LOGO: Truthdig: Drilling Beneath the Headlines. A Progressive Journal of News and Opinion. Editor, Robert Scheer. Publisher, Zuade Kaufman.  
November 24, 2009
Log in / Register

 Choose a size
Text Size

Most Read

Obama Risks Losing His Judicial Prize

For 23 Years, Fully Aware but Mute and Paralyzed

Refuse Allegiance to Coal

Playbill

That's One Big Bang for Mankind

Most Comments
Most Emailed

Reports
 * NEW! * To Your Health—and Mine

Ear to the Ground

A/V Booth

Arts & Culture
Freedom’s Fight: Part II

Digs
Financial Meltdown 101
Vetting Sarah Palin

Truthdig Bazaar
A Prayer for America

A Prayer for America

By Dennis Kucinich
$11.95

more items

 
Reports

Universal Health Care Makes More Sense Than Ever

Email this item Email    Print this item Print   
Posted on Aug 27, 2008

By Marie Cocco

    In the midst of a Democratic convention that is high on psychodrama and necessarily low on wonkish detail, it hardly seems fair to throw around a word like entitlements. Besides, Republicans are set to commandeer the media spotlight with their own convention next week, and they can be expected to use the E-word once or twice, probably with modifiers to make it sound dirty. Examples: references to “runaway spending’’ on “entitlements” and the need to “rein them in.”

    So it is worth pausing during these orchestrated partisan celebrations to look afresh at entitlements. There is no more recent evidence of their enduring value than the latest report from the Census Bureau on the number of Americans who are doing without health insurance.

    The headline seems counterintuitive, if not downright baffling: The number of people without insurance dipped in 2007, falling from 47 million to just under 46 million. Did the private insurance industry suddenly make it easier for employers to pay for this benefit and so make fewer of their workers do without? No. Did more Americans manage to buy policies on their own, using the magic of the free market coupled with such conservative panaceas as tax-favored health savings accounts? No.

    The government became the insurer of last resort.

    Without a boost in Medicare and Medicaid enrollment, the number of uninsured people would have risen once again last year. The census data show that the percentage of Americans getting their coverage through the government jumped almost a full percentage point, from 27 to 27.8 percent. Most of the increase came in Medicaid, the joint state and federal program that insures the poor. Medicare, which insures the elderly, and Medicaid combined now provide coverage for 81 million Americans.

Advertisement

    At the same time, the percentage of people who get private insurance through employers fell again, to 59.3 percent from 59.7 percent in 2006. It’s this decline that has driven up the number of uninsured people—there are about 6 million more uninsured now than there were in 2001.

    Which means, of course, that in the current economic downturn more people will become uninsured as businesses shed jobs and try to contain their own costs by curtailing coverage. The employer-based health insurance system, for anyone who hasn’t yet noticed, is crumbling.

    So why would the two presidential candidates seek to build a new system upon such a creaky foundation? There are only bad answers.

    To be honest, Republican John McCain would effectively destroy the employer-based system by breaking it up even further, giving individuals tax breaks to buy insurance on their own. It won’t work for the simple reason that the whole concept of insurance is based upon pooling risk: Those who stay healthy effectively subsidize those who get sick, and premiums remain lower than they otherwise would be for a sole individual or family. Besides, after years of tax breaks and other efforts to boost the individual insurance market that were put in place by congressional Republicans, the percentage of people who directly purchase insurance on their own also is declining, the Census Bureau says.

    McCain at least has a partisan excuse for taking this approach. The free-market ideologues in his own party are convinced of their correctness, even when their faith is easily punctured by facts.

    But what about the Democrats? From the start of their primaries, it was clear that the major candidates were too skittish about taking their talk about universal, affordable health insurance to the logical conclusion: that there is no simple or affordable way to achieve this so long as we continue to rely on something that’s neither universal nor even predictable—employment—as the basis for coverage. All of the health insurance plans outlined by the major Democratic contenders, including Barack Obama, essentially would patch holes in the existing system.

