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Advocating personal responsibility in health-care reform: Bullshit!

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Author 43144
Message Dominique Lord

Reprinted from Open Salon.

We have observed a lot of discussions lately about health insurance and the role of personal responsibility. None was more prominent than Whole Foods CEO John Mackey, who indicated in his recent WSJ article that many of the health-care problems in the U.S. are self-inflicted and about 70% of all health-care spending is preventable. Basically, Mr. Mackey implied that by changing our eating habits (via buying items at Whole Foods, I assume) and having a more active lifestyle, we don't need to significantly reform our health care system (other than the tax related stuff, such as the useless Health Savings Accounts or HSA). Like so many people on the right, John Mackey is advocating that personal responsibility is a critical component of health care reform.

Before I go into the heart of the matter, I need to point out that I am not disputing that eating healthier food and being more physically active will be very beneficial, as discussed here and here. However, is this enough to solve existing health care problems? So much so that we should keep the status quo about how health care is delivered in the United States?

Well, let's find out, shall we?

According to the University of Kansas Medical Center, there are approximately 13 million people in the U.S. who suffer from a genetic disease (there are 15,500 recognized genetic disorders!). Here is a sample of what researchers at this Center reported (based on peer-reviewed publications):

  • 11.1% of pediatric hospital admissions are for children with genetic disorders.
  • 18.5% of pediatric hospitalizations are for children with congenital malformations.
  • 50% of individuals found to have mental retardation have a genetic basis for their disability.
  • 12% of adult hospital admissions are for genetic causes.
  • 15% of all cancers have an inherited susceptibility.
  • 10% of the chronic diseases (heart, diabetes, arthritis) which occur in the adult populations have a significant genetic component.

It is interesting to note that many cancers and chronic diseases are in fact caused by a genetic propensity. Burgers may not be that bad for your health after all" just kiddin'!

The Center also notes that the lifetime costs associated with some of these genetic diseases could be as high as $1,000,000. Yep, $1M! I am wondering how many servings of fruits and vegetables this amount is equivalent to. On a more serious note, how many Americans could afford these lifetime expenses, even with full (private) insurance coverage?

According to the Centers for Disease Control and Prevention (CDC), non-intentional injuries are considered a serious public health problem. In fact, it takes a toll on the health of the population and imposes important social and economic costs on society.

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Dominique is an Associate Professor in the Zachry Department of Civil Engineering at Texas A&M University. His research work aims at reducing the negative effects associated with motor vehicle crashes. When he's not developing mathematical and (more...)
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