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Thoughts on universal healthcare.
...Other developed countries have had some form of social insurance (that later evolved into national insurance) for nearly as long as the US has been trying to get it.
Some European countries started with compulsory sickness insurance, one of the first systems, for workers beginning in Germany in 1883; other countries including Austria, Hungary, Norway, Britain, Russia, and the Netherlands followed all the way through 1912.
Other European countries, including Sweden in 1891, Denmark in 1892, France in 1910, and Switzerland in 1912, subsidized the mutual benefit societies that workers formed among themselves. So for a very long time, other countries have had some form of universal health care or at least the beginnings of it.
The primary reason for the emergence of these programs in Europe was income stabilization and protection against the wage loss of sickness rather than payment for medical expenses, which came later.
Programs were not universal to start with and were originally conceived as a means of maintaining incomes and buying political allegiance of the workers.
Theodore Roosevelt 1901 — 1909
During the Progressive Era, President Theodore Roosevelt was in power and although he supported health insurance because he believed that no country could be strong whose people were sick and poor, most of the initiative for reform took place outside of government. Roosevelt’s successors were mostly conservative leaders, who postponed for about twenty years the kind of presidential leadership that might have involved the national government more extensively in the management of social welfare.
After FDR died, Truman became president (1945-1953), and his tenure is characterized by the Cold War and Communism. The health care issue finally moved into the center arena of national politics and received the unreserved support of an American president. Though he served during some of the most virulent anti-Communist attacks and the early years of the Cold War, Truman fully supported national health insurance. But the opposition had acquired new strength. Compulsory health insurance became entangled in the Cold War and its opponents were able to make “socialized medicine” a symbolic issue in the growing crusade against Communist influence in America.
Dr. Carson further compared the new health care reform to policies envisioned by Vladimir Lenin, one of the fathers of socialism and communism.
“Socialized medicine is the keystone in the establishment of a socialist state,”
Mental disorders are common in the United States and internationally. An estimated 26.2 percent of Americans ages 18 and older — about one in four adults — suffer from a diagnosable mental disorder in a given year.1 When applied to the 2004 U.S. Census residential population estimate for ages 18 and older, this figure translates to 57.7 million people.2 Even though mental disorders are widespread in the population, the main burden of illness is concentrated in a much smaller proportion — about 6 percent, or 1 in 17 — who suffer from a serious mental illness.1 In addition, mental disorders are the leading cause of disability in the U.S. and Canada.3 Many people suffer from more than one mental disorder at a given time. Nearly half (45 percent) of those with any mental disorder meet criteria for 2 or more disorders, with severity strongly related to comorbidity.1
What about a nationalized system or one that simply ensures everyone has access to free (shared cost) healthcare, so that each individual of the nation can get adequate health services? European countries were some of the first to make efforts for universal health care.
Myth: Taxes in Canada are extremely high, mostly because of national health care.
In actuality, taxes are nearly equal on both sides of the border. Overall, Canada's taxes are slightly higher than those in the U.S. However, Canadians are afforded many benefits for their tax dollars, even beyond health care (e.g., tax credits, family allowance, cheaper higher education), so the end result is a wash. At the end of the day, the average after-tax income of Canadian workers is equal to about 82 percent of their gross pay. In the U.S., that average is 81.9 percent.
Myth: Canada's health care system is a cumbersome bureaucracy.
The U.S. has the most bureaucratic health care system in the world. More than 31 percent of every dollar spent on health care in the U.S. goes to paperwork, overhead, CEO salaries, profits, etc. The provincial single-payer system in Canada operates with just a 1 percent overhead.
Think about it.
It's not necessary to spend a huge amount of money to decide who gets care and who doesn't when everybody is covered.
Myth: The Canadian system is significantly more expensive than that of the U.S.
Ten percent of Canada's GDP is spent on health care for 100 percent of the population. The U.S. spends 17 percent of its GDP but 15 percent of its population has no coverage whatsoever and millions of others have inadequate coverage. In essence, the U.S. system is considerably more expensive than Canada's. Part of the reason for this is uninsured and underinsured people in the U.S. still get sick and eventually seek care. People who cannot afford care wait until advanced stages of an illness to see a doctor and then do so through emergency rooms, which cost considerably more than primary care services.
What the American taxpayer may not realize is that such care costs about $45 billion per year, and someone has to pay it. This is why insurance premiums increase every year for insured patients while co-pays and deductibles also rise rapidly.
Myth: Canada's government decides who gets health care and when they get it.