    Yet the employment-based system of insurance is providing coverage to fewer people while costs, even for the best-insured families, continue to mount. Meanwhile, government programs are performing exactly as they were intended to, providing a necessary safety net—so long as the state and federal governments fund them sufficiently.

    All of us would rather build a house on a firm foundation rather than a shaky one. The illogic of doing just the opposite on health care has never been more apparent.
   
    Marie Cocco’s e-mail address is mariecocco(at)washpost.com.
   
    © 2008, Washington Post Writers Group


Elsewhere: .

Comments

Are you a Truthdig member yet? Login now, or register with Truthdig.

By KDelphi, August 29, 2008 at 12:20 am #

right wingnuts are the worst—but there are plenty of reg. wing nuts too. This, from a 30 year Dem—I’m just sick of being told what to sayk do , act..all of it. It is NOT all it seem, canada

Report this

By healthy canadian, August 28, 2008 at 11:17 pm #
(Unregistered commenter)

Why are USer right wing nuts so resolutely stupid?

Report this

By KDelphi, August 28, 2008 at 3:36 pm #

When they called it “Sicko”, it meant something. He was referring to people like you, who wil never limit the amount of money spent to kill people, but scream bloody murder (well, literally) when people want to save lives.

Report this

By martin weiss, August 28, 2008 at 3:26 pm #

Since the whole concept of insurance is based on pooling risk, where risk can be determined it cannot be pooled. With the decoding of the human genome comes the ability to predict ailments. Some families are predisposed to thyroid problems, some to asthma, some to breast cancer or prostate cancer. Insurance companies will reject those who are likely to be more expensive, needing costly treatments. Thus risk can be determined for enough numbers of people to mandate universal healthcare—everybody in the pool. That’s the only way we can protect everybody from communicable or budget-busting illnesses. It is the only way we can proceed medically and ethically. Society is built on community, not individualism. Community is the pivotal principle that enables humanity to survive. Therefore, ethically, medically and strategically, everybody must be in the pool. Universal healthcare is an absolute imperative.

Report this

By G.Anderson, August 28, 2008 at 2:23 pm #

Then maybe the government should close all the schools, and end public education forever…?

I suppose they could use all the money we save to increase survelliance on Americans, and we could also build more prisons.

Then since the govenments job is not making sure people are healthy, we could end government inspections of food, end regulation of the pharmecutical industry, no more inspection of meat or produce. All things that the Neo Cons have tried.
We’ll let market forces take care of that.

And if you die of food poisoning, or of a bad medication, or lack of medical care, tough luck. You shouldn’t have subscribed to cable T.V..

It’s a dog, eat dog world out there and everyone is on there own, what happens to you and your children is of no concern of mine.

Except when I contract tuberulosis from you, because you couldn’t afford medical care.

Sicko was a great movie, and that fact that it makes the haters so angry, indicates how right on it was. To be cursed by the Devil is to truly be blessed.

