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Dr. Behzad Mohit

Dr. Behzad Mohit

Posted May 11, 2009 | 12:16 PM (EST)

Universal Health Care Can Save Our Economy and Keep 1.7 million Jobs in the U.S.: Part III


In the first article of this series, I wrote that a universal health care system "can save more in one year than what we spent on the Iraq and Afghanistan wars since 9/11, i.e. a trillion dollars." I was wrong. There is more to it than that. Let me explain: The proposed nonprofit, single payer, people-funded and people-managed system described in my book, Universal Health Care System for the United States of America, has many more economic and social benefits. You may be surprised if I tell you that those benefits would dwarf the importance of one trillion dollars in savings per year.

It was just in the news that GM laid off 21,000 workers and plans to close all its U.S. plants this summer for at least 9 weeks. What if GM, Chrysler and Ford moved all their operations to Canada? In 2007 General Motors spent $4.6 billion on health care for its employees. Ford and Chrysler each spent $2.2 billion as well. If those companies moved to Canada they would save all that in health care costs ($9 billion per year), and the United States would lose 240,000 jobs and $156 billion in tax revenue. Of course, that loss doesn't include the ripple effect that the move would have on the 974,000 people in the automotive supply industry, or the 1.7 million jobs created by the money those people spend. The health care cost is a major factor in the near bankruptcy and competitive disadvantage of our auto industry. Let's look at the example of Toyota. In Japan, Toyota enjoys the economic benefits of universal health care. Because of universal health care, Toyota's production costs are $1,400 lower per vehicle than the cost for American manufacturers.

That translates directly into competitive advantage, as Toyota makes $2,400 more per car than its U.S. counterparts. Back in the United States, GM has said that the cost of providing health care for its workers adds between $1,500 and $2,000 to the price tag of every vehicle it sells. Alan S. Blinder, an economist at Princeton, has estimated that between 28 million and 42 million American jobs are at risk of being moved "offshore" in the near future, as technology reduces the friction of moving abroad. What can we do to keep U.S. automakers and other manufacturers in the country? Could instituting universal health care help?

Now let's extrapolate this approach to other sectors of the economy. As of 2008, annual health care spending in the United States reached $2.1 trillion or 16 percent of the GDP. Most of that money -- about 54 percent -- comes from the private sector. That's $1.13 trillion dollars that American companies are spending on health care each and every year. This is more than the national budgets of France, Canada and the UK combined. If that isn't a drag on our competitiveness, what is?

With a universal health care system, companies would keep that money and would have a healthier and more productive work force. If we implement the universal health care system, other economic benefits would also ensue. For example, job lock occurs when people stay at their current job solely for the health care benefits paid by their employers. One study showed that, in California alone, in 2002 job lock affected 179,000 people, with $772 million in foregone productivity.

Some objectors to the universal health care plan say: "Wait a minute. What about the job losses in the multiple health care insurance companies? They will all be out of business." O.K. Let's look at this. The entire health care industry employs 470,000 people. If we gave all the individuals who were laid off by the health insurance industry $100,000 per year for the rest of their lives, it would cost $47 billion dollars per year. That would amount to less than 5% of the one trillion dollar savings per year that would have resulted from instituting a universal health care system. Bear in mind that most of these people would get retrained and obtain other jobs. However, if they chose to remain unemployed they would have a comfortable life. And our country would save a minimum of $950 billion per year. This is equivalent to one third of our national budget.

In summary, the non-profit, single payer, people-funded, people-managed insurance agency proposed in the book, Universal Health Care System for the United States of America, saves our economy and keeps 1.7 million jobs in the U.S. and results in savings of at least $1.3 trillion per year for our manufacturing and other businesses. This is how we can have an even playing field for our industrial base and provide good jobs for our hard-working work force. At the same time we will have healthier people who are free from anxiety regarding their health care.

The non-profit element is essential to this proposal. It will keep the conflict of interest between making money for the providers and the health of the patients out of the system. This conflict of interest is a major contributor to the present high cost and suboptimal quality of the current health care system in our country. In addition, the universal health care system suggested will once again restore integrity to the delivery of health care and medical research and education in our country.

This privately run insurance agency is not "socialized medicine" and it avoids the inefficiencies of government bureaucracy.

Now let me ask my readers, does such a non-profit single payer universal health care system make sense to you? If it does, what is holding us back? Let's get moving on it. We should give our leaders the support they need to get it done. We should also clearly tell our business leaders about its benefits. Please read my book at uhc.helpeachother.com -- it's free -- and make your views known. In the next article I will respond to your comments and write on the issue of incentives for doctors and other health care providers to do a good job for the people and be rewarded accordingly. I will also address how the profit motive in medicine has increased the cost and decreased the quality of our health care.

