Sanders: Single-payer cure for ailing America

This is just to edumacate you Tea Partiers what real liberals want, and it's not Obamacare. From the start, Obamacare was a concession to private insurance companies and Big Pharma -- Republicans' idea of free markets. Single-payer was never on the table. 

Funnily enough, Republicans liked Obamacare when the Heritage Foundation, Newt Gingrich and Mitt Romney proposed it. Yet it became damned socialism and worth shutting down our government and destroying the full faith and credit of the United States after a black Democrat signed it into law.

A single-payer system, like Medicare, is the cure for America's ailing healthcare

By Bernie Sanders

September 30, 2013 | Guardian

I start my approach to healthcare from two very basic premises. First, healthcare must be recognized as a right, not a privilege. Every man, woman and child in our country should be able to access the healthcare they need regardless of their income. Second, we must create a national healthcare system that provides quality healthcare for all in the most cost-effective way possible.

Tragically, the United States is failing in both areas.

It is unconscionable that in one of the most advanced nations in the world, there are nearly 50 million people who lack health insurance and millions more who have burdensome co-payments and deductibles. In fact, some 45,000 Americans die each year because they do not get to a doctor when they should. In terms of life expectancy, infant mortality and otherhealth outcomes, the United States lags behind almost every other advanced country.

Despite this unimpressive record, the US spends almost twice as much per person on healthcare as any other nation. As a result of an incredibly wasteful, bureaucratic, profit-making and complicated system, the US spends 17% of its gross domestic product – approximately $2.7tn annually– on healthcare. While insurance companies, drug companies, private hospitals and medical equipment suppliers make huge profits, Americans spend more and get less for their healthcare dollars.

What should the US be doing to improve this abysmal situation?

President Obama's Affordable Care Act is a start. It prevents insurance companies from denying patients coverage for pre-existing conditions, allows people up to age 26 to stay on their parents' insurance, sets minimum standards for what insurance must cover and helps lower-income Americans afford health insurance. When the marketplace exchanges open for enrollment on Tuesday, many Americans will find the premiums will be lower than the ones they're paying now. Others will find the coverage is much more comprehensive than their current plans.

Most importantly, another 20 million Americans will receive health insurance. This is a modest step forward. But if we are serious about providing quality care for all, much more needs to be done.

The only long-term solution to America's healthcare crisis is a single-payer national healthcare program.

The good news is that, in fact, a large-scale single-payer system already exists in the United States and its enrollees love it. It is called Medicare. Open to all Americans over 65 years of age, the program has been a resounding success since its introduction 48 years ago. Medicare should be expanded to cover all Americans.

Such a single-payer system would address one of the major deficiencies in the current system: the huge amount of moneywasted on billing and administration. Hospitals and independent medical practices routinely employ more billing specialists than doctors – and that's not the end of it. Patients and their families spend an enormous amount of time and effort arguing with insurance companies and bill collectors over what is covered and what they owe. Drug companies and hospitals spend billions advertising their products and services.

Creating a simple system with one payer, covering all Americans, would result in an enormous reduction in administrative expenses. We would be spending our money on healthcare and disease prevention, not on paper-pushing and debt collection.

Further, a single-payer system will expand employment opportunities and lift a financial weight off of businesses encumbered by employee health expenses. Many Americans remain at their current jobs because of the decent health insurance provided by their employer. Without the worry of losing benefits, those Americans will be free to explore other, more productive opportunities as they desire. For business owners, lifting the burden of employee healthcare expenditures will free them to invest in growing their businesses.

Congressman Jim McDermott and I have introduced the American Health Security Act. Our bill will provide every American with healthcare coverage and services through a state-administered, single-payer program, including dental and mental health coverage and low-cost prescription drugs. It would require the government to develop national policies and guidelines, as well as minimum national criteria, while giving each state the flexibility to adapt the program as needed. It would also completely overhaul the health coverage system, creating a single federal payer of state-administered health plans.

The American people understand that our current healthcare system is not working. But the time is long overdue for them to understand that there is something fundamentally wrong when the US remains the only country in the industrialized world that does not guarantee healthcare to all its people.

Healthcare is a right and we must ensure provision of that right for Americans. A single-payer system will be good for the average American, good for businesses, good for workers and good for our overall economy.

Fish getting high on our pee

I wonder if some fish became more dangerous when addicted to drugs, just like some people do? What if a junkie Jaws could smell when a swimmer was taking Prozac and decided to get an oral dose? Or, wouldn't it be sad if the easiest way to catch fish became pissing in an estuary?

