Posted by rogerhollander in Canada, Health.
Tags: aca, bernie sanders, Canada, health costs, health insurance, healthcare, obamacare, private insurance, Ralph Nader, roger hollander, single payer, universal healthcare, vermont, vermont health
Roger’s note: this posting gives you two articles on health care, including Ralph Nader’s on the Canadian system. Having lived most of my life in Canada, and with the early detection of my daughter’s meningitis that saved her life at age two, I know first hand the benefits of no one excluded single payer. Like the system in Great Britain (which is more like socialized medicine than Canada’s universal insurance), Canada’s health care is deteriorating, not because of flaws in the system, but rather neoliberal under funding. It is not quite the Utopia that Nader pictures, but it is a thousand percent better than what Americans have.
Costly complexity is baked into Obamacare. No health insurance system is without problems but Canadian style single-payer full Medicare for all is simple, affordable, comprehensive and universal.
In the early 1960s, President Lyndon Johnson enrolled 20 million elderly Americans into Medicare in six months. There were no websites. They did it with index cards!
Below please find 21 Ways the Canadian Health Care System is Better than Obamacare.
Repeal Obamacare and replace it with the much more efficient single-payer, everybody in, nobody out, free choice of doctor and hospital.
In Canada, everyone is covered automatically at birth – everybody in, nobody out.
In the United States, under Obamacare, 31 million Americans will still be uninsured by 2023 and millions more will remain underinsured.
In Canada, the health system is designed to put people, not profits, first.
In the United States, Obamacare will do little to curb insurance industry profits and will actually enhance insurance industry profits.
In Canada, coverage is not tied to a job or dependent on your income – rich and poor are in the same system, the best guaranty of quality.
In the United States, under Obamacare, much still depends on your job or income. Lose your job or lose your income, and you might lose your existing health insurance or have to settle for lesser coverage.
In Canada, health care coverage stays with you for your entire life.
In the United States, under Obamacare, for tens of millions of Americans, health care coverage stays with you for as long as you can afford your share.
In Canada, you can freely choose your doctors and hospitals and keep them. There are no lists of “in-network” vendors and no extra hidden charges for going “out of network.”
In the United States, under Obamacare, the in-network list of places where you can get treated is shrinking – thus restricting freedom of choice – and if you want to go out of network, you pay for it.
In Canada, the health care system is funded by income, sales and corporate taxes that, combined, are much lower than what Americans pay in premiums.
In the United States, under Obamacare, for thousands of Americans, it’s pay or die – if you can’t pay, you die. That’s why many thousands will still die every year under Obamacare from lack of health insurance to get diagnosed and treated in time.
In Canada, there are no complex hospital or doctor bills. In fact, usually you don’t even see a bill.
In the United States, under Obamacare, hospital and doctor bills will still be terribly complex, making it impossible to discover the many costly overcharges.
In Canada, costs are controlled. Canada pays 10 percent of its GDP for its health care system, covering everyone.
In the United States, under Obamacare, costs continue to skyrocket. The U.S. currently pays 18 percent of its GDP and still doesn’t cover tens of millions of people.
In Canada, it is unheard of for anyone to go bankrupt due to health care costs.
In the United States, under Obamacare, health care driven bankruptcy will continue to plague Americans.
In Canada, simplicity leads to major savings in administrative costs and overhead.
In the United States, under Obamacare, complexity will lead to ratcheting up administrative costs and overhead.
In Canada, when you go to a doctor or hospital the first thing they ask you is: “What’s wrong?”
In the United States, the first thing they ask you is: “What kind of insurance do you have?”
In Canada, the government negotiates drug prices so they are more affordable.
In the United States, under Obamacare, Congress made it specifically illegal for the government to negotiate drug prices for volume purchases, so they remain unaffordable.
In Canada, the government health care funds are not profitably diverted to the top one percent.
In the United States, under Obamacare, health care funds will continue to flow to the top. In 2012, CEOs at six of the largest insurance companies in the U.S. received a total of $83.3 million in pay, plus benefits.
In Canada, there are no necessary co-pays or deductibles.
In the United States, under Obamacare, the deductibles and co-pays will continue to be unaffordable for many millions of Americans.
In Canada, the health care system contributes to social solidarity and national pride.
In the United States, Obamacare is divisive, with rich and poor in different systems and tens of millions left out or with sorely limited benefits.