In the first article of this series, I wrote that a universal health care system "can save more in one year than what we spent on the Iraq and Afghanistan wars since 9/11, i.e. a trillion dollars." I ...
In the first article of this series, I wrote that a universal health care system "can save more in one year than what we spent on the Iraq and Afghanistan wars since 9/11, i.e. a trillion dollars." I ...
 
 
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12:24 PM on 05/12/2009
Plain and simple folks. Care first, THEN cost. How hard is that to wrap your mind around? UHC won't do a bit of good if we're bringing more people into the system and lowering costs if the current levels of care are not improved, and we are still forcing people to suffer or die needlessly with wholly preventable issues that could have been taken care of with improvements in real care. And i am sick and tired of people telling me that the deaths avoided by access to care are somehow better more valuable and more morally superior than the wholly avoidable deaths caused by substandard care we are receving once we all get access.

Address that first, THEN let's talk about how to get more people into the system
05:36 PM on 05/11/2009
Good article, Doctor.
Where I live we have universal healthcare AND I DECLARE THAT WHAT DR.MOHIT SAYS IS TRUE.
08:58 AM on 05/12/2009
Of course I do not know about the numbers, as they relate to the US or anyother country. But at least I can say that people are happy with the universal health system.
05:24 PM on 05/11/2009
The last thing health care reform need is people who have an ideology about it and will serve up a barrage of poor arguments lacking any founding in reality. With "friends" like these health care reform does not need any more enemies. It's already sunk.
03:47 PM on 05/11/2009
in all the various articles that are out on various healthcare reforms, I find that a lack of compatibility between these various proposals is always suggested.

Creation of a universal healthcare system does not necessarily mean the end of private insurance. They could function in a complimentary manner or even compete.

The suggestion that creating a non-profit insurance company to serve the basic needs of the population and help business would put insurance companies is non-sense. It might force insurers who want to compete with this to change the way they do business and be less profitable but that's capitalism
05:12 PM on 05/11/2009
Yes, that is so. In the countries with universal healthcare, both private and public systems are compatible and coexist together. You have a public healthcare for everyone, and then if in addition to that you want to have private insurance, its up to you.
Private insurance is very competetively priced, because they have to compete with a reasonably good public sector.
There is no reason to have a lack of compatibility between public and private systems.

In the case of the US, the private insurance sector would shrink considerably and specialise in certain things.
02:59 PM on 05/11/2009
Think about what it would mean for those of us who want to start our own businesses, have the money and business plans all thought out, but can't get around the obstacle of providing health care benefits for ourselves or our employees.

Universal health care benefits would not squash the entrepreneurial spirit, it would enliven it!
05:03 PM on 05/11/2009
Yes, and universal retirement would also improve the entrepreneurial spirit.
If you feel you have your back covered, you are more likely to take risks.

I live in a country with universal health care and retirement, and when I look at the U.S. , I think that the fantastic creativity, optimism and energy of the States is greatly hindered by for-profit everything.

There could be a Renaissance of the US if some things such as universal healthcare and retirement existed.
02:25 PM on 05/11/2009
I think congress will just add a new 20% payrol tax to cover this so called health care system and then use the revenue to lower the deficit numbers to help them get re-elected. . Nothing to see here... Move along....
02:18 PM on 05/13/2009
I would agree with you, but healthcare is so expensive and such a large part of the deficit, it is impossible to cover it with taxation-no matter how high. Of course they could maniuplate the statistics for a couple of years, but they will be losing their credit rating soon. They can't fool their lenders.
01:46 PM on 05/11/2009
"That's $1.13 trillion dollars that American companies are spending on health care each and every year."

