Chosen Answer:
Assorted things to look at and in all cases I suggest reading the WHOLE article?some long, some short, but will help you pull out what you need:
Canadian doc on UHC throughout world and why it does not work and we don?t need it in the US:
??Another sign of transformation: Canadian doctors, long silent on the health-care system?s problems, are starting to speak up. Last August, they voted Brian Day president of their national association. A former socialist who counts Fidel Castro as a personal acquaintance, Day has nevertheless become perhaps the most vocal critic of Canadian public health care, having opened his own private surgery center as a remedy for long waiting lists and then challenged the government to shut him down. ?This is a country in which dogs can get a hip replacement in under a week,? he fumed to the New York Times, ?and in which humans can wait two to three years.?
And now even Canadian governments are looking to the private sector to shrink the waiting lists. Day?s clinic, for instance, handles workers?-compensation cases for employees of both public and private corporations. In British Columbia, private clinics perform roughly 80 percent of government-funded diagnostic testing. In Ontario, where fealty to socialized medicine has always been strong, the government recently hired a private firm to staff a rural hospital?s emergency room.
This privatizing trend is reaching Europe, too. Britain?s government-run health care dates back to the 1940s. Yet the Labour Party?which originally created the National Health Service and used to bristle at the suggestion of private medicine, dismissing it as ?Americanization??now openly favors privatization. Sir William Wells, a senior British health official, recently said: ?The big trouble with a state monopoly is that it builds in massive inefficiencies and inward-looking culture.? Last year, the private sector provided about 5 percent of Britain?s nonemergency procedures; Labour aims to triple that percentage by 2008. The Labour government also works to voucherize certain surgeries, offering patients a choice of four providers, at least one private. And in a recent move, the government will contract out some primary care services, perhaps to American firms such as UnitedHealth Group and Kaiser Permanente.
Sweden?s government, after the completion of the latest round of privatizations, will be contracting out some 80 percent of Stockholm?s primary care and 40 percent of its total health services, including one of the city?s largest hospitals. Since the fall of Communism, Slovakia has looked to liberalize its state-run system, introducing co-payments and privatizations. And modest market reforms have begun in Germany: increasing co-pays, enhancing insurance competition, and turning state enterprises over to the private sector (within a decade, only a minority of German hospitals will remain under state control). It?s important to note that change in these countries is slow and gradual?market reforms remain controversial. But if the United States was once the exception for viewing a vibrant private sector in health care as essential, it is so no longer.?
http://www.city-journal.org/html/17_3_canadian_healthcare.html
Hillarycare won?t work:
?Massachusetts announced that spending on its health care plan would increase by 0 million in 2008, a cost expected to be borne largely by taxpayers.?
http://www.heraldtribune.com/article/20080129/ZNYT02/801290745
Last modified: January 29. 2008 5:03AM
That short article points out the 6.5 million in Taxachusetts are NOT saving money and the article is actually about how CA could not get UHC off the ground.
Could point out how UHC countries can?t afford it and ration it:
http://www.telegraph.co.uk/news/main.jhtml?xml=/news/2008/01/27/nhs127.xml
http://www.jewishworldreview.com/jonathan/rosenblum_golubchuk.php3?printer_friendly
Japan Doctors Say New Health Funding Won?t End Death-by-Delay
http://bloomberg.com/apps/news?pid=20601109&sid=ayBXYNH0bUWc&refer=home
Canada?s system hasn?t collapsed because ?illegal, for-profit health-service centers? have ?proliferated? in Canada and are so accepted that the head of one became the president of the Canadian Medical Association (?Individual Freedom vs. Government Control,? 1 August 2007, nationalreview.com).
