Thursday, July 5, 2007

A National Gut-Check: Who Lives Better?

New York Times (Editorial):
Let’s stipulate that Moore is a one-sided pamphleteer, with a bit of Mark Twain and Pat Robertson in his schtick. But like all propagandists, his job is not to find some objective truth, but to anger, challenge, ask hard questions. ...

With health care, the anecdotal often carried the argument. One day, a tenant farmer named Sergio, our neighbor, woke with a terrible eye infection. He was full of pain, unable to see. Sergio got world-class care in Florence. After three days of attentive fussing in the hospital, he came home entirely well and without a bill.

Had he showed up at any American hospital — poor, no insurance — well, good luck. Especially in a place like Texas, where 30 percent of adults lack health insurance and what can pass for medical care is a get-in-line form of triage.

But even with insurance, Americans are stuck with what may be the worst of all systems: one that lets a handful of corporations make life-and-death decisions, with incentive to dump and deny.

Little wonder that the United States ranks 37th in effectiveness of health care. Italy ranks 2nd. This is a country that can’t form a government to last longer than the soccer season, and yet, they make our medical system look barbaric.

If our system doesn’t kill you — see the infant mortality and life expectancy rates, bringing up the rear — it can put you in the poorhouse. Medical catastrophes are the leading cause of bankruptcy, and most of those are people who have some insurance, clinging to the frayed edge of the middle class.

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