Tuesday, July 21, 2009
Thomas Sowell :: Townhall.com Columnist
Medical Care Confusion
by Thomas Sowell
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Is there a coherent argument for government-controlled medical care or are slogans and hysteria considered sufficient?

We hear endlessly about how many Americans don't have health insurance. But, if we stop and think-- which politicians hope we never do-- that raises the question as to why that calls for government-controlled medical care.

A bigger question is whether medical care will be better or worse after the government takes it over. There are many available facts relevant to those crucial questions but remarkably little interest in those facts.

There are facts about the massive government-run medical programs already in existence in the United States-- Medicare, Medicaid and veterans' hospitals-- as well as government-run medical systems in other countries.

None of the people who are trying to rush government-run medical care through Congress before we have time to think about it are pointing to Medicare, Medicaid or veterans' hospitals as shining examples of how wonderful we can expect government medical care to be when it becomes "universal."

As for those uninsured Americans we keep hearing about, there is remarkably little interest in why they don't have insurance. It cannot be poverty, for the poor can automatically get Medicaid.

In fact, we already know that there are people with substantial incomes who choose to spend those incomes on other things, especially if they are young and in good health. If necessary, they can always go to a hospital emergency room and receive treatment there, whether or not they have insurance.

Here, the advocates of government-run medical care say that we all end up paying, one way or another, for the free medical care that hospitals are forced by law to provide in their emergency rooms. But unless you think that any situation you don't like is a reason to give politicians a blank check for "change," the relevant question becomes whether the alternative is either less expensive or of better quality. Nothing is cheaper just because part of the price is paid in higher taxes.

Such questions seldom get asked, much less answered. We are like someone being rushed by a used car dealer to sign on the dotted line. But getting stuck with a car that is a lemon is nothing compared to signing away your right to decide what medical care you or your loved ones will get in life and death situations. Continued...

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About The Author
Thomas Sowell is a senior fellow at the Hoover Institute and author of The Housing Boom and Bust.
 
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Who is interested in the answers?
You are asking the right questions. Why not listen to all of the answers? You are not ashamed to insinuate that uninsured people are for the most part cheaters who prefer to spend their money on luxuries (like food, childcare and transportation?) rather than on health care, so you found the answer to the question: "Who are the uninsured". You tell us that Mormons are healthier than other segments of the population, perhaps due to their healthy life-style and that only sickness, not health should concern physicians. Then you assert that America leads in health care and that cancer survival rates here, for example, are better than in countries with government-run health systems. If you are basing this belief on the recently published CONCORD study, you need to go back and read it again.

“…the survival rate for the seventeen regions in the United States that were included in the study ranged from 78 per cent to 90 per cent. The disparity in survival rates crossed racial lines in the U.S., as well, with white patients having a five-year survival rate of 84.7 per cent and black patients having a survival rate of 70.9 per cent.” http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/200807 16/cancer_statistics_080716?hub=MSNHome%29
That is exactly what people in favor of reforming the system have been saying. For this columnist, who is black, apparently this is not a problem?

Rx On Obamacare Already Written
Sowell did you hear the government already agrees with you?

You said few if any are asking questions if medical care will be better or worse after the government takes it over.

Duh, heard of the CBO?

They have already said financially they expect the net affect of Obamacare to be an increase to the Federal Budget!

Of course the other question is if Obamacare will have a positive affect healthwise.

Huge question mark there.

As you have pointed out plenty data already exist to show that cancer outcomes, a key indicator to measure the quality of any health services, are much better in US than in other countries.






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