Tag Archives: Single-Payer

News

Canada’s “free” single-payer health care system costs each family $11,000 per year

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From the Vancouver Sun.

Excerpt:

The true cost of Canada’s health care system is more than $11,000 in taxes each year for an average family, according to Vancouver-based think tank The Fraser Institute.

The institute’s report calculates the amount of taxes the average family pays to all levels of government in a year and the percentage of the total tax bill that goes towards public health care insurance.

A family of two parents with an average income of $113,226 and two children will pay $11,401 for public health care insurance, the report says.

[…]Institute senior fellow Nadeem Esmail said in a news release sent out this morning: “There’s a widespread belief that health care is free in Canada. It’s not; our tax dollars cover the cost of it. But the way we pay for health care disguises exactly how much public health care insurance costs Canadian families and how that cost is increasing over time.”

The release noted that since 2002, the cost of health care insurance for the average Canadian family increased by 59.8 per cent before inflation.

“By way of comparison, the cost of public health care increased more than twice as fast as the cost of shelter, roughly four times as fast as the cost of food, and more than five times as fast as the cost of clothing,” the release said.

This is the system that Obamacare is trying to force onto us by eliminating private sector health care. But proponents of single payer health care tell us that it’s better for patients than the American free enterprise system. Is it? Let’s take a look at the numbers.

A defense of American health care

Story from the Hoover Institute at Stanford University.

The article compares American health care to health care in other places like Canada, the UK and Europe.

The full article. I almost never cite the full article, but this is a must read.

MEDICINE AND HEALTH:
Here’s a Second Opinion

By Scott W. Atlas

Ten reasons why America’s health care system is in better condition than you might suppose. ByScott W. Atlas.

Medical care in the United States is derided as miserable compared to health care systems in the rest of the developed world. Economists, government officials, insurers, and academics beat the drum for a far larger government role in health care. Much of the public assumes that their arguments are sound because the calls for change are so ubiquitous and the topic so complex. Before we turn to government as the solution, however, we should consider some unheralded facts about America’s health care system.

1. Americans have better survival rates than Europeans for common cancers.Breast cancer mortality is 52 percent higher in Germany than in the United States and 88 percent higher in the United Kingdom. Prostate cancer mortality is 604 percent higher in the United Kingdom and 457 percent higher in Norway. The mortality rate for colorectal cancer among British men and women is about 40 percent higher.

2. Americans have lower cancer mortality rates than Canadians.Breast cancer mortality in Canada is 9 percent higher than in the United States, prostate cancer is 184 percent higher, and colon cancer among men is about 10 percent higher.

3. Americans have better access to treatment for chronic diseases than patients in other developed countries.Some 56 percent of Americans who could benefit from statin drugs, which reduce cholesterol and protect against heart disease, are taking them. By comparison, of those patients who could benefit from these drugs, only 36 percent of the Dutch, 29 percent of the Swiss, 26 percent of Germans, 23 percent of Britons, and 17 percent of Italians receive them.

4. Americans have better access to preventive cancer screening than Canadians.Take the proportion of the appropriate-age population groups who have received recommended tests for breast, cervical, prostate, and colon cancer:

  • Nine out of ten middle-aged American women (89 percent) have had a mammogram, compared to fewer than three-fourths of Canadians (72 percent).
  • Nearly all American women (96 percent) have had a Pap smear, compared to fewer than 90 percent of Canadians.
  • More than half of American men (54 percent) have had a prostatespecific antigen (PSA) test, compared to fewer than one in six Canadians (16 percent).
  • Nearly one-third of Americans (30 percent) have had a colonoscopy, compared with fewer than one in twenty Canadians (5 percent).

5. Lower-income Americans are in better health than comparable Canadians. Twice as many American seniors with below-median incomes self-report “excellent” health (11.7 percent) compared to Canadian seniors (5.8 percent). Conversely, white, young Canadian adults with below-median incomes are 20 percent more likely than lower-income Americans to describe their health as “fair or poor.”

6. Americans spend less time waiting for care than patients in Canada and the United Kingdom. Canadian and British patients wait about twice as long—sometimes more than a year—to see a specialist, have elective surgery such as hip replacements, or get radiation treatment for cancer. All told, 827,429 people are waiting for some type of procedure in Canada. In Britain, nearly 1.8 million people are waiting for a hospital admission or outpatient treatment.

7. People in countries with more government control of health care are highly dissatisfied and believe reform is needed. More than 70 percent of German, Canadian, Australian, New Zealand, and British adults say their health system needs either “fundamental change” or “complete rebuilding.”