Shrimps 'becoming hooked on Prozac that is flushed into the sea'

By Fiona Macrae

July 7, 2010 | Daily Mail

URL: http://www.dailymail.co.uk/sciencetech/article-1292794/Shrimps-hooked-Prozac.html#ixzz0taCqZiCF

FOX's Pinkerton: What Obama doesn't get about health care

Pinkerton's thesis – which is nothing new among opponents of liberal health care reform – is that medical technology and drug research, which happen to be America's forte – are really the ways for us to improve the quality of care and reduce costs. In other words, the cure for our health system's woes is more of the same. This is a facile and deceptive analysis of the problem we face.

Pinkerton starts out by scaring us with the alternative to his proposal of spending even more on medical technology and drug research: "rationing." Americans, he says, want more care, not less; but the only way liberals know how to cut costs (aka "bend" the cost curve) is to reduce care. Not true. Germany spends less on medical technology and drugs than we do, but Germans see their doctor 7.5 times a year, on average, vs. 3.8 times in the U.S., and stay longer in the hospital for acute care than we do (7.8 days vs. 5.5 days). This is the very definition of receiving more care. Meanwhile, Germans spend only about 10 percent of GDP on health care – even though they have more senior citizens and smokers, per capita, than we do – while America spends over 16 percent of its GDP. All this goes to prove the conventional wisdom that preventive medicine is really the best medicine.

Pinkerton also overlooks the fact that most drug research goes into incremental improvements on existing drugs, not cures. Why? Pinkerton's beloved profit motive, of course. There is little incentive for drug companies to cure a disease and cut off the hand that feeds them, so to speak, when they can offer an incremental improvement and thus win over a market worth hundreds of millions or even billions of dollars a year. For example, some new cancer drugs often prolong a terminally ill patient's life by only a few weeks or months compared to existing drugs; nevertheless, many patients are willing to pay top dollar for such a new drug, if it means delaying death a little longer. Pinkerton is also silent on the fact that drug companies, which spend $ billions on research and development, spend more than double that amount to market and sell their new drugs to us.

This is not to say that breakthroughs in medical science aren't important. But we can't build a health care system based on breakthroughs. Old age, for instance, is not a disease that can be cured by scientists, it is a fact of life. And yet the last year of life is typically when a person spends the most on his or her health care. How are new technology and drug discoveries going to solve the problem of old age? Again, Pinkerton is silent. (Although, America will continue to be relatively "young" until 2025 compared to other OECD countries like Germany, which produce better health outcomes with more access and lower costs.)

What Obama Doesn't Get About Americans and Health Care, Part 2

By James Pinkerton

September 28, 2009 | FOXNews.com

Are we doomed to face ever-increasing health care costs because people want more treatment? Not if we see health care and medicine as dynamic and if we recognize that the variables of health and medicine can be changed.

In the first part of this two-part piece, I noted that the hot issue-within-an-issue for Washington health care wonks is "bending the curve" on health care costs--that is, reducing future increases.

Even Barack Obama is talking the "bend" talk. In an interview with The Washington Post in July, the president used the "b-word" no less than 11 times. In this particular passage, he said that he wants to "bend" the cost curve, not only for government expenditures, but also for private-sector expenditures:

"The problem we have in this whole debate is that bending the cost curve, curbing health care inflation, is harder to measure in part because it doesn't just involve government outlays; it also involves what's happening in the private sector."

But of course, talk of "bending curves" is simply a fancy way of saying "cuts." As Howard Gleckman observed earlier this year in Business Week, "When it comes to Medicare, 'bending the curve' means rationing care." Got that? And since Obama mentioned private-sector expenditures as well as government expenditures, we can assume that he wants to extend rationing to everyone.

But as I also noted, head-on attempts at "bending the curve" are doomed to failure, at least in a small "d" democratic society. Why? Because poll after poll shows that the American people think they should be getting more treatment, not less. And they vote accordingly, which is why Obamacare is in so much trouble.

So what's the answer? Are we doomed to ever-escalating health care costs because people want more treatment? No. We are so "doomed" only if we see health care and medicine as static and unchanging. But if, instead, if we see health care and medicine as dynamic, if we see that the variables of health and medicine can be changed-- as when, for example, a new or improved treatment comes along, or even a cure-- then it's possible to see hope for outcomes that are not only cheaper, but better.

And that hope is well-grounded in medical history.

We might consider, to start, the humble headache--although, of course, for those suffering from a migraine, there's nothing humble about it. In the dark past, and yet not so long ago, some extraordinarily awful "cures" have been attempted; for example, there was trepanation--drilling a hole in one's head to let the bad stuff out. Needless to say, trepanation was among the many "cures" that didn't cure very well.

But then in the late 19th century came aspirin. Aspirin was the wonder drug of its day, and to many pain sufferers, it still is. And yet while aspirin was plenty expensive to research and develop in its the 1800s, today it is off-patent and mass-produced, so it's cheap and abundant.