While HMOs and other private medical insurers in the U.S. do indeed make such decisions, the only people in Canada to do so are physicians. In Canada, the government has absolutely no say in who gets care or how they get it. Medical decisions are left entirely up to doctors, as they should be.
There are no requirements for pre-authorization whatsoever. If your family doctor says you need an MRI, you get one. In the U.S., if an insurance administrator says you are not getting an MRI, you don't get one no matter what your doctor thinks — unless, of course, you have the money to cover the cost.
Myth: There are long waits for care, which compromise access to care.
There are no waits for urgent or primary care in Canada. There are reasonable waits for most specialists' care, and much longer waits for elective surgery. Yes, there are those instances where a patient can wait up to a month for radiation therapy for breast cancer or prostate cancer, for example. However, the wait has nothing to do with money per se, but everything to do with the lack of radiation therapists. Despite such waits, however, it is noteworthy that Canada boasts lower incident and mortality rates than the U.S. for all cancers combined, according to the U.S. Cancer Statistics Working Group and the Canadian Cancer Society.
Moreover, fewer Canadians (11.3 percent) than Americans (14.4 percent) admit unmet health care needs.
Myth: Canadians are paying out of pocket to come to the U.S. for medical care.
Most patients who come from Canada to the U.S. for health care are those whose costs are covered by the Canadian governments. If a Canadian goes outside of the country to get services that are deemed medically necessary, not experimental, and are not available at home for whatever reason (e.g., shortage or absence of high tech medical equipment; a longer wait for service than is medically prudent; or lack of physician expertise), the provincial government where you live fully funds your care. Those patients who do come to the U.S. for care and pay out of pocket are those who perceive their care to be more urgent than it likely is.
Myth: Canada is a socialized health care system in which the government runs hospitals and where doctors work for the government.
Princeton University health economist Uwe Reinhardt says single-payer systems are not "socialized medicine" but "social insurance" systems because doctors work in the private sector while their pay comes from a public source. Most physicians in Canada are self-employed. They are not employees of the government nor are they accountable to the government. Doctors are accountable to their patients only. More than 90 percent of physicians in Canada are paid on a fee-for-service basis. Claims are submitted to a single provincial health care plan for reimbursement, whereas in the U.S., claims are submitted to a multitude of insurance providers.
Moreover, Canadian hospitals are controlled by private boards and/or regional health authorities rather than being part of or run by the government.
BurbGirl378
reply to post by bigfatfurrytexan
If that is your job, you may want to read the pertinent sections.
Link: AFFORDABLE CARE ACT
Titty Twisting?edit on 12-10-2013 by BurbGirl378 because: Typo
Take Texas: the average increase of premium costs caused by uncompensated care for the uninsured in an employer-provided policy for a family was $1,551 in 2005. In Montana, $1,578. Alaska, $1,446. Idaho, $1,432. North Carolina, $1,130.
Now, there are other states where residents are paying more in added premiums—in excess of $1,700 for families in New Mexico, West Virginia, and Oklahoma—but I selected the first five states I mentioned to make a broader point. Each of those states is among those that have rejected an expansion of Medicaid under Obamacare that would be financed by the federal government. In other words, in some twisted, illogical idea of protecting their citizens, they are keeping their policy costs higher while simultaneously denying less-expensive medical care to people who are not poor enough to qualify for Medicaid now.
TheComte
reply to post by bigfatfurrytexan
Now, there are other states where residents are paying more in added premiums—in excess of $1,700 for families in New Mexico, West Virginia, and Oklahoma—but I selected the first five states I mentioned to make a broader point. Each of those states is among those that have rejected an expansion of Medicaid under Obamacare that would be financed by the federal government. In other words, in some twisted, illogical idea of protecting their citizens, they are keeping their policy costs higher while simultaneously denying less-expensive medical care to people who are not poor enough to qualify for Medicaid now.
In 2000, I would pay about $60 out of pocket for a doctor visit. Today, it is triple that. That far, far exceeds an annual 3% inflationary adjustment.
buster2010
reply to post by bigfatfurrytexan
In 2000, I would pay about $60 out of pocket for a doctor visit. Today, it is triple that. That far, far exceeds an annual 3% inflationary adjustment.
This would be due to the doctors malpractice insurance. Insurance companies keep jacking rates up due to doctors who want to practice their trade while drunk or stoned. Limiting malpractice claims is one of the things that the TP had in their demands.
BurbGirl378
reply to post by bigfatfurrytexan
If that is your job, you may want to read the pertinent sections.
Link: AFFORDABLE CARE ACT
Titty Twisting?edit on 12-10-2013 by BurbGirl378 because: Typo