8. Americans are more satisfied with the care they receive than Canadians. When asked about their own health care instead of the “health care system,” more than half of Americans (51.3 percent) are very satisfied with their health care services, compared with only 41.5 percent of Canadians; a lower proportion of Americans are dissatisfied (6.8 percent) than Canadians (8.5 percent).

9. Americans have better access to important new technologies such as medical imaging than do patients in Canada or Britain. An overwhelming majority of leading American physicians identify computerized tomography (CT) and magnetic resonance imaging (MRI) as the most important medical innovations for improving patient care during the previous decade—even as economists and policy makers unfamiliar with actual medical practice decry these techniques as wasteful. The United States has thirty-four CT scanners per million Americans, compared to twelve in Canada and eight in Britain. The United States has almost twenty-seven MRI machines per million people compared to about six per million in Canada and Britain.

10. Americans are responsible for the vast majority of all health care innovations. The top five U.S. hospitals conduct more clinical trials than all the hospitals in any other developed country. Since the mid- 1970s, the Nobel Prize in medicine or physiology has gone to U.S. residents more often than recipients from all other countries combined. In only five of the past thirty-four years did a scientist living in the United States not win or share in the prize. Most important recent medical innovations were developed in the United States.

Despite serious challenges, such as escalating costs and care for the uninsured, the U.S. health care system compares favorably to those in other developed countries.

This essay appeared on the website of the National Center for Policy Analysis on March 24, 2009. An earlier version was published in theWashington Times.

Available from the Hoover Press is Power to the Patient: Selected Health Care Issues and Policy Solutions, edited by Scott W. Atlas. To order, call 800.935.2882 or visitwww.hooverpress.org.

Scott W. Atlas is a senior fellow at the Hoover Institution and a professor of radiology and chief of neuroradiology at Stanford University Medical School.

Note that the author is a professor of radiology and chief of neuroradiology at Stanford University Medical School. Stanford and Harvard are generally regarded as the two best universities in the United States.

News

UK socialism in action: patients waiting on trolleys for over 50 hours

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From the UK Daily Mail. (H/T Dina)

Excerpt:

Being rushed to hospital or taking your loved one to A&E can be a frightening experience. However, experts have recently highlighted a disturbing trend that will only make it worse.

They say hospitals are bursting at the seams, and a combination of poor out-of-hours GP services, budget cuts and a shortage of beds mean many patients are being parked on trolleys in A&E corridors and side rooms like left luggage.

Indeed, Department of Health figures, revealed last month by the Nursing Times, suggest nearly 67,000 patients waited  up to 12 hours on a trolley in the first half of this year.

And this may simply be the tip of the  iceberg, as NHS analysts say clever number-crunching by hospitals may be hiding the true extent of the problem.

As this Good Health investigation reveals, more than a quarter of hospitals have reported cases where patients have been left on trolleys for 12 hours or more — up to 50 hours in one case. In most NHS hospital trusts, patients waited less than three hours for a bed on a ward (the average was one hour 36 minutes). However, in six  (7 per cent) of hospitals the average wait on a trolley was three hours or more.

Think that’s an anomaly? Consider this.

From the UK Daily Mail:

NHS doctors are prematurely ending the lives of thousands of elderly hospital patients because they are difficult to manage or to free up beds, a senior consultant claimed yesterday.

Professor Patrick Pullicino said doctors had turned the use of a controversial ‘death pathway’ into the equivalent of euthanasia of the elderly.

He claimed there was often a lack of clear evidence for initiating the Liverpool Care Pathway, a method of looking after terminally ill patients that is used in hospitals across the country.

It is designed to come into force when doctors believe it is impossible for a patient to recover and death is imminent.

It can include withdrawal of treatment – including the provision of water and nourishment by tube – and on average brings a patient to death in 33 hours.

There are around 450,000 deaths in Britain each year of people who are in hospital or under NHS care. Around 29 per cent – 130,000 – are of patients who were on the LCP.

More from a different UK Daily Mail article:

The health service ‘looks like a supertanker heading for an iceberg’, the head of the NHS Confederation has warned.

His comment came as a survey revealed the squeeze on NHS finances is so serious that almost half of its leaders think it will reduce quality of care for patients over the next year.

The research, carried out before the confederation’s annual conference in Manchester, shows that NHS leaders fear that growing financial pressures will mean treatment rationing and longer waiting times.

Of the 252 chief executives and chairs of NHS organisations questioned, almost half believe the financial burden on the health service is ‘very serious’ and 47 per cent say this means quality of care will reduce over the next 12 months.

Mike Farrar, chief executive of the confederation which represents organisations providing NHS services, said: ‘Despite huge efforts to maintain standards of patient care in the current financial year, healthcare leaders are deeply concerned about the storm clouds that are gathering around the NHS.

