Monday, April 24, 2006

Universal Health Care: better health care for less money.

I have recently been involved in an online
discussion of Universal Health Care. It has been
my observation that misinformation on this topic
is widespread. Many people have misconceptions of
the quality and expense of Universal Health Care,
probably largely because of misinformation spread
by those who are opposed to it, usually those who
profit from the current system, or those who
consider it to be "socialism" or "communism"
without considering what that really means. I've
taken the time to gather the facts regarding the
quality and expense of Universal Health Care, and
will present them here. One of the myths of
Universal Health Care is that it is expensive, and
if the United States were to adopt a Universal
Health Care plan, it would bankrupt the country.
Here are some examples of that misconception from
the recent discussions I've been involved in:

"......if universal health care is passed it will
bankrupt the country just as it has in France and
several of the European countries...."

"The hew and cry for universal health care is just
another form of entitelment which would invarably
be a huge, hemorging Government money pit."

Another common misconception is that Universal
Health Care means poor quality health care. Here's
an example:

"If universal health care is so good, why do so
many people in Canada, Mexico and the rest of the
world come here for medical services?"

The fact is that Universal Health Care does not
bankrupt nations. The United States spends more
per person on Health Care than any other developed
nation. Nations with Universal Health Care systems
spend less money per person than the U.S. spends.
Here are the statistics on Health Care
expenditures in dollars per capita, arranged from
highest to lowest. Obviously, spending more money
would be a bad thing, spending less money would be
a good thing, all other factors being equal.


Per capita health care expenditures: 

United States 5635
Norway 3807
Switzerland 3781
Luxembourg 3190
Iceland 3115
Canada 3003
Germany 2996
Netherlands 2976
France 2903
Belgium 2827
Denmark 2763
Australia 2699
Sweden 2594
Ireland 2386
Austria 2280
Italy 2258
United Kingdon 2231
Japan 2139
Finland 2118
Greece 2011
New Zealand 1886
Spain 1835
Portugal 1797
Czech Republic 1298
Hungary 1115
Korea 1074
Slovak Republic 777
Poland 677
Mexico 583
Turkey 462


Source: Organisation for Economic Co-operation and
Development,
http://dx.doi.org/10.1787/530538806724


The U.S. spends more per person than any other
developed nation! But for our money, we get the
best quality health care in the world, right?
Wrong. The two most common measures of a nations
health are infant morality rate and life
expectancy at birth. Here's the numbers for
infant mortality, in number of deaths per 1000
live births:



Infant Mortality Rate (Deaths per 1000 live
births)

United States 6.43
Taiwan 6.29
Cuba 6.22
Korea, South 6.16
Faroe Islands 6.12
Italy 5.83
Isle of Man 5.82
Aruba 5.79
New Zealand 5.76
San Marino 5.63
Greece 5.43
Monaco 5.35
Ireland 5.31
Jersey 5.16
European Union 5.10
United Kingdom 5.08
Gibraltar 5.06
Portugal 4.98
Netherlands 4.96
Luxembourg 4.74
Canada 4.69
Guernsey 4.65
Liechtenstein 4.64
Australia 4.63
Belgium 4.62
Austria 4.60
Denmark 4.51
Slovenia 4.40
Spain 4.37
Macau 4.35
Switzerland 4.34
France 4.21
Germany 4.12
Andorra 4.04
Czech Republic 3.89
Malta 3.86
Norway 3.67
Finland 3.55
Iceland 3.29
Japan 3.24
Hong Kong 2.95
Sweden 2.76
Singapore 2.29


Source:
http://www.cia.gov/cia/publications/factbook/ranko
rder/2091rank.html


For the sake of brevity, I have not included the
entire chart of 226 nations in the CIA's database,
only the U.S. and those nations that have lower
infant mortality rate. You'd probably expect
Russia, China, and East Timor to have higher
infant mortality rates than the United States, and
they do, but why does the U.S. fall behind 42
other nations, many of which are social
democracies with Universal Health Care systems?

The other common measure of a nation's health is
life expectancy at birth. Here are the numbers for
life expectancy:



Life Expectancy at Birth, Years: 

1 Andorra 83.51
2 Macau 82.19
3 San Marino 81.71
4 Singapore 81.71
5 Hong Kong 81.59
6 Japan 81.25
7 Sweden 80.51
8 Switzerland 80.51
9 Australia 80.50
10 Guernsey 80.42
11 Iceland 80.31
12 Canada 80.22
13 Cayman Islands 80.07
14 Italy 79.81
15 Gibraltar 79.80
16 France 79.73
17 Monaco 79.69
18 Liechtenstein 79.68
19 Spain 79.65
20 Norway 79.54
21 Israel 79.46
22 Jersey 79.38
23 Faroe Islands 79.35
24 Aruba 79.28
25 Greece 79.24
26 Martinique 79.18
27 Austria 79.07
28 Virgin Islands 79.05
29 Malta 79.01
30 Netherlands 78.96
31 Luxembourg 78.89
32 Montserrat 78.85
33 New Zealand 78.81
34 Germany 78.80
35 Belgium 78.77
36 Saint Pierre and Miquelon 78.61
37 Guam 78.58
38 United Kingdom 78.54
39 Finland 78.50
40 Isle of Man 78.49
41 Jordan 78.40
42 Puerto Rico 78.40
43 European Union 78.30
44 Guadeloupe 78.06
45 Bosnia and Herzegovina 78.00
46 Bermuda 77.96
47 Saint Helena 77.93
48 United States 77.85


Source:
http://www.cia.gov/cia/publications/factbook/ranko
rder/2102rank.html


Again, for brevity I have not included the entire
list of 226 nations, only the U.S. and those
nations that have greater life expectancy than the
U.S. In life expectancy, the U.S. ranks 48th in
the world, and again the list of nations that rank
higher than the U.S. includes many social
democracies with Universal Health Care systems.

With its per capita cost of health care greater
than any other nation in the world, with health
care expenditures 1.5 times higher than the next
nation on the list, you'd expect the U.S. to have
the best health care in the world. Yet the U.S.
ranks 43rd in infant mortality rate, and 48th in
life expectancy at birth. Clearly there is
something wrong with the health care system in the
U.S., and seeing that many of those nations who
spend less money on health care, have lower infant
mortality rates, and have longer life expectancies
do have a Universal Health Care system, it would
appear that the U.S. should change to a Universal
Health Care system. Spend less money, get better
health care, it's a win/win situation.

And now you can respond with the facts when you
hear someone repeating misinformation about
Universal Health Care systems.