Subscribe to Dollars & Sense magazine. Recent articles related to the financial crisis. Single-Payer UpdatesFirst, we noticed this excellent webpage, with links and resources on single-payer, from Physicians for a National Health Care Program.Second, our friend Dr. Christine Adams, who is statewide secretary of Health Care for All Texas, sent us her response to an article in Wednesday's WSJ by Laura Meckler. It's an excellent summary of reasons in favor of single-payer. Here it is: Dear Ms. Meckler, I am a supporter of single payer national health care as proposed by HR 676 (John Conyers, D-Michigan). All other health care reform proposals involve some type of subsidy to private for-profit health plans via low to moderate income households. It makes no sense to subsidize private, for-profit health plans just for us to have the privilege of having private companies continue to play a central role in health care financing. Medicare Advantage is a perfect example of that model. For the privilege of continuing to include for-profit private health plans, the U.S. taxpayer gets to pay 14%-20% more per Medicare recipient than for those in traditional Medicare (a single payer model, albeit imperfect). For the privilege, we do not get any value for our extra tax dollars. Medicare Advantage members do not have better medical outcomes and frequently they have worse medical outcomes - even though Medicare Advantage programs cherry-pick the healthiest in the Medicare pool. And where do we find our best medical outcomes at the best price? Our socialized medicine Veterans Administration Medical System. No other nation that is controlling health care costs while maintaining quality has for-profit health insurance companies playing a central role in health care financing because it cannot be done. Other nations that include private health plans have placed heavy regulations on them so that they cannot make profits, must offer standard, comprehensive benefits, cannot exclude anyone or restrict treatment and must go to the government (the citizenry) to get permission to raise premiums. Nations that still include private plans, still spend more than nations that have either adopted single payer or straight-forward socialized medical systems (England, Spain). Economically, it will cost you more to include private health plans even if they are regulated. At any rate, I doubt our American for-profit health plans would ever agree to the level of regulation it would take to control costs, even without making health care universal. Frankly, I don't understand why conservatives in Congress, such as Sen. Grassley, would even consider subsidizing or protecting for-profit health plans from a public competitor. If a public health plan could deliver good care for less money, why wouldn't we want that system? Why would we want to use tax dollars to subsidize a for-profit health plan? I already pay for-profit health plans plenty of money for not much back in the way of health benefits. I don't want to direct more of my tax dollars to them just to keep them in business. They are not an industry vital to our national security. In fact, they suck up so much in the way of resources without adding value back, they are a drain on our economy and our health. They are detrimental to our well being in the same way that companies that pollute are detrimental to our well being. Two Nobel prize winners in economics, Drs. Joseph Stiglitz and Paul Krugman, have publicly stated that single payer makes the most sense for health care reform. They don't strike me as socialists or anti-business. To support a health reform measure that props up a private business when a public entity could do as good a job for less money seems opposite to what a conservative would support. When the data from so many forms of national health insurance, none of which include for-profit private health plans, are so clearly providing as good or better medical outcomes as we have here in the U.S. but with half the money and for all their people, I can only conclude that this resistance by a minority to single payer comes from irrational fears based on myths and outdated ideas in the same way that anti women's suffrage and anti integration are now seen as wrongheaded. Unfortunately, this minority position of pro for-profit, subsidized private health plans appears to have the ear of the Obama Administration—at least for the time being. Dr. Christine Adams Statewide Secretary, Health Care for All Texas Member, Physicians for a National Health Program Labels: health care, Health Care for All Texas, single-payer
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Actually, the page on single-payer resources was stolen (no attribution) from the PNHP page here:
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http://www.pnhp.org/facts/single_payer_resources.php I direct people quite frequently to that page from PNHP as an introduction to single-payer; it's an excellent collection of information on the topic. << Home |