:



When McManus says, "We have the world's best medical care," I can hardly
believe he's referring to a system:

1.  That costs us 14 percent of our GDP, while there isn't a
    single other country in the industrialized world that spends more than
    10 percent.

2.  That leaves 37 million of us with no coverage, even though all
    the other systems in the industrialized world cover virtually everyone.

3.  Yet, Americans rank near the bottom of the list in terms of life
    expectancy, childhood immunization rate, infant mortality, and many
    preventable diseases.

4.  We pay, on average, about $1000 each for MRIs.  (To put that in
    perspective, they cost $177 in Japan.)

5.  The average US company spends over 2500 dollars a year per employee on
    health benefits.  Seven hundred to 1500 is the range just about everywhere
    else.


How can anyone say that such a system is the best in the world?  The only
thing the USA health care system is good at is showering well-insured patients
with a champagne treatment of care and outrageously overcharging for it.  And
the "private" system of insurers and paperwork is so bloated and inefficient
that it itself sucks up over 100 billion dollars a year in money from every
other sector of society - individuals, government, and industry.

Of the < 800 billion dollars Americans threw into the bottomless pit of health
care costs last year, the Consumer's Union estimated that at least 200 billion
was thrown away on overpriced, useless, and even downright harmful tests and
procedures, and the most bureaucratic, regulated insurance system in the world.

There are more than 1200 different private insurers in the USA.  But did the
"private competition" stimulate more efficient paperwork?  Ask any doctor
who's had to hire a full-time clerk to deal with it all!

The competition among hospitals is driving costs UP, not down.  The
competition among hospitals for both doctors and patients has encouraged the
hospitals to traffic in expensive superfluous equipment.  Spending millions on
expensive machines of dubious value that spend 80 percent of the day idle
isn't my idea of the world's best health care system.

Competition among specialists is driving them to perform dangerous and
expensive procedures where they are very marginally helpful.  I'm especially
thinking of heart surgery and some women's surgeries like hysterectomy and
Cesarean section.  Sound like the world's best health care system?



Ever notice how, every time someone tries to bring about some real change in
health care, the Libbies start bashing Canada's system?  First of all, Hillary
Clinton is not advocating another Canadian system.  I think that's been made
abundantly clear in the news for the last couple of months.  Where did John F.
McManus get that idea, anyway?

Let's say you're a Canadian living in a small town near the USA border.  Your
child needs a complicated procedure only available in city hospitals.  The
nearest Canadian cities are 6 hours west and 20 hours east, and there's an
American city one hour south.  Which way are you going to go?  Is it because
the American system is the "best" in the world, or just for convenience?

It still amazes me that people can't seem to see more than just black and
white on health care reform.  There are a million different ways we ould
restructure the system.  It's not just a choice between total government
control and total private control.  I wish the people screaming "socialized
medicine" every time soemone wants to change the current syste would INFORM
THEMSELVES on health care issues.



The current system sucks.  I want to keep providers private but that doesn't
change the fact that we will never be able to deal with the deficit if we
don't REFORM THE HEALTH CARE SYSTEM.  Purely private health care without any
government intervention doesn't work.  Hillary Clinton is not thinking of
nationalizing providers or evern insurers.  How can you scream "socialized
medicine" at her programs?  Don't you even know what you're talking about?



Ever see Clinton's graphs of projected deficit versus year for the rest of the
decade?  Notice how the line falls, then starts increasing?  Why?  I'll give
you one wild guess as to which component of spending will overwhelm us if we
don't do something about it.



PEOPE JUST DOESN'T GET IT.  The current health care system is a cancer which is
killing our economic well-being.  Costs are still rising 10 percent a year
even as Americans by the tens of millions go without, or are forced into
managed-care programs, which are certainly pretty socialized already if you
ask me.

A couple of months ago I posted a message asking any Hillary-bashers to please
come forward and present (no gimmicks, straight talk) just how THEY would set
about keeping costs down.  I didn't get a single answer.

The only thing I keep hearing from Libbie organizations are press releases
filled with evasive platitudes like "give health care back to the people."
Just do you expect to do that without serious reforms?  What is it about the
current system that you would change and how would that help?


How can anyone read the news, live under our system, and NOT see these faults?
How can we deal with the deficit, our cities, our educational system, our
infrastrucure, AIDS, modernizing our industry, etc. if we don't quit throwing
away money which could be used to SOLVE those problems?


America needs health care reform NOW.  Don't just sit there and Hillary-bash,
inform yourself!

Jim Reynolds

