After my breast cancer scare and exemplary care in the UK, I’ve felt a powerful urge to shout at the Brits: Do you know what an extraordinary health system you have?
"Will medicine now become essentially a business, or will it remain a profession?" he asked in a 1991 lecture to the Massachusetts Medical Society later published in the NEJM. "We are not vendors, and we are not merely free economic agents in a free market." The cure he prescribed was a single-payer healthcare system in which physicians abstained from financial conflicts of interest.
It’s not so much that Obama “sold us out” to a powerful constituency as that he picked the wrong powerful constituency. A quick look at the financial details reveals that health insurance nationalization was always the real “path of least resistance.”
Vermont is the home of Ben and Jerry’s, maple syrup, Bernie Sanders and the first state to pass marriage equality. Now, Vermont will be known for something that will impact every resident in the state -- a single payer health care system.
The for-profit health-insurance industry in the United States is profoundly inefficient and costly, and a sane and sustainable alternative exists—single-payer, otherwise known as expanded and improved Medicare for all. Just change the age of eligibility from 65 to zero.
'... a little breathing room to just be human and deal with human needs.'
For 40 years, many economists' have promoted increasing cost sharing through higher copayments and deductibles, the replacement of fee-for-service payment systems with capitation as in Health Maintenance Organizations, and competition where multiple insurers offer a variety of plans catered to individual consumer's interests and in competition with each other. These practices have produced the worst of all worlds, rising costs along with restrictions on access.
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