Friday, January 22, 2010

Our system sucks.




The New York Times "Health" section includes overviews of other nations with universal health care systems:

http://www.nytimes.com/interactive/2009/09/29/health/health-care-conversations.html?ref=health#/13/

After the article about France, I found this comment from a reader:

"So much has been said about how good the French (and other countries) healthcare system is and how it is paid for/provide by the government. What has escaped almost every article and conversation on the subject is that most these countries have higher effcetive [sic] personal income tax rates than the USA. So what we in the US pay in healthcare insurance premiums people outside the US pay in higher income taxes.

— RichC"

And an equally uninformed, if more concise, response from another reader:

"Hmm…no mention of how high the tax rates are in France. Poor journalism but great rhetoric.

— NoBama"

This is my response:

"People often cite the higher taxes in countries with universal health coverage, and they seem to believe our lower taxes are an even trade-off, ie. we pay insurance instead. But the overall costs of taxes plus health care costs per individual is higher in the US than in countries with universal care. And they get better care.

Take France, for example. They pay 45.3% of their GDP in tax, in exchange for a great system of universal quality health care, education, sick pay, paid vacation, paid maternity leave, and subsidized child care FOR ALL.

In the USA, we pay 29.6% of our GDP in tax, and on average 15% of our GDP on health care costs. Total cost: 44.6%. And what do we get for that? Not much. That doesn’t even include parental leave and child care, which is another huge cost for Americans.

It’s time people abandon irrational fears about losing ‘choice’ or ‘freedom’, and realize that these things are already in danger, when we live without the basic rights which it is a government’s duty to provide for its citizens- universal health care, sick pay, parental leave, and quality education.

Statistic sources:
http://www.nationmaster.com/graph/tax_tot_tax_as_of_gdp-taxation-total-as-of-gdp

http://en.wikipedia.org/wiki/File:International_Comparison_-_Healthcare_spending_as_%25_GDP.png

So, I wrote my comment in the New York Times. But it didn't make me feel much better. With the democrat's ability to prevent a filibuster now lost- (Massachusetts to the Republicans?! Can this be attributed to global warming?)- and the creeping sense that no matter what Obama wants to accomplish, our permanently log-jammed political system won't allow it, I think it's going to be at least another fifty years before the USA has anything like a functional universal system along the lines of France or Germany. Oh well. The food here really is very good. But it'll kill you. And you can't afford to get sick.


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