site stats
Welcome, register | help | log in

Is the fear of socialized medicine justified?

Featured in:

I know I said I was done posting here, but after watching Oprah the other day, I felt the urge to comment.

The term "socialized" medicine, that is governmental intervention into the delivery of health care, strikes fear in the hearts of many Americans, and is the rallying cry behind big pharma, and the US health insurance industry's push to stifle any meaningful change in the delivery and financing of health care in the US.

But, as Juliet said to Romeo,

What's in a name? that which we call a rose
By any other name would smell as sweet;

the only difference between so called "socialized" medicine (as defined above and perceived to be practiced in the rest of the free world), and what is currently practiced in the US, is merely one of semantics.

In the case of Medicare, Medicaid, and the VA, it's pretty straight forward. The government regulates those three programs and is in total control of the disbursals to providers, denying and approving care as it so desires. So there is no argument, by definition, that is "socialized" medicine.

But for the vast majority of Americans, who are not in those three, or similar programs, it is the health insurance industry that is in total control. Large "for profit" health insurers control disbursals to providers, deciding what is or isn't appropriate care, usually based on criteria few understand, or are even aware of.

As for me, I don't see any difference, whether it's the government or private health insurers who control the purse strings, except for the fact, I'm not aware of anyone receiving care through Medicare, Medicaid or the VA complaining about the care they receive, yet I am aware of many who are dissatisfied with the care they receive under the control of the private insurance industry.

But even if you are so inclined to argue semantics, and still believe "socialized" medicine is evil, I'll ask this simple question,

Who would you rather have scrutinizing your doctor's orders, and deciding if prescribed care is appropriate, a government bureaucracy, consistency of employees who have no vested interest in denying care, or that of a private insurance bureaucracy, consisting of employees, whose compensation, and even job security, are directly tied to not authorizing the necessary care, and who will look for any possible reason/excuse to deny or delay a claim, for their own selfish benefit?

For me it's a no brainer, and I would be hard pressed to believe anyone, except for those with a vested interest in the status quo, would choose the latter.

But I'm sure somebody out there will!

Trackbacks (0)

The URI to TrackBack this entry is: http://trusted.md/trackback/40730

Comments (7)

Submitted by hgstern on Sun, 09/30/2007 - 4:48pm.

It's about being careful what you wish for.

Submitted by Marc on Sun, 09/30/2007 - 5:46pm.

So let's see, in the UK they can't get the drug, because it has been ruled not cost effective. Are you saying the FDA never claims a drug isn't approved for a particular disease?

Will health insurers pay for drugs not approved by the FDA?

And again where's the difference when you can't get the drug because someone says it's not cost effective, or you just can't afford it?

I think if you check, you'll discover the drug companies will only help those who are below the poverty line. (Usually those on Medicare or Medicaid. Remember those socialized medicine programs.)

Everyone else just has to go without, or go bankrupt trying to pay for the drugs.

Yeah, I'd be quite happy if I got what I wished for!

 

Marc
Living with MCL

Submitted by hgstern on Sun, 09/30/2007 - 6:51pm.

Let's take them one at a time, shall we:

■ Are you saying the FDA never claims a drug isn't approved for a particular disease?

Not at all. In fact, many drugs are approved for one use, and are then used "off-label" to treat other conditions.

■ you just can't afford it?

There are a number of programs (two of which you mention) to help with that. In addition, consumer-driven health insurance products (e.g. HSA's) make it possible to pay for non-covered items, and even enjoy tax advantages that make the med's even more affordable.

■ the drug companies will only help those who are below the poverty line

Absolutely untrue: e.g. MS drugs, for one.

I know that you're bitter about your own situation, and I'm sympathetic to that. But the truth is, the private sector is accountable in myriad ways that government programs are not.

Submitted by Marc on Sun, 09/30/2007 - 7:39pm.

I know that you're bitter about your own situation,

I'm bitter? I didn't know that! Thanks for straightening me out.

But just to set the record straight, I'm not bitter about my situation, unless you're talking about the fact I'm bitter about having cancer, and even then it wouldn't be true.

In fact, I think getting cancer "may" have been one of the best things that could have happened to me. It has taught me to look at life from a totally different perspective.  I've learned to enjoy life a lot more, and focus on the here and now, and not plan for what might never occur.

Other than that, I have health insurance, and I've got plenty of money to last me longer than I expect to need it.  Oh, I don't plan on outliving my money either.  

What I am bitter about is a health care system that treats health care like a commodity distributed according to the ability to pay, rather then according to need.

What I'm bitter about is a health care system that discriminates against the most vulnerable in society, by burdening them with undue costs with no regard to the consequences to society, and then rationalizing that it was their fault for getting sick and not planning well.

And you still keep going back to the use of HSA's. That's just for the healthy and the well off, like myself (not the healthy part though), to help defer some of the expenses in paying for routine health care.

But if you can barely put food on your table, and pay for rent, then how are you going to contribute to an HSA?

Get real! HSA's were never meant to benefit the consumer. They're just a ploy by the health insurers to make people think about going to get care when they are sick, and not using any of the health insurance companies money, increasing their profits.

And if you don't believe that, just try buying such a policy if you're sick. You won't be able to, simply because health insurers know you'll end up using it, and costing them more money in the long run.

And you mean to tell me, if I had MS the drug companies would help me pay for my drugs?  I find that hard to believe.  

And how come only in the case of MS?  Why not for all drugs? 

Marc
Living with MCL

Submitted by Marc on Sun, 09/30/2007 - 7:50pm.

What have I ever said, that gave you the impression I am bitter about my situation?

Marc
Living with MCL

Submitted by hgstern on Sun, 09/30/2007 - 8:15pm.

Why don't you tell me why I might have gotten that impression?

As for your characterization of HSA's as "for the healthy and well off:" that's just silly.

The fact is, HDHP's work just fine for any income level. The "healthy" part is irrelevant: underwriting is underwriting, regardless of product.

It's your blog, so it only seems fair to let you have the last word.

Submitted by Marc on Sun, 09/30/2007 - 9:21pm.

Sometimes it's just not worth the hassle trying to get my point across.

Like
I said, those with a vested interest in the status quo, like it just
the way it is, and will spin the discussion away from the real issues.

Marc
Living with MCL

Post new comment

[?]
The content of this field is kept private and will not be shown publicly.
Captcha Image: you will need to recognize the text in it.
[?]
Please type in the letters/numbers that are shown in the image above.

User login