Re: Socialised Medicine (fwd)

From: Bert Gold (bgold@itsa.ucsf.EDU)
Sun Apr 14 11:34:56 1996


J.K. Eiby wrote (in part):

>I live in Australia and we have socialized medicine and, for the most part, it
>seems to work fine. I have a Medicare card and whenever I want to see a doctor,
>I go and see one and all I do is show my card. I pay 1.6% of my gross income
>into the system every year, although if you earn below a certain amount
>($20,000
>or something) you wind up paying nothing. However, I don't resent those who
>don't pay because I have been in their position. In fact, I haven't been to the
>doctor in 5 years and I still don't mind paying my 1.6% because I think the
>system is a worthy one and deserves support.
>
>I think people should be concerned with medical care that actually works
>instead
>of sticking to an unworkable ideological position. I'm sorry if I don't want
>the
>poor and disadvantaged dying on the steps of hospitals while the rich get
>pampered. That's not the kind of society I want to live in.
>
>Socialised medicine can work or at least it works a damn sight better than all
>the other options. Those in America who oppose it should at least take the time
>to find out how it works in those countries that do have it.
>
>Cheers,
>
>Joseph Eiby

To which someone in talk.politics.medicine replied,

I'm convinced that a single-payer system _could_ work in the US. It probably won't happen, though, for two principal reasons:

1 Many voters in the States seem to think that "single-payer" automatically means some massive government-run medical monolith. (It doesn't.) The advocates of single-payer type systems (politicians, health workers, researchers, etc.) apparently don't have the wit or the resources to explain - in user-friendly terms - precisely how universal compulsory insurance could work in the US - and how it DOESN'T represent the first step down the slippery slope of epidemic rabid communism.

Perhaps this view is to a large extent the result of intensive campaigning by those groups with the most to lose through a single-payer arrangement, and the inept way that health reform has been "marketed" in the States.

2 Many voters in the States would disagree with Mr Eiby's comments. The very essence of a single-payer system (or any universal insurance scheme - variants of which exist in Europe) is that the healthy and reasonably well-off subsidize - through their premiums - the care of those who are not so healthy and not so well-off. That is why the universal insurance arrangements in Europe are for the most part compulsory. To many of my fellow citizens in the States, this concept - called "solidarity" or "mutual support" - is anathema.





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