In the great debate over health care reform the issue comes down to whom do you trust to get it right - the private sector or the government. In reading the Oregonian and watching CNN one can find plenty of reasons for thinking government is either incompetent, stupid or hopelessly bureaucratic or all of the above! And we don’t have Dubya to kick around anymore, damn!
Washington County’s state child welfare office (DHS) is apparently the worst in the state in tracking children in our foster care system. At the federal level there is now a raging debate over mammograms. A federal task force says they aren't necessary for women in their 40s, while the cancer lobby says this is wrong. So who is one to believe?
How about using some common sense?
Given the budget cuts in Oregon since Measure 5's passage in 1991 DHS case loads have gone up so why are we surprised? As Governor Barbara Roberts said "people will die." She was right and sadly still is! Our children get the quality of care we are willing to pay for. Oregonians are unwilling to pay for quality child services! So kids are put at risk and some die. Well, dah?
On the "mammogram" front my own family physician might say - are you a statistic or a real person? Yes the stats indicate that women need not have annual exams. But what about family history? What about early detection? If 15% of breast cancers are caught by early detection, then I want my spouse to have a check up when she feels it is necessary not when committee of medical bean counters thinks it is.
We are in the middle of a great debate over health care reform. The opponents of reform will argue “you see what happens when you let the government take charge?” Now the committee was not a government agency. Its report will go to various agencies in the vetting process. I'm confident Congress will fight back on this one! And the “Race for the Cure” folks are well connected.
What one worries is that such reports will cause the "private" insurance system to refuse payment of early detection mammograms based on such data. Some may be hoping this is a way to cut costs. That would be a mistake - it's to old delay and denial syndrome - don't check up now – but you get a bigger surprise later - maybe a death sentence. Is that an option you want for your spouse?
But then consider who has been minding the medical cabinet in the USA for most of our history - the market place - i.e. the Medical Industrial Complex. Do you really trust a system that has left 50 million out in the cold? Do you trust big Pharma who is announcing a 9% increase in brand named drugs, 90% of the consumer market, just prior to a major reform vote? Do you have "stupid" on your forehead?
Come on folks - every democracy in the world but the USA has a system of universal health coverage. Medicaid and Medicare are well run programs. Forget about what the talk show jocks scream everyday. They are certifiable lunatics and liars. “Socialism” is not on the march in the USA – too bad! What Congress and President Obama are working on is a reform of the private system with a tiny public option.
How many of you out there in the “real America” are happy with your insurance company? How many times have they denied you coverage or refused to pay a bill? You trust your HMO, why? If the government screws up we can elect new people to work for us. When was the last time you attended a shareholders’ meeting of Big Pharma, Big Hospital Or Big Insurance? Humm?
But go ahead and join the 50% of Americans, according to the most recent Gallup Poll, who now oppose reform of the American health care system. Go ahead and make the day of Dick Armey’s "Tea Party" fanatics, the GOP spin machine, the Medical Industrial Complex’s K-Street lobbyists. Before we witness another chance of reform go down the tubes – answer the questions of the kids on this "Organize for America" video!
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