Monday, March 30, 2009

THE UNIVERSAL HEALTH CARE PROGRAM NO ONE WANTS

One of my all time favorite talk show hosts, and a great personal inspiration, was J.P. McCarthy. He died 10 or so years ago of a rare blood disease and till this very day I miss him very much. It's strange to miss someone so much that you really didn't even know. I listened to his show every work day for years and I always loved the way he could talk to anyone with equal respect. Democrat or Republican. My daughter jokes that I could talk to a rock about dirt. If that's true, I learned it from J.P. McCarthy.

One day, after a particularly trying series of calls from listeners on polar opposite ends of an issue, J.P. paused for what seemed like a really long time. When he came back on, he said with great exasperation, "Why is it we are so prone to run to "A" or "Z" when there is so much room in the middle?"
Why, Indeed.

The Health Care issue in the United States feels like that to me. On the "A" side stands the Republicans. In their view, everything is just great the way it is now. Everyone gets care. No one is denied health care if they show up at the emergency room door. They will tell you that other countries with Universal Health Care are in shambles. People wait for months for cancer treatment and bureaucrats, not health care professionals, decide what treatment is proper. And worst of all, those of us with good health care will see our health care shrink. Frankly, most of that is horribly spun. If not a down-right lie.

On the "Z" side stands the Democrats. What they are proposing is a move toward absolute coverage for every ailment that the masses come across. Abortions-covered, sex change-covered, mental illness-covered, flea dip for Fi-Fi the Poodle-covered. That would be a disaster of monumental proportions. One only needs to look at the average person abusing SSI to see how bad this can be. Medicaid cards are treated like Gold Visa cards by some doctors. Test after test after test. I know of one young man who fought for years to get on SSI for a questionable "illness". End result? Over a million dollars on tests and then a fat $30,000 check for back pay on his SSI. To see how many will exploit a system like that, just look at what happened to Hungary.

So, there's "A" and "Z". Both utterly unacceptable.

Now, here's what I'm proposing. I'll call it "Proposal M". With Proposal M you get catastrophic health care coverage issued by the Government as long as your a legal U.S. citizen. What this means is that every man, woman, child and any liberal combination of the three, gets coverage against any major health issue that you can have. As long as you have it involuntarily. Sex change-not covered, abortion-not covered, breast enlargement-not covered, hair transplants-not covered. Also not covered are office calls or tests. Frankly, nothing is covered until it's determined that you have a major problem. What are covered are operations, cancer treatment, major life-threatening injuries, bone marrow transplants and the myriad of god-awful things that can put an uninsured person into bankruptcy.

But H.C., what about all the other things? Poor people can't afford office calls and tests! For that I would expand on our already successful state run clinics. Sure, you won't get your own doctor, sure you'll have to wait in line with smelly homeless people, but once it's determined that you have a serious illness it's back on the fast track that everyone has.

But H.C, I already have health care. Will I have to give up my doctor? My place at the front of the line? Absolutely not. You will be able to purchase health care just like you do now, only it will be way cheaper since it doesn't have to cover any of the big -ticket payouts. Anyone can purchase additional coverage. Hell, I can buy flood insurance on my home and I live on a hill! Noah would be floating by on an Ark before my basement would flood.

There are two major problems with our current system the way I see it. 1) People without coverage (usually working poor) are seeing their life savings destroyed by one major health issue. This can also happen to someone who loses their job but has too many assets to qualify for help. It should never be that someone in this country goes all the way back to square one because of a series of unfortunate events beyond their control. 2) Expensive health care coverage is making our companies less competitive in the global market. Proposal M is a solution to both those problems.

Universal Health care is a dangerous venture for any country to enter into, much less one as big and as prone to abuse as ours. Catastrophic coverage is a good way to start without destroying both our current health care system and our budget. Sure, it's a bitter pill for conservatives to swallow, of course it's not everything the Socialists are hoping for, but I for one, would be happy knowing that, no matter what happens, I'll never lose my house and everything that I've ever worked for because I lost my job and got sick or hurt. Proposal M may not be perfect, but "A" and "Z" are completely unacceptable. So, let's make J.P. McCarthy proud and show him we Americans do know there's something between "A" and "Z". Proposal M. H.C.

5 comments:

nic said...

I'd always been a fan of Norway's system, as well as Germany's, & was actually surprised to learn that they were ranked only 11th, & 25th, respectively (I'd love to see the messy algorithm that the WHO came up w/ to determine these figures, as apparently it was so messy that they refuse to conduct another study). However, in all reality each of those two nations, as well as every other, has it's own unique circumstances that their particular system must either adhere to, or over come. Whatever it is that we do here in the U.S., cannot be a copy of another nation's system.

While I agree w/ you on aspects of "Plan M" (I'm not paying for anybody's boob-job), it's far more of a complicated mess than you let on. It's not just health-care policy that would require changing, but rather a series of policies & laws would have to be enacted (Australia refuses to let anybody in less-than-par heath live there...even the obese!). The pharmaceutical companies (in my opinion, the next big-steel/big-oil) would have to be completely gutted, & the insurance industry nearly obliterated. This isn't an easy task considering both industries are responsible for some serious political $$$, & hold a hell of a lot of weight in Washington (FDA anyone?).

I don't have a plan myself, hell I can't even come up w/ the framework of a feasible plan. But I do know that while the system does need fixing, the repair is going to be nothing short of a nightmare for whomever actually takes it beyond the level of talk. I wish them luck.

-n

nic said...

...to clarify, on the Australian example I intended to write "emigrate", not "live". As far as I know, Australia is not as of yet deporting fat Australians (btw, props to Australia!).

-n

The H.C. said...

Hey nic,
Well, I'm glad that Australia isn't exporting obese people, especially not to us, we have plenty. But, to get to your statements.
You make a lot of excellent points. Kudos for having such a broad range of knowledge on the issue. A lot of people don't even consider the job loss or the effect that downsizing insurance companies would have on the economy, (think of all the job loss we've experienced over the past 30 years in the manufacturing sector occuring in just a year or two.) That's the main reason I believe we have to start with just catastrophic coverage-to lessen the blow. Without a doubt, moving to a Universal Health Care system would have a host of unintended consequences. Great thoughts to consider, Nic.

lime said...

well, i'd have t think through all of it but thanks for at least offering what seems like a reasonable third way. i too get mighty annoyed by the mindset that there are only two possible solutions to every problem, the left's or the right's. it just squelches any kind of creative thinking that might actually address the deepest concerns of everyone.

The H.C. said...

Thanks Lime,
Certainly my plan isn't flawless but at least it could be a starting point. Thanks for your thoughts.