Quite likely worthless? Hardly.
Government “Health Care”, Dr William Luckey
June 20, 2009
“This week, both the president and his press secretary stated that there were countries where the people were completely satisfied with a “single payer” (i.e., socialist, government-run) medical system. When the press secretary was asked to name one, he could not.
“But a study by the Cato Institute has some very interesting data. Patients having to wait for more than four months for non-emergency surgery: Britain, 36%; Canada, 27 %; New Zealand, 26%; Australia, 23%; the United States, 5%. The elderly evaluate their health care way better in the UK than in either Canada or the United States. During a 12-month period, in Ontario, 71 patients died waiting for coronary bypass surgery. The United States also has the lowest hospital stay period compared to the other western socialist countries. Prostate cancer mortality rates among those diagnosed with the disease: UK, 57%; France, 49%; Germany, 44%; Australia, 35%; New Zealand 30%; Canada, 25%; and the United States, only 19%. Remember, this is under the current systems, which, in the US, is a free-market system, but in all the aforementioned other countries is a socialist system. (See
cato.org/pubs/pas/pa532.pdf.) Do these other systems sound like ones where people are completely satisfied?”
[See
http://www.drwilliamluckey.com/index.cfm/Current-Events
]
There is much hype which wilts under facts.
Indeed there is much hype which wilts under facts. Let’s consider yours:
You have stated that the press secretary could not name a single country where the people were completely satisfied with single payer healthcare. This may be so. Of course, the possibility of any system leaving everyone “completely satisfied” is debatable. We would not even be having this debate if everyone were completely satisfied with our own system.
Let’s ignore the potential biases of the Cato Institute. Let’s also ignore the fact that you have brushed aside the conclusions of the World Health Organization, an institution clearly independent of American internal politics, and look at the statistics you have presented. Assuming we are speaking of some vague notion of “citizen satisfaction”:
**Patients having to wait for more than four months for non-emergency surgery: Britain, 36%; Canada, 27 %; New Zealand, 26%; Australia, 23%; the United States, 5%.
**
This does not imply satisfaction or dissatisfaction. Perhaps patients are more willing to wait for non-emergency surgery in exchange for universal coverage.
The elderly evaluate their health care way better in the UK than in either Canada or the United States.
This shows
dissatisfaction? more the opposite. The UK is a single-payer system.
During a 12-month period, in Ontario, 71 patients died waiting for coronary bypass surgery.
In isolation, this is meaningless and misleading. It implies, by association with the wait times for
non-emergency surgery, that the wait times for coronary bypass surgery, often an
emergency procedure, are equally long. It is also meaningless, as it does not indicate the death rate for a
similar population of patients here. Presumably, some patients will die waiting for heart surgery - how many?
The United States also has the lowest hospital stay period compared to the other western socialist countries.
Again, this is meaningless. It speaks only to expense, not outcome. Perhaps longer hospital stays are associated with more positive outcomes in some circumstances. It also does not pertain to “citizen satisfaction”.
Prostate cancer mortality rates among those diagnosed with the disease: UK, 57%; France, 49%; Germany, 44%; Australia, 35%; New Zealand 30%; Canada, 25%; and the United States, only 19%.
OK. These statistics imply that those
with prostate cancer and their loved ones
may, in fact, be dissatisfied under their systems. What percentage of the population is this? How does this statistic show a
general dissatisfaction among the citizens of these countries?
With all due respect to you and Dr. Luckey, you’ll have to do better.
Consider this: In a report on
European Healthcare compiled by the Heritage Foundation, after they spent some time lambasting the French system for its expense, innefficiency, and “rampant abuse,” they were still forced to this counterintuitive conclusion:
“In spite of all that has been said about the flaws and failures of France’s health care system, France miraculously appears to thrive. It is still a very wealthy country with quite robust economic growth and – if one makes the reasonable assumption that half of the officially unemployed are happy not to work – even its unemployment rate is acceptable. France ranks first, before Japan, in terms of per-capita exports, and it is the fifth richest country in the world in terms of GDP. It seems that a situation that should be hell is almost paradise.”
“… The French would prefer a system that can be abused and overused to one in which people who are in need of treatment do not receive health care because of their financial situation. Very few Frenchmen and Europeans would sleep well knowing cases such as the one the taxi driver spoke of. Their health care system may not be economically efficient; it may even be absurd; but it is apparently the system that the French are most comfortable with.”
Sounds like, even by the
very conservative standards of the Heritage Foundation, whatever the problems of the French system, they seem to be “satisfied.” Perhaps economic efficiency is not the only consideration.