US Health Care Dead Last Again
This is a headline we’ve seen often over the last decade or so. Never mind the interesting word play irony on “dead last” and health care, this is no laughing matter.
On my post entitled Health Care Hullabaloo penned May 28th of this year I quoted reports on the health care bill and offered a little help in reading through the spin. In this post I want to address some of the loose ends left from that post.
This past weekend I read an article which used a version of the above headline and expounded on why we are last in the survey for the countries analyzed. The short answer was we are too expensive for what we actually provide and that we rank last in terms of customer satisfaction. The lack of customer satisfaction basically blew away the myth that US citizens health care is delivered quicker and with higher quality. The reality of the situation is that our waits to receive services are often longer and mistakes regarding medication and procedures lead the world.
In my Health Care Hullabaloo post I noted how insurance companies and hospitals were actually going to fiscally benefit by the proposed health care reform bill. Specifically in the fact that insurance companies were going to be free to raise rates with almost complete freedom. While being told they could not drop a client for a preexisting condition or due to cost, they could just raise a clients premiums to protect their profit margins.
In addition the personal responsibility of having insurance supersedes the responsibility of providing health insurance. What this means is that in the upcoming health care reform citizens not having health insurance will be fined if they do not have health insurance. So, the person who use to be dropped by an insurance company will now face escalating insurance costs and when unable to pay their bills and insurance premiums will then be fined for their inability to keep their insurance.
The official response to this scenario is that the reform bill includes subsidies to help those who cannot afford health insurance. Yet, all this means is that the tax payer through government subsidies will be paying the over inflated health bill costs of those who get economically forced out of their health insurance.
In such a scenario the insurance companies are able to actually inflate their profit margins by passing on costs and responsibility to the tax payer via government subsidies. Thereby allowing wealthy capitalists (insurance companies, pharmaceuticals) to avoid the hardship of social responsibility while at the same time passing on responsibility to the general public.
Yet, despite this win-win situation for those currently milking our health care system for every penny it can get, we will surely hear insurance and pharmaceutical companies bemoan the fact that the inherent socialism embedded in the health care reform are handcuffing them and impeding their ability to provide US citizens with the quality health care they have been accustomed to receiving. Isn’t it amazing that those with the most wealth and power in our society are so often obsessed with convincing us that they are the real victims in a given situation?
The true weakness of not only our health care system but so many other aspects of society is the primacy of profit. When profit is primary, by definition, every thing else is secondary.
The cost of poor health can be very harmful to an economy, the long prolonged costs of cancer as it was dealt with in the 70’s thru the 90’s became highly damaging to profit margins for health insurance companies which probably is what allowed our society to start to take on the tobacco industry. Big Tobacco had to adapt to Big Insurance.
Yet, good health and real cure is bad for profits of health care, insurance and pharmaceutical companies. Profits are maximized when symptoms are controlled but not cured. We need people in almost constant need of interventions, procedures, medications and endless tests. When profit is primary health is something to consume but never quite reach.
Like all industries in an advanced capitalistic society the primary goal is never ending expanding profit and wealth for the industry. In this sense the economic health of insurance and pharmaceutical companies is more essential than the physical and mental health of the American citizenry. In fact there are many aspects of physical health which are in direct conflict with the fiscal health of all industries which make their living on the public’s consumption of health care services and products.
This is not to say that profit is the root of all evil, but any solution offered in today’s world which does not take into consideration the reality of our economic system is at best blind and at worst totally lost and unrealistic.
Jim Guido