The other day I was talking about the benefits of government-run health care. My friend explained to me that the government is not capable of doing anything right, so he opposes the current health care legislation. I told him that according to his logic, he should oppose ANY government action, no matter how good it is. He capitulated and said that the government can do SOME things right–fire department, police, infrastructure, national defense, etc.
I told my friend that Medicare (a government-run, single payer health care system) reports higher customer satisfaction, gives patients more choice in who their doctor is, and costs less per patient than private insurance. While the private market attempts to insure people who the industry considers low-risk, Medicare insures people who routinely require frequent doctor visits and expensive prescription drugs-and it still costs less than the private market.
My friend chuckled and said, “Well if you like Medicare so much, why don’t you just buy it?”
I chuckled. I am only 26 years old and will not be legally eligible for Medicare for another 40 years. I told my friend that the “public option” is like Medicare for anyone who wants to buy it. “Moreover,” I said, “The public option is likely to be even cheaper because the younger-and healthier-population likely to choose to buy into the program are a lot less expensive to cover than the elderly.”
My friend realized that he was losing this argument. So he quipped, “By that logic, everyone would want to buy the public option. If that happened, then the private market would be run out of business.”
“If that happened,” he continued, “then people would lose their jobs in the private market. And then government would be in control of our medical decisions.”
Did I really have to explain to him what our Democracy is all about? Did I really have to point out to him that if everyone wanted the public option, then they should get that option-even if it meant a private industry would be broken?
In the 1800s, fire departments were private entities. When there was a fire, sometimes two or three different crews arrived and tried to put out the fire. Competition. Sounds good, right? Wrong. Poor areas rarely attracted private fire brigades. And when a “worthy” structure caught fire, crews often brawled with each other for the “rights” to extinguish it so they could get paid (and often pillaged the blazing structure for valuables to sell). Although many fires were competently dealt with, people became aware that for-profit fire-fighting was not in the best interest of the people. The modern, government-run fire department was born from the ashes of the private industry’s failure. With a modest tax increase to pay for it, we now all have a “right” to fire protection. Most of the private fire-fighters took jobs working for the government-run fire department. Others lost their jobs.
I told me friend, “Our health insurance industry is brawling over the “rights” to insure the healthiest and wealthiest individuals, while leaving the neediest and sickest behind. I am not afraid of a government-run system because the government is WE THE PEOPLE. If you trust the government to put out a fire, you can trust the government to provide medical insurance. And it works! Old people love their Medicare!”
“I haven’t thought of it that way,” my friend begrudgingly admitted. “You mean to tell me that the public option will cost less AND provide better care?”
“Yes.”
“Why haven’t we done this sooner?”
Good question.