Home
Archive
Newsletters
Video
Blogs
Discuss
About
Search
Donate
Advertise
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement
  • AlterNetYour turn

Support AlterNet
Do you value the information you're getting from AlterNet? Please show your support with a tax-deductible donation.


Feedback
Tell us how we're doing.

Advertisement
Advertisement

Health & Wellness

Why Single-Payer Health Care Can't Wait

By Mike Ferner, After Downing Street. Posted January 12, 2009.


Americans' experience with employer-paid health benefits has been far from happy.
Advertisement
Upcoming AlterNet stories on Digg

A steady stream of reporters from corporate news media outlets warmed things up at a frigid Camp Hope in Chicago last week, when CNN and the local affiliates of ABC, NBC, FOX, and CBS all called at Drexel Park on day two of the 18-day vigil urging President-elect Obama to make good on his campaign pledges.

Universal, publicly funded health care was the theme, highlighted by a presentation from one of the nation’s top authorities on the subject, Dr. Quentin Young, MD.

For decades, Dr. Young has promoted the benefits of a Canadian-type, “single-payer” system like most of the world’s industrialized nations. Young’s office is in Hyde Park, the same venerable neighborhood where Camp Hope is pitched, a few short blocks from Barack Obama’s home. His partner in the practice has been Barack Obama’s personal physician since the Senator moved into the historic district a few years ago.

Young related that in Obama’s early years in politics, he used to say he was all for single-payer. Then in 2006, the Senator started to say he was still for it, but that it would never happen without a solid Democrat majority in Congress. Then during the presidential campaign, he said that because of America’s rich experience with employment-based insurance that option would be included in the mix of plans he supported.

The white-haired physician paused for a moment and added, “Well I can tell you as someone who has practiced medicine for decades, Americans may have experience with employment-related health benefits but it’s been far from a happy experience.”

Even though health insurance costs in the U.S. add $1200 or more to the price of a car produced here Young said, big employers like General Motors Corp., along with the Chambers of Commerce are opposed to single-payer insurance because “they’re trapped in ideological blinders and unable to see the issues clearly.” However, in Canada, he said, the Big Three automakers and the Canadian Auto Workers Union both say they like the system they have, even admitting when pressed that it gives Canadian industry an advantage.

“The power of corporations is incredibly strong. Take a look at the number of registered lobbyists

Big Pharma (the pharmaceutical industry) employs to sell its message to the U.S. House of Representatives: it has 675 registered lobbyists, plus staff, and there are 435 members of the House. ‘Hope and change.’ I like it,” Dr. Young said, “but I’d rather hear us talking about solidarity.”

Discussing some of the health care proposals under discussion, Dr. Young offered, “The ‘incremental’ plans put forth by some activists are idiotic. Every year companies try to off-load more of the cost of health benefits onto workers. I just hope that when Obama gets into office he quickly says ‘The situation is much worse than I thought. We need single-payer insurance now.’ What’s more likely, though,” Dr. Young observed, “is we will start hearing some baloney like, ‘Don’t worry, the public plan is so much better that it will eventually win out over the private one.’”


Digg!    Share on facebook   submit to reddit    Bookmark on Delicious   Stumble This  

See more stories tagged with: obama, health care, single-payer

Liked this story? Get top stories in your inbox each week from Health and Wellness! Sign up now »

Advertisement
Advertisement

 

Comments Turn comments off sitewide Give us feedback »
Comments closed.
The comments for this story have been closed. Thank you to everyone who participated.
View:
Exactly Right : We Need Medicare for All ...
Posted by: mmckinl on Jan 12, 2009 12:34 PM   
Current rating: 5    [1 = poor; 5 = excellent]
Why Medicare ?

~ Because the system is all set up and only needs to be expanded.

~ Because it's a great rally call. People like Medicare even with all it warts.

~ Because we need all insurance under one umbrella to reform it ... incremental reform at different rates in different areas of health care would be a disaster. Without reform medical care bankrupts business, government and individuals.

