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Should the United States have universal health care?

Results so far:

Yes
77% 2518 votes Total: 3258 votes
No
23% 740 votes

Yes

by Jared Garrett

Created on: May 25, 2007   Last Updated: August 25, 2010

As the health care dilemma in the USA spirals more and more out of control, countless suggestions, both good and bad, have been put forth. The best of these suggestions is the idea to enact a system of universal health care. Despite what this system's naysayers might argue, a universal health care system will reduce spending and will also take better care of the American people.

However, before we get into support for a system of universal health care, let us explore the arguments against it. One of the biggest arguments against universal health care is that it could raise taxes. This may actually be true. The costs associated with installing a new governmental department along with paying employees and then administering the health care would be likely in the billions. On the other hand, most folks are already paying into a private health insurance plan. Would taxes be higher than the current premium most people pay? Not likely. So the individual would end up paying less.

A further argument against universal health care is that it would involve government too much, and everybody knows that when government gets involved, things slow down. True enough. Bureaucracies are cumbersome and communication between levels and departments is often at a snail's pace. However, there is a solution to this as well. There should be federal oversight, but the universal health care would actually be administered by the state governments. This state-administered plan would be modelled after Mitt Romney's program in Massachusetts. That's right, residents of Masachusetts all have health care.

A final argument, this one quite irrational, against universal health care is that it is simply another word for socialized medicine. It certainly is. However, what is wrong with the word 'socialized'? It seems like we are in the fifties again, with McCarthy's subcommittee at it again. Socialism equals communism, and everyone knows that communism is evil. Right? Wrong. Communism did not get the job done in many ways, but there are plenty of republics and democracies with socialized medical care systems in place. Like Japan and Taiwan and many others. So enough with the paranoia, eh?

On to some further support for universal health care. Fist off, what better way to spend taxpayer money than to keep Americans healthy and cared for? Think about the image our country has abroad. The richest nation in the world, but we don't take care of our people on an equal basis. Only the wealthy have access to the best care. This is absurd. We are talking about health here, not business.

Furthermore, the current system of private insurance is sickening. The insurance companies, despite what their ads say, do not actually care about the people. The bottom line is and will always be to make money. Of course, getting and keeping customers and keeping them happy will contribute to this, but what about people who can't afford such insurance? Companies don't care at all about them. Moreover, these low-low-income people are still entitled to health care, but it is basically the cheapest care possible. And they are mooching with no sign of being able to contribute and pay the other tax-payers back. Universal health care will require a standard contribution to the plan. Everybody pays it. Everybody. It might get subsidized for a short time, but not forever.

It is obvious that big insurance companies, with all of their lobbying money and power, are continuing to impede any solution that takes them out of the picture. Why are we allowing this?

Finally, instead of posturing and shoring up constituencies, shouldn't our politicians be actually looking for a solution? Let's get after a solution and stop worrying about offending CEO's and consortiums. That solution may just be universal health care.

Learn more about this author, Jared Garrett.
Click here to send this author comments or questions.

No

by A.W. Berry

Created on: May 23, 2007   Last Updated: January 23, 2012

Universal Health Care likely means lower and slower quality of health care services, increases in taxes, bureaucracy, and unnecessary government spending. A Los Angeles Times article entitled 'Universal healthcare's dirty little secrets' illustrates these points. It is a lack of faith in the ability of American citizens to make informed decisions for themselves in addition to an unconsidered write off of any private/public hyrbrid health care solution and the principles of capitalism in and of itself.

"So what is potentially fiscally functional solution?" you may ask. Government can regulate what isn't in its control, it has done this before with anti-trust, federal approval of drugs, federal oversight of building code etc. The Government does not have to have absolute control of health care to assist in a solution. Possible solutions include, cost caps, legalized private insurance, co-op insurance, partially subsidized insurance, federal investment insurance and so on. The amount of solutions are as many as a creative bureaucrat can think of.

To illustrate further, think of a small community of around 100 people. 2 within the community are doctors. Let's assume the average income is 30k and the tax increase is 10 percent or $3000/year. Even if the tax increase were only 5 percent that would be $1500 or $125/month per person. Incidentally that could get you fairly decent private insurance. Given there would be a tax increase of 5-10% does it make more sense to have more or less control of one's health care? If one pays the taxes, the Government decides for you, if you pay for private insurance you decide.

The next point in this opposition to universal health care is in regard to high hospital bills and ever increasing private medical costs. This is clearly and issue and has the potential to wipe out many families savings. It does not mean a thoughtful fiscally conservative solution to the problem does not exist, and it is unreasonable to assume that such a solution does not exist.

Economically, the healthier a nation is, the less health insurance individuals should need. This being the case the Government may be better off spending 1 percent of taxes to promote healthier lifestyle than 5 percent fixing the problems created by poor lifestyle choices. Even if only 25 percent of the population becomes healthier from a healthy living campaign that's a net savings of 10 percent off the 5 percent of taxes since only 1 percent was spent and 25 percent of 5 percent is 1.25 percent. Subtract the 1 percent healthy living campaign expenses from the 1.25 percent and that's 25 basis points the Government saved itself and tax payers. On a grand scale of say a billion dollars, that would mean savings of 2 and a half million dollars.

Yet another reason universal health care should be avoided is because people often know more about their health than the Government or its potential doctors ever will. An optimized plan that doesn't increase taxes, decreases Government spending and allows for affordable contributions from employers and individuals cold be as follows. Every individual in the country is legislated to pay $20.00/month to a private health insurance plan and subsidized for this payment by a decrease in personal vehicle property taxes at the State level, and a federal subsidy paid for by a fractional decrease in some of the less useful Government programs. Furthermore, additional funds can be generated from mandated sliding scale minimum contributions from employers based on employer profitability calculations. In theory this type of system would pay for itself and probably generate a surplus if managed well. Under such a system individuals would still have the freedoms associated with private health insurance and pay less for it. Similar health care systems are currently being proposed by legislators and Governors nationally.

Lastly, when Government takes things over, things get slowed down. In the Canadian health care system people often have to wait for longer periods to get crucial surgery and vital medical attention. With a private system, if someone has the insurance, they get the medical attention they need. Why sacrifice a perfectly good system with a few glitches for a complete overhaul. It's simply not necessary.

To summarize the positions made henceforth, the following points have been made in this opposition:

• Universal Health Care implies there is no hybrid or private solution as good.
• Health Care problems can be repaired without system overhaul.
• Fiscally responsible Government regulation and oversight can yield better results both fiscally and medically than universal health care.
• Health care is a personal issue and should remain in the hands of the individual more than in the Governments.
• Federalization of services often leads to a decline in quality.

The evidence is clear, a simple deferment to Universal Health Care is negligent of sound Capitalistic principles that have the potential to yield outstanding health care to many if not all Americans. Federal regulation is not universal health care but can adjust the benefits of a universal system so long as many interest groups priorities are considered and no doorway to universal health care is left open. In other words an advantageous health care system emphasizing private coverage under a moderate position can be nationally beneficial. In order to be beneficial it would ideally lowers cost, expands availability, enhances public health and benefits the country as a whole without being a stepping stone to Universal Health Care.

Learn more about this author, A.W. Berry.
Click here to send this author comments or questions.


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