Virtually all industrialized
nations use a national health insurance system.
In the United States we followed (decades later) most European countries
in adopting Social Security for our elderly population so they could have an
income in their remaining years. All
working Americans pay for Social Security, which is a separate tax from income
tax or sales taxes. I am grateful I have
both Social Security and Medicare. The
cost of health services not covered by Medicare can be substantial—try getting
implants instead of false teeth (upper or lower plates) and four or five
implants can run up to $20,000 (as it did for me because I do not have a dental
insurance plan covering them). If we each had to pay for our major medical
expenses the death rate would go up because poor people would die. Physicians and other health providers would
have to cut back on their standard of living to serve the poor and most people who
could afford it rarely make charity meet the needs of all those who are
needy. I am a biologist, so here are a
few facts to consider. We live longer
than we did in the 1900s. Most people born in the early 21st century
(2001 on) will live to be in their mid 80s.
If they retire at 65 they will likely require Social Security for 20
years and Medicare for their health needs. The bulk of cancers, strokes, heart
failures, diabetes, senility, and arthritic conditions occur in people who are
50 or over. Younger people feel resentful
that they are paying for older people. I
can understand that, and some want to gamble that at age 20 they will have
another 65 years of life without a stay at a hospital for sickness, without a
major accident, without mental or physical impairments that limit their work or
change their life activities. But the
odds are overwhelming that most of those young people, when they are old, will
have cancer, strokes, heart attacks, diabetes, arthritis, or other illnesses that
cost a lot. The odds are also
overwhelming that most people will not have 100,000 dollars or more set aside
for medical emergencies in their old age.
The odds are overwhelming too, that a young person who is 20 or 30 years
old who has an illness or accident will lack the money to pay for medical
expenses. We have a government and a
civilization because we believe that collective responsibility makes all
citizens better off than having a world where there are a few healthy winners
and a massive majority of humanity dying prematurely or suffering pain and
limited activities because they cannot afford the sky-high costs of their
health needs.
I
much prefer extending Medicare to all working people so all can pay into a
national health insurance that is non-profit.
Private health insurance is by definition set up to make a profit. A significant portion of those premiums paid
each month go to corporate stock holders or the families that own and manage these
private health companies. They will try (as they did before being regulated) to
purge from health insurance those with preexisting conditions, those who are in
risky categories (let us say based on race or socio-economic status), and offer
their insurance to the healthiest payers. President Roosevelt and President
Johnson both tried to get a national health insurance for all working adults to
pay into. President Obama had to
compromise and choose Governor Romney’s Massachusetts plan for his Affordable Health
Care Plan. They failed because of the tactic that opponents used describing national
health insurance as “socialized medicine.”
So is a standing army where our government owns everything down to the shoelaces
of the persons wearing a uniform. I don’t
see red flags flying over Scandinavia, Great Britain, and other industrialized
capitalist countries that have nationalized health insurance for all their
citizens. I have yet to hear a workable
plan from opponents of national health insurance that covers the health needs
of those who are poor, lower middle class, or middle class with competing needs
of education for their children, a mortgage to pay, and companies doing their
best to freeze their wages and dump their coverage for health insurance and
retirement.
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