Friday, July 4, 2008

So What do the Candidates Think?

Now here is a challenge: Talk about health care and get people excited to read it while at the same time weaving politics into the mix. I have been meaning to discuss the upcoming presidential elections with regards to the two candidates and their positions and for some reason the excitement level just wasn’t there. I would start the article and then scrap it because even I was falling asleep and if the author falls asleep during an article what chance does the reader have? I mean just the title “health care politics” dredges up thoughts of long boring meetings and lectures you never wanted to hear. But maybe we can make it fun so lets give it a go.
Unless you have no political interest at all I imagine you know by now that we are finally down to two candidates running for office since the primary season is over. (I should hasten to add that I frankly want the whole lot of them gone so I am voting third party this year just to stage my own little protest so in actuality there are still more than two candidates.) For purposes of this little blog we will discuss the main two positions, which shouldn’t take long. Yes I am qualified to do this because I have actually read the plans that each of the senators has on their individual websites so you should be thanking me for the work I have slaved over for you. I didn’t simply take the summaries put out by the media so you should be proud of me. Just because I had a beer to help me through does not diminish the significance of what I have done. So let’s start with Senator Obama and his plan. I can sum it up real quick by telling you that he is going to mandate coverage to all and in so doing he will lower the cost of health care. If people can’t afford the insanely expensive cost of health insurance then taxpayers will pay for it – hardly a cost saving method there. Kudos to Obama for finally getting the uninsured covered but what makes the Obama campaign think that will lower the cost of health care? He explains it in many ways but to summarize his plan it only increases the oversight (ie-bureaucracy) and will do nothing to actually decrease the cost of health care. Just saying it will does not make it so. Health care is the poster child of unintended consequences and when you cover everybody it is historically accurate to say that will increase the prices that doctors, hospitals and drug companies charge. Where is the cost savings in that?
So Obama’s plan is bad but not near as bad as McCains. The only thing even remotely unique or different about McCain’s plan is that he says he will allow health care to be bought across state lines and that can hardly be considered thinking outside the box. In a sector of the economy that will ultimately bankrupt this country unless changes are made, McCain essentially says “hey, working good from where I sit so let’s keep it the same”. At the risk of sounding like a long-suffering nanny, that is a “poor choice”.
Lets be blunt. The only fact on the health care dilemma that all parties agree on is that health care is too expensive. In other words it costs too much and that means sticker shock when you go to the hospital, doctor or pharmacy. Since we all agree that health care costs too much then I propose that unless a policy helps to bring down the cost of health care……don’t do it! Increasing oversight in health care and subsidizing outrageous insurance bills (Obama) or attempting to convince us that keeping things the same (McCain) in an unsustainable health care system are what I consider outrageously ignorant solutions and are nowhere near the vast changes we need to implement.
That, my friends, is one of many reasons why I will be voting third party this year.

1 comment:

Anonymous said...

Lorin, as a Canadian living in Ontario I know that there are better options for funding healthcare. Certainly better than we enjoy here in Ontario. Here, we have "universal" health care.

The name is somewhat of a misnomer in that it suggests that there exists unlimited health care on demand to everyone. Sadly, this is NOT the case.

Yes, everyone is entitled to health care and eventually everyone gets it. Yes, for those of us who have a family Dr. we book an appointment, go see the Dr., respond to any referrals s/he might suggest and return as needed. Many here do not have a family Dr. as spend long durations in a variety of clinics waiting to see the Dr. who is in that particular day.

Lorin, the notion of universal health care is attractive to many in the States given the dismal state of affairs initiated not by the health care system but by the wide variety of insurance companies driving the financial engine of the health scene.

Here, we have one insurer. OHIP, Ontario Health Insurance Plan. It is administered by the government although it is funded by the unreal taxes we the citizens and companies pay here. If you think you're paying a lot now, wait 'til you pay our level of taxation of which its greater percentage funds our health machine each and every year although you might not use any medical services for years at a time. Having said that, most see a Dr. at least once a year to accommodate the pain of paying so much tax for something they don't use.

Now, of the following arenas of medicine what do our dollars cover? Eye exams, chiropractic health, massage, holistic medicine, alternative therapies, dental health, medications, semi-private hospital rooms, ambulance rides, crutches and other therapeutic assists.

None.

None at all. We pay for it all in addition to our exorbitant taxes.

You see, there is a perception rampant in the States which offends the reality here in Canada. Universal health care means simply that a certain measure of health care is available universally to all Canadian citizens. It does NOT provide a universal menu of health care options gratis to its users.

So, what's the solution?

We educate phenomenal numbers of health care providers here in Ontario and a number just shy of that total leaves to work in the States. Why? Something must be more attractive. Wages? Conditions? I don't know. But our brains are leaving this system of "plenty" to seek better opportunities in your system.

The solution is not to be realized any time soon.

On one hand, the vast selection of insurance companies available to you in the States is also one of your greatest plagues in that no great body of clients exists to formally object to any offense. Conversely, our option of only one here in Ontario is also our greatest source of speechless solitude in that we have no option on which to voice our displeasure. So, you see, neither is good.

I apologize for not offering a solution. Quite honestly, I would prefer the options available in the States. Lower taxes with the option to purchase the plan of my choosing. Let me have that extra # of thousands of dollars I spend in taxes each year and allow me to purchase my own plan. I'm essentially paying out of pocket for everything now except for visits and surgeries. I haven't even discussed wait times here. Unless you're part of the political elite, wealthy or socially elevated you will start at the bottom of the heap and patiently wait whilst the aforementioned jump the queue for their urgent medical consideration. Expect 4-8 months of waiting before cancer treatment begins after diagnosis. Ask my Mom. Better yet, believe me.

So, despite the anxiety you sense in your current plight you must realize that universal health care is by no means a medical messiah.