.
Now we are in a position where in order to survive employers must get rid of this health insurance burden. We see this pattern everyday. Most uninsured people in this country go to work every day and they work hard, but they do it without the kind of healthcare that most of us had when we were in the workforce. Based upon a report by the Economic Policy Institute (EPI), only 56% of workers had health insurance in 2004 compared to 59% in 2000.
http://www.epinet.org/content.cfm/bp167
If the rate of decline continues, by sometime this year we will have less than half of all workers covered by employer provided health insurance. And by 2024 no worker will have employer provided health insurance. This decline in health insurance by employers is totally predictable in the face of double digit healthcare cost increases. If you pick up virtually any annual report for a public company and increase their healthcare costs at 12% (rate of increase of healthcare) plus growth and all other revenue and expenses at 3% (inflation) plus growth you will find that they are bankrupt in generally less than 10 years. In the old days before we had tough foreign competition (that doesn’t carry this HC burden in their prices) we could just increase prices. That isn’t possible today. In order to survive employers have to get out of providing HC for employees in fairly short order. This is the phenomenon that will drive us to universal healthcare, not liberals or socialists or any other villain we can dream up.
The Problem – HC Costs can’t be Controlled:
Over my lifetime I have seen the following (among others) blamed for healthcare cost increases:
- Greedy doctors
- Greedy hospitals (that cater to doctors not the public)
-
Greedy pharmaceutical manufacturers
-
Greedy medical equipment manufacturers
-
Greedy insurance companies
And finally the stupid consumers who don’t “buy” HC efficiently (heard this since the 1960’s – that’s how we got deductibles and co-pays and most other punitive features in health insurance plans).
But if you look at it, all of these folks are just using the free enterprise system the way they should (all accept the consumer). They are simply trying to increase their economic gain. But normally there is a consumer on the other side who compares prices and services and by shopping holds down the price increases by providers. Unfortunately, the free enterprise system doesn’t work with the consumer because:
Health and healthcare is the most precious commodity that we have. It is much more precious than money.
That’s why the free enterprise system doesn’t help to control healthcare costs. With every sickness or injury of a loved one, we consumers bid up the price in order to get the best healthcare we can get. We don’t respond to the cost side of the equation, which means we don’t respond to the controls that normally work in a free enterprise system. “This is my child (or my spouse or me) that is suffering and I will worry about costs later” – that is the thought process that always has driven us consumers. When the free enterprise system fails (such as in the case of monopolies) the government must step in to fill the vacuum.
Healthcare in the Rest of the World:
The only two industrialized nations in the world without universal healthcare are the U.S. and South Africa. That alone should tell us something. But let’s take a look at some statistics from some of the more developed nations in regard to healthcare:
HEALTHCARE SYSTEM INDICATORS & RANKINGSIn Selected High-Income OEDC Countries
|
Country
|
Health
Spending
US $
|
Health
Spending
% GDP
|
Under 5
Mortality
Rate *
|
Life
Expect.
|
WHO
Ranking
|
Percent
Satisfied
|
|
United States |
5,711
|
15.2%
|
8
|
78
|
37
|
40%
|
|
Australia |
2,519
|
9.5%
|
5
|
81
|
32
|
n/a
|
|
Canada |
2,669
|
9.9%
|
6
|
80
|
30
|
46%
|
|
Denmark |
3,534
|
9.0%
|
5
|
78
|
34
|
91%
|
|
Finland |
2,307
|
7.4%
|
4
|
79
|
31
|
81%
|
|
France |
2,981
|
10.1%
|
5
|
80
|
1
|
65%
|
|
Germany |
3,204
|
11.1%
|
5
|
79
|
25
|
58%
|
|
Italy |
2,139
|
8.4%
|
5
|
81
|
2
|
20%
|
|
Japan |
2,662
|
7.9%
|
4
|
82
|
10
|
n/a
|
|
Luxembourg |
4,112
|
6.8%
|
6
|
79
|
16
|
67%
|
|
Norway |
4,976
|
10.3%
|
4
|
80
|
11
|
n/a
|
|
Sweden |
3,149
|
9.4%
|
4
|
81
|
23
|
58%
|
|
Switzerland |
5,035
|
11.5%
|
5
|
81
|
20
|
n/a
|
|
UK |
2,428
|
8.0%
|
6
|
79
|
18
|
57%
|
*mortality rate per 1,000 under age 5
The original study is at: http://dll.umaine.edu/ble/U.S.%20HCweb.pdfHealthcare Spending U.S. dollars at: http:/www.who.int/whr/2006/annex/06_annex3_en.pdfHealthcare Spending % GDP at: http:/www.who.int/whr/2006/annex/06_annex2_en.pdfUnder 5 Mortality and Life Expectancy at: http:/www.who.int/whr/2006/annex/06_annex1_en.pdfWHO Rankings: http:/www.who.int/whr/2000/en/annex01_en.pdf
The study was originally compiled by the University of
Maine and summarizes data from the World Health Organization and the Organization for Economic Development.
I updated the first 4 columns of the chart to 2006 as noted above.
- The first column is per capita healthcare costs in 2006 all in U.S. dollars. In terms of per capital cost we are nearly double the average of the rest of the countries.
- The second is healthcare spending in 2006 as a percentage of the nation’s GDP. Again we lead the pack by a lot in spending.
- The third is the mortality rate for children under age 5 (replaces the infant mortality measure which has some controversy associated with it). Here we have 60% more deaths amongst our most vulnerable citizens than the average of the other nations.
- In the next column we get life expectancy at birth. Here the average of the other countries is 80 or 2 years longer than in the
U.S. On average their citizens have 2 more years of life to enjoy grandchildren and great grandchildren.
- Then the ranking of the countries healthcare system by the World Health Organization and the last column is the percent of the population that is satisfied with their healthcare system. Both are pretty shocking on their own, but couples with the other columns they paint a very poor picture of the healthcare system that we are all struggling under.
To summarize the chart, we pay twice what other countries do, and we receive poorer health outcomes, and our public dislikes our healthcare system more than all but one country.
To read the entire white paper its facts regarding universal healthcare, click on the link at the beginning of this blog entry..
All that we have to do is overcome the power of the medical industry lobbyist.