The solution to our healthcare fiasco is first to recognize its true nature and then to face down those who are consuming a fifth of our economic output while producing profoundly bad results. We need to take a much broader view in order to see that, compared to the rest of the developed countries, a) our current healthcare results are abysmal and b) our current healthcare costs are obscene.
Trump loves Australia’s universal healthcare:
Speaking to Australian Prime Minster Trumbull, Trump said, “We have a failing healthcare. I shouldn’t say this to our great gentleman and my friend from Australia, because you have better healthcare than we do.” A day later Trump repeated his praise for the Australian healthcare system, “Of course the Australians have better healthcare than we do – everybody does,” he wrote on Twitter. “Obamacare is dead! But our healthcare will soon be great.”1 Of course in a rare moment of speaking the truth Trump is right about both assertions. Everyone in the developed world has better healthcare than us and at a shocking fraction of the cost.
Does Trump know Australia spends $5,495 per person per year vs our $9,990 (yep 66% more!!) for healthcare that ranks in the top ten in the world? Our rank?? 42nd for life span and 54th for infant mortality (see 2015 CIA World Factbook on this). Exactly how the Republican healthcare bill will improve on this performance is unknown. They passed it through Congress without even waiting for the Congressional Budget Office to grade it for cost and effectiveness. Better to vote out of religious fervor than be bothered by how many millions would be thrown off health insurance.
BTW – Australia is not an outlier in spending and results . All of our developed world competitors have a similar showing.
- https://www.google.com/amp/s/amp.theguardian.com/us-news/2017/may/05/trump-healthcare-australia-better-malcolm-turnbull [↩]
Dan Udell videotaped a presentation on the US healthcare system by Rob Bujan on 3/25/17. I could not attend so I watched Dan’s YouTube video –
The discussions towards the end of this presentation (about minute 50) concerning single-payer systems would have been more vigorous and perhaps useful with a little international context. We live in a world where every other developed country has universal healthcare and has had for decades. So, there is plenty of experience with a range of different structures to deliver healthcare to every person as a right.
Today I received an email from Congressman Faso’s campaign committee. It read in part:
The Democratic Congressional Campaign Committee (DCCC) today released a memo claiming Democrats are “starting the 2018 election cycle on offense.” This is an alarming statement on many levels. For one, they really do see the future of our nation as nothing more than a political game. They are also choosing to completely ignore the American people by not acknowledging the sweeping Republican victories from just two months ago.
The most worrisome item in the memo is that the DCCC listed my seat as a “Round One Target.” I was sworn in less than a month ago and already the Washington Establishment is targeting my district as one to pour hundreds of thousands of dollars into in order to install the liberal candidate of their choice.
The email then went on asking me to donate to his re-election campaign!
Here is my reply:
The rhetoric about our health care system continues to center around market religions of one sort or another. For all of the blathering about “Obamacare” taking us over the edge into the territory of socialized medicine, it remains, like it’s progenitor dreamed up by Romney while governor of Massachusetts, a market focused policy. Even now Massachusetts is struggling to come up with policies to restrain the growth of costs to the rate of inflation plus 1%. At the national level it will be years before Obamacare can begin such considerations in real terms.
What is missing is a willingness by the political system to engage the undeniable truths about our health care system.