In Canada, delays in health care are not due to the cost of insurance.
In the United States, under Obamacare, patients without health insurance or who are underinsured will continue to delay or forgo care and put their lives at risk.
In Canada, nobody dies due to lack of health insurance.
In the United States, under Obamacare, many thousands will continue to die every year due to lack of health insurance.
In Canada, an increasing majority supports their health care system, which costs half as much, per person, as in the United States. And in Canada, everyone is covered.
In the United States, a majority – many for different reasons – oppose Obamacare.
In Canada, the tax payments to fund the health care system are progressive – the lowest 20 percent pays 6 percent of income into the system while the highest 20 percent pays 8 percent.
In the United States, under Obamacare, the poor pay a larger share of their income for health care than the affluent.
In Canada, the administration of the system is simple. You get a health care card when you are born. And you swipe it when you go to a doctor or hospital. End of story.
In the United States, Obamacare’s 2,500 pages plus regulations (the Canadian Medicare Bill was 13 pages) is so complex that then Speaker of the House Nancy Pelosi said before passage “we have to pass the bill so that you can find out what is in it.”
In Canada, the majority of citizens love their health care system.
In the United States, the majority of citizens, physicians, and nurses prefer the Canadian type system – single-payer, free choice of doctor and hospital , everybody in, nobody out.
For more information see Single Payer Action.
This work is licensed under a Creative Commons Attribution-Share Alike 3.0 License.
Vermont Approves Single-Payer Health Care: ‘Everybody in, nobody out’
November 20, 2013,
The Affordable Care Act continues to plow ahead, despite Republican attempts to fight it at every turn. What is unfolding in front of us is nothing short of spectacular. The problems with healthcare.gov are slowly being resolved which is helping more and more people sign up for affordable healthcare, many for the first time in their life. The law provides so much more than that, including standards for even the lowest level plans, protections for young adults 26 and younger, and the elimination of pre-existing plans. Of course, you will not hear the success stories on the news, because those stories are not nearly as sexy as the “Obama Lied” slogan they are so fond of.
The biggest downside of the ACA is the reliance on the private insurance industry. It does not have to be this way, however. There is yet another provision in the Affordable Care Act that can open the door for states to institute their own single-payer healthcare system. Other states have a public option, especially for those below a certain income level, but no state had instituted a true single-payer system. All of this has changed thanks to President Obama and the Affordable Care Act.
Vermont—Home of Ben and Jerry’s, Maple Syrup, Bernie Sanders and the first state to pass marriage equality. Now, Vermont will be known for something that will impact every resident in the state.
The ACA provided states with federal funds to institute a Medicaid expansion. The states chose to expand the program also were able to set up their own state exchanges, which were relatively free from the problems the federal site had. Vermont decided to take it a step further by setting up their very own single payer system.
The slogan of the program: Everybody in, nobody out.
The program will be fully operational by 2017, and will be funded through Medicare, Medicaid, federal money for the ACA given to Vermont, and a slight increase in taxes. In exchange, there will be no more premiums, deductibles, copay’s, hospital bills or anything else aimed at making insurance companies a profit. Further, all hospitals and healthcare providers will now be nonprofit.
This system will provide an instant boost the state economy. On the one side, you have workers that no longer have to worry about paying medical costs or a monthly premium and are able to use that money for other things. On the other side, you have the burden of paying insurance taken off of the employers side, who will be able to use the saved money to provide a better wage and/or reinvest in their company through updated infrastructure and added jobs. It is a win-win solution.
To make sure that it is done right the first time, Vermont brought in a specialist who knows a thing or two about setting up a single-payer system.
Dr. William Hsaio, the Harvard health care economist who helped craft health systems in seven countries, was Vermont’s adviser. He estimates that Vermont will save 25 percent per capita over the current system in administrative costs and other savings.
Many like to say that the United States has the best healthcare system in the world. The problem is we don’t. Not even close. In fact, the only way you can get the best healthcare in the world, is if you are willing and able to pay for it. The United States can and must do better for its people.
Costs have to be held down — there is no reason why the U.S. has to pay twice the amount per capita as the next most costly system in the world (Norway’s), and still not cover millions of its citizens. A Harvard Medical School study states that 45,000 Americans die each year from treatable diseases because they cannot afford to get treatment.