If that number of $1.13 trillion is correct, then the hypothetical value of the sum total of companies amounts to a multiple of that, say 10 times. The value enhancement of corporate and private enterprise gets a $10 trillion "lift" helping out everyone's 401(k) plans etc etc. Or the enterprises pay an increased tax rate that would be alleviated by their no longer paying for Americ's health care (which is a $1.13 trillion annual bump to their bottom lines)
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01:20 PM on 05/11/2009
I absolutely agree, but corporate money drives re-election campaigns. These craven congresspeople will vote for the insurance companies, not for the people that elected them, and tell the electorate that they're saving us from "socialism".
12:42 PM on 05/11/2009
Let's not forget the boon in the funeral parlor, casket and coffin makers, embalming chemical and make-up sectors that will see an increase in job creation and economy stimulation because tens of millions of new customers will be added to the system, and everyone is paying a fraction of the costs, but not a single word was paid toward the needs of those who are already covered and are still suffering and dying because of the poor quality of care we receive? Does it really matter if you're dying from lack of care due to the high cost, or if you're dying from the poor quality of care you're receiving? Maybe it's just me, but wholy avoidable death is wholy avoidable death, and if only one form of avoidable death is being managed, then more people will die from other forms of avoidable death that were overlooked or ignored or seen as lesser priorities
02:56 PM on 05/11/2009
Ah yes, the old "but the quality of health care will decline if we provide universal health care benefits to all citiziens" argument.

It's nonsense. Universal health care benefits results in better life expectancy, lowers infant mortality, and will increase access to medically necessary care, even for those that currently have private health insurance. Don't forget that for-profit insurers make their profits by collecting premiums from the healthy, charging ultra high premiums for fully comprehensive coverage, denying or overchargint coverage to higher-risk groups, and DENYING claims as much as they can. It's IMMORAL. Just because it's the way we've always done doesn't mean that it's right.

Don't believe me? Look at statistics from Organization for Economic Cooperation and Development site at http://www.oecd.org/home/0,2987,en_2649_201185_1_1_1_1_1,00.html. Take a look at the US health care stats for per capita expenditures, infant mortality, and life expectancy. Then look at France's numbers. Then Sweden's. Then Great Britain's. Then Japan's.

Get back to us when you've bothered to read a little bit more about this, OK?
11:21 PM on 05/11/2009
Even if current care remains the same and doesn't go down, you are still going to have the same number, or possibly more people suffering or dying, only for a different reason. If current care ie medicine and technology, procedures and treatments are not performed, people like myself are still going to be given heart medication that causes kidney or liver damage (which in turn will damage the heart further because the systems are connected). If current care is not improved, there will still be people given anti-depressants who end up committing suicide because one of the side effects of some antidepressants is suicidal thoughts. Even if current care remains the same, there will be millions of elderly placed in hospitals and nursing homes that are underfunded and understaffed or the nurses are unqualified, but hired anyway to cushion the effects of having so many patients (what is the point of having an RN, an LPN and a Nurse's aide, not to mention a GP, a specialist, and God only knows how many interns, residents and med students for an overnight stay. I lived that myself during a recent hospitalization in November). UHC may not decrease the quality of care, but frankly, considering the quality of care some of us are getting, I don't think it will matter one iota how much we pay, because the same number of people will suffer or die, only for a different reason.
08:56 AM on 05/12/2009
I dont understand any of your posts. What do you propose that we do ? What is your point ?
Please explain
09:24 AM on 05/12/2009
Me? I propose that we look at reforming the FDA and BigPharma and do our best to improve the quality of medication and treatments and procedures that people are given, BEFORE we discuss how much it costs, or who is going to pay for it. I am horrified at the prospect of having 47+ million people added to the current levels of health care we receive, when myself and millions of people like me are already receiving what I would consider poor substandard care that can be directly traced to the medication, technology and procedures we have received. I am tired of hearing stories of people like myself who have taken anti-depressants only to end up attempting suicide ON the medication. I am tired of horror stories of people taking cholesterol medication, only to end up with hardening of the liver. I am tired of stories of people taking heart medication ending up with kidney failure, which in turn damages the heart. I am tired of stories of people like my grandmother who fall and break their neck as a direct result of blood pressure medicine that makes them dizzy and disoriented, leading to instability that makes them fall and hurt themself. When THESE issues in medication are taken care of, THEN I'll start talking about how much I want to pay
12:39 PM on 05/11/2009
If you would like to help pressure Congress to pass single payer health care please join our voting bloc at:
http://www.votingbloc.org/Health_Bloc.php
12:39 PM on 05/11/2009
It's almost amusing to watch the current kabuki theater as Congress and the Obama team put on a big show of creating a "new health care system." Of course, it's impossible for those folks to create a really new system because most U.S. politicians are owned body and soul by the health care industry. But they have to "do something" because the public demands it. The upshot, I suspect, will be a half-assed system in which the federal government will subsidize exorbitant insurance premiums while making a few token efforts at modernizing the current inefficient system. Sound cynical? Well, two years ago I predicted here that even if the Democrats prevailed in the 2008 election, the Iraq war would continue virtually unchecked and the Afghanistan war would be expanded and last indefinitely. I rest my case.