White House Chronicle

News Analysis With a Sense of Humor

  • Home
  • King’s Commentaries
  • Random Features
  • Photos
  • Public Speaker
  • WHC Episodes
  • About WHC
  • Carrying Stations
  • ME/CFS Alert
  • Contact Us

Universal Health Care — It’s Addictive

April 2, 2012 by White House Chronicle Leave a Comment

 

Opponents of President Obama's health care legislation were wise to attack it preemptively in the courts on constitutional grounds.

If they hadn't attacked now, they would've learned that universal health care systems – sometimes a hybrid of public and private and sometimes single-payer national systems – are wildly popular in other countries.

So popular that politicians can do no more than fiddle at the edges, as they have done in Britain recently and are about to do in France. No leader, not even that incontrovertible defender of private enterprise, Margaret Thatcher, dared or even thought, to privatize health care.

In the industrial democracies, from Canada to Japan, people complain about their health care systems and would defend them to the death. Once universal health care is introduced and people are relieved of the fear of illness, leading to financial ruin, it is unrepealable.

The opponents of Obamacare must know this, or they wouldn't have been so anxious to test it in court on the grounds of the constitutionality of the individual mandate. Kill it before people love it was an imperative.

Now it's widely believed, after three days of hearings, in which conservative justices sounded more like they were conducting a congressional hearing than a judicial one, that Obamacare will be thrown out before it has ever been sampled by the public, which wouldn't come until 2014. It's been a bit like the Chinese and democracy: Don't let them try it, they might like it.

So how is it the Republicans have been able to so demonize Obamacare? Partly, it's because the administration has done an appalling job of selling its own program. It's almost as though it's ashamed of its offspring because it isn't the child they really wanted: a simpler bill with a public option and such goodies as interstate insurance sales.

The administration is frequently bad at trumpeting its achievements. As health care reform is its defining domestic issue, the fact that Obama and his cabinet have not extolled the virtues of the bill amounts to a curious dereliction, a sin of omission.

Most people have been persuaded, if they know anything about the bill at all, that it's socialized medicine (it is not); that it will double expenditures on health care (it won't); that it's an enormous new dictatorial intrusion into individual liberty (it's not).

It's not a great bill, but a good start.

We in the United States spend about twice as much as other countries on health care – about 18 percent of our gross domestic product.

Why? Everyone knows there's excessive testing and waste. The quick answer is to defend against lawsuits. Another answer is that doctors have no incentive to save money and through their investments in testing companies, often they have an incentive to order up the tests.

Mostly, I suspect it's just indifference; the medical equivalent of not turning the lights off.

I don't like Obamacare because it only does half the job and I'm uneasy about the individual mandate. Just two cheers from me.

The uninsured should be assigned an insurer and the premium collected through the tax system. That way the insurers would compete for the most desirable prospects, young adults, and a real pool would operate.

Another question that isn't asked: As new technology usually brings down costs, why does this not apply in health care? Why are CAT scans and MRIs not getting cheaper, as they would if they were in a different framework?

Why not use the Republican idea of health vouchers as an incentive to keep patients from frivolous use of services – not as the substitute for insurance, but rather as an incentive mechanism. Pay them to stay healthy.

We suffer from a failure of imagination in health care.

There are good reasons to be ambivalent about Obamacare, but it's a start, a building block. Our medicine is without peer, but our concepts of care are quite sickly. – For the Hearst-New York Times Syndicate

Email, RSS Follow
Email

Filed Under: King's Commentaries Tagged With: health care reform, Obamacare, Republicans, universal health care

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

White House Chronicle on Social

  • Facebook
  • Twitter
  • Vimeo
  • YouTube
How the Special Relationship Became the Odd Couple

How the Special Relationship Became the Odd Couple

Llewellyn King

Through two world wars, it has been the special relationship: the linkage between the United States and Britain. It is a linkage forged in a common language, a common culture, a common history and a common aspiration to peace and prosperity. The relationship, always strong, was burnished by President Ronald Reagan and Prime Minister Margaret […]

The Shady, Sometimes Wacky World of State Secrets and Security Clearances

The Shady, Sometimes Wacky World of State Secrets and Security Clearances

Llewellyn King

Beware: Classified documents don’t always hide state secrets, and security clearances are used as tools of manipulation and vengeance. Before Xerox, if you wanted to keep a copy of something, you had to type it with a carbon sheet backing every page. In 1969, I was commissioned by a long-gone consultancy, the Arctic Company, to […]

The Case for Prescribed Burning: Fighting Fire With Fire

The Case for Prescribed Burning: Fighting Fire With Fire

Llewellyn King

Wildfire takes no prisoners, has no mercy, knows no boundaries, respects no nation and is a clear and present danger this and every summer as summers grow drier and hotter. The American West is burning; across Canada there are wildfires; and swaths of France, Spain, Portugal and Greece are ablaze. In 2022, faraway Siberia was […]

Will AI Stimulate Shadow Government?

Will AI Stimulate Shadow Government?

Llewellyn King

“This Time It’s Different” is the title of a book by Omar Hatamleh on the impact of artificial intelligence on everything. Hatamleh, who is NASA Goddard Space Flight Center’s chief artificial intelligence officer, means that we shouldn’t look to previous technological revolutions to understand the scope and the totality of the AI revolution. It is, […]

Copyright © 2025 · White House Chronicle Theme on Genesis Framework · WordPress · Log in