45,000 Americans die every single year because they cannot afford treatment, are you ready for that? That is 15 times the amount of people that died during the September 11, 2001, attacks, or perhaps for you Righty’s out there you would rather see it put this way, 11,250 times the amount of people that died in the Benghazi attack. That equals 5 Americans that die every hour, of every day, of every year because of a preventable illness that was not taken care of due to lack of access and means.
Even once the Affordable Care Act wrinkles are ironed out, which they will be, and every America is covered, which will happen, that will not change the fact that all of this is being driven by a for-profit system by companies that only care about their bottom line. Despite rules in the ACA which prevent insurance companies from absolutely gouging their customers, insurance companies are not exactly know for their ethical behavior.
A single-payer system would all but eliminate anybody dying unnecessarily due to lack of access to healthcare. Our Declaration of Independence states, “We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.” How can somebody have life and happiness, without their health? Despite the glaring hypocrisy of rich, white males who owned slaves stating all men are created equal, we have come a long way from 1776. Yet when it comes to the very basic need, we are left to the whim of a business. Single-payer is inevitable, and the ACA is a giant step in that direction. We need must hold our officials to a higher standard which will get us there faster. 40,000 people a year is absolutely unacceptable. Vermont saw the writings on the wall. Will the rest of us?
Bernie Sanders on MSNBC discussing his state’s new single-payer system.
Posted by rogerhollander in Health, Women.
Tags: ann kristin neuhaus, clarke davis, community health, george tiller, late-term abortions, operation rescue, pro choice, roger hollander, tiller murder, women, women's rights
Roger’s note: compare the work of this courageous, community minded physician and citizen with that of the hate-mongering, murderous, hypocritical and patriarchal anti-choice activists who call them selves right to life.
Ann Kristin Neuhaus, photo by Clarke Davis
by Clarke Davis
Ann Kristin Neuhaus has lost her license to practice medicine, but she is still engaged in the work of making people healthy on the community level.
Neuhaus, 55, fell victim to Operation Rescue and the anti-abortion political winds that blow in Kansas. She is the last link to Dr. George Tiller, the late-term abortion doctor of Wichita who was murdered one Sunday morning in his church.
The rural Nortonville woman’s license has been revoked by the state Board of Healing Arts but that action has been appealed and is now in the judicial system.
Neuhaus doesn’t know the outcome yet—it may be a couple more months—but she believes the judge will base his decision on the law and not on some political agenda.
As an associate to Tiller, her job was to render a second opinion on late-term abortions as required by state law. The law requires a Kansas physician for the second opinion and since 99 percent of the patients were outside of Kansas and from all parts of the world, he relied on Neuhaus.
No patient ever brought a complaint, but she was charged with “documentation inefficiencies” through the regulatory agency.
In other words a couple of papers weren’t signed or t’s failed to get crossed and i’s dotted.
“I was even accused of not having seen one of the patients, which was ridiculous,” she said.
Tiller’s abortion clinic and his murder have been national news and now the Neuhaus story has national circulation. The Nation and The Huffington Post have done stories on human rights issues and reproductive health and have brought sufficient recognition to her that people want to help and have established an online fund to help in her struggle.
A $93,000 goal was set on indiegogo.com and late last week the amount of donations was nearing $60,000. The Neuhaus story can be found at this location along with links to most all of the news coverage that she has received.
Why that amount? That’s the amount of the bill she was sent after losing her license by the regulatory agency. She is being required to pay for her own prosecution, of which most of the cost came with the state bringing in an expert witness from Washington, D.C., to testify.
The matter is now in the court system and that could be overturned on appeal. Nevertheless, Neuhaus and her husband, Mike Caddell, are struggling financially and trying to hang onto their rural home and 10-acre farm. Her lawyers are working pro bono.
Tiller had been brought up on charges as well, most of which had been thrown out of court and a jury quickly found him not guilty of the remainder. A month later the assassin’s bullet killed him.
Late-term abortions are fewer than 1 percent of the total number of those performed, Neuhaus said. Often it’s a child and of those 12 and under, it’s almost always a case of incest.
Neuhaus has moved on in her professional life. She went back to school to acquire a master’s degree in public health and is now employed as a research instructor at the University of Kansas Medical Center’s Department of Family Medicine.
“I’m working on six or seven different projects involving community health,” she said.
