Taking The Measure Of Health Care In America
by Joe Neel
NPR.org, July 2, 2008 · No doubt you've heard that the United States is the only developed nation without a universal health care system that provides care for all.
The result is that 47 million people in the United States lack health coverage. It's one reason the U.S. ranks 29th in the world in terms of life expectancy and at or near the bottom of most international health care comparisons.
What you might not know is that many of the universal health care systems in Europe provide high-quality health care to all residents, at a much lower cost than what people in the United States spend on health care.
Waiting times for care aren't all that different from the United States, and Europeans use the same high-tech medicine, only more sparingly.
Indeed, the countries of Western Europe rank higher on most measures of good health.
The cost to achieve better overall health in those countries is far less than you'd expect. Spending per person is about half what's spent in America, which in 2007 was around $7,000 a year.
High costs and the lack of access to health care are likely to be big issues in the U.S. presidential election this fall. A key part of the discussion will be whether the country should establish universal health care or go in a different direction.
You can read the article in it's entirety, or listen to the broadcast, here;
Any time anyone makes noises about wanting to change it, the profit-mongers at Big Pharma scream "socialized medicine" and start talking about "lines like the DMV" and otherwise trying to get everyone to be scared of universal health care.
It's going to take a strong Congress and a strong President, working together, to ramrod universal health care into existence in the United States. Don't expect that combination any time soon, though. Too many Congresscritters are in the pockets of Big Pharma.
If all else fails, immortality can always be assured by spectacular error. ~~~John Kenneth Galbraith
Thanks for the reality check. Your points are valid. However, making people aware is the only way we will help to get it changed. All of the bullshit about long lines and substandard care is easily dismantled with actual facts, so you have to make people aware of those facts. It's unfortunate that our country is run by the Corporate Party.
ask them if they've ever tried to get anywhere with the cable company. Big bureaucracies can be inefficient and impersonal. This is not limited to government, Corporate bureaucracies are just as bad and they still need to make a profit on top of all that.
Here are a few articles of interest pertaining to your earlier post;
The Other Drug War: Big Pharma's 625 Washington Lobbyists
Executive Summary
This new Public Citizen report shows how the pharmaceutical industry fought last year, like never before, against the looming threat that Congress and President Clinton would provide senior citizens with drug coverage under Medicare.
Worried that the bulk buying power of Medicare would lead to discounted prices in the lucrative senior citizen market, the drug industry launched an unprecedented blitz of lobbying, campaign contributions, and so-called "issue" ads to help its political allies and attack its enemies.
The bill for that barrage recently became public with the availability of all lobby disclosure reports for the year 2000. Using these lobbying reports, along with data on the industry’s other political spending, "The Other Drug War: Big Pharma’s 625 Washington Lobbyists" shows the following:
The drug industry spent $262 million on political influence in the 1999-2000 election cycle: $177 million on lobbying, $65 million on issue ads and $20 million on campaign contributions.
The industry hired 625 different lobbyists last year to buttonhole lawmakers – or more than one lobbyist for every member of Congress. Unlike data on contributions and campaign ads, this comprehensive information on lobbying has recently become available (most lobbying details for the second half of 2000 didn’t become available from Congress until May 2001 and no organization has analyzed the data as thoroughly as Public Citizen).
The bill for this team of lobbyists in 2000 alone: $92.3 million – a $7.2 million increase over what the industry spent for lobbying in 1999. Brand name drug companies spent $90.0 million, generic drug companies spent $2.3 million.
Drug companies took advantage of the revolving door between Congress and other branches of the federal government and the industry. Of the 625 lobbyists employed in 2000, more than half were either former members of Congress (21) or others who previously worked in Congress or in other federal government positions (295).
The drug industry spent more (based on available data) on lobbying and other political persuasion than any other industry in 1999-2000.
The drug industry lobbyists were well-connected: 33 served as Chief of Staff to members of Congress; 11 others worked for the powerful House Ways and Means Committee, which has jurisdiction over a Medicare drug bill; eight others worked for the key Senate Judiciary Committee, where drug patent law is crafted.
In addition, six worked for the Bush I administration; five worked for former House Speaker Newt Gingrich (R-Ga.); four worked for former Senate Judiciary Chairman Orrin Hatch (R-Utah); five worked for current Senate Health, Education, Labor and Pensions Committee Chairman Edward Kennedy (D-Mass.); four worked for former Senate Majority Leader Trent Lott (R-Miss.); and three worked for current Senate Finance Committee Chairman Max Baucus (D-Mont.).
The drug industry lobbyists primarily worked against a Medicare prescription drug benefit and bills that might moderate rising drug prices. Public Citizen’s lobbying database shows that drug industry lobbyists worked most on bills pertaining to a Medicare drug benefit, mentioning the issue 2,542 times in last year’s lobby disclosure reports. Pricing issues – which included patent and drug re-importation legislation – were mentioned 2,403 times on disclosure reports.
