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Rehabilitating health care

Guest commentary

By Mohamed Jemmali | UO Arabic faculty

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Published: Sunday, August 2, 2009

Updated: Monday, August 3, 2009

 

It’s a no-brainer for the rest of the world, but in America politics can make issues very complicated and drag them forever. No changes have been made to our health care system for more than 40 years despite a few attempts by Democrats, the last of which was by the Clinton administration, being shut down by Republicans and health insurance companies. This issue can get so complicated, it’s important to remember the fundamentals.

 

There are five indisputable facts that no political party disagrees with:

• Health care is the second biggest contributor to our budget deficit (after wars).

• The U.S. spends more than twice as much on health care per person than any other nation, and the cost keeps increasing every year.

• Today, 45 million to 70 million Americans have no health insurance. Last year, 18,000 Americans died because they’re not insured, and 1 million American families went bankrupt from medical bills. These numbers rise every year.

• According to the United Nations Health Department, the U.S. health care system ranks 37th in the world.

• Among G-20 nations, ours is the only one that doesn’t have a single-payer universal health care system.

Even Switzerland, “the European capital of capitalism,” voted to test the universal system for a decade, then permanently adopted it. With these facts alone, a 10-year-old could tell us how to fix our health care system.

For the U.S. president, things are never as black and white for three reasons. With a two-party system, one party will always try to crush the other to gain or maintain power. Americans are not as educated as the G-20, according to the UN Education Department, and are “too loyal” to their political party. And health insurance companies are among the top four lobbyists.

The only way health insurance companies can make profits is by denying coverage. It’s called capitalism. If you have a pre-existing condition, they won’t cover you because you’re too risky, as your medical bills will most likely exceed the cost of your health plan. If you want insurance, they will offer you dozens of options. Most Americans can only afford the minimum coverage, which is sometimes provided by their employers. So if you can’t afford maximum coverage and one day require a complicated (and therefore expensive) surgery or even cancer treatment, it’s most likely not covered by your health plan. So you can be very sick in bed and battling health insurance lawyers until you die, as President Obama’s mother did.

You may spend years paying off medical bills that often result in family bankruptcy and the end of the American Dream. Like Clinton, Obama knows that trying to replace private health insurance companies with a public universal health care system during his first term will almost guarantee failure at re-election. Taking advantage of the current economic recession, adding more urgency to fix the bankrupting health care system, Obama is instead proposing an optional public plan to compete alongside private insurance companies, in order to improve competition by lowering costs and improving quality of care.

Today, insurance companies are spending $1.4 million a day to stop his health care reform bill. This money comes from the profits they’re making from denying coverage to sick Americans. This money is spent on 3 things: advertising that uses fear tactics to mislead the public; paying congressmen on both parties, which explains the disagreement among Democrats, to vote against Obama’s bill; and campaign contributions.

While the fight in Congress is about power, not the people, the debate among Americans comes down to one question: Is health care a human right or a privilege for those who can afford it? Despite what critics may say, socialism makes sense in certain functions of society, like K-12 education.

Can you imagine cops and firefighters run by private companies? Imagine your house is on fire. You call 911, but they say they can’t help you because you don’t have insurance or tell you to wait 10 minutes until they verify your insurance information. Most Americans don’t recognize health care as a human right because ours is the most individualistic society in the world. Not to mention, if health care was provided by the government instead of employers, businesses would save a fortune, and people who lose their jobs, especially during recessions, wouldn’t lose their health care coverage too.

opinion@dailyemerald.com

 