Report this

By KDelphi, August 28, 2008 at 10:52 am #

I so agree! With what the HMOs, etc. have done to my family, my friends and myself (not to mention ill clients), it is my number one issue.MORE US citizens wil die this year in the uS from a lack of good health care than will in Iraq.Of course McCain’s mkt approach will make things worse.(Well, both candidates tout mkt forces, but McCain;s would actually provide it to FEWER people) If you ask me, allowing mkt forces to control things like health care and war, are the two most immoral things thhe USD has ever done—well, theres slavery. And the Japanese. And Gitmo,,oh well!! LOL It’s ONE of the worst!I wont go into family members too much. Although they really need to hear stuff like that. I worked with peopel om Medicaid “spend-downs” for many years. (The advancement of HMOs into Medicaid has been one great disaster)It always amazed me that this or that was just NOT COVERED—my sister’s chemotherpay? My dad’ btrain cancer? My thyroid meds ? My client’s “new” psyoactuive meds? (prob. better off without them!)A veterans first “check up” in 30 yrs?! We need to do what civilized countries do. Lets fake it until we are one! All the above is NO excuse for the Dems LAME excuses of why we “cant” (dont want to—dries up a pool of lobbying $$ and funding for spectacles like we see this week!)have natl health insurance. ENOUGH! It’s sad that, even Michael MOore, who seems more and more like another newly rich blowhard, dosent necessarily back non-market-based care. I was SURE this would be the year.It is incredibly disappointing that it appears not to be. I think when I heard the Dems “debate” health care—with Kucincih and Edwards being the only ones supporting a system that would work—I decided I just could not be a Dem anymore. If they dont care if people die, at 20,000 a year—there is very little reason for me to vote for them.I think they very much underestimate the interrelatedness of the mortgage crisis, health care (lack of), the bankruptcy bill (trumpeted by Biden for his son’s corp., MNBA)—it leaves nowhere to go if you are sick! MANY people took out these mortgages to pay off medical bills. There is no other civilized country on earth where that happens and the Dems shoudl be ashamed.

Report this

By Philip Frey, August 28, 2008 at 8:36 am #
(Unregistered commenter)

“Sicko”?  You mean that comedy by Michael “can’t back up anything he says” Moore?  Yeah, that’s what we need: a partisan, skewed view of a situation to be the leading edge of the debate.  Use something with an ounce of integrity and we’ll talk.

As for the title of this article: “Universal Health Care Makes More Sense Than Ever”.  That would imply that it makes any sense at all, since it never has and never will.  Universal anything guarantees universally bad whatever it is.  Why does anyone who reasonably can (including Mr. Obama) send their children to private schools?  Because education is not something the government should be in the business of running.  The same goes for health care.  It is not the government’s job to make sure we all live a healthy and happy life.  It’s the “pursuit of happiness” that the government must protect, not happiness itself.  The vast majority of those poor “uninsured” could be if they chose.  They’d have to give up things like cable TV and maybe scrimp and save a bit, but they could do it.  But why learn to behave in such a way as to afford the things we want and need when we can just get the government to do it for us?  Brilliant!  Except, of course, the Canadian health care system is collapsing, the UK can’t hold on to doctors and anyone who can comes to the US for their health care rather than put themselves at the mercy of those horrible “Universal Health Care” systems.

Report this

By G.Anderson, August 28, 2008 at 2:27 am #

It amazes me that we are still having a discussion about health care after the movie sicko.

It should be a given that America’s health care system has failed. It’s expense, it’s waste and incompetance are well documented, and more importantly experienced by a very large percentage of Americans.

Even those fortunate to have health insurance may have dificulty getting adequate care.

Yet, providing adequate care won’t be easy. In the years since managed care became the dominate force in health care, thousands of hospitals have closed, thousands of Doctors have given up their practise, and many more who wan’t to become Doctors cannot afford the high cost of going to medical school.

There are many rural areas of the US where there are no doctors to be found, no therapists, no nurses, no care at all. In some areas Doctors may refuse to take health insurnce, because they know those needing care have no alternative.

To make a long story short, no health insurance plan will succeed unless there is a significant investment in infastructure.

The destruction of America’s health system wrought by managed Care, will take a very long time to heal.

Report this

Add Your Comment

Posts by unregistered readers are moderated. Posts by members
are published immediately. Why wait? Register today!







Number of characters remaining: 4000

Notify you when others comment on this article?


Are you a human?
Retype the word you see here.


Please read and abide by our comment policy.
By submitting this comment, you agree to this site's terms and conditions.

 
 

 
Join the Liberal Blog Advertising Network
 
 
 
 
 
 
 

A Progressive Journal of News and Opinion. Editor, Robert Scheer. Publisher, Zuade Kaufman.
Copyright © 2009 Truthdig, L.L.C. All rights reserved.