In part, these lobbyists gained access to members of Congress and their staff members, thanks to an aggressive campaign of political contributions ($20 million in the 1999-2000 election cycle) and TV ads ($65 million in 1999-2000) that often supported Republican candidates and attacked Democratic candidates.
The industry made $20.1 million in direct contributions to candidates and party committees in the 1999-2000 election cycle, with 59 percent of that coming in huge soft money donations, often of $100,000 or more. Seventy-six percent of all drug industry contributions went to Republicans.
In 2001, the drug industry continues to expand its influence. The drug industry contributed $625,000 to the Bush-Cheney inaugural, and campaign contribution reports for the first half of 2001, which are just becoming available, show that the industry has dumped at least $1.4 million in soft money into party committee coffers already this year.
The industry also continues to use the revolving door between Capitol Hill and K Street to its advantage. Newly registered drug industry lobbyists in 2001 include former aides to ex-House Speaker Newt Gingrich (R-Ga.), new Senate Finance Committee Chairman Max Baucus (D-Mont.), and new Senate Health, Education, Labor and Pensions Committee Chairman Edward Kennedy (D-Mass.).
Make no mistake about it, American healthcare already employs the “free market system” conservatives have been calling for, and it’s eating us alive.
It is fraught with profit-taking, with the two most egregious rip-offs being the middleman insurance bureaucracy and the highly profitable pharmaceutical industry.
The insurance industry is totally dispensable and must be eliminated from the system, as it drains 31% of health care resources without ever providing direct patient care.
The second, pharmaceuticals, enjoys more legitimacy because some drugs are indeed effective and have themselves cut healthcare costs by treating diseases without the need for expensive surgeries and hospitalization. Advanced and effective drugs are estimated to save the healthcare system upwards of 17% of its costs.
But that’s no reason to give away the store, or give it all back to them. Some drugs do more damage than good.
Pharmaceuticals are one of the most profitable industries in the world, even after deducting its R&D costs, lavish CEO perks and enormous shareholder profits. The taxpayers – through public grants from the National Institutes of Health – fund about a third of all drug R&D costs, with the industry’s resulting share equaling only 7% of their total revenues.
Where does the other 93% go? Advertising, both TV and in print, sometimes educates patients but also undermines physician advice. And on costly sales reps who should restrict their time to educating physicians instead of treating them to staff lunches, physician and spouse dinners, and “educational seminars” in plush faraway places. Hawaii is nice, but patients should pay for the trip.
Frist!
Yep, I'm here. Anyone else? Be careful not to blow your fingers off this weekend.
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By othelloJuly 3, 2008 - 10:33pm"Be careful not to blow your fingers off this weekend"
That, and make sure that you don't start any fires....except for the one on the BBQ grill, or the camp-fire ring.
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By roadgoddessJuly 4, 2008 - 11:10amHealth Care for All
You can read the article in it's entirety, or listen to the broadcast, here;
http://www.npr.org/templates/story/story.php?storyId=92136549
Here is the link to the chart that compares the systems in seven different countries. Guess who ranks last.
http://www.npr.org/news/specials/healthcare/healthcare_profiles.html
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By othelloJuly 3, 2008 - 11:35pmDon't expect it to change any time soon, either
Any time anyone makes noises about wanting to change it, the profit-mongers at Big Pharma scream "socialized medicine" and start talking about "lines like the DMV" and otherwise trying to get everyone to be scared of universal health care.
It's going to take a strong Congress and a strong President, working together, to ramrod universal health care into existence in the United States. Don't expect that combination any time soon, though. Too many Congresscritters are in the pockets of Big Pharma.
If all else fails, immortality can always be assured by spectacular error. ~~~John Kenneth Galbraith
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By nonexistent manJuly 3, 2008 - 11:47pmBy nonexistent man July 4, 2008 - 12:47am
Thanks for the reality check. Your points are valid. However, making people aware is the only way we will help to get it changed. All of the bullshit about long lines and substandard care is easily dismantled with actual facts, so you have to make people aware of those facts. It's unfortunate that our country is run by the Corporate Party.
- Email this page
By othelloJuly 4, 2008 - 12:00amWhen people talk about lines at the DMV
ask them if they've ever tried to get anywhere with the cable company. Big bureaucracies can be inefficient and impersonal. This is not limited to government, Corporate bureaucracies are just as bad and they still need to make a profit on top of all that.
- Email this page
By gt6July 4, 2008 - 7:40amBy nonexistent man July 4, 2008 - 12:47am
Here are a few articles of interest pertaining to your earlier post;
http://www.citizen.org/congress/campaign/special_interest/articles.cfm?I...
http://www.moneyedpoliticians.wordpress.com/2008/01/27/big-pharma-the-ot...
Both articles can be viewed in their entirety by following the provided links.
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By othelloJuly 4, 2008 - 9:18am