Depoliticizing the Healthcare Debate
Expert Advice ı By Charles Laverty
3,270 0 Comments
Yes, the ACA was a compromise—but it may have been a compromise of the wrong kind. Instead of combining the best elements of public and private care the way other developed nations have done, it may have combined some of the most incompatible. For instance, most countries with functioning universal care do not fund their systems by raising premiums on specific demographics. Instead, they use a combination of funds from personal and corporate income taxes, sales tax, lottery proceeds and other sources. In this country, however, citizens are still required to purchase private insurance. What’s more, there are limited options available to buyers depending on their location and economic position, which often results in middle-class earners being saddled with higher premiums to help subsidize care for other demographics.
Since the government is unlikely to make the sweeping reforms necessary for a truly workable universal care system anytime soon, it may be more productive to focus on incremental changes that can be accomplished with relative ease. One such change that could mitigate the rising premiums faced by middle-class earners is insurance reform. Allowing people to purchase their insurance across state lines could expand the number of options available to them, preventing them from being forced into premiums that subsidize others at their own expense. It raises an obvious question though: if middle-class earners no longer must subsidize groups like retirees, how will members of those groups receive adequate care?
My opinion on this subject is unlikely to be popular with everybody, but as I said before: improving healthcare in this country is going to require compromise. The right kind of compromise now may involve rethinking how to use the assets we have instead of wishing for those we do not yet possess. In the absence of the kind of public funding that could only come from things like reducing our military spending or raising corporate taxes, we may have to refine the way we spend our current healthcare resources. Patients with terminal illnesses who cannot be cured or have their quality of life extended meaningfully may have to relinquish benefits in favor of providing care for those who can be saved with current technology and the proper level of medical attention.
Turning around the state of healthcare in this country is likely to be a long and arduous process, so my advice to you is this: take good care of yourselves and the people close to you. I hate to throw another idiom at you, but it’s a valid one—an ounce of prevention really is worth a pound of cure. Try changing your diet to avoid meat and refined sugars. Incorporate regular exercise into your daily routines. Give up cigarettes. None of these things are likely to be easy or convenient, but they’ll be much less trouble than getting stuck on the wrong end of our country’s current medical system. If enough Americans make these changes, it will do more than simply provide them with a higher quality of life—it will also reduce the expense of running of our medical system, making it easier to provide affordable care for people who really need it.
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