Sweden:
A May 2007 article the National Center for Public Policy Research ran called ?Sweden?s Single-Payer Health System Provides a Warning to Other Nations? (Hogberg, nationalcenter.org) indicates that this government with good GDP (,600) and relatively low unemployment (5.6 percent) had a single-payer system for much of the 20th century. They covered basically all health care costs and as a result, had to ration health care, and found themselves with waiting lists for both surgeries and doctor visits. In the 1990s, there was a move toward semi-privatization which reduced those problems, but they have re-emerged. In that author?s, view, the reforms were not permitted to work as they were not full-on free market ones.
The much lauded French system raises some questions as well. From their Embassy site (ambafrance-us.org) they state that 96 percent of the population receives free or 100 percent reimbursed health care. They state the system is part of their Social Security and is funded from worker?s salaries (60 percent), ?indirect taxes on alcohol and tobacco and by direct contribution paid by all revenue proportional to income, including retirement pensions and capital revenues.? They state that it appears that health insurance pays less to its doctors in France than in other European countries, but that 80 percent of the public have supplemental health insurance, typically from their employers. If they?re providing so well for the needs of the public, why is there a need for ?supplemental? health insurance for the majority of the public and what about the additional cost that imposes? The site states that the poorest have free universal health care, funded by taxes. Long-term illness sufferers are to be reimbursed for their treatments. They do have private clinics, as well as public hospitals, and not-for-profit healthcare. In fact, ?private medical care in France is particularly active in treating more than 50% of surgeries and more than 60% of cancer cases.?
Private insurance, which the OECD (Organisation for Economic Co-operation and Development) site said in a 2004 report, was held by 92 percent of the French, helps to cover both vision and dental care which are not well covered under the government system. ?The public system is facing chronic deficits and recent cost containment policies have not proved very successful.? The government is interested in having more of the tab picked up by private insurance (Buchmueller & Couffinhall, ?Private Health Insurance in France,? 2004, oecd.org
What Canada Tells Us About Government Health Care
By Doug Wilson
Monday, February 25, 2008
Americans may not agree on much between now and November, but we have reached a consensus about the importance of at least one issue: health care.
In a recent study by the Pew Research Center, 76 percent of registered voters said that health care was very important to their vote. Democrats ranked health care their most important issue; Independents slotted it as their second most important issue. Republicans, meanwhile, positioned health care as more important than social issues such as abortion, gay marriage and stem cell research.
This public concern has prompted political action?or at least political posturing. It seems every politician has a plan to solve our health care woes. For Democrats, the silver bullet remains universal, government-funded coverage. Both Senators Obama and Clinton have proposed regulation and tax-heavy programs to offer cradle-to-grave health care for Americans.
Ironically, these proposals come at a time when some of our other entitlements?Social Security and Medicare?stand on the brink of collapse. For example, most experts agree that Social Security will be entirely bankrupt by 2041, and that the system will show serious financial strain as early as 2017. If a business faced such dire financial straits it would cut costs, but the government continues its perpetual spending spree.
Before we allow the government to burden us with another mammoth entitlement program, however, we might well consider the plight of countries currently employing socialized medicine. And we need not look very far for an example. Since the 1960s, Canada has operated a system of socialized medicine, while also forbidding the private sector from insuring medically necessary care.
The verdict: Canadians pay more for their health care and get less. That?s according to the Fraser Institute, an independent research and educational organization based in Canada. Fraser?s recently released study, ?Paying More, Getting Less: Measuring the Sustainability of Government Health Spending in Canada? calls our attention to the painful realities of government-funded health care.
How, exactly, do Canadians pay more for their health care? Taxes, naturally?and higher and higher ones at that, for there is no other way to maintain such an enormous entitlement. Consider that by 2035, six of 10 Canadian provinces will spend half of their taxpayer-generated revenue on health-related expenses.
In slow economic times, health spending tends to exceed revenue. The government responds by raising existing taxes or creating new ones; to do otherwise would lead to the neglect of other government programs like schools and roads.
By restricting the market, public health care programs create long waits for specialists and often prevent patients from pursuing new treatments. Indeed, the median wait times betwee
by: firstam2008
on: 5th April 08
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