The Truth About Universal Health Care

[Editor's Note: This story was originally published on Campus Progress.]

There are numerous pathologies (such as a fear of increasing the size of the federal government) in the American political climate that prevented Universal Health Care (UHC) from succeeding. For many, blind faith in the free market and the sentiment that "private is always more efficient than public" is the motivation for dismissing such a sweeping reform initiative.

The trouble with UHC isn't that it's politically infeasible, financially ruinous, or inefficient, because none of the above is true. The largest impediment to implementing UHC is that it has yet to receive a fair trial in this country.

There are over 40 million people in the U.S. who do not have any health insurance. For a country touted as the most powerful in the world, that figure is appalling. Ensuring that every individual has free access to health care should be an imperative of any fair and just society.

Health care, contrary to what those on the right would argue, is not simply a commodity to be bought and sold according to the market, but rather it is a basic human need. As such, it should not be limited to only those who are able to pay for it. Even some conservatives will reluctantly sympathize with the spirit of social justice inherent in UHC, but skepticism about the political and financial feasibility of UHC frequently color their arguments against it.

So, let's debunk five myths about UHC.

Myth #1: It would be too expensive

Rather than cost more money, UHC would actually reduce the cost of health care. The Congressional Budget Office (CBO) estimated that UHC could save up to $14 billion annually by spreading the risk evenly over the entire population, eliminating deductibles and co-pays and making preventive medicine available to the poor and uninsured. The federal government already subsidizes private health insurance in the form of tax deductions.

Private insurance companies also spend billions on administration and overhead, advertising, and determining and inspecting patient eligibility, all while trying to make a profit. UHC would not be burdened with some of those costs, like advertising, and unlike private business, it could run at a loss and still be viable. The pressures of profitability would no longer close the door for millions of Americans and drive up costs. As a result, Americans would effectively pay less for health insurance than they do now, according to the Government Accountability Office.

Myth #2: It would require a HUGE, inefficient bureaucracy

The current system is already a HUGE, inefficient bureaucracy! As previously mentioned, much of the unnecessary overhead and micromanaging in the system now could be eliminated if UHC were implemented. For example, the bureaucracy and paperwork involved in determining patient eligibility would be completely unnecessary if everyone were eligible and covered. Insurance companies spend an estimated 25 cents of every dollar on administration. Canada, which already has a comprehensive UHC in place and still manages to pay 70 percent less per citizen on health care, spends about the equivalent of about 12 cents of every dollar on administration.

Myth #3: It would restrict patient choice

How can we even begin to talk about choice when 40 million Americans don't have any health insurance at all? "Choice" really isn't an appropriate topic for those who can't afford health care. Many of the chronically sick are simply denied coverage by private insurance companies because they aren't good financial investments. The concept of choice probably doesn't resonate much for people in this situation, either. But even for those who are insured under the current system, HMOs and insurance companies alike restrict patients to a strict list of complying physicians. UHC wouldn't directly dictate what doctor you have to see in order to get treatment and would thus enable more choice in selecting a physician than the current system would for many, if not most, Americans.