Socialized Health Care

American Health Care: The Business Model Hasn't Worked

Michael Bouldin's piece about healthcare reminded me of a piece I wrote in December for my newsletter. I think it makes a good followup to Michael's piece, so I reprint it here.

Health insurance. Joy and I were discussing health insurance after hearing a NewYork 1 report that uninsured people were more likely to be turned away from an emergency room and sent to a clinic than insured people. Now, hospitals who DO turn away patients based on insurance rather than severity of the injury are liable to law suits, but we all know that the chances of a law suit changing things are small since those who don’t have insurance are unlikely to have much legal counsel.

What is wrong with our insurance system? Too many people are uninsured and because of that do not have adequate health care available to them. But, that is only one part of the problem. What about those who ARE insured? There are long waiting times to get an appointment. Often you don’t get to choose your physician. You often don’t have a primary care physician who follows you through the years and knows you. Care is determined based on a business model where profit (or at least minimal cost) takes precedence over what the physician and patient want or the injury requires.


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One thing that I've found unsettling, though, in listening to coverage about the protests thusfar, is this "good immigrant/bad immigrant" rhetoric that's present in what some people are saying, protesters and organizers alike. This morning, while listening to NPR, I heard one woman speak about how Latino immigrants aren't doing anything to harm this country, that they "love America" and just want to become good, hard-working Americans. Then I heard one organizer, speaking at one of the rallies, say something like this: "Nineteen people hijacked planes and participated in the 9/11 attacks, and not one of them were named Gonzales, Rodriguez, or Santiago. But you can bet that many of the people dying serving their country in Iraq are named Gonzales, Rodriguez, and Santiago" so on and so forth.

I understand that much of this is in response to the whole immigration debate getting wrapped up in worries about "national security" - how the specter of terrorism seems to make allowances for all manner of discrimination, racism and xenophobia, and how countless immigrants are nonsensically made to suffer because of it. However, it definitely seems like a very bad, very problematic move to buy into this sort of dichotomy that pits "good" immigrants or "good" brown folks (here, Latinos) against "bad" ones (apparently people of Arab or Middle Eastern descent - because, you know, the actions of individuals become the responsibility, the fault, the burden of their entire race and religion.) Latinos, like all other immigrants to the United States, deserve to be treated with respect and dignity and are entitled to certain rights and protections because they are human beings, not because they're good, flag-waving*, American-loving immigrants. No one is illegal, no matter whether your name is Juan or Mohammed, Gonzales or Atta.


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