And this is why Benvolio makes the most convincing case for single payer coverage through a universal class of citizens who contribute to their healthcare costs through everything from buying a stick of gum to state and federal income tax.
Every single person in the US is going to need health care. Some more. Some less. Many of these people have no control over their need for health care. Genetic based conditions, viruses, bacterial infections, accidents.....no one asks for them.
The reason that Benvolio is so unconvincing for me is that I am one of those who through the luck of the genetic draw, has a rare coagulopathy condition. In my early thirties, without universal care, I would have died. Pure and simple. I just would have died.
Instead, I had the best care in North America, including having the Chief of Medicine and the head of Haematology of the University Health Network as my physicians. I spent almost a month in Hospital and had some difficult and dangerous treatments...and participated in research and teaching activities while I was there. I had two more follow-up episodes over a few years and each time, there was one of the largest hospital organizations in the world right behind me.
It meant that I was able to continue on with my life and contribute back....all the money that was invested in my life came back into the system through my productivity and income. In some years, I paid an Ontario Tax health surcharge of close to $15K...but it didn't bother me a bit. Compared to an impossible burden of costs that I would have been left with under the US private insurance plans.
For all of its problems...the public health system treated me as a person instead of a bank account. Because an insurance company wasn't making decisions about what treatment I could or couldn't receive....my physicians were unfettered and I'd like to think that I helped in the screening and treatment of genetic blood disorders that would then help others over the next decades.
And as I get older, I understand very well the incidence of age related disease and the likelihood that I will need procedures and treatments along with an entire cohort of ageing baby boomers. But I know that from the sales tax on my booze, through the HST I pay on all the goods and services that I consume, that I am effectively paying into an insurance scheme that will cover these services when I need them...without paying multi-million dollar salaries...or employing hundreds of thousands of insurance agents and office staff who literally contribute no value added to the delivery of care.
I keep pointing out that Benvolio lacks the ability to even barely comprehend how a well managed universal health delivery system actually works. He is so blinded by his racist hatred that all he sees is some plot for brown people to take something that he feels should only be the right of whites to have. And yet he has no problem apparently with continuing to fund expensive, episodic and catastrophic care interventions through his federal taxes.
I think after reading and re-reading this thread...the truth is obvious.
The US is fucked when it comes to health care.
Until the country creates a state level based system of funding and managing care with some input from the Federal level, allows interstate pooling and management of health care services and establishes a public option for coverage...it is doomed to a future of higher and higher case costs with poorer and poorer outcomes and at some point, refusal within the system itself to pay the vastly overinflated prices that a private insurance system bakes into health service delivery.
By that time though, The US will effectively be the equivalent of a second world banana republic and the result will be something that resembles those countries where the rich and middle class hide inside their gated communities while the poorest of the poor live without hope.
It is a safe bet that many of those free treatments were developed in the US as a result of the vast sums we spend on research and development.
No one is even talking about state level systems nor sales tax funding. Yes. We are on our way to being a banana Republic democrat party dictatorship but offering free health care to all Latin Americans would only hasten the process.
































