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Original Content at https://www.opednews.com/articles/Breaking-through-denial-of-by-Rick-Staggenborg--Health-Care-Universal--Single-Payer_Medicare-For-All_Single-Payer-Healhcare-200909-843.html (Note: You can view every article as one long page if you sign up as an Advocate Member, or higher). |
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September 8, 2020
Breaking through denial of the moral urgency of universal health care
By Rick Staggenborg, MD
Studies show that personal stories are much more likely to get the interest of people who would normally consider universal health care "socialist". Once they are hooked by that, a story that touches them, they are far more likely to listen to the economic argument.
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We've all seen it: You walk into a convenience store and there on the counter, taped to a jar, is the photo of a child. Scrawled on the picture is an appeal to leave your change to finance a bone-marrow transplant or some other treatment the child's family cannot afford. Or maybe you can help the victim of a fire or accident by buying a pizza on the night that one dollar per sale goes to her medical expenses. Do you feel good about being able to help, or are you outraged that these families have to beg for desperately needed assistance?
If you don't feel guilty passing up such chances to help, perhaps it is because you realize the ultimate futility of such appeals. But if you don't support doing something about it, you should feel guilty. These are neighbors in need. We can turn away from them now, but what happens when we need medical care we cannot afford?
Chances are, you don't have enough insurance to keep from going bankrupt if you get an illness or injury requiring expensive treatment. In the US 60% of bankruptcies are due to medical bills, and 75% of those undergoing medical bankruptcy are insured. In other words, simply having insurance isn't enough if you can't afford to use it, or if you use it and go broke anyway. Medical bankruptcies are unheard of in other developed countries. There, risk sharing through universal health care prevents the unlucky families who most need help from having financial ruin added to their burden. Everyone contributes to the system so that none need go without care when it is needed.
Aside from the humanitarian issue of having nearly 30 million Americans uninsured, most of whom are the working poor, there are many practical advantages to universal health care. When access to care is not tied to employment, it is much easier to change jobs. People are free to work where they want instead of keeping a job with medical benefits that doesn't otherwise fit their needs. If they want to start their own business, they don't have to worry about losing it due to unexpected illness or injury. Businesses are more competitive with overseas competitors when they do not have to pay extortionate rates for insurance and, instead, have predictable costs. These costs are significantly less in countries with universal health care than they are in the American system of access through for-profit medical insurance.
The financial benefits of universal health care are well known, but since some continue to claim that we cannot afford it in the US, it bears repeating: Other countries provide universal, comprehensive care for as little as half the amount per person that we pay in the US for care that is full of gaps even for the insured. While it's not estimated that we will save that much under the plan recently introduced in Congress by Bernie Sanders, his proposal for an improved system of Medicare for All would provide comprehensive care to every American at less cost than the current system.
Such as system would have built-in cost controls lacking in the Affordable Care Act. Without such constraints, the system will ultimately become unsustainable due to the familiar "death spiral" of medical insurance: As costs rise, fewer can afford it, leading to premium increases to maintain profits, which leads to fewer being able to afford it, thus causing a new cycle of price increases. Ultimately, most of us will not be able to afford insurance without the subsidies offered under Obamacare. These subsidies amount to a bailout of Wall Street investors in the insurance industry for the sole purpose of maintaining their profits. They add nothing of value to the system to justify their siphoning 30 cents out of every health care dollar, when Medicare overhead is less than a tenth of that.
When you understand the economics of universal health care, it is hard to argue that we cannot afford it. The question then becomes, do we really want to pay more for less care for ourselves and our loved ones, just to deny it to those we think may not be worthy?
I am a former Army and VA psychiatrist who ran for the US Senate in 2010 on a campaign based on a pledge to introduce a constitutional amendment to abolish corporate personhood and regulate campaign finance.
A constitutional amendment banning corporate campaign expenditures and limiting or abolishing individual donations spent to influence elections is an essential step to getting back on the path to democracy.
I am convinced that the only way to do this is to make support for such an amendment a campaign issue. That way, we can easily see who wants to get in Congress to represent We the People and who want to serve our interests over those of corporations who currently control the US government.
I believe that it is possible to end war, address climate change and provide health care to all if we can prove that democracy is possible. Unless we can awaken enough Americans to the fact that their government is pursuing an agenda of corporate imperialism that will enslave them along with the rest of the world if not reclaimed by We the People, we will leave our children with a legacy of pain for which we cannot be forgiven.
Ultimately, endless war is a symptom of a disease that will destroy human civilization if not eradicated. There is no "us" vs "them." Our fates are intertwined. None of us gets out alive. The question is, how will we have lived?