Saturday, August 16, 2014

The government single-payer model that liberals aspire to for the U.S. is increasingly in trouble around the world.

See Where ObamaCare Is Going by, Scott W. Atlas, WSJ. He is a physician and a senior fellow at Stanford University's Hoover Institution. Excerpts: 
"The Obama administration showed its hand long ago with the nomination of Tom Daschle, an advocate for Britain's socialized National Health Service, as secretary of Health and Human Services in 2009. (Mr. Daschle withdrew amid criticism for nonpayment of taxes.) The White House installed another outspoken NHS fan, Donald Berwick, as an interim appointee (2010-11) to run the Centers for Medicare and Medicaid Services."

"the Commonwealth Fund—a private foundation focused on health care that is a favorite of progressive policy types—issued a report ranking the NHS as the best medical system among those in 11 of the world's most advanced nations,... Coming in last: U.S. health care."

"Yet the Commonwealth rankings are contradicted by objective data about access and medical-care quality in peer-reviewed academic journals. For instance, Americans diagnosed with heart disease receive treatment with medications significantly more frequently than patients in Western Europe,"

"American cancer patients have survival rates for all major cancers better than those in Western Europe and far better than in the U.K."

"the Commonwealth Fund's health-care rankings ... relied heavily on subjective surveys"

"it's worth examining how Britain's NHS, established in 1948, is faring. The answer: badly. NHS England—a government body that receives about £100 billion a year from the Department of Health to run England's health-care system—reported this month that its hospital waiting lists soared to their highest point since 2006, with 3.2 million patients waiting for treatment after diagnosis. NHS England figures for July 2013 show that 508,555 people in London alone were waiting for operations or other treatments—the highest total for at least five years."

"more than 15% of patients referred by their general practitioner for "urgent" treatment after being diagnosed with suspected cancer waited more than 62 days—two full months—to begin their first definitive treatment."

"In response the British government has enlisted private care for help"

"over the past decade the NHS, desperate to reduce its ever-expanding rolls, has increasingly sent patients to private care. The share of NHS-funded hip and knee replacements by private doctors increased to 19% in 2011-12, from a negligible amount in 2003-04."

"In 2006-07, according to the report, the NHS spent £5.6 billion on private care outside its system. This increased by 55% to £8.7 billion in 2011-12, including a 76% rise in spending on nonprimary care, going to £8.3 billion from £4.7 billion, despite significant reductions in spending on private care attributed to the financial crisis."

"Britons who can afford to avoid the NHS are eager to do so."

"about 250,000 choose to pay for private treatment out-of-pocket each year—though NHS insurance costs $3,500 annually for every British man, woman and child."

"The socialized-medicine model is struggling elsewhere in Europe as well."

"in Sweden... months-long wait times for treatment routinely available in the U.S. have been widely documented."

"the Swedish government has aggressively introduced private-market forces into health care to improve access, quality and choices. Municipal governments have increased spending on private-care contracts by 50% in the past decade,"

"Swedish primary-care clinics and nursing facilities are increasingly run by the private sector or receive substantial public funding. Widespread private competition has also been introduced into pharmacies"

"the average Swedish family already pays nearly $20,000 annually in taxes toward health care, about 12% of working adults bought private insurance in 2013, a number that has increased by 67% in five years"

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