Not but a few years ago I was staunch opponent of any national health care plan for the United States, but today I find myself in favor of it. My intention in sharing this is that it may pave the way for others to come to a similar realization. I realize that both sides can pull out data points that convincingly argue either conclusion, so for the time being, lets just consider the issue pragmatically and consider that most nations in the world have already decided that national health care is a proper function of government.
If the cost of health care wasn’t rising so much quicker than inflation and wages, we wouldn’t be debating this issue. But as it stands, costs are out of control. According to The National Coalition on Health Care:
In 2002, health insurance premiums rose at a rate eight times faster than general inflation; experiencing the largest one-year surge in premiums in more than a decade. In the absence of comprehensive reform, the average annual premium for employer-sponsored family health insurance could reach $14,545.
They include more recent statistics which bear out similar increased rates. While some argue for marketplace solutions, I believe that the marketplace has proven to not be competitive or effective with health care. An article in The New Republic (The Health of the Nations) makes the case that private health care actually undermines the whole endeavor.
The behavior of many of the so-called “not-for-profit” health care facilities is not much different from that of their investor-owned competitors, because they have to survive in the same unforgiving marketplace, which is indifferent to the social values that originally motivated most health care institutions.
The article continues to the following conclusion:
We are a wealthy society, and decency requires that we make equitable arrangements to ensure at least minimally adequate health care for all–a goal that is beyond the scope of market forces.
In the end we may need to make a value judgment to accept waiting lists in order to provide medical care in an equitable fashion. It is probably too soon for American society, where medical care operates on a “one dollar, one vote” system in many ways. It might be disastrous to change the system until we change the attitudes and hearts of society, but I’m not sure. My hope is that this essay might be a beginning of change for some who observe the crisis around us.