So what's the lesson here? The lesson is not to "bend the curve" on ineffective methods for curing headaches-- finding cheaper ways to drill holes in heads-- but instead, to find effective methods for curing headaches. Effective is better than ineffective. Effective means bending the curve the right way. And over time, the curves of those cures will be "bent upward," even as new varieties are introduced to the market, so that every niche need is properly serviced.

The same model applies, as well, to historically more lethal diseases. Thanks to the dynamism of science, we didn't just bend the curve on smallpox, we flattened the curve on smallpox. A malady that was killing millions of people a year into the 1960s, smallpox was officially declared eradicated by the World Health Organization back in 1979. As in, no more. Instead of humans being kaput because of smallpox, the smallpox virus is kaput because of humans. Yet if we hadn't eradicated smallpox, today we'd still be talking about "bending the curve" on smallpox, which would mean, for example, figuring out ways to squeeze savings from smallpox hospitals. (And of course, we would also be struggling to calculate the economic harm done by the loss of those who were killed and disabled by the disease, although health care bean-counters rarely worry about questions of lost economic output; they focus only on direct healthcare outlays.)

Now let's take a more current example, a disease wrecking lives today: amyotrophic lateral sclerosis (ALS), also known as "Lou Gehrig's Disease." Every year, 5,000 new cases of ALS are diagnosed; when the diagnosis is made, treatment can easily cost $200,000 a year. Most patients live two to five years after diagnosis, which means that a single case of ALS could easily cost hundreds of thousands of dollars, and on into the millions. So how to bend that curve? Only the hardhearted would say of ALS victims, "Well, they're going to die soon anyway, so let's cut back and let them go quickly." The rest of us would say, "We need to do what we can for these unfortunate people." And then we would add, "But of course, it would really be great if we could figure out a cure!" Indeed, the best and also cheapest way to deal with ALS is to eliminate ALS, so that it goes the way of smallpox.

That makes sense, doesn't it? As Robert Frost observed, "The best way out is always through."

Just this past Monday, ALS sufferers, and their families, received some good news. The Food and Drug Administration approved for clinical trial a new treatment produced by Neuralstem Inc., based in Rockville, Maryland. There's no way to know how these trials will turn out, but now there's hope--hope founded in the vast success that serious medicine has enjoyed over the centuries.

If we did it with headaches, and we did it with smallpox, then we can eventually do it with ALS--if we keep at it.

The same Robert Frostian "best-way-out-is-through" logic also applies to medical devices and techniques. Let's take another example of a medical device that's so embedded in our thinking that we have forgotten how hard it was to develop: eyeglasses. The idea of using corrective lenses goes back more than a thousand years, to the 9th century; the first wearable eyeglass is thought to date from the 13th century. Yet even rich people were poor back in those days, and so the work of inventors and craftsmen over all those centuries represented, in relative terms, an enormous investment. But thanks to their accumulated good work, eyeglasses today are cheap, and so are contact lenses.

And now we have other eyesight-improving procedures, such as LASIK. As the spelled-out name--laser-assisted in situ keratomileusis--suggests, LASIK is not easy. Or at least it wasn't easy to invent and to refine. But now that the procedure has been invented and refined, it has become easy--at least easy to pay for. Indeed, it's now possible to shop for LASIK on eBay.

Now that's bending the curve!

I could cite other examples, too, such as minimally invasive, or laparoscopic, surgery, which is in the process of cost-crashing more and more kinds of surgical procedures.

So this is how we "bend the curve" in a politically and ethically acceptable fashion: We research and develop new approaches, which are faster, cheaper, and best of all, better. The only kind of health care cost control that will work over the long run is health care improvement. That is to say, Serious Medicine.

Medical history tells us that this is so, and common sense underscores that point as well. So why are the health care policy elites talking about "rationing" when they could be talking about improving health and lower costs?

Are you curious about that? Good! Then why not ask your elected official exactly that question at the next town meeting?

James P. Pinkerton is a FOX News contributor. Read his commentary on health care at Serious Medicine Strategy.

Secret memo: Obama sold us out to Big Pharma

See? Obama's Harvard education (paid for by Islamic terrorists!?) among blue-bloods and future captains of industry has done its work: Obama sold us out to Big Pharma, just like U.S. presidents are supposed to do. All you used Teabaggers who were terrified you might get access to affordable health care can relax now.

Apparently, Obama's true calling wasn't as a community organizer, it was being the best damn collector of corporate campaign donats in history. 'Course, to get you gotta give a little.

Tough break, America. Better luck next messianic minority Democratic president! (By that time, if I'm still alive, I'll qualify for Medicare, aka socialized medicine, so it won't matter to me.)

Internal Memo Confirms Big Giveaways In White House Deal With Big Pharma

By Ryan Grim

August 13, 2009 | Huffington Post

URL: http://www.huffingtonpost.com/2009/08/13/internal-memo-confirms-bi_n_258285.html