just a few points...sorry can't resist :-D
To my way of seeing it – the US system is broken in that you need to be fairly well off to afford health care.
no one is refused health care. between emergency rooms, public hospitals, and clinics, there is health care available. you might very well need to be wealthy to afford specialized care and expensive trial drugs. if we have nationalized care, those things will be available to no one.
but I doubt that the US is anywhere near the top of the list in the health of its citizens when compared against similarly wealthy nations. (I could be wrong on this.)
in fact, we are. especially in areas like cancer survival rates and heart disease survival rates. where we are lower is in things like infant mortality. we are lower there for reasons other than health care delivery. we save more high risk pregnancies. we have people from both Canada and Mexico who come here for delivery. we have immigrants with underlying health problems because they have come from countries where health care was not available.
The government is an insurance company – it provides what private enterprise does not do well. It insures against foreign invaders (the military); it provides transportation (national road system); it provides for safe(ER) air travel (FAA); it provides a structure for trade and commerce; it provides safeguards our wealth (banking regulations) – all of these it may not do well, but it does a better job than private enterprise could or would do. Of course there is a price to pay. But ensuring that people do not die of infection due to a rusty nail –
there are a couple of things in your list that are the constitutional jobs of the federal government. just because the government keep getting into things that it ought not, is not a reason to turn another segment of our lives over to them.
We also have socialized health care for the people over the age of 65 and we have socialized fire department and police and postal service and education.
Medicare and the post office are broke. fire departments and police are local matters. if states and communities want to provide free health care, i'm all for it if that's what the voters want.
As it stands right now if my brother has an accident in his car and any one gets hurt he has no insurance and therefor will get fixed because its America but the 300,000 dollar hospital bill will bankrupt him. WHY? Because hes not good enough for insurance? Or is it because he has 3 kids and his wife and him only make 65,000 a year and his monthly payment would equal his mortgage and a car payment every month? Wow I didn't mean to write this much ill get off my soap box. But Ill just say that I do not feel that by expanding the Medicare program will end in millions dying because it would be too expensive.
your brother has chosen to have a house and car payment, but has chosen not to have health care for his family. we all make choices. when we were poor, we chose to drive a clunker and live in a cheep house. we paid for medical insurance. it did equal the rent and car payment. it was also incentive to do better. 65 thousand is not poor.
i am a bit amazed that all these folks that want national health care did not first take care of these issues in their own states. Oregon has an Oregon health care plan for the working poor. it's rationed and names are drawn by lottery, but it covers many. other states have taken action to cover the working poor. if folks are so concerned, that's where it should have been taken care of. for some reason people think if it comes from the feds, it won't hurt their pocketbook. news flash! taxes are taxes, and i'd bet that your state does a (marginally) better job of spending your tax dollars than the feds do. at least you can keep a better eye on what they do.
your states also are responsible, in large part, for the cost of insurance. state mandates force us to pay for insurance we do not need or want. that would be a good place to start with cost control.
could it be that we have gotten so lazy that it's just easier to let someone else take care of these issues?
talk about a soap box! :soapbox: