The problem with the US is, every time we talk about health care and education, people immediately change the subject, and begin to talk about defense, tax breaks of the big companies, social injustice, people out of work, poor single mothers, etc. etc. I think that is because our education is so bad. Most people have lost the ability to reason. Is it a wonder why we've been discussing health care and education for as long as I know (30 years), and they are only getting worse everyday?
Here is something to think about. Even we abolish all the defense, the saving will not be enough to finance our medicare, because the expense of the latter would just grow even bigger, like a well-fed monster. Before we talk about allocation of the tax dollars, we need to talk about cost containment. Mr. Walker is correct. Our current medicare basically issues blank checks. And no amount of money will be enough to cover the blank checks.
I agree with EVERYTHING Mr. Walker said. (By the way, he is a good speaker. A lot of fun to listen to.) Medicare premium must be based on risk factor - these are insurance programs. Not social welfare. People have the incentive to avoid auto accidents because they will raise their permium. Illness should raise premium too so people will have incenvtive to avoid illness. I know. No one wants to be sick. But how many people think about diebetis, heart disease when they eat pizza, steaks, chips and sit as cough potato?
I believe in government managed health care facilities like the VA for those who do not have the money to pay for private health care, or for those who just need basic care (like me. I have a decent income. But I maintain good health. So I don't need expensive health care. Actually, at 60, I never got sick.) We do not have unlimited resources to pay for expensive procedures, like by-ass surgueries for everyone. If a person is already 65, and is in poor health. Why does he need a bypass sugery anyway? If he can pay for it with his own money, he should by all means get it. But I, as a tax payer, much prefer using that amount to cover basic health care for many younger people. In other words, I believe in rationing, which is what they do in Canada and Europe.
Americans are so spoiled. When it comes to health care, we believe sky is the limit. We want the best things money can buy. Is it not a wonder why the US healthcare providers has given us the most expensive service in the world? The policians now are talking about high quality, lost cost health care. Give me a break. If Cadillac was cheap, people would not want Cadillac any more!
A Fiscal ‘Tsunami’
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There has been talk in the campaigns about comparing the system here with systems in Europe, Canada and elsewhere. Some of the campaign rhetoric is very negative, and it's sort of an easy shot: "We don't want to become like those Europeans who have terrible health care." How would you compare the American system to, say, a particular European system?
Well, first, I think there is a lot of misinformation and disinformation that is being provided to the American people. Even in countries that have national health-insurance systems, like the United Kingdom, there are private supplementary-insurance systems that exist in parallel to that. Most major employers of the U.K. have private insurance policies that cover their key employees and many other employees, as well. So this idea that it is one type of system under all circumstances just is not true. Secondly, if you look at other countries that do have national health-insurance systems, they have budgets on how much money they will spend, and that is one of the reasons they won't go bankrupt on health care. We don't have a budget on what we spend. We write blank checks. Nobody with a brain writes a blank check, especially on something that is 16 percent of the economy and growing much faster than the economy.
Just for perspective, can you compare the size of this fiscal "tsunami" [to the size of particular spending programs]?
Well, you could decide not to renew the Bush tax cuts, you could eliminate all foreign aid, eliminate all earmarks, eliminate NASA, eliminate the National Endowment for Humanities and eliminate the entire Defense Department tomorrow, and you still wouldn't solve the problem.
© 2007
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