Here we go again - about the Health Care Reform... and why we need it:
"...the part of America's health care system that consumers like best is the government-run part.
Fifty-six to 60 percent of people in government-run Medicare rate it a 9 or 10 on a 10-point scale. In contrast, only 40 percent of those enrolled in private insurance rank their plans that high.
...68 percent of those in Medicare feel that their own interests are the priority, compared with only 48 percent of those enrolled in private insurance.
...Until the mid-19th century, firefighting was left mostly to a mishmash of volunteer crews and private fire insurance companies. In New York City, according to accounts in The New York Times in the 1850s and 1860s, firefighting often descended into chaos, with drunkenness and looting.
So almost every country moved to what today's health insurance lobbyists might label 'socialized firefighting.' In effect, we have a single-payer system of public fire departments.
We have the same for policing. If the security guard business were as powerful as the health insurance industry, then it would be denouncing 'government takeovers' and 'socialized police work.'
...The truth is that government, for all its flaws, manages to do some things right, so that today few people doubt the wisdom of public police or firefighters. And the government has a particularly good record in medical care.
Take the hospital system run by the Department of Veterans Affairs, the largest integrated health system in the United States. It is fully government run, much more 'socialized medicine' than is Canadian health care with its private doctors and hospitals. And the system for veterans is by all accounts one of the best-performing and most cost-effective elements in the American medical establishment.
A study by the Rand Corporation concluded that compared with a national sample, Americans treated in veterans hospitals 'received consistently better care across the board, including screening, diagnosis, treatment and follow-up.' The difference was particularly large in preventive medicine: veterans were nearly 50 percent more likely to receive recommended care than Americans as a whole.
'If other health care providers followed the V.A.'s lead, it would be a major step toward improving the quality of care across the U.S. health care system,' Rand reported.
...But the biggest weakness of private industry is not inefficiency but unfairness. The business model of private insurance has become, in part, to collect premiums from healthy people and reject those likely to get sick - or, if they start out healthy and then get sick, to find a way to cancel their coverage.
A reader wrote in this week to tell me about a colleague of hers who had health insurance through her company. The woman received a cancer diagnosis a few weeks ago, and she now faces chemotherapy co-payments that she cannot afford. Worse, because she is now unable to work and has to focus on treatment, she has been shifted to short-term disability for 90 days - and after that, she will lose her employer health insurance.
She can keep her insurance if she makes Cobra payments on her own, but she can't afford this. In her case, her company will voluntarily help her - but I just don't understand why we may be about to reject health reform and stick with a dysfunctional system that takes away the health coverage of hard-working Americans when they become too sick with cancer to work.
...A public role in health care shouldn't be any scarier or more repugnant than a public fire department."