Wednesday 8 June 2011

what's up doc? you want my chequebook?


two very different health stories from the US.
I don't know why so many Americans in power think that health = business.

Vermont has a bit of Canada rub off on them. We're just over the border.
Great skiing there. Now you can break your leg without breaking the bank.

1 Man dies of health insurance
2 Vermont starts single-payer public health care

the Onion
Man Succumbs To 7-Year Battle With Health Insurance

September 22, 2008 | ISSUE 44•39

DENVER—After years of battling crippling premiums and agonizing deductibles, local resident Michael Haige finally succumbed this week to the health insurance policy that had ravaged his adult life.
Haige, who had suffered from limited medical coverage for nearly a decade, passed away early Monday morning. According to sources, the 46-year-old was laid to rest at Fairplains cemetery, surrounded by friends, family members, and more than $300,000 of mounting debt.

"I miss Michael every single day, but at least he can finally rest now," said Sheila Haige, who watched as insurance rates ate away at her husband over time. "What Michael went through, the humiliating forms, the invasive background checks, the complete loss of dignity and hope—I wouldn't wish that kind of torture on anyone."

Once a healthy and happy father of two, Haige saw his life forever change seven years ago when health insurance professionals diagnosed him with a preexisting condition. As months passed and his line of credit continued to deteriorate, the former high school football coach would experience excruciating headaches and bouts of nausea every time another hospital bill arrived.

"My dad always seemed invincible, like there was nothing in the world that could hurt him," son Ryan Haige said. "But then, one night, I found him bent over a stack of UB-92 and HCFA forms, and he was crying. I'd never seen my father look so scared in all my life."....
http://www.theonion.com/articles/man-succumbs-to-7year-battle-with-health-insurance,2536/?utm_source=related
2 the Guardian
Single payer healthcare: Vermont's gentle revolution

The green mountain state was the first to ban slavery, in 1777. Now, it's the first to pioneer a truly public healthcare system
o Amy Goodman
o guardian.co.uk, Wednesday 25 May 2011 13.00 BST

Vermont is a land of proud firsts. This small New England state was the first to join the 13 colonies. Its constitution was the first to ban slavery. It was the first to establish the right to free education for all – public education.

This week, Vermont will boast another first: the first state in the nation to offer single payer healthcare, which eliminates the costly insurance companies that many believe are the root cause of our spiralling healthcare costs. In a single payer system, both private and public healthcare providers are allowed to operate, as they always have. But instead of the patient or the patient's private health insurance company paying the bill, the state does. It's basically Medicare for all – just lower the age of eligibility to the day you're born. The state, buying these healthcare services for the entire population, can negotiate favourable rates, and can eliminate the massive overhead that the for-profit insurers impose.

Vermont hired Harvard economist William Hsiao to come up with three alternatives to the current system. The single payer system, Hsiao wrote, "will produce savings of 24.3% of total health expenditure between 2015 and 2024". An analysis by Don McCanne, MD, of Physicians for a National Health Programme pointed out that:

"[T]hese plans would cover everyone without any increase in spending since the single payer efficiencies would be enough to pay for those currently uninsured or underinsured. So this is the really good news – single payer works."

Vermont Governor Peter Shumlin explained to me his intention to sign the bill into law:

"Here's our challenge. Our premiums go up 10, 15, 20% a year. This is true in the rest of the country as well. They are killing small business. They're killing middle-class Americans, who have been kicked in the teeth over the last several years. What our plan will do is create a single pool, get the insurance company profits, the pharmaceutical company profits, the other folks that are mining the system to make a lot of money on the backs of our illnesses, and ensure that we're using those dollars to make Vermonters healthy."..... ...