1. Health care for all is only possible if those of us who have money and jobs pay for those who do not.
I love it when people say, “Let the federal government pay for it.” Who do they think funds the federal government? Ditto for “Let the states pay for it.”
What about “cost shifting”? Put a surcharge on health insurance so that the extra money can go to those who cannot afford to buy health insurance. Don’t look now, but that means that those who have the money to buy health insurance will be paying for those who do not.
How about mandating that corporations contribute a percentage of their profits to a fund that supports health insurance for the needy? That will make the price of everything that corporations sell rise, shifting the burden back to those who have money to buy those things.
2. An old axiom in business is appropriate for health care too. It goes like this, “You can have affordable health care, access for all and high quality, but you can only have two of the three.” There is no way that everyone can have every test for every disease.
For example, many guidelines suggest that everyone over the age of 50 should have a colonoscopy. According to the last census, there are 40 million people in the US over the age of 65. Can Medicare pay for 40 million colonoscopies? Even if it could, there are not nearly enough qualified colonoscopists to do the job.
3. According to Supreme Court Justice Elena Kagan, “You are entitled to health care when you go to an emergency room, when you go to a doctor, even if you can't pay for it.” [See page 74.] If you want to have a little fun, mention this in a roomful of physicians.
Maybe Justice Kagan can tell us how we are supposed to pay our rent, malpractice insurance, office staff, workers’ comp, other benefits etc, if we see patients who can’t pay? Oh, universal health insurance? See #1 above.
What do you think of my three thoughts?