‘Our survey shows that many NHS leaders see finances getting worse and that this is already having a growing impact on their patients. In response, they are cutting costs in the short term but they know that much more radical solutions are the only answer in the long run.

[…]Mr Farrar added that politicians had ‘consistently failed’ to put the long-term interests of the population’s health above their short-term electoral interests.

[…]Katherine Murphy, chief executive of the Patients Association said: ‘This survey confirms what everybody inside the health and social care system is already saying – the next decade is likely to be the most challenging one in the history of the NHS.

‘Treatments are being rationed, waiting times for elective procedures are going up and patients continue to be treated poorly on our hospital wards.

Where does the money go in a socialist system? Well, the NHS spends £1 million a week on repeat abortions. So if you like having abortions, those are free – and you can have as many as you want. It’s “health care”. You can also have free taxpayer-funded IVF, which is especially valuable for men. Or you can have treatment for AIDS, which is especially useful for married people and chaste people. Or you can have free breast enlargements and free sex changes – even if you are a convicted murderer. That’s government-run health care in a socialist feminist welfare state. Pay up, sucka.

Of course, if you need a drink of water, you’re out of luck.

In a government-run system, whether you get treatment or not depends on a bureaucrat, whose only desire is to be re-elected. Sometimes, killing you is the best way for them to get re-elected, as seen in the euthanasia numbers. But, in a private health care system, it makes no sense to kill patients, because then the money stops coming in. Doctors actually care about you in a for profit system. They want to help you, and they want you to live.

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News

Obamacare begins forcing states to cap and cut prescription drug benefits

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From Life News. (H/T Doug Ross via BadBlue)

Excerpt:

When Democrats in Congress pushed the Obamacare bill through, pro-life groups warned about rationing that could take place as a result. Although liberal groups and the mainstream media laughed at the projections, they are now coming to pass.

A new report from Kaiser Health indicates states are now moving in the director of capping or cutting prescription drug benefits.

Illinois Medicaid recipients have been limited to four prescription drugs as the state becomes the latest to cap how many medicines it will cover in the state-federal health insurance program for the poor.

Sixteen states impose a monthly limit on the number of drugs Medicaid recipients can receive and seven states have either enacted such caps or tightened them in the past two years, according to the Kaiser Family Foundation (KHN is a program of the foundation). The limits vary across the country. Mississippi has a limit of two brand-name drugs. In Arkansas adults are limited to up six drugs a month.

Since June, Alabama has had the nation’s stingiest Medicaid drug benefit after limiting adults to one brand-name drug. HIV and psychiatric drugs were excluded. On Aug. 1 the state will relax the limit to its previous level — four brand-name drugs — after the restriction saved more money than expected and the state received money as part of a settlement with a pharmaceutical company.

Other states with Medicaid drug limits are Arkansas, California, Kansas, Kentucky, Louisiana, Maine, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Utah and West Virginia.

[…]NRLC has said Obamacare contains “multiple provisions that will, if fully implemented, result in government-imposed rationing of lifesaving medical care.”

The department of Health and Human Services (HHS) will be empowered to impose so-called “quality and efficiency” measures on health care providers, based on recommendations by the Independent Payment Advisory Board, which is directed to force private health care spending below the rate of medical inflation. In many cases treatment that a doctor and patient deem needed or advisable to save that patient’s life or preserve or improve the patient’s health but which runs afoul of the imposed standards will be denied, even if the patient wants to pay for it.

The law empowers HHS to prevent older Americans from making up with their own funds for the $555 billion the law cuts from Medicare by refusing to permit senior citizens the choice of private-fee-for-service plans whose premiums are sufficient to provide unrationed care but which HHS, in its unlimited discretion, disallows. The Obama health care law could thus lead to elimination of the only way that seniors will have to escape rationing — by limiting their right to spend their own money to save their own lives.

We should not be surprised by this. In the UK, patients regularly have treatments cut off by the government because they are deemed “lost causes” and because the government needs to cut costs. In Canada, patients are barred by law from using their own money to purchase or supplement their medical care. That’s why they have to leave the country and pay out of pocket for faster treatment when they are placed on waiting lists. Socialist health care means waiting lists and rationing by death panels. Get used to it, that’s what “equality” means. It means you pay based on income, and you are treated based on government decree – and after the bureaucrats take their cut, of course.

There is another way. We can use the forces of choice and competition to lower costs the same way that costs are lowered in the free market. In the private sector, the laptop that costed $3000 5 years ago was $1000 last year and is $400 today. That’s how the private sector works, and that’s what we need to do with health care. Get the government out it. The profit motive of business owners drives quality up and price down. It does in every area we care about, and health care is no different.