The National Coalition on Health Care

National Health Care Spending

In 2008, health care spending in the United States reached $2.4 trillion, and was projected to reach $3.1 trillion in 2012.1 Health care spending is projected to reach $4.3 trillion by 2016.1
Health care spending is 4.3 times the amount spent on national defense.3
In 2008, the United States will spend 17 percent of its gross domestic product (GDP) on health care. It is projected that the percentage will reach 20 percent by 2017.1
Although nearly 46 million Americans are uninsured, the United States spends more on health care than other industrialized nations, and those countries provide health insurance to all their citizens.3
Health care spending accounted for 10.9 percent of the GDP in Switzerland, 10.7 percent in Germany, 9.7 percent in Canada and 9.5 percent in France, according to the Organization for Economic Cooperation and Development.4

And there's more on the NCHC site ... these are must know facts if you want to really understand our health care crisis.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

If you can't use words logically, how are you going to fix my broken wrist?
Posted by: ABetterFuture on Jan 13, 2009 6:00 AM   
Current rating: 2    [1 = poor; 5 = excellent]
The author uses a recent pop-culture misnomer. We have not (yet) narrowed our tax base to one person, therefore, a so-called "single payer" system is really just a few folks looking for a way to make their neighbor take care of their needs via the authority of a ballot box.

Single payer? Hardly. Try universal-payer (among those who still pay federal taxes), single-provider (your Congresscritters, with their mighty 14% approval rating--even worse than your father-figure president) if you give a damn about what words mean. But I suspect you don't...

I think an opt-in, pay-in system would work wonderfully: you get your medicare trial balloon funded by your contributions, I get to continue with a system that works very well for me, and we can all chip in something to help the indigent and kids who otherwise couldn't see a doc.

But I suspect that "compromise" is another words you can't fathom how to use correctly. I suspect that when a few people want something for themselves enough, the only recourse when they don't everything they think they deserve is to throw their toys out of the stroller and sulk. You universal payer, single provider advocates just might be on to something, and you just might be right! We'll never know, because you all-or-nothing jack-booted thugs won't bend on issues that effect all of us, not just YOU and YOUR desire to get what many perceive as something for nothing.

Until you demonstrate that you can make your health-oriented belief structure work in our country, keep your greedy little mits off of my quality health care coverage. My family depends on it.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» What this is REALLY about Posted by: barefeet
» Oh. You. Poor. Poor. Dear. Posted by: ABetterFuture
Obama doesn't give single payer a high priority. Besides, with Sanjay Gupta as surgeon general,
Posted by: maxpayne on Jan 13, 2009 6:44 AM   
Current rating: 5    [1 = poor; 5 = excellent]
the idea is dead in the water. Enjoy all that false "hope" and chump "change" while it lasts. LOL !

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

SINGLE PAYER BUT...
Posted by: drricklippin on Jan 13, 2009 7:08 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
.... MUCH more emphasis on individual(health behaviors) and even more importantly, institutional(public health) PREVENTIONand yes ethical and compassionate end of life RATIONING

Without that the US will be bankrupt within ten years

Dr. Rick Lippin
Southampton, Pa

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» RE: SINGLE PAYER BUT... Posted by: Old Skeptic
Caesar77
Posted by: Caesar77 on Jan 13, 2009 8:53 AM   
Current rating: 5    [1 = poor; 5 = excellent]
When ever you have a 'for profit health' care system, (Scam) people lose and people die.
Wake up America and be mature enough to demand a universal health care system, like the rest of the world.
As a matter of fact demand the same heath care system the politicians have in Washington.
But of course the selfish bastards would rather you didn't.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» RE: Caesar77 Posted by: lrubemp
Private healthcare insurers = government enabled theft.
Posted by: monkeywrench on Jan 13, 2009 10:27 AM   
Current rating: 5    [1 = poor; 5 = excellent]
If you think that people with employer-paid health plans are not happy, just take a look at those who have to buy their own. My family of four is charged over $13,000 a year in premiums alone for a policy with $5,000 deductibles EACH for three, count 'em, THREE of my family members! My insurer is also allowed to tack on an additional 20% as part of that premium for a back injury of mine that is fully covered by Worker's Comp., and on which they will NEVER HAVE TO PAY A DIME!

AND, today, 1/13/09, we hear news reports that Oxford Health Plans/United Healthcare is being accused of ripping off its customers for years with hundreds of millions of dollars in overcharges! My guess is that many other (if not all) of our largest health insurance providers are doing exactly the same thing.

