Tuesday, May 26, 2009

Slow Saturday Special: Single Payer Op

I call it Slow Saturday because the papers know the slowest day of the week (for circulation and reading) is Saturday. Americans are getting their weekend errands done in the morning, and rarely get to a paper (if they even bother to buy one). That's opposed to the work site where people may pick up a copy if it is lying around.

That's also why the government also drops bad news late on Fridays -- hoping it will get lost over the weekend.

Seeing as the newspaper is pro-insurance industry and has ignored single payer in most of their coverage (as well as the arrests and removals at the Congressional hearings), this treatment doesn't surprise me. See if you can find them in
here.

Of course, anyone who has worked in journalism knows that Sunday papers are outlined and developed (agenda-pushing) on Thursday for the plop-down Sunday elites.


"Held hostage by the health system" by Dr. Marcia Angell | May 23, 2009

Dr. Marcia Angell is a senior lecturer in social medicine at Harvard Medical School and former editor-in-chief of the New England Journal of Medicine.

In other words, she ain' no radical lefty!

The Senate Finance Committee's hearings on health reform earlier this month did not include testimony from any advocate for single-payer insurance. Physicians for a National Health Program, which represents 16,000 doctors, asked the committee to invite me to testify, but it chose not to. If I had been invited, this is what I would have said:

The reason our health system is in such trouble is that it is set up to generate profits, not to provide care. We rely on hundreds of investor-owned insurance companies that profit by refusing coverage to high-risk patients and limiting services to others. They also cream off about 20 percent of the premiums for profits and overhead.

In addition, we provide much of our medical care in investor-owned health facilities that profit by providing too many services for the well-insured and too few for those who cannot pay. Most physicians are paid fee-for-service, which gives them a similar incentive, particularly specialists who receive very high fees for performing expensive tests and procedures. Nonprofits behave much like for-profits, because they must compete with them. In sum, healthcare is directed toward maximizing income, not maximizing health. In economic terms, it's a highly successful industry, but it's a massive drain on the rest of the economy.

The reform proposals advocated by President Obama are meant to increase coverage for the uninsured. That is certainly a worthwhile goal, but the problem is that they leave the present profit-driven and highly inflationary system essentially unchanged, and simply pour more money into it - an unsustainable situation.

Yup, CHANGE you can BELIEVE IN!!!

Also see: What Your National Health Plan Will Look Like

Taxing the American Public's Health

That is what is happening in Massachusetts, where we have nearly universal health insurance, but costs are growing so rapidly that its long-term prospects are poor without cutting benefits and greatly increasing co-payments....

I keep telling you the state plan is s***, but doesn't anybody listen.

Promises by for-profit insurers and providers to mend their ways voluntarily are not credible.

I no longer believe promises; been lied to too much.

Nearly every other advanced country has a largely nonprofit national health system that provides universal and comprehensive care. Expenditures are on average about half as much per person, and health outcomes are generally much better. Moreover, these countries offer more basic services, not fewer. They have on average more doctors and nurses, more hospital beds, longer hospital stays, and there are more doctor visits. But they don't do nearly as many tests and procedures, because there is little financial incentive to do so....

The only way to provide universal and comprehensive coverage and control costs is to adopt a nonprofit single-payer system. Medicare is a single-payer system, with low overhead costs, but it uses the same profit-oriented providers as the private system and also preferentially rewards specialists for tests and procedures. Consequently, its costs are rising almost as rapidly as those in the private sector....

A single-payer system is ignored by lawmakers because of the influence of the health industry lobbies. They raise the specter of rationing and long waits for care. There are indeed waits for some elective procedures in some countries with national health systems, such as the United Kingdom. But that's because they spend far less on healthcare than we do. For them, the problem is not the system; it's inadequate funding. For us, it's not the funding; it's the system. We spend more than enough.

I urge you to consider a nonprofit single-payer system. The economic interests of the health industry should not be permitted to hold the rest of the economy hostage and threaten the health and well-being of the public.

They aren't there for us to begin with.

--more--"

HOW MANY TIMES I gotta LINK Sicko, anyway?