One is the development of an informational kiosk made available in medical clinics that tend to serve the poor. This is to help them educate themselves on the importance of a colonoscopy for cancer screening.
“We spend time on the Indian reservations in this area,” she said.
This is for the purpose of doing health screenings, dealing with diabetes on the community level, and checking on the general environment for all aspects of health care.
“Do they have access to good food?” she asked. “That’s something rural and urban people often have in common is the lack of access to good nutritious food.”
Her department works through the churches in the African-American communities. She noted that sometimes people are disenfranchised and fatalistic about health care and they don’t need to be.
If she could be a benevolent dictator for 10 years, Neuhaus said she would end obesity and the health problems that come with it. There would be no junk food, plenty of bicycle trails, and opportunities for people to grow healthy food.
“There are many social detriments to health that are often overlooked,” she said. She noted that crime and stress and financial difficulties add up to lots of health problems when the community is not healthy.
She said it does not help to have a preachy attitude from the affluent looking down and addressing them as “you people,” an attitude that is not helpful and lacks understanding.
Even in her years of private practice, Neuhaus was serving mostly those who could not afford health care and insurance. She credits her stepfather with shaping her opinions of the world and caring for others.
Her mother divorced when she was 5 years old and married a man in the foreign service. She lived in a number of European countries and at one point was schooled with the children of ambassadors from nations around the world.
Her stepfather took her to the Dachau concentration camp at the age of 5 and showed her the ovens used by the Nazis to burn corpses. His father had worked alongside Oskar Shindler in saving Jews from the Nazi terror.
“I never experienced prejudice or hate until I was 13 and living in southwest Kansas,” she said.
There were black people and Mexicans in Hugoton and she never could understand the racist attitudes she encountered.
“None of it ever made sense,” she said.
The generosity of people across the country donating to her cause is also overwhelming for Neuhaus.
“What people have done is over the moon,” she said.
Neuhaus and her husband intend to stay in their rural Jefferson County home where they are raising their son, Tristan, a junior at Jefferson County North High School.
The old house needs some paint and sometimes the well runs dry, but it’s home. It’s home for the three of them along with three horses, a goat, some chickens, and several dogs and cats.
With the donations of money they hope to preserve their rural home so it will be there for future generations.
“We are pretty well rooted here,” she said.
Posted by rogerhollander in Health, Sexuality.
Tags: abstinence, dick cavett, marlene dietrich, rhythm method, roger hollander, safe-sex, sex education, sexual abstinence, Sexuality
Roger’s note: You are lucky if you are old enough to have watched Dick Cavett. He was by far the greatest late night television host of all time. Next to Cavett Johnny Carson was Howdy Doody. Cavett was urbane, intellectual, but never condescending. He interviewed some of the most important and interesting people of our time in a variety of fields, from entertainment to politics. It is good to know that he is still alive and kicking. To read the original article to which this posting refers, just click on “last column” in the second paragraph.
Dick Cavett on his career in show business, and more.
You made me laugh. You, the reader who wrote that, on the subject of sex before marriage, your mother asked your father the farthest he had gone with his before-marriage girlfriend. “Poughkeepsie,” he replied.
My last column inspired a remarkable number of thoughtful replies. I wish I had space and time to deal with all of them.
The college I wrote about that posted information and advice on sex at school is, I learn, hardly unique. And many readers wonder what took so long. If only we had had that as a theme.
Only a handful could be considered shocked or disapproving of the practice. Many worried about the possibly lost distinction between sex and true affection.
I am always shocked that there are still a handful of defenders of the dubious practice of abstinence, surely the worst idea since chocolate-covered ants.
Undoubtedly this practice urged on the young combined with forbidding them contraception has accounted for a hefty portion of the income of the baby-shower industry.
Abstinence. What sex-drive-free human specimens dreamed this one up? Were, or are, they utter strangers to the turmoil of the storming erotic drives of the young? And, as several fortunate readers attest, some lucky members of the old?
If there is an Abstinence League, my image of its leader comes from William Blake’s “Proverbs of Hell”: “Prudence is a rich ugly old maid courted by Incapacity.”
Remember when the “one true church” was heavily promoting the “rhythm method” of pseudo-contraception? Of course the jokes came thick and fast about inability to keep a beat, etc. I wonder what wit first labeled the fiasco “Vatican roulette.” A daredevil version, it proved to be, of roulette with about four chambers loaded.
