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Dave Astor

Dave Astor

Posted March 6, 2009 | 02:53 PM (EST)

Co-Pay's Anatomy


The government funds public schools, libraries, fire departments, and more. But millions of Americans have to privately pay for expensive medical care, even though health is just as important as education and public safety. As President Obama tries to make medical care more affordable and insure 46 million uninsured, we asked historian Ann Tiquity to explain why the U.S. doesn't have a single-payer plan.

"Adam and Eve wanted national health insurance until realizing they were the only two people on Earth to fund it," says Ann. "So they phoned a private practitioner for a house call, but the physician never showed up. Adam and Eve first thought it was 'an apple a day keeps the doctor away' type of thing before remembering the physician didn't exist because there were no other humans on the planet. So they enrolled that serpent in medical school, but the snake couldn't find a human cadaver to study in anatomy class."

Ann continues: "We jump ahead many years to ancient Rome, where national health insurance was about to be enacted when lions in the Coliseum ate the blueprint of that medical legislation. The people who drew up the blueprint kicked themselves repeatedly for not making photocopies, and all their kicking practice helped Rome beat Greece that year in the World Cup Soccer finals. The U.S., which didn't exist, finished a strong third.

"We jump yet again to the 1300s, when Chaucer published The Single-Payer Tales as an e-book. But people had problems downloading the volume on their sheep-powered computers, and couldn't get help because tech support had been outsourced to 2009. Meanwhile, the only way Chanticleer the rooster and Pertelote the hen could afford antidepressants was to mail-order them from a Canadian pharmacy.

"Four centuries later, Thomas Jefferson mentioned a national health plan in an early Declaration of Independence draft ('we hold these co-pays to be self-evident...'). But a powerful insurance company got the draft spiked -- and, as of 2009, that company has yet to pay a medical claim Jefferson submitted just before his 1826 death.

"Dying in 1832 was Scottish author Sir Walter Scott, who never wrote about the need for a national health plan. But people reading his novels backwards found references to the inadequacy of private insurance (after which they were locked in out-of-network padded rooms). Thus the seeds for government-run medicine were sown in Europe. But Scott never visited America, where his fans perused his books frontwards while waiting for Mark Twain to be born.

"The 1900s saw sporadic efforts to get the U.S. government more involved in medicine. There was Theodore Roosevelt ('talk softly and carry a big co-pay'), FDR ('the only thing we have to fear is co-pay itself'), Harry Truman ('the co-pay stops here'), Richard Nixon ('I am not a co-pay'), Ronald Reagan ('Mr. Gorbachev, tear down that co-pay'), and Bill Clinton ('I did not have sexual relations with that co-pay')."

Thank you, Ann, for your invaluable perspective on why the U.S. doesn't have a single-payer plan. Readers who think Ms. Tiquity's historical analysis is silly should remember it's even sillier for America not to have national health insurance.

 
 
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11:20 PM on 03/07/2009
Why is there a media blackout on single-payer healthcare reform? Senator Baucus refuses to put single-payer reform on the table. However, the majority of the public and the majority of doctors favor single-payer reform. How can we get the truth to the people?
http://www.baltimorechronicle.com/2009/030609FAIR.shtml

A NEW STUDY SHOWS THAT SINGLE-PAYER REFORM WOULD BE MAJOR STIMULUS FOR THE US ECONOMY and would provide:

** 2.6 Million New Jobs,
** $317 Billion in Business Revenue,
** $100 Billion in Wages, and
** $44 Billion New Tax Revenues

You can find out more about this study here: http://www.CalNurses.org/
The press release is here: http://www.calnurses.org/media-center/press-releases/2009/january/nurses-to-congress-expanding-medicare-could-reverse-job-losses-and-repair-our-broken-healthcare-system-and-safety-net.html
11:19 PM on 03/07/2009
Only a single-payer approach will end the inhumanity of our failed healthcare insurance system, where profits are more important than patients’ health.

Only a single-payer approach will end the current disgraceful practice of insurance companies refusing to pay for medical treatment, denying claims, and engaging in rampant price gouging that discourages patients from going to the doctor and has resulted in 50 million Americans without healthcare.

The solution? NON-PROFIT, UNIVERSAL, SINGLE-PAYER HEALTHCARE. It works well in many, many countries around the world.

HR 676, The United States National Health Insurance Act, would ensure that every American, regardless of income, employment status, or race, has access to quality, affordable health care services.

The solution? The United States National Health Insurance Act, H.R. 676. You can read about it here: http://www.healthcare-now.org/hr-676/

Ask your Representatives to co-sponsor HR676.

Tell Senator Baucus to put Single-Payer Reform on the table: http://www.change.org/ideas/294/view_action/sen_baucus_we_need_accurate_numbers_not_creative_figuring

HEALTHCARE SHOULD BE A RIGHT, NOT A BUSINESS.
03:35 PM on 03/06/2009
The reason is simple: congresspeople already have a gold-plated medical care system for themselves and their families. Take that away, and make them get individual policies [and police it by 20-year prison sentences for allowing insurance companies to bribe them with special treatment] and we'll see very swift action. Even those millionaires couldn't afford $15 per person per year for inferior coverage for long.
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Dave Astor
04:39 PM on 03/06/2009
Very good point, Barry!