We need single-payer, government-sponsored health insurance, if for no other reason, to get the criminal corporations out of the system.

It is time to send rapacious private healthcare corporations packing and adopt a single-payer system. It is time to join the rational majority of the rest of the industrialized world.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

Cost
Posted by: brainvib on Jan 13, 2009 10:27 AM   
Current rating: 4    [1 = poor; 5 = excellent]
I too am a believer in a single payer medical(health) care system, an extension of medicare. My question is, will the US population accept the cost, I will. Keep in mind that nothing is free and I would expect a dramatic increase in tax(income and other)to pay for this sort of system.
Perhaps the repeal of Bush tax cuts and legislating provisions to stop the evasion of taxes by major corporations would defray the costs a great degree. A great big cut in military spending would make sense along with a halt to the American Empire building action.
In all honesty, I really do not believe it will ever happen. There are just are too many, too powerful,too wealthy forces against it.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

The Bush League of Nations
Posted by: jimswanson on Jan 13, 2009 11:20 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Jim Swanson, Los Altos, CA
www.bushleagueofnations.com [for FREE download of entire book]

I support single-payer universal health care, but it appears Congress won’t have the backbone to provide more than half a loaf.

Transforming progressive reform must meet the following two principals:

1. America needs universal health care—not health insurance companies.

2. American employers, both large and small, must be removed from the health care business, which will make them more competitive globally.

What follows are excerpts from my new book, "The Bush League of Nations," which you can download for free at www.bushleagueofnations.com.

The United States is the only nation among the top 25 industrialized nations that does not provide health coverage for all its citizens. At the same time, America spends much more per capita on health care costs, almost 2.4 times the average of other industrialized nations ($5,267 per capita annually, versus $2,193.)

America’s health care system is wasteful precisely because it is private. It is a private con game run by and for huge corporate interests.

The privately milked health care system is structured to provide maximum returns for shareholders and wealthy industry executives who are not caregivers, while denying and delaying coverage, and passing around like “hot potatoes” those individuals most needing medical care.

As a result, America spends more than $1,000 annually per capita—almost $400 billion annually—on administration and paperwork, while Canada, for example, spends less than one-third this amount on a per capita basis.

America’s private health insurance companies spend billions each year on advertising and gaming the system. Patients and the actual caregivers—doctors, nurses and other staff—are forced to waste enormous time and money coping with the bureaucratic obstacles and paperwork of hundreds of different billing and reimbursement systems.

Health insurance companies enjoy record profits, and their CEOs and other senior executives pocket exorbitant compensation. William McGuire, the CEO of UnitedHealth Group, received compensation totaling $124.8 million in 2005. Critics noted that his compensation of $124.8 million in 2005 could cover the total cost of medical care for an entire year for more than 33,000 average Americans.

McGuire retired under pressure in October 2006 due to a pay and stock options scandal affecting UnitedHealth. An investigation determined that McGuire’s options to purchase 1.5 million shares had probably been “backdated” to increase their value. His stock option package has been reported to be worth $1.6 billion (imagine 1,600 piles of $1 million each.)

This is many thousands of times what is paid to the most highly compensated executive in the U.S. Department of Veterans Affairs, which is run more efficiently than America’s private health care system.

The additional reported amount of $1.6 billion in stock options for McGuire could have paid the total cost of medical care for an entire year for 422,400 Americans.

It has been the kiss of death for any political leader to push progressive reform because the corporate and political forces on the right kill the messenger and sidetrack any serious policy debate on the merits.

This is why reform proposals proposed by congressional leaders keep insurance companies in the business of screwing America.

