Originally posted by arden
Where's RacerX in all this? I'm sure he'd have something significant to contribute.
Just because a country has state-sponsored benefits like health, doesn't mean they are the best programs. What is the quality of health care in France? Denmark? Germany? the U.S.? Here, we have to pay for health care on our own, ensuring that we have the best coverage and care possible, because we don't want to spend our money on crappy service. When you pay for something with taxes, you the citizen have a hard time dictating how you want that money to be spent, including on training.
Ahh, methinks, Arden that you haven't had much personal experience with the glories of the US health system.
First off, how can you say that we get the best coverage and care possible when ~30% of Americans don't have health coverage? Or do you mean that only the people with money get the best possible health care? If the last, then yes, we do have the best health system in the world, but only for people who can pay.
If, one day, you decide to start up your own business here in the US and want to buy insurance for yourself and employees, you will find that because you are such an itty bitty customer, the insurance companies are going to charge you a small fortune. Then, when somebody gets sick and actually has to use the insurance and it costs a fair amount of money, there is a good chance that they will drop you.
Germany has a quasi-public health system. Not unlike most public utilities in the US whereby the company is privately owned but closely regulated by the governement. In Germany everyone has health insurance. The employer pays part, the employee pays part. The insurance company offers different levels of insurance that have different pricing levels. There is also a government run insurance plan for those who are old, disabled, poor, on unemployment, students, etc.
It is a proven fact that countries that have broad insurance coverage have lower health costs and needs. In the US one of the biggest costs to hospitals is the emergency room. Americans are guaranteed medical attention at virtually any emergency room anywhere in the US. Therefore people without insurance flood the emergency rooms for routine health care. Emergency room health care is by some estimates 40% higher than if a person went to a regular doctor's office. People going to emergency rooms are also likely to wait until the condition is critical rather than acute. Critical health issues cost far more to deal with than acute ones. Also, having a regular doctor and regular check ups is much more likely to catch serious health problems before they become costly and deadly. Therefore, socialized medicine is by definition preventative rather than reactive.
It has been suggested that the best cure for the health care crisis in America is to require everyone to have health insurance just like we're required to have liablity insurance on our autos. That way everyone would be contributing more or less equally and would have access to the preventative aspects of the health system. That last part alone is the most important aspect of health care.
How to achieve this? Good question. Despite my faith in socialized medicine I do believe like you that you end up with a better product if it is handled by private industry.
1. Everyone is eligible, nobody is denied for any reason. That is one of the greatest failings of our system today. The people who need it most are denied access.
2. Preventative medicine needs to be the greatest priority.
3. Affordability. Who pays? Both employee and employer need to share the burden and it needs to be shared across the board.
4. New technologies need to proven before they are used. There was a study recently that measured the effectiveness of a certain type of knee surgery. Those who had a "placebo" surgery did just as well as those who had the real surgery. American Medicine is as full of quacks today as it was 100 years ago.
5. The industries that have the most adverse effect on a person's health should have to contribute a "death" tax to fund those too ill, old, disabled to work.
Sorry I'm rambling on but what we have isn't working. Health care costs continue to skyrocket and fewer people are covered. America is a land of extremism. There is no doubt that we have some of the best technology available to us, but it is only available to the rich.