Showing posts with label US health care. Show all posts
Showing posts with label US health care. Show all posts

17 June 2009

Rationing Health Care: The US does it a lot

In conversations with friends about health care in Canada I often hear, "Well in Canada you have to wait months to get a hip replacement. Right?" No one in my family has had a hip replacement, but I can say when we needed primary care we got it. When my Dad injured his elbow he had an MRI, and the appropriate surgery within a week (and then afterwards got months of physical therapy). And for all this health care we have never had to worry about getting a bill in the mail. Ya, it is pretty awesome!

And before you say we pay for it in taxes, I just want to remind you of a post I had written a long time ago that argued Canadians actually pay quite similar tax percentages. Here's the proof again! These are all taken from Canadian and American federal websites (please click and make the pictures larger).

First Canada, the above numbers the federal tax rates. The second set is the provincial tax rates:


Second, the United States. Here are the Federal Income tax brackets:


And here are the State income tax rates (roughly, since we only see the bottom and top tax bracket. It also shows deductions, but please know that Canadians claim thousands in deductions and credits every year as well):


So there you have it. Tax wise, we are really not much different. However, with what the average middle-class US citizen gets out... don't you feel a little cut short. I mean, no universal form of health care. An essential right, is sold much like any other form of insurance. You mean, there is a company placing bets that you won't or will get sick and charge you the appropriate fees per month.

I'm going to be bold and just say it. Health insurance in America is sickening. Detestable. Gross. Abhorrent.

So back to my original point about rationing. You think this is only a Canadian phenomena. Read THIS.

The NY Times article I linked above talks about health care rationing in United States. Here are some highlights:

Today, I want to try to explain why the case against rationing isn’t really a substantive argument. It’s a clever set of buzzwords that tries to hide the fact that societies must make choices.

In truth, rationing is an inescapable part of economic life. It is the process of allocating scarce resources. Even in the United States, the richest society in human history, we are constantly rationing. We ration spots in good public high schools. We ration lakefront homes. We ration the best cuts of steak and wild-caught salmon.

Health care, I realize, seems as if it should be different. But it isn’t. Already, we cannot afford every form of medical care that we might like. So we ration.

We spend billions of dollars on operations, tests and drugs that haven’t been proved to make people healthier. Yet we have not spent the money to install computerized medical records — and we suffer more medical errors than many other countries.

We underpay primary care doctors, relative to specialists, and they keep us stewing in waiting rooms while they try to see as many patients as possible. We don’t reimburse different specialists for time spent collaborating with one another, and many hard-to-diagnose conditions go untreated. We don’t pay nurses to counsel people on how to improve their diets or remember to take their pills, and manageable cases of diabetes and heart disease become fatal...

Milton Friedman’s beloved line is a good way to frame the issue: There is no such thing as a free lunch. The choice isn’t between rationing and not rationing. It’s between rationing well and rationing badly. Given that the United States devotes far more of its economy to health care than other rich countries, and gets worse results by many measures, it’s hard to argue that we are now rationing very rationally.

The article contains itemized reasons as to why America actually does ration health care. The author is much more balanced then I am on the health care issue, so don't be scared.

22 April 2008

Yes, this is the state of health care

So I have graduated college and have started working, which I will do until I enter medical school. One of the interesting things about this is that I have no health insurance. Why? Because I honestly cannot afford it. I can't afford health insurance. I cannot afford to get sick. I cannot afford to get injured. I cannot afford to get preventive care.

This infuriates me. I am disgusted that I have to actually say these things. I live in arguably the most advanced, democratic, and rich nation in the world and I cannot afford to see a doctor. If I get really sick, I could die because I cannot afford to live. Sure one day I will make enough to pay for insurance and health care, but right now I can't. I simply can't afford medical bills. Have I emphasized this enough, I can't afford to see a doctor when I'm sick.

Just recently our brand new roommate who currently works at a old folk's home got really sick. It had been a few days, but he couldn't afford to see the doctor. Eventually this all culminated in one horrible, and I mean horrible, night where he puked his guts out and, literally, was scared for his life. He, as it so sadly happens in America, was brought to the emergency room and discovered a simple throat infection had spread to around his stomach. He was prescribed antibiotics and eventually recovered.

Is this how health care should work for the poor? Do I need to "chance it" every time I get ill and then go to the emergency room once I am close to death? Really, is this how America's beautiful spirit of free markets and capitalism is supposed to bless my life and lives of those who work at the cash register, the factory, and many other occupations?

Don't you punk republican BYU Marriot School accounting majors get it? Free markets have this inability to "bless" everyone. Apple Computers does not make money making their products accessible to everyone, it makes money by balancing supply and demand. Think back to your Economics 110 class and think about what happens as demand goes up, and think about this: Some estimates project America is in need of 40, 00 more physicians... NOW.

In addition, insurance companies' bottom line is making money. Despite the crap we here in the commercials, they can only exist if they make money, and just like any good corporation their survival depends on making profit NOT helping me or the third, THE THIRD, of Americans who simply can not afford health insurance. Is this really how you want to deliver health care? Like a television, or a toaster.