Jim Swanson, Los Altos, CA
“The Bush League of Nations”
www.bushleagueofnations.com [for FREE download of entire book]

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

Insurance
Posted by: Gregory Kruse on Jan 13, 2009 12:11 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
All insurance is useful only to protect an individual against losses greater than his ability to absorb. Insurance is not an appropriate way to pay ordinary medical bills. It only serves to create a honey pot out of which doctors, hospitals, and insurance companies bail the cash. Everyone should be covered by catastrophic medical insurance, and everyone should pay for their own routine medical treatment up to a percentage of their taxable income. Subsequent costs should be tax deductable. Extraordinary medical effort to save the life of a person who is terminally ill or very old should be paid by the family of the patient.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

thinkagain
Posted by: thinkagain on Jan 13, 2009 12:44 PM   
Current rating: 5    [1 = poor; 5 = excellent]
Those who say they're happy with their current coverage miss a very important fact....if they get seriously ill, that coverage can be cancelled or greatly reduced and you may be too ill to fight back!!! I had a cousin who spent his entire professional career as a firefighter in service to his community, but when he contracted cancer (most likely from exposure to toxic chemicals related to his work), he was forced to retire after only 6 months, losing BOTH his health insurance AND his life insurance!! His wife then lost her home after his death! This has to STOP!!

The only way we can be assured this will not happen to us when we are the most vulnerable is UNIVERSAL HEALTH INSURANCE !!!

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» RE: thinkagain Posted by: wrinklemomma
Comparisons
Posted by: willymack on Jan 13, 2009 3:17 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
In most advanced countries in Europe and Asia, the government is afraid of the people, not the other way around.
In most advanced countries in Europe and Asia, a short leash is kept on corporations, unlike here.
In most advanced countries in Europe and Asia, life expectancy is higher infant mortality rates are lower, and overall health is better than here.
In most advanced countries in Europe and Asia, there is single-payer universal health care and universal education through college for those qualified, and healthier and better educated people than here.
Most advanced countries in Europe and Asia don't send their young people off to wars based on lies, and benefitting only greedy psychopaths, nor do they have phony wars on "terror", but we sure as hell do.
In short, we don't have a hell of a lot to brag about here, but it'd be nice if we DID.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

One American dies in a hospital from a medical error
Posted by: Landbaron on Jan 13, 2009 11:32 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
or a lethal infection every 6 minutes. http://itsmylife.com/statistics.asp
I wonder what % don't have little or no healthcare?

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

Lauren
Posted by: Ms. Sardines on Jan 13, 2009 11:46 PM   
Current rating: 5    [1 = poor; 5 = excellent]
Why don't we hear about prevention in all the talk of reform? Why should I take care of my health but still pay for the medical care of people who eat wrong, smoke and drink too much, and don't exercise enough?

“The degenerative diseases of aging swallow 50 percent of the U.S. health care budget. One hundred million Americans [a third of our population] are currently being treated for one or another degenerative disease at a health care cost of more than $700 billion per year.” (The New Anti-Aging Revolution, by Ronald Klatz, Bob Goldman, 2003.)

Increased cancer survival in the past 5 decades, for instance, is counted in weeks or months, and only two out of ten oncologists would submit themselves or their family to chemotherapy. Meanwhile, Laetrile, Hoxsey, Dr. Royal Rife, and others have amazing success with no side effects—-but are attacked by government agencies, all while Big Pharma and Big Insurance donate millions to election campaign coffers.

Whatever medical care reform we want will need to be preceded by campaign finance reform. Public financing is the only way to get integrity back into Congress and the Executive Branch.

If our current crisis is enough of a Hitting Bottom emergency, with so many people finally paying attention, we have the opportunity to make real changes.

But just as recent lower gas prices have taken the urgency out of high efficiency vehicles and mass transit, some string pulling and more bailouts might give the impression that our economy is recovering, and there goes the fleeting moment when we could demand and get what other developed nations have.

The window is open but briefly, let’s get President Elect Obama and Congress to listen and act---Universal Health Care WITH naturopathy, chiropractic, homeopathy, acupuncture, etc. included.

An ounce of Prevention is worth a pound of Cure, which means a successful health care plan should:
Improve school food
Ban junk food ads aimed at children
Raise the RDA for vitamin D
Finally set an RDA for omega-3s
Test juvenile delinquents for heavy metal contamination
Farm 100% organically food by 2025
Charge smokers and people deficient in vitamin D and omega-3s for their higher health care costs—until lab tests show they are back within a healthy range.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

If they own us now, they will own us then.
Posted by: Gregsdiary on Jan 14, 2009 4:44 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
"Obama says his plan will compete with private insurers."

If we have little control over the private insurers and their allies now--what makes anyone think they'll allow us to compete with them in any kind of even or fair way in the future?

If they own us now, they will own us then.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]