The argument for a universal “National Health” style system for the people of the United States going forward. Healthcare is a primary need for people in the United States and so it should be in no way private.
Currently, the United States is the only wealthy industrialized country that has not achieved universal health coverage. The nation’s existing health care system is inefficient, unaffordable, unsustainable, and inaccessible to many. Healthcare is one of the most significant socio–political topics in the United States (U.S.), and citizens currently rank “healthcare” as the most important issue when it comes to voting. The U.S. has historically utilized a mixed public/private approach to healthcare. In this approach, citizens or businesses can obtain health insurance from private (e.g., Blue Cross Blue Shield, Kaiser Permanente) insurance companies, while individuals may also qualify for public (e.g., Medicaid, Medicare, Veteran’s Affairs), government-subsidized health insurance.
In contrast, the vast majority of post-industrial, Westernized nations have used various approaches to provide entirely or largely governmentally subsidized, universal healthcare to all citizens regardless of socio–economic status (SES), employment status, or ability to pay. The World Health Organization defines universal healthcare as “ensuring that all people have access to needed health services (including prevention, promotion, treatment, rehabilitation and palliation) of sufficient quality to be effective while also ensuring that the use of these services does not expose the user the financial hardship”
Differing versions of universal healthcare are possible. The United Kingdom’s National Health Services can be considered a fairly traditional version of universal healthcare with few options for, and minimal use of, privatized care. Switzerland, The Netherlands and Germany use a public/private blended approach with the government as the primary payer. This shows that universal healthcare does not necessarily preclude the role of private providers within the healthcare system, but rather ensures that equity and effectiveness of care at population and individual levels are a reference and expectation for the system as a whole.
In the United States, the system with the best health outcomes and highest patient satisfaction is the Veterans Administration (for those who can get the care). In survey after survey, the doctors, the treatments and most importantly the hospitals out poll any private hospital, outperforming private hospitals by 26 percentage points, according to data released in 2023.
Making medicine a government career may reduce the number of people who go into the field for a rich lifestyle (though plastic and cosmetic surgeons can always get financial rewards) but the job satisfaction for doctors will likely go up as they are not forced to have artificially short meetings with the patients they care for. The money mixed with satisfaction and time off leads to a better work/life balance for doctors, nurses and medical professionals in countries with a national system. There is no reason that the US will be any different. Also when it comes to medicine, nearly all the vital research for new medications is already done at universities mostly subsidized by taxpayers. The wild profiteering by middlemen harms US health outcomes.
Those activists on the left and far left still calling for “Medicare for All” might want to look again at calling for a fully government run and staffed health system like the Veterans Health Administration – and consider changing the chant to “Veterans Healthcare For All”
- Corporations Ate My Baby 2/20.2024
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