top gun said:
some socialized systems Prohibit... (eg canada up till 2005 )
Actually, almost all state health rationing systems prohibit private insurance - eg, that in France does. From wiki:
Private insurance
In countries with universal coverage, private insurance is most often used as a supplement, covering what the core safety net service does not provide, Examples include elective cosmetic surgery and special comforts like private rooms.
The fact is we can create a system anyway we want. We can pick the best parts of National Healthcare and offer additional services as well. We are not locked into what anyone else does or did. We can do better.
This is naive at best. Here's a paper that explains the economic dynamics of state health rationing systems - basically, the bureaucrats know that if they allow a private system or its corollary private insurance to exist, the best doctors will go to the private system, leaving the "care" available in the state health rationing system even worse.
http://blog.mises.org/archives/004710.asp
The doctors... the professionals in charge of supplying the care see the terrible trends we are encountering now and endorse a major change
I doubt most doctors do - and in any case, doctors are not economists, and don't understand the larger implications.
U.S. Health Care Worse by the Decade
By Marie Cocco, Washington Post Writers Group.
April 3, 2008.
Oooooo - an editorial from the lib bastion Washington Post!
With quality and access down, support for a national health plan is up.
Also in Health and Wellness
Proof? I'm guessing not.
WASHINGTON -- Americans would like to change up-- up to a less expensive, less irrational health insurance system in which 47 million people aren't left out of coverage. Up to a system in which those who are lucky enough to have coverage aren't confronted with continually rising co-payments and deductibles and convoluted schemes for limiting payment when someone gets really, really sick.
A huge amount of those who aren't covered are young or very healthy people who just don't want the expense. The often-quoted above figure leaves this out when it is cited by the lib media. Also, claiming that because some are dissatisfied with the current system that they want state health rationing systems is illogical. "Not A" doesn't imply "B". And if ANYTHING is irrational, it's state health rationing systems, which make promises they won't keep and
can't keep.
It turns out their doctors want to move up, too. They are way ahead of politicians in daring to go where the rest of the industrialized world has already gone: to a national health insurance system.
New research by the Indiana University School of Medicine shows that 59 percent of doctors support legislation to establish a national health insurance system, up from 49 percent in 2002. Only 32 percent of doctors said they were opposed. A slightly lower percentage, 55 percent, agreed with a different question on what researchers considered "incremental" reform -- that is, one that relies on tweaking the existing employer-based insurance system and filling in the gaps from there.
Cite the actual study. Usually when not credible claims like this are made from a "study", there is something deficient in the "study" methodology.
"National health insurance is national health insurance," says Aaron Carroll, director of the Center for Health Policy and Professionalism Research at the medical school. "They (doctors) support a plan where there is government legislation to establish government financing for health care -- a Medicare-for-all type of plan."
This is completely impossible to believe - many doctors will not even accept medicare/medicaid patients because what happens is medicare and medicaid reimbursements never keep up with even the costs of services, much less a profit. This is a foretaste of what will happen with a state health rationing system.
http://mlyon01.wordpress.com/2007/07/19/note-to-medicaid-patients-the-doctor-wont-see-you/
http://www.usatoday.com/news/health/2001-02-19-medicare.htm
In this campaign that has offered a bumper crop of politicians and a thicket of platitudes about the American health insurance system, no one except Rep. Dennis Kucinich, the Ohio Democrat who long ago abandoned his presidential run, has proposed a national, single-payer system of insurance. The fear factor keeps politicians well behind doctors, even though many physicians might see their incomes shrink under a national health insurance plan.
There is good reason for ALL to fear a state health rationing system.
Carroll says that what struck him most about his current data, compared with the 2002 survey, is the extent to which doctors in every specialty increased their support for a national health plan. "Every group went up that we measured," he told me. Those who back national health insurance the strongest are psychiatrists, who see mentally ill people suffer from some insurers' outright ban on coverage for mental health, or from low reimbursement rates for mental health treatment. Those in pediatrics and emergency medicine were also strong supporters.
And are we surprised at that? Nooooo..... The pediatrics/obstetrics medical profession has practically been wiped out in some states like West Virginia by tort predators like John Edwards, and elsewhere carries a crushing burden of liability insurance for the same reason - such doctors would obviously prefer not to be preyed upon any longer. As for the emergency doctors, they're probably tired of being stiffed by non-paying illegal aliens. Here you see the death spiral of statism - government failures in some areas (tort law, immigration enforcement) create the "need" for more statism.
It's the politicians who are lacking in courage, too cautious to confront the fear tactics that the insurance industry, the drug industry and other big players roll out every time.
What is there to fear? If the politicians are supported by people and doctors, what can the insurance companies do? Send a hit-man after them?
This narrative isn't holding together.
As for interest groups that represent doctors, Carroll says, those organizations supporting only incremental reform appear to be out of step. "We know what the representative groups are saying," he notes. "We wanted to see what actual physicians believe."
Don't the leaders get elected by the rank and file? How could they be out of step?
Belief isn't political action, and it comes up awfully short against the lobbyists' talking points opposing national health insurance -- the same arguments made against the creation of Medicare back in the 1960s.
And now medicare has become a titanic liability, which after the baby boomer retire the country won't even be able to support.