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6 comments

Mohamed Jemmali
Tue Aug 11 2009 23:44
Must see:
www.uoregon.edu/~jemmali/healthgeist.htm
Thanks for spreading the word.
Mohamed Jemmali
Thu Aug 6 2009 19:33
Oregon - 8/4/09
Thousands of Oregon children without insurance can now get coverage for their medical care — and by January the same will be true for all youngsters in the state, following Gov. Ted Kulongoski’s Tuesday signing of “Healthy Kids” legislation.
The Democratic governor’s signing of House Bill 2116 into law clears the way for one of Kulongoski’s longest-sought goals: bringing all Oregon children into the ranks of the insured, especially those whose parents don’t have access to private coverage and have not met low-income standards to qualify for the state-run Oregon Health Plan.
“We will, at long last, bring health care to every Oregon child,” Kulongoski said.
Through a combination of increased “provider taxes” on most Oregon hospitals and a new 1 percent tax on health insurance premiums, Oregon is adding 200,000 uninsured children and poor adults to the ranks of the insured.
Hospitals eventually supported the tax, because it’s expected to be fully offset by new federal Medicaid dollars coming to Oregon by the jump in state health care spending. Insurance companies stopped short of supporting the plan, instead agreeing not to oppose it while warning that it would drive up health care costs for companies and individuals who pay for private insurance.
Kulongoski said Congress, in the midst of its own debate on overhauling health care coverage, could take a lesson from Oregon.
“Together we have set Oregon on the path to create a health care system that will be a model for the rest of the nation,” Kulongoski said.
Dr. Bruce Goldberg, head of the state Department of Human Services, which oversees the program, encouraged all families without insurance for their children to register now, either online or by telephone.
Dr. Stacy Nicholson, a pediatric cancer specialist from Portland, said he looks forward to the time when he no longer will have to treat uninsured children only after their conditions have worsened.
One patient, a 14-year-old boy, came to see him with a grapefruit-sized tumor on his neck, Nicholson said. His parents had delayed treatment for months because they had no insurance for themselves or their son.
“I’ll never forget the look of fear on his face and the look of guilt on his parents’ faces as we talked about his cancer,” said Nicholson.
anonymous
Tue Aug 4 2009 19:25
I DEMAND GOOD HEALTH CARE! I would kill somebody for it! Hey, my roommate would do the same thing, we've decided to form a hit squad, among all the disabled people, and kill anybody who gets in the way of our quest for excellent healthcare! We're serious! We're going to run them all over with our power chairs! And then we're going to Washington, DC, and we're going to run down and kill all the Congress and the Senate who get in our way! (Could anybody please chip in money for gas now, so we can get our bus there? Anybody got change? Small change? Bills? Tokens?)
George
Tue Aug 4 2009 19:19
it would be great if healthcare were a "right", like freedom. However, you'll remember that we had to fight for, and died for, the privilege of freedom in this country. If you don't fight for it, you don't get it. In the case of health care in America, if you can't fight for it by PAYING for it, you don't get it. Wealthy people get good health care in America. -- people who are ruthless and unscrupulous enough, to make tons of money. you want good health care but there is definitely a big price on it.
anonymous
Tue Aug 4 2009 19:12
I receive a type of government health care insurance. While I am grateful that it exists at all, most of the time it doesn't exist; most doctors refuse to accept it. The fact that I am disabled, is clearly linked to the fact that I cannot get a specialist, an orthopedist, to accept the healthcare insurance from the government. They refuse to take it! It is so low paid, the doctors don't want it. So, I find myself wishing very hard that I had private insurance of some kind, so that I can see a real doctor and a real specialist, and actually have my disability treated; I might actually get better! However, as long as I am on this low paid government health insurance, that will never happen. It would take a miracle, that is to say, A LOT OF MONEY. LOTS OF MONEY. My experts tell me, that now doctors don't even want good insurance; they are all starting to ask for CASH. They don't even want blue cross! They want CASH. No amount of government health insurance is going to get around that, when doctors start deciding that they DON'T WANT THE INSURANCE, and they only want CASH. We are probably returning to the era of "very private, private enterprise" and "doctors make all the decisions, not us" type medical care. That happened during the Depression, the one in' 29, if you were sick, doctors just let you DIE. There wasn't anything else; you paid in cash, or you were dead. That was it. Could it be, my innocent children, that we are reliving history today? I really do think so.
Your name
Mon Aug 3 2009 03:24
The innovative idea of 'a pay for outcome' will most likely prompt team approach and decision, as at Myo clinic, and the result is a greater likelihood of correctly diagnosing and effectively treating a patient earlier in the process.

Studies have documented that nearly one half of physician care in the United States is not based on best practices and that at least 98,000 Americans die of a 'medical error' each year.

Under the 'pay for outcome' pack, supposedly best practices as 'recommendations' would simply help them make a better decision, and the government won't still have to meddle in the final, actual decision-making process as a non-expert.

Thank You !







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