While our most dysfunctional Congress continues to debate whether we should repeal Obamacare or not, every single other industrialized nation in the contemporary, modern world goes about its merry way having long ago settled the question, “should all our citizens have access to quality health care on demand, regardless of ability to pay?” The American inability or unwillingness to answer that question in the affirmative with some semblance of unanimity is a failure.
Obamacare is by no means perfect – neither ideal nor, perhaps, even wanted. But it is the great liberal compromise, adopting a conservative way to health insurance reform as its own. Indeed, it seems to be the only way Democrats seem to win lately on national issues – adopt the conservative thinking, and wait for the conservatives to pounce with furious indignation disguised as opposition.
The very poor and children receive health insurance through Medicaid. The old receive health insurance through the wildly efficient and popular Medicare program. The rest of us, the ones in the middle, are seeing coverage dwindle and cost go up, and we’re told by smugRepublicans that it’s Obamacare’s fault despite it being a year away from full implementation.
CNN looked at the perpetual American political crisis over healthcare and one conclusion is that we manage disease instead of preventing it. But suggest that people should eat healthier, and you’ll be denigrated as the soda police, as New York Mayor Bloomberg has.
The issues are cost and access. Medicare is extremely efficient and popular. It is a single-payer health insurance scheme that one pays into throughout their work life and is an “entitlement” insofar as you’ve paid for it, like Social Security. Expansion of Medicare to all Americans is the easiest, most rational way to ensure universal coverage for not only managing disease, but also preventing it. Canadians have liberty, too – liberty from medical bills for routine health care, and the myths that Canadians die while queueing up for services are just that – myths. Canada’s systemis not perfect, either, but it is more perfect than what we have. The British system would be less of a political headache, because it allows for private physician and clinic alternatives – something Canada forbids.
So, given that every industrialized pluralist democracy in the world offers its citizens some form of universal health care access – as many different models as there are nation-states – why is it that we as Americans move in baby-steps into some sort of conservative plan involving health insurers and mandates? Why not just expand Medicare to all persons of every age, and make health insurance become something truly private and competitive, where you can buy enhanced coverage of some sort on an open market? In other words, if you need cancer treatments that would otherwise cost millions of dollars, you’ll never see a bill. If you want your hospital room to have a spa in it, you can pay extra for that.
Our revolution was fought to replace a colonial feudalism with bourgeois meritocracy. Expanding health care to all Americans, including the middle class, is something we’ve discussed as a country since the end of World War II. People still, however, go bankrupt from medical bills in what is billed as the greatest superpower in Christendom. It is that – not the notion of “socialized medicine” – which is the disgrace.