I never for a moment thought that a life could be decided by something as arbitrary as one’s address.
The often-maligned US health care system is by no means a free market for health care services; rather, it is more of a hybrid public/private system. It’s imperfect and in need of reform, to be sure. But heaven help us if that reform takes the form of a governmental takeover of the entire system. How such a “reform” would improve our flawed system is beyond me.
Continuing with my posts highlighting just how wonderful things will be here in the United States when the government finally does its job and takes over the healthcare sector of the economy, I’d like to bring your attention once again to the fabulous success story that is the Canadian health care system:
Last year, the Canadian government issued a series of reports to address the outcry over long wait times for critical tests, procedures and surgeries. Over a two year period:
• Wait times for knee replacements dropped from 440 to 307 days.
• Wait times for hip replacements dropped from 351 to 257 days.
• Wait times for cataract surgeries dropped from 311 to 183 days.
• Wait times for MRIs dropped from 120 to 105 days.
• Wait times for CT scans dropped from 81 to 62 days.
• Wait times for bypass surgeries dropped from 49 to 48 days.
Sure, you might have to wait a couple of months for that lifesaving bypass surgery. But remember: it’s free!
More than 400 Canadians in the full throes of a heart attack or other cardiac emergency have been sent to the United States because no hospital can provide the lifesaving care they require here.
Most of the heart patients who have been sent south since 2003 typically show up in Ontario hospitals, where they are given clot-busting drugs. If those drugs fail to open their clogged arteries, the scramble to locate angioplasty in the United States begins…
…While other provinces have sent patients out of country – British Columbia has sent 75 pregnant women or their babies to Washington State since February, 2007 – nowhere is the problem as acute as in Ontario.
At least 188 neurosurgery patients and 421 emergency cardiac patients have been sent to the United States from Ontario since the 2003-2004 fiscal year to Feb. 21 this year. Add to that 25 women with high-risk pregnancies sent south of the border in 2007.
Although Queen’s Park says it is ensuring patients receive emergency care when they need it, Progressive Conservative health critic Elizabeth Witmer says it reflects poor planning.
That is particularly the case with neurosurgery, she said, noting that four reports since 2003 have predicted a looming shortage.
“This province and the number of people going outside for care – it’s increasing in every area,” Ms. Witmer said.
“I definitely believe that it is very bad planning. …We’re simply unable to meet the demand, but we don’t even know what the demand is.”
Read that last line again: “We’re simply unable to meet the demand, but we don’t even know what the demand is.”
Well, that’s a confidence builder.
The Canadian system is supposedly one of the main models upon which the coming American health care revolution will be based. And yet this wondrous Canadian system seems to be more and more incapable of providing relatively common medical procedures to Canadian citizens, even in Canada’s most populous province. Because the system is controlled by a bureaucracy, it doesn’t respond to market pressures (goodness knows that most of the time, bureaucracies barely respond to political pressure) and in fact can’t even figure out what the market is demanding. All of this results in the Canadian government relying on the supposedly inferior US system to provide lifesaving care in many instances. No wonder 3 out of 4 Canadians live within easy driving distance of the US border.
So what happens if we decide to go down the path toward single-payer health care in the US? You’d have to be a fool to think that we could try the same thing that the Europeans and Canadians have done and get different results. No, in the long run, we’ll experience the same sorts of inefficiencies, quality and supply problems that plague the government systems, and yes, more Canadians will die, because the safety net that currently exists for the Canadian system here in the United States will be gone.
More: Check out the video after the jump… (more…)
As a person with a strong family history of cancer, this story warmed my heart. Oh wait, did I say “warmed my heart”? What I meant to say was “chilled me to the bone“:
Created 60 years ago as a cornerstone of the British welfare state, the National Health Service is devoted to the principle of free medical care for everyone. But recently it has been wrestling with a problem its founders never anticipated: how to handle patients with complex illnesses who want to pay for parts of their treatment while receiving the rest free from the health service…
…One such case was Debbie Hirst’s. Her breast cancer had metastasized, and the health service would not provide her with Avastin, a drug that is widely used in the United States and Europe to keep such cancers at bay. So, with her oncologist’s support, she decided last year to try to pay the $120,000 cost herself, while continuing with the rest of her publicly financed treatment.
By December, she had raised $20,000 and was preparing to sell her house to raise more. But then the government, which had tacitly allowed such arrangements before, put its foot down. Mrs. Hirst heard the news from her doctor.
“He looked at me and said: ‘I’m so sorry, Debbie. I’ve had my wrists slapped from the people upstairs, and I can no longer offer you that service,’ ” Mrs. Hirst said in an interview.
“I said, ‘Where does that leave me?’ He said, ‘If you pay for Avastin, you’ll have to pay for everything’ ” — in other words, for all her cancer treatment, far more than she could afford.
Officials said that allowing Mrs. Hirst and others like her to pay for extra drugs to supplement government care would violate the philosophy of the health service by giving richer patients an unfair advantage over poorer ones…
…in a final irony, Mrs. Hirst was told early this month that her cancer had spread and that her condition had deteriorated so much that she could have the Avastin after all — paid for by the health service. In other words, a system that forbade her to buy the medicine earlier was now saying that she was so sick she could have it at public expense.
Mrs. Hirst is pleased, but up to a point. Avastin is not a cure, but a way to extend her life, perhaps only by several months, and she has missed valuable time. “It may be too bloody late,” she said.
I’m simply thrilled that so many people are so keen on introducing this system to the United States.
It’s a shame that the marvel of government-controlled health care hasn’t been implemented in the US yet:
Seriously ill patients are being kept in ambulances outside hospitals for hours so NHS trusts do not miss Government targets.
