It’s Health Care Crisis Time again.
Once about every two and a half presidential cycles – about every ten years – we declare a health care crisis. It is a contrived theme for political melodramatists and campaigners who usually strut their rhetorical stuff right before a presidential race. Makes for good muck.
This decacentenniel campaign has been held at arms length this year by other overbearing political issues; however, true to form the beast has risen from hibernation to rear its unsanitary head recently on the op ed pages of the The Wall Street Journal, and blazoning the cover of The New York Times Sunday Magazine section.
Frankly, after living through several cycles of the health care crisis periodicity, I’m a little sick of the exercise. The problems stated are always the same as are the proposed solutions on both left and right (national health care system versus free market reforms).
In general, the phrase “health care crisis” is a euphemism meaning “health care costs too much and the annual percentage increase in health care costs is too great.”
Because we are conditioned to automatically associate health care crisis with excessive costs, most “reforms” are based on curbing, controlling and containing costs.
Typical of the rhetoric of “health care crisis” is this Seattle Post Article which quickly equates the crisis with cost issues and then goes on to blanket the subject with the same old threadbare solutions that are impractical and unworkable.
The recurring error that keeps leading back to this annoying debate is really one of definition and intent. There is no health care crisis in the U.S.. Health care in the U.S. has been and continues to be the best in the world. Period. There is not and there never has been a crisis in health care. It's a problem of health care costs.
So, the first step in working through this problem -- and perhaps avoiding having to argue it all over again in ten years -- is to change the terms and redirect our efforts. I propose the following as a beginning:
We admit that health care in the U.S. is the best in the world. That's step one. We don't want it to get worse, we want it to get better all the time. Price reforms cannot risk vitiation of quality. That's the only requisite.
Next, we decide where the expenses are and who is paying them.
Third, we decide whether what we are paying is worth what we are getting.
Then we can talk crisis.
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