I disagree with this. Lumping healthcare in with national defense is ridiculous. The other things you mention are debatable, as they could be achieved with or without government. Just because they can doesn't mean they should. Private industry can do just fine with healthcare. If you argue it doesn't now, I argue that healthcare is hardly private because of all the rules, reguations, and control the government has on it. The only thing I see in the way of a real private system is an overbearing government.
Lumping healthcare in with defense is not ridiculous simply bevcause the previous several models of healthcare run as a totally private for-rpofit enterprise no longer work. The system is totally broken, simply because of the availability of treatments, medications and procedures that would have busted the budgets of everyone 50 years ago had they been available.
I was working in healthcare finance in 1986. At that time an MRI was costing $1500+. That's in 1985. Ask yourself how much money per year you were making in 1986. And what percentage of that $1500 was. For me, it was about 1/12th of my annual income. fpr ONE procedure.
It's just gotten worse. Medications add hugely to this. Lipitor, blood-thinners, psych meds, the list goers on and all of these, previous to them going generic run hundreds of dollars per month. We might take that down a notch with somewhat less FDA standards, but then again that opens up up to the horrors of the
thalidomiide babies.
Bottom line is that whats available now, compared to 1950, results in 20 years more life expectancy, and NO ONE, is going to willingly forgo that life extension given any choice at all. This is what's driven up healthcare costs across the board in EVERY industrialized country in the world.
But we provide, with the exception of a few cancers, far WORSE healthcare, at double the national cost, of any modern western nation in the world. We do so because our system of delivery frankly sucks across the board.
Ending mandatory treatment of potentially life-threatening injuries/illness at emergency rooms? OK, You feel THAT confident that Blue Cross won't make a woops on your file and you can't get care when you're in a fatal car accident barring emergency medicine? No. Me neither. I have pretty good credit, but I couldn't get approval for $50,000 credit combines with all my credit cards on short notice to save my life, which is exactly what we're talking about.
Canada, unless you have a very few specialties, (which we produce ad nauseum because we underpay the Hell out of primary care docs and OVERPAY specialists) provides vastly better results overall. That's the facts. Infant mortality, life-expectancy and death rate are ALL better than the U.S. except when measured in a few metrics, NONE of which are primary causes of death I might add. Cancer is scary, but the mortality rate overall among western nations pales in comparison to other causes. We do cancer better than anyone. But your chances of getting MERSA are higher in U.S. Hospitals than in Canada's.
Some people think that the only solution other than status quo is the UK system, which NO ONE has adopted since, because it sucks so bad. There are a dozen alternatives, from Switzerland to Canada to Australia. They all work. they cost the population HALF of what we pay.
Frankly if you could cut my costs in medical bills by 50% I'd kiss your ass and thankyou for the opportunity. (I pay about 10k per year on AVERAGE between premiums and out of pocket for two people).
The notion that general welfare doesn't cover things that are absolutely essential to human health and longevity and that congress has to stop spending money because a corporation is making a profit is ludicrous. No kidding the continental congress couldn't have imagined MRIs, Blood Thinners, Blood Pressure Medications, Heart Stints and the like. The constitution isn't supposed to be a suicide note. it's supposed to be a document that can grow with the times. There is no fundamental principle of that document that is violated by Medicare for all. There just isn't.