Is that true - that no one is refused health care? If so, then why the ruckus about a national system?
True, no ER system can turn you away. They will pursue payment, and there are various programs to aleviate the payment or make it affordable. My brother had an accident this summer that left him with almost $40,000 bill he couldn't pay (single, 29, healthy, no need for insurance, right???
). He worked with a state program and the bill was reduced to a few thousand dollars.
OK - actually, I think I do get it... When we lived there, and at a time that I was briefly unemployed and with small children - I accepted the risks – I did not purchase the private insurance. The private insurance was going to be more per month than I had cash available. It was a decision I made.
Most if not all states (here in MI we do) have excellent free insurance programs for children if the parents can't pay. That leaves the adults vulnerable, but the kids are covered with shots, dr visits, etc. Sure, our state can't really afford it but that is a different conversation...
But had an emergency arose – as had occurred in a prior year for one of our children when I did have employer provided insurance – we would have been wiped out financially and deeply in debt.
There are assistance programs, not to mention available insurance programs for kids here.
So while it may be true that health care (emergency care at least) is available – it is not affordable for many. Yes – I agree it is a choice to be made in today’s system. Heck, had an emergency arose – anyone could easily have asked – why I had gotten married and had kids, if I couldn’t provide for them? Fair enough.
That's life. Gotta have the munchkins
But so too is a choice to be made on national health care – and if this were my choice, I would rather all have decent insurance coverage – than have half (?) of the population with no coverage at all (even if this was their misguided choice).
As for advanced drugs and services – if a “consumer driven” model is chosen – anyone with the right finances can buy more care. I have not followed the new US debate close enough to know on this – but, yes – I agree that if you can afford more care, you should be able to buy it.
So we'll all pay through the nose for poor healthcare and then pay even more for adequit healthcare. I have a feeling that is where we'll be going.