Adam Davidson writing today in The New Yorker offered us “A BIPARTISAN WAY TO IMPROVE MEDICAL CARE – A straightforward change would save money and improve health. So why isn’t Congress talking about it?” This is an astonishingly naive misleading bit of chatter about healthcare.
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 [↩]
The title of this short book, only 130 pages, Building the New American Economy: smart, fair, & sustainable by Jeffrey D. Sachs with a foreword by Bernie Sanders (Columbia University Press, 2017) is unfortunately misleading. There is much here about the new economy. The misleading part is that there is very little about its construction, the building of the new economy.
Sachs covers many important issues in a thorough, efficient fashion. If you need a primer or a tune up about the economy this is a good place to start. These include: investment in our society, infrastructure, Federal budget, income inequality, healthcare, energy, military and the empire (not his phrase), and innovation. If you have been reading my postings over the last 5 or so years much of this will seem a bit deja vu.
The election of Trump and the continued Republican control of both Congress and Senate guarantee that the rich will continue to get richer at the expense of the shrinking middle class and further aggravate conditions for the poor. Trickle down economics and tax subsidies will flow for the rich and corporations. The financial sector will buy its way out of the weak regulations of Dodd/Frank and lurch towards new adventures in gambling; a financial disaster will once again require the socialization of their risk at taxpayer expense.
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.