Some Common Fallacies About American Health Care

See 50 Common Fallacies About American Health Care by Richard E. Ralston. Excerpt:

"Following are some of the most common arguments with suggested responses that apply the principles discussed above.

1. “The quality of health care in America is ranked lower than 36 other countries.”

When you hear this, always ask, “Ranked by whom and how?” In 2000 United Nations bureaucrats at the World Health Organization sent a survey to “officials and experts” selected by the U.N. Why should we be surprised to learn that government “officials and experts” in France thought that their government-run health care system was the best in the world? The scoring of these surveys also made them meaningless. For example, 25 percent of the scoring was weighted based on the assessment of how “fair” the financing was in each country. For “fair,” read socialist—the list was largely a ranking of how socialist each country’s system is.

2. “Medicare and Medicaid are far more efficient and less wasteful than private insurance, spending only three percent on administrative overhead.”

When you hear this, always ask, “Why is the administrative cost always given as a percentage?” One reason is that, due to the age of covered patients, the average Medicare and Medicaid reimbursements are higher than those of private insurance—and administrative costs are therefore a lower percentage of the larger amount paid. Another reason is that the huge cost of contending with 130,000 pages of Medicare regulations is pushed onto the providers. The cost of the more than 100,000 employees of the Internal Revenue Service who collect Medicare taxes are also omitted from Medicare’s “administrative overhead.” But the biggest reason is that the government programs make no effort to minimize expense or fraud. Fraud counts for about $50 billion in Medicaid expenses every year—as high as $18 billion in New York alone. Total spending has been going through the roof for more than 40 years, but the government’s administrative cost of burning money is quite low. That does not prove that the government is efficient or prudent. Private insurance companies, on the other hand, need to keep fraud and expenses down or go out of business.

3. “Government or universities develop most new medications and then just hand them over to pharmaceutical companies to manufacture and make all the profits.”

When you hear this, mention that the National Institutes of Health (a government agency) reports that the pharmaceutical companies—who spend about $60 billion each year on research—develop more than 90 percent of new drugs.

4. “Advertising of drugs is bad because it increases the price of medications.”

When you hear this, ask, “Why does any business advertise any product? Because they just want to add to their costs and increase the price?” Manufacturers of computers and other technological products who spend a lot on research need to find their market. A pharmaceutical company, spending an average of $800 million to develop a major new drug, has a few years of patent protection to bring the drug to the attention of physicians and patients who need it. This allows them to spread research costs over a much larger customer base and reduce unit cost—which lowers the price.

5. “Private corporations are wasteful and bloated bureaucracies. Government-provided health care is lean and efficient.”

When you hear this, you might want to laugh. Then ask, “So you think that the 20th Century proved that communism and fascism work?” Is the Department of Motor Vehicles or the purchasing practices of the Defense Department our best models of administrative efficiency?

6. “People live longer in some countries because of their socialist health care systems.”

When you hear this, ask if the people in those countries didn’t live longer before they nationalized their health care systems. Ask how many people in those countries died on their highways, were killed in combat, shot by criminals, addicted to drugs, were severely overweight or in poor health when they arrived as illegal immigrants."