Thousands of people a year are having to wait outside accident and emergency departments because trusts will not let them in until they can treat them within four hours, in line with a Labour pledge.
What a fool I’ve been to oppose this massive improvement in standards of care. Hat tip to The Corner for pointing this one out.
When I lived in Egypt one of the Egyptian drivers for diplomats at the American Embassy in Cairo explained how people had to wait five to seven years for a phone. He proudly stated he was on the list, but poked fun at the long wait for service. Of course, he also added that you might be able to speed the process up by a few months with bribes, or as it is more affectionately knows as in Egypt, “baksheesh.”
Ronald Reagan loved to tell jokes about the former Soviet Union, especially about the stark differences between the United States and Soviet economic systems. It was a tactic he often used to take the hard edge off his criticism of the Soviets, while still drawing sharp contrasts between the competing systems. It also deftly showed his solidarity or sympathy with the Russian people.
Often to the horror of some of his top foreign policy advisers, he loved delivering the jokes directly to Mikhail Gorbachev at summit meetings. Gorbachev would politely smile or sometimes counter by adding that the joke was just a caricature of the Soviet system. But Reagan had carefully collected many of the jokes from former citizens of the Soviet Union, diplomatic officials, and some of them were passed to him by the CIA. Many of them were real jokes that had circulated inside the Soviet Union.
Many of Reagan’s jokes were a critique of the insufficiency of the Soviet system.
A Russian man goes to the official agency, puts down his money and is told that he can obtain delivery of his automobile in exactly 10 years. “Morning or afternoon,” the purchaser asks. “Ten years from now, what difference does it make?” replies the clerk. “Well,” says the car-buyer, “the plumber’s coming in the morning.”
Another joke Reagan liked to deliver summed up his thoughts well. Two Russians are walking down the street, and one says, “Comrade, have we reached the highest state of communism?” “Oh, no,” the other replies. “I think things are going to get a lot worse.” (more…)
Rev. Sirico wrote about Pope Benedict XVI’s recent encyclical, Spe Salvi, in an op-ed in the Detroit News yesterday. In the encyclical, writes Sirico, “Pope Benedict XVI has delivered a wonderful — and oh-so-needed — reminder of what socialism was (and is), and why it went wrong.”
Sirico summarizes the practical and moral problems with socialism that are explained in Spe Salvi, and the gaping holes that Marx left in his theories. Marx believed that all the problems associated with a revolution would automatically sort themselves out after a short period of dictatorship. Marx, however, overlooked some critical points. Sirico writes that “the moral problem with socialism is more profound: It exalts theft as an ethic and overlooks the human right of freedom.”
Read “Benedict dissects problem with socialism” at DetNews.com today.
Read Spe Salvi on the Vatican Web site here.
What have many academics and a good number of religious leaders learned from the collapse of communism and the failures of so many utopias of socialism that couldn’t deliver on their promises? Well, nothing. In “The Great Lie: Pope Benedict XVI on Socialism,” Rev. Robert A. Sirico looks at a critique of the socialist impulse offered by the Pope in his new encyclical Spe Salvi.
In the article, published on InsideCatholic.com, Rev. Sirico discusses the futility of a salvation based on a materialistic worlview:
History is strewn with intellectuals who imagined that they could save the world — and created hell on earth as a result. The pope counts the socialists among them, and Karl Marx in particular. Here was an intellectual who imagined that salvation could occur without God, and that something approximating the Kingdom of God on earth could be created by adjusting the material conditions of man.
Socialist theorizers simply cannot wish away economic realities. “The economic problem is intractable,” Rev. Sirico writes. “Simply asserting that the new world will magically appear begs critical issues, such as how we are to feed, clothe, and house people.”
Pope Benedict sees this flaw clearly. This is from Spe Salvi:
Together with the victory of the revolution, though, Marx’s fundamental error also became evident. He showed precisely how to overthrow the existing order, but he did not say how matters should proceed thereafter. He simply presumed that with the expropriation of the ruling class, with the fall of political power and the socialization of means of production, the new Jerusalem would be realized. Then, indeed, all contradictions would be resolved, man and the world would finally sort themselves out. Then everything would be able to proceed by itself along the right path, because everything would belong to everyone and all would desire the best for one another.
This utopian impulse, Rev. Sirico says, blinds the socialist to unchangeable realities of the economic order:
… the pope has put the problems of economics exactly in the right light: the practical issue that needs to be settled within the framework of a sound morality and understanding of human nature. Socialism fails for a precise and practical reason: It has no system for pricing factors of production to make economic calculation possible. Prices come from the exchange of the very private property with which socialism dispenses.
Read the encyclical letter Spe Salvi on the Vatican Web site here.
The 2008 Acton Lecture Series kicked off yesterday in Grand Rapids, Michigan with an address by Dr. Jennifer Roback Morse entitled “Freedom, the Family and the Market: A Humane Response to the Socialist Attack on the Family.”
Morse, an Acton Senior Fellow in Economics, described how the socialist ideal of equality has played an independent role in the breakdown of the family, arguing that socialism has attacked the family directly, and has adopted policies that have led to demographic collapse. By contrast, Christianity and capitalism offer more appealing solutions to the problems socialism claims to solve, and a more humane approach to dealing with issues of family and gender.
If you weren’t able to attend in person, you can download the audio here (11 mb mp3 file). And don’t forget to set aside some time on February 14 to attend the next Acton Lecture Series event, featuring Dr. Glenn Sunshine’s talk on “Wealth, Work and the Church.”
Update: Video of the lecture is available below.