I liked the reader who admitted quite frankly that, yes, she did think additional sex experience would have been a good thing in her case, probably producing a more successful marriage.
Several people referred, or at least alluded, to the danger of a wrecked school life and education from an unwanted pregnancy.
No small concern. More so in my day, when detailed knowledge of the traps and pitfalls of the loins was often sparse.
I received zero sex knowledge at home. Had my mother lived, I might well have, but my dad merely worried that I was going to impregnate someone in high school. But no advice.
Considering the thinness of my sexual activity at the time, the odds against the calamity that haunted A. B. Cavett were somewhere below zero. I wouldn’t be surprised, such was the extent of my dad’s concern, to learn that he might have had some such related experience himself.
In college, where the odds favoring inadvertent calamity at least climbed to just above the freezing point, I can still recall a stabbing and chilling moment of angst, fear and trembling.
The previous night had included a rare episode of pneumatic bliss, properly conducted, safety-factor-wise.
The next day, as chance would have it, Fate, or one of my roommates, placed in my hands one of those pamphlets for boys. It at least felt as if my hair stood up at reading the icy words: “Be careful not to touch the end of your penis to the wrong side of the condom, then turn it over and…”
It went on to make it clear that the not inconsiderable frequency of this inadvertent “transfer” mishap could account, accidentally, for an addition to the population.
At that, the black and white tile floor of the dorm bathroom where I was standing seemed to zoom up at me as in an early film-noir special effect.
Had I done that? Had I wrecked my life? Cold sweat.
Was there a preacher in my immediate future? Would I be on a train back to Nebraska? Would I be home, saying, “Hi, folks. Meet Janie”?
For a good time thereafter, sleep was fitful and sometimes impossible without a mild sleeping potion and a page-or-two dose of Spenser’s “The Faerie Queene.”
Why tell this? As an argument for sex education? Surely no one with a measurable I.Q. is still against that, although, in fact, you can still hear folks with but 10 watts upstairs say, “Why put ideas in kids’ heads?”
My wondering about whether more sex in school, in my part of The Old Days, would have made me a better person seemed to divide the audience.
I was assured it would have and that it emphatically would not. I suppose all we can say here is, how will we ever know?
Some readers made the distinction of how different things always are for boys and girls. A female reader, disputing assumptions about the time, wrote of the incredible pressure “in the 60s even” for girls to “keep your knickers on” or be looked down on by female classmates. But that now, she says, the pressure is to “lighten up, get with it.” To shuck ’em down.
She feels the school’s enlightened document I quoted is spot on.
Some urged that doleful term “waiting,” maintaining that “character” is built by biting the bullet and waiting.
The great Marlene Dietrich told me that in her German childhood upbringing, she was commanded to go without a drink of water when thirsty “to build character.” Did it? I asked. “Not one brick’s worth of character was built. It probably injured my kidneys.”
One reader, Joe of Brooklyn, touchingly wonders if, as a schoolkid, that certain gorgeous dream of a teacher ever fancied him, envying those 15-year-old students these days taken “twixt the sheets by a comely and passionate high school teacher.” (Who subsequently does time.)
Poor Joe has never gotten over it. He thinks in today’s atmosphere, the “it” he longed for just might have happened. She was 33 then — she would be 92 now — and “she is still more enticing than any woman I have ever encountered.”
Joe says every man he tells this to has a similar school days story and longing. I know I do. Would we have been better off? Anyway, Joe, you have at least a sitcom episode here, if not the core of a feature.
Glad that so many writers liked the column and applauded the school’s efforts, warnings and advice about that old devil, sex. Many wish they’d had it. Such a document I mean, of course.
(A few practical souls pointed out that it is also greatly in the school’s legal interests to able to say to thundering parents, “We told them.”)
Predictably, I guess, I was taken to task (what in hell does that really mean?) by some readers for committing humor within such a topic. This always puzzles. The old, “There is no place for humor here.”
You have it almost right. There is no place for no humor. At what boundary must humor halt? I commend you to my friend, Mark Twain on the power of humor: “Against the assault of laughter, nothing can stand.”
As further assertion of the place of humor being everywhere, let us close with the wise, wise advice about life given by the great George S. Kaufman to his young daughter Ann.
“Sample everything in life. Except incest and folk-dancing.”