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Why We Can't Afford Government Run Health Care In America?

We can all agree that America's health care is an inefficient amalgam of private and public with at times anomalous and unfair results.  But where the government provides almost half of the funding and drives the rest of the system through the tax system, such problems are inevitable.  The question is whether increasing political control would improve the treatment of patients--which is, after all, the purpose of the health care system  The answer to that question is no.

Unfortunately, increased governmental control almost certainly would put political before patient priorities.  We certainly see that in Great Britain.  Consider this astonishing story from the Daily Telegraph (it's a couple months old, but I just came across it):

People arriving at Accident and Emergency departments with symptoms which could indicate the aggressive spread of the disease are waiting weeks for diagnosis and treatment while "routine" cases are prioritised.

Hospital managers told researchers that treating desperately sick patients more quickly would "reflect badly" on their performance against Government cancer targets which only cover those referred to specialists by GPs.

Doctors, patients groups and politicians were appalled by what one described as a "breathtaking admission" which confirmed their "very worst fears" about how far the NHS target culture has gone in distorting clinical priorities.

The point is not to demonize the British system.  But obviously the NHS has to fulfill political targets and respond to bureaucratic priorities, which often have nothing to do with, or even actively subvert the objective of, providing quality patient care.  And it is far harder for British patients to escape the system when it miscarries so badly.

We can't afford to make a similar mistake here.


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the answer is big $ for insurance controls politics.

 
26 helpful answers

Wisdom, compassion, and courage are the three universally recognized moral qualities of men~ Confucius 

 

 
WWWW?
(deleted account)

The industrialized countries, all of them except the United States, have an approval rate from their citizens upwards of 90%, good to very good concerning their health care systems.

There are variations, and the one mostly like for America is that of Switzerland (could be Sweden?).

There is a lot of misinformation out there, which is unfortunate.

The big picture is that America ranks 37th in the world in health care; 47th in life expectancy; 41st in infant mortality.  We pay twice as much per person and are sicker and die sooner.

Changes, anyone?

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310 helpful answers

Yesterday's gone and Today is going fast, Tomorrow is all we have, Until it to has passed

ArmyBrat75 and wwww?, beware. Another one like rocmike!

 
8 helpful answers

"YOU MUST NOT FEAR, FEAR IS THE MIND KILLER, YOU MUST FACE YOUR FEAR AND LET IT PASS OVER AND THROUGH YOU AND WHEN IT IS GONE, ONLY YOU REMAIN"

Marinerecondad,

I like the way you framed the question/answer/point of view. At last a viable opinion.

I think (perhaps a little pessimistically) everything is already political in nature and operation. My question is "will the program save lives"? Will the program remove choice? Will the program bankrupt us?

I'm a little simple minded in my view, I believe a viable solution is to make the health care providers/insurance companies adhere to their contractual obligations. If they fail to provide health care, make them give the money back to the people who paid for the service and did not receive it.

This will limit government involvement and keep the free market operations in place and the high standard of innovative health care chugging. But there is politics, special interests and they (who ever "they" are) will not abide their cash flows being interrupted. 

Example:USA

A health care provider/insurance company/hedge fund bought 15 hospitals in a given area. They then shut down 13 of the hospitals citing that by doing so better care, better employees and lower costs would ensue.

In fact, what they did was deprive people of health care, fire employees and eliminate costs. In addition, they cheated medicare out of billions of dollars by charging the government for care they did not provide. They were fined over a billion dollars for their actions or in actions.

When President Nixon was told about Mr. Kaiser's plan to provide health care, Mr. Nixon said the only way for Mr. Kaiser to make any money was "not to provide" health care. This is one of the many things on the Nixon tapes. "They" know this and accept the principal of not providing health care for profit.

We need government regulation, not necessarily government run health care.

the bruce

 
kv
26 helpful answers

I can only add to this question that the only way government run health care is going to work is if the government reimburses doctors and hospitals properly.  Very often the government pays doctors and hospitals so poorly that doctors and hospitals don't like to treat patients who are on government run healthcare because of such poor reimbursements and also that it takes the government too long to pay.  It could take as much as six months before a doctor or hospital receives reimbursement from government run healthcare and that is because the system is so huge it is bound to be delayed in the payment system.  And, when the government finally does pay it is peanuts.  Even so, that being said no doctor or hospital should take their frustrations out on people who already have government healthcare as they so often do.  I know.  I have been a vicitm of government run healthcare and I am always chosen last even if I were first on line.  I rest my case.

 
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"YOU MUST NOT FEAR, FEAR IS THE MIND KILLER, YOU MUST FACE YOUR FEAR AND LET IT PASS OVER AND THROUGH YOU AND WHEN IT IS GONE, ONLY YOU REMAIN"

www,

It is a blurred or a fine line and semantics is interesting if not very practical, however, I find the distinction between the administration of health care and the payment for the administration of health care impacts the patient just the same.

If you can't pay the doctor for his administration of health care then you don't get the service. Correspondingly, if you can't pay the insurance company which pays the doctor which provides the health service then the end is the same, you don't get the service.

Just more middle men to pay off and to  separate you from the service your trying to get. In short what does it matter.

the bruce

 
3 helpful answers

The problem with government controlled health care is not only the cost. But it will give the government the righ to step in and make decisions in cases like prologing life on ventilators taking the decesion away from the family.

First of all the cost

We do not have eneough health care providers, nurses and doctors to care for every person in the US. The reason is that there is a lack of educators who require either their Masters degree or PhD. Educators are paid less than the students they are teaching. When government steps in controlling the cost of healthcare, the doctors who are already stretched thin will not be able to pay the overhead of their office and staff. I agree healthcare is expensive, but until we address the number of available professionals we will not be able to move into insurance for everyone. Then there is that other little problem, if you are working a min wage job so you can have health care for your family you will probably have to work two jobs just to make ends meet. So here you are working 12-18 hours and meanwhile your neighbor who chooses not to work recieves the same health care as you. Why not, you are paying for him.

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