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"Single Payer" universal health care is no pipe dream!

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Gryphons Eyre Donating Member (43 posts) Send PM | Profile | Ignore Mon Mar-05-07 03:48 AM
Original message
"Single Payer" universal health care is no pipe dream!
I just caught another thread concerning the 60 minute segment on universal health care. Americans have been scammed and it looks like 60 minutes is now an accomplice.

I am providing here an article which isn't available on-line but the 21 pages of Dr. Lights biography are. I typed this out because it is imperative for Americans to understand why our health care system is broken and how we can provide better care for less and still cover every man, woman and child in America. The article dwells primarily on "single payer" "socialized medicine" discussing other models such as the Netherlands and why competition and market forces do not work in health care. The entire article taken from "New Jersey Medicine" can be found here;Improving Medical Practice and the Economy through Universal Health Insurance by Dr. Donald W. Light PhD

Here are three paragraphs from the article. Please read and print out this article to pass around. America is literally dying for better health care and the tragedy is it doesn't have to. Business can no longer afford to supply medical insurance resulting in workers losing benefits or worse losing jobs. There are some good answers here, give it a read!



Two American myths among clinicians are that universal health care means becoming government employees and losing professional clout. Most medical services in universal health care systems are delivered by physicians in private practice or in arrangements that give them more autonomy and control than American physicians enjoy. In fact, the basic mistake that organized medicine made here was to oppose universal health care in the name of autonomy, choice, and freedom and to favor corporate task-masters who compromise all three much more than physicians experience in other affluent countries.<5> All universal systems give the medical profession great powers to decide issues of payments, organization of services, and divisions of labor-they have to.

Medical professions everywhere complain and protest nevertheless; but if one looks closely at the nature and scope of the issues, one finds they are relatively minor compared to the systemic, basic problems that American Physicians face. Many of the terms that American physicians are forced to accept are illegal everywhere else. With furious energy, state and national medical societies have opposed having “the government in your medical cabinet” and preferred having corporations concerned about their profits decide what is covered and how much will be paid. In such a system, for profit corporations dictate reforms, like the extended coverage in Medicare for prescription drugs. An analysis of the costs found that less than 4% of huge new costs (about $535 billion over the first ten years) is accounted for by the cost of new drugs.<6> The other 96% goes largely to additional profits for the pharmaceutical companies and to corporate middlemen who do not exist in any other universal health care system, because they are unnecessary. If this is the price of boondoggling, of relieving medical debts, and enabling physicians to prescribe what they think their patients need-$25 to corporations for every $1 to pay for medicine-there is no chance that physicians and nurses will practice in a stable health care system that honors their work and pays them for needed care.

“Single payer” plans should be called “more choice, less cost” plans, because patients and their doctors have more choice, and single payers systems have the least overhead as well as the best structure for controlling costs of any universal health care arrangement. They are also far more equitable. Funds collected from income taxes, for example, are more equitable and efficient that any alternative. America’s single-payer plan is Medicare, and it is based on social fairness, but it operates in a world of private, competitive plans based on “actuarial fairness,” the concept that it is unfair to make healthier people pay for sicker people.<7> This ethos works against clinicians, of course, because it avoids of denies the obvious: sick people need medical services, and those who provide them should be paid well and honored for doing so. The goal, instead, is to maximize profits by minimizing the proportion of a population’s illnesses and disabilities one has to pay for. Table 2 summarizes most of the techniques used to do this. They all make both the lives of patients who need medical services and those who provide them miserable, especially manipulations of benefit design and techniques of claims harassment. They are distinctive features of American health care.


Here is another site that has some good information on it;Physicians for a National Health Program.

Its your life and the life of your children we are talking about here. Invest the time to make a difference.

g
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atranssexualgirl Donating Member (8 posts) Send PM | Profile | Ignore Mon Mar-05-07 04:08 AM
Response to Original message
1. A national health care system is a reality for many people.
Many countries have a national and publicly funded health care system, including Canada of course. It is cheaper, more efficient, and compassionate. Of course it’s possible.
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newyawker99 Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-05-07 02:34 PM
Response to Reply #1
14. Hi atranssexualgirl!!
Welcome to DU!! :toast:
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auntAgonist Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-06-07 12:43 AM
Response to Reply #1
15. Hi from one Canadian to another, welcome to DU
:hi:


K&R this thread while I'm at it. :)


aA
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papau Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-05-07 06:37 AM
Response to Original message
2. Without grassroot pressure, we'll get Insurance company premium subsidy from fearful Dems
The current Dem presidential characters/candidates are too afraid of the health insurance companies to offer anything beyond the Insurance subsidy wetdream of the health companies - or if they are afraid of the political consequences of "universal" as much as they are afraid of the political consequences of "single payer", offing an even smaller program just for children like the one that Obama speaks about as he tries to sell himself as a progressive that's a bit further left than in prior years.
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AnOhioan Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-05-07 06:51 AM
Response to Original message
3. Call your Congresspeople to support HR 676...
The Conyers-Kucinich bill is the only one proposing a truly universal, single payer plan. The other ideas being floated are merely bandaids that keep the isurance companies growing fat on our dollars.

From Kucinich's website:

"We must establish streamlined national health insurance, "Enhanced Medicare for Everyone." It would be publicly financed health care, privately delivered, and will put patients and doctors back in control of the system. Coverage will be more complete than private insurance plans; encourage prevention; and include prescription drugs, dental care, mental health care, and alternative and complementary medicine."

More at http://kucinich.us/issues/universalhealth.php
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flpoljunkie Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-05-07 09:01 AM
Response to Reply #3
5. Ted Kennedy also supports expanding Medicare to all. Insurance companies stand in the way.
This will happen only when the American people demand it--just like public funding of Congressional and presidential campaigns.

