Oh no! I'm going to die because of socialized health care!

[velvetpage]

The last thing I did before leaving this morning was post a debate in booju_newju asking if the U.S. should socialize their health care system. As a result, I haven't read much of my friends page - I've been replying and managing discussion over there ever since I got home.



I'm wondering about the perceived connection between long wait times and socialized medicine. There is a connection, certainly, but it's not, "Oh no! If the government is paying for it, we'll have to wait!" From my point of view, it appears to be mostly about infrastructure. We do not have enough doctors or other specialists, and if we did, we would lack some of the operating theatres, hospital beds, and other necessary things to reduce wait times. This is a systemic problem, certainly, but it is not one that would appear immediately upon instituting socialized medicine. The U.S. already has the infrastructure, and they certainly have enough doctors. (They could send back a few of the ones they've borrowed from us, actually. We need them ourselves.) There might be some shortages when all the currently-uninsured suddenly had access to the whole system, but they'd be manageable, and probably much of it would be absorbed by the current system. After all, everyone would have a lot more time to see patients if they weren't filling out dozens of forms and attempting to get blood from a stone payment from people who have no money.

Also, what's with this idea that "The government will tell me which doctors I have to see!" That is totally, categorically false. In fact, I have more choice of doctors than many insured Americans whose insurance companies tell them which doctors they're willing to pay for. I can see any doctor in Ontario by presenting my health card, if I have a referral. And, while I know many people who have to wait, I never have. It depends on the specialty how long you'll wait, and once you're on their patient roster, you won't have to wait again to see the doctor - though you may have to wait for your surgery. See previous comment about infrastructure.

Last complaint I have little patience with - "Our taxes will be too high for us to afford to eat!" Okay, maybe your taxes would go up - though it should be possible to do it for the amount already being paid for Medicare - but your health premiums would (almost) disappear, and the savings would be rather greater than the increase in taxes. No, the rich are not going to flee to places where they don't have to support the poor. There aren't a whole lot of those places left, at least not places where the rich would actually want to live.

Okay, I'm done now.

Comments

[merlyn4401.livejournal.com]

Good to know. I'm glad docs do well there, I really am.

I just think that there are going to be an awful lot of docs here who are going to get super pissy when they have to work for the gov't, and essentially have a cap on their earnings.

I'd be happy to be proven wrong, because it would prove people are more altruistic than I give them credit for. :p

[velvetpage.livejournal.com]

I can imagine there will be a few who will be happy not to have to change their preferred line of treatment based on what the patient's insurance is prepared to pay for, too. What are they called - Health Management Offices - are the worst idea in the history of health care. The only person who should be making those decisions is the patient on the recommendation of the doctors involved in their care. Period.

[dornbeast.livejournal.com]

Health Maintenance Organizations.

Although I liked one person's rewrite of that, to "Healthy Members Only."

[dornbeast.livejournal.com]

I'd like to think that the doctors who are ticked about not having tons of money will be outnumbered by the doctors who are happy to have the freedom to practice medicine, instead of being restrained by bean-counting HMOs.