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I have a
debt of…47 million.
That
figure is not dollars: it is people.
In this
hyper-political season there is one subject we cannot sweep under the rug
any longer and it is health care for the 47 million Americans who are not
covered under any health care program.
If you
have not figured it out, these 47 million people are costing…you and me.
The easiest response is to blame the 47 million. It is a nice, round
and impersonal number. After all, we reason, if “they just worked
hard like the rest of us” they could pay their monthly health care premium.
Look
again.
For
someone making minimum wage, working two jobs, is it possible to afford
health care insurance if your monthly, before-taxes paycheck is
$2,000.00? Do the math. I do not think so.
For
instance, my wife and I are presently paying $1,400.00 per month (both of
us are independent contractors with no history of serious health
liabilities) for health insurance that requires the first $2,000.00 of
regular office visit fees to be paid out-of-pocket.
In an
online survey conducted last month by Harris Interactive, 85% of
respondents said they were “concerned” or “very concerned” about health
care costs, compared with 79% who said they had a similar level of concern
about the war in Iraq.
This
same survey revealed some scary statistics like 29% of the respondents said
they had not filled a prescription because of the cost and 28% said they
had delayed a medical procedure because they just did not have the extra
cash.
So, here
are the hard facts. According to research by Dr. Paul Ginsburg,
published in The New England Journal of Medicine, from 1999 to 2003
the per capita spending for services covered by private health insurance
increased by 39 percent. Notice that the hourly earnings of U.S.
workers, during the same time period, increased by only 14 percent.
The
conclusion is clear. Those of us who are paying monthly health care
premiums are subsidizing the 47 million Americans who cannot afford medical
attention. More specifically, the family physician has been replaced
by the Emergency Room doctor who is subsidized by the hospital that has to
continually raise the rates for care.
This
repeated scenario is an untreatable organizational carcinogen that is
slowly filling our national financial veins with spreadsheet toxicity.
Somewhere
in the very near future our society has to insist on three treatment plans
in order for us to maintain the health of this democracy.
First,
the government must endorse a plan that creates an impartial watch-dog that
will guarantee price-gauging does not pockmark any solution.
You are
saying, “Right, just what we need, another governmental agency!”
Well, do you think this present capitalistic system that is turning double-digit
profits every quarter for drug and health insurance companies can be
trusted to regulate themselves? Come on, if the promise of profound
profits hangs at the end of this carrot, do we expect for-profit companies
to deny themselves, and their shareholders, reduced profit margins because
they have an ethical commitment to keep the nation physically and
financially healthy?
Second,
someone in Washington has to bring together the best minds in academia,
industry and government to “play with ideas.”
I am
confounded that Steve Jobs can entice the minds at Apple Computer to dream
and then produce the IPod and IPhone. YouTube can pull in billions in
profit by giving people a worldwide theatre for their home video.
And, why does Southwest Airlines continue to laugh all the way to the bank
while we continue to scream at each other as we write larger monthly checks
for the right to quality health care?
There
are 47 million people in this society who need a new idea on how to hold on
to health. We have new ideas for stuffed French toast, invisible
fences for our dogs and makeup that will not smear in the rain. Why
can we not find a big idea to keep us healthy?
Finally,
we have to develop a national consensus that when we are physically well,
we are rich. We wear our wealth on our wrists, around our necks and
the metal that surrounds us when we drive down the highway.
We all
know that if we are sick, none of the trappings of success really
matter. Life, when pulsating with pain, is reduced to its lowest
common denominator. If you have your health, you have everything.
Is it
not time we stop blaming someone, a company, our government about why we
are 47 million (people) in debt? Is it not time for some healing?
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