Congressmen will listen to the American people--if they really feel the heat.
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dkofos Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-05-07 09:22 AM
Response to Reply #5
10. Indeed
Stop asking and start telling them.
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Adelante Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-05-07 09:20 AM
Response to Reply #3
9. Thanks, I will today
This is very important :kick:
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OneBlueSky Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-05-07 08:33 AM
Response to Original message
4. once again, corporate power and control are preventing the most effective . . .
solution to a critical national problem . . . as long as we allow corporate profits to dictate policy, we'll never solve anything . . .
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sutz12 Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-05-07 09:07 AM
Response to Original message
6. The insurance industry needs to be disbanded.
Single payer is the only way for it to really work.
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Thothmes Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-05-07 09:15 AM
Response to Original message
7. Medicare/Single Payer
I agree in principal with the Single-payer health care proposals. But, who decides what the reimbursement rate is for doctors accepting medicare patients. The reimbursement rate is trimmed almost annually to support slowing the growth of medicare costs. Many physicians in my geographic area (Tidewater Virginia) will not accept new medicare patients and some are trying to unload the ones they have. How will the single payer plans address this problem. Will physicians be able to shun single payers for those who retain insurance. At some point, physicians may assume that it to their financial benefit to leave private practice because govt reimbursement rated do not keep up with costs. The single-payer plan must address this problem, yet I have not seen much to suggest that has been done.
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Gryphons Eyre Donating Member (43 posts) Send PM | Profile | Ignore Mon Mar-05-07 01:03 PM
Response to Reply #7
12. doctors would have more freedom not less as in the Netherlands
All the answers are here folks.

The problem with complex issues such as national health care it is difficult to get people informed.
Many Americans and perhaps people in general anymore do not have the attention span to research and really dig into the important issues of the day. Consequently they go with preconceived ideas; ideas that have been prepackage and sold to them as a safeguard against big corporations being able to rob them blind; ideas that are lies.

Why are the costs so high. Well if you consider what the article I provided says you will see it is first the cost of administration cost and second, this is the part people are not getting, health care cannot be delivered with free market competition efficiently. Simply put, if your HMO or PPO has the primary function of providing you less health care so it can increase profit then the end result will always be more cost and less health care. period. It starts a vicious cycle of what Dr. Light calls "pernicious competition". The link I posted provides many answers under the FAQ section. One that may answer your question is:

Who will run the health care system?

There is a myth that, with national health insurance, the government will be making the medical decisions. But in a publicly-financed, universal health care system medical decisions are left to the patient and doctor, as they should be. This is true even in the countries like the UK and Spain that have socialized medicine.

In a public system the public has a say in how it’s run. Cost containment measures are publicly managed at the state level by an elected and appointed body that represents the people of that state. This body decides on the benefit package, negotiates doctor fees and hospital budgets. It also is responsible for health planning and the distribution of expensive technology.

The benefit package people will receive will not be decided upon by the legislature, but by the appointed body that represents all state residents in consultation with medical experts in all fields of medicine.



I continue every day talking about this because it is hugely important in America. We are spending twice per person what people in "single payer" health care systems are paying who are enjoying better care and providing it universally whereas 47 million Americans go without comprehensive health care every day.

I just stated this point elsewhere but I will state it here again. I believe this will be a work in progress; one that will have to evolve for years. What we get in the beginning may not resemble what it will be in its final form and even that will have to continually adjust to demands of the future. We do not have to know nor can we know what those future needs will be; all we need to know is that the course we are on leads nowhere. The same for many issues here but this is an important one that effects every life and eclipses every other issue here.
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Thothmes Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-06-07 09:25 AM
Response to Reply #12
20. State Responsibility
So what we will have is 50 different state health programs. Will Alabama provide the same level of care and benefits as Massachusetts? Will I have to move from Texas to Minnesota for a procedure because it is not funded by the State committee in Texas, but is in Minnesota. How will this system of 50 appointed and elected committees be isolated from political mischief. Appointments almost always follow the political color of the appointer.
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dkofos Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-05-07 09:19 AM
Response to Original message
8. We can have it if we want it.
When it comes time to choose a candidate, do it based on issues rather
than good looks and charisma. I know most people, (not most of us I hope)
vote for the most popular (just like they did in jr. high and high school),
and don't bother with what a candidate has to say and their past record.

It's not high school any more.

Make your vote count!
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NDP Donating Member (375 posts) Send PM | Profile | Ignore Mon Mar-05-07 09:58 AM
Response to Original message
11. Single payer universal health care is a pipedream because not even the 110th Congress would be able
to legislate it. I think a lot of Democrats in both chambers would vote against it.
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job777 Donating Member (71 posts) Send PM | Profile | Ignore Tue Mar-06-07 06:21 AM
Response to Reply #11
18. I say
be careful what you wish for, you just might get it. Study the models very very carefully.
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area51 Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-05-07 02:33 PM
Response to Original message
13. kick. (n/t)
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frankenforpres Donating Member (763 posts) Send PM | Profile | Ignore Tue Mar-06-07 12:54 AM
Response to Original message
16. Biggest problem with single payer
is that those that need it the most are weak, and those that are strong would possibly be made worse off


i support single payer, hell, it is the primary reason i support Dems, but we have to get real about the politics if we want this to happen.


getting out the vote will be very important for this issue
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Guaranteed Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-06-07 02:20 AM
Response to Original message
17. SB 840- the single-payer bill Arnold vetoed- is being reintroduced into the CA Senate. nt
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Ninja Jordan Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Mar-06-07 08:03 AM
Response to Original message
19. Agreed
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