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Robert Creamer

Robert Creamer

Posted: September 23, 2009 10:55 AM

Don't Americans Deserve a Health Care System as Good as the One In France?

What's Your Reaction?

A few years ago there was a great uproar from the Right Wing against France because its government opposed the War in Iraq. The Republican Congress went so far as to rename the "French Fries" in the Congressional cafeteria "freedom fries."

Of course, the Republican response was stupid and parochial - and not many years after, most Americans had come to agree with the French that the War in Iraq was a huge mistake.

I think of myself as an internationalist, but my latent sense of nationalist competitiveness is indeed aroused by the fact that, per capita, France spends less than half of what we do on health care and yet the World Health Organization ranks their health care outcomes as number one in the world, and we are only 37th.

We spend $7,290 per person and end up in 37th place. They spend only $3,601 and they are number one. That's just not right.

On the average, Frenchmen live almost three years longer than the average American. That's infuriating.

What's more, every legal resident of France is covered by health insurance, and in the U.S. 46 million people are uninsured. When someone in France goes to the hospital, everything except a small co-payment is covered - it's that simple.

The government doesn't deliver health care in France. Private doctors and hospitals do most of that. It just provides health insurance for everyone.

If you walk into one store and a suit you like costs $600 - and next door the very same suit is $300 - most people would call you a chump for spending $600. In this case the French are paying $300 and getting a better suit. What are we, idiots?

I, for one, refuse to believe that we are not as smart as the French. I can't believe that we willingly allow ourselves to continue to be fleeced by the private insurance executives who make millions off our current broken health care system.

In their private moments, those executives must not believe their luck. They are laughing all the way to the bank - laughing at us that we could be such suckers - and doing everything they can to keep things just the way they are.

Just today, they and their Republican defenders in Congress will try to prevent the Senate Finance Committee from ending the current practice (put in place by Bush and the Republicans) of subsidizing private insurance firms 14% to provide Medicare Advantage members the same benefits as Medicare. Do they think we are complete fools?

President Obama's health insurance reform plan finally offers us a chance to end the national embarrassment of being the world's biggest health care chumps. We can finally begin the process of ending the stranglehold of private insurance companies over our health care system with strong regulation, and by offering Americans a choice of keeping their private insurance or joining a strong public health insurance plan.

Of course the private health insurance companies hate the thought of a public health insurance option because it would force them to compete, cut profit margins, cut executive salaries, and control costs - just what America needs. And most Americans understand that. In a poll conducted just a week ago, 62% said they would be more likely to support President Obama's health insurance reform proposal if they had a choice of a public option. Only 28% said they would be less likely.

The only reason we wouldn't get a public option is if the insurance companies and their allies are allowed to hold our health care hostage by threatening to stop any form of health insurance reform if Congress limits their unfettered ability to fleece us through the current system. It is up to us to make sure that doesn't happen.

Call your Senators today. Tell them that - as Americans-- we're done with being the world's biggest health care chumps.

Robert Creamer is a long-time political organizer and strategist, and author of the recent book: Stand Up Straight: How Progressives Can Win, available on amazon.com.

 
 
A few years ago there was a great uproar from the Right Wing against France because its government opposed the War in Iraq. The Republican Congress went so far as to rename the "French Fries" in...
A few years ago there was a great uproar from the Right Wing against France because its government opposed the War in Iraq. The Republican Congress went so far as to rename the "French Fries" in...
 
 
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11:25 AM on 09/30/2009
Most French people are healthier overall because they walk alot, but they also smoke like chimneys. It's probably a wash.

There is no reason we cannot adopt a similar plan. Right wing stubborness is a real disease in this country.
10:39 AM on 09/30/2009
It's going to be a tough road to hoe but Americans have to vote out all major party members and
bring in independents. No matter what the MSM says ignore them and vote for someone other
that Democrats or Republicans. When we have a majority, strike while the iron is hot and bring
in term limits for congress, no more career politicians. Also end paid lobbying. These 2 steps will
end the corruption in congress and enable meaningful change.
09:04 PM on 09/27/2009
As long as we have politicians taking money for votes we will never see any Health Care bill or anything else that benefits the average person in this country.
Somewhere along the line our elected offiials sold out our country to the highest bidder and we are paying the price for their greed.
Get rid of the whole lot of them who are on the payola and keep only those who really want to do what is right for this country and its citizens.
07:02 PM on 09/25/2009
One factor that affects the cost of health care is the rate of disease which is influenced by diet. The diet in France is very different from the average American diet. They eat less refined foods and drink a lot of wine and resveratrol is good for the heart.

However, I heard in the media that France's food supply is becoming increasingly controlled by large grocery stores rather than artesians and it will be interesting to see how the mass production of the food supply affects health. Europe in general is against GMO crops and the use of hormones to increase milk and egg production so they might not have the same problems Americans do. We have seen an increase in cancer and heart disease rates in studies of hormone use in menopausal women. One has to wonder if the use of hormones to manipulate food production also affects disease development and this may be influencing the rate of disease and cost of health care in the U.S.
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nrborod
07:47 PM on 09/25/2009
Dear Poo,
Yes I agree completely. The definitions of healthcare reform need to go way beyond health care administration changes. The government needs to step up and promote personal lifestyel reform as well as costs are only going to rise as health degenerates due to decrepit living. The CDC recently stated that the costs related to obesity exceed 142 billion per year!! Is anyone listening to that, I wonder?
There's plenty of research ou there to show that diet, for example, can make a real difference. But we like our bagels and cream cheese so much....not to mention out TRIPLE WHOPPERS and fries... and buckets of Haagen......
Wasn't it Ronald Reagan who declared ketchup to be a vegetable? At least he could have included lettuce, for G_D sakes!!
What ever will happen to us as a nation if people woke up....?
People have these infantile fanatsies that expect MOM/DAD doctor to fix them no matter what--as long as we pay our premiums. Then we can just continue along trashing ourselves.
No wonder things are so screwed up--AND the INSURANCE COMPANIES realize all this. They're not stupid. But they can make $$ off our stupidity.
Where does personal responsibility begin?
Of course, this is only a part of the pic, but it is an IMPORTANT part.
Wherher France is the best comparison---I wouldn't say, but there's much more that we can do anyway.
10:24 AM on 09/26/2009
Better eating in America (I lived there 10 years) is not just about the nature of the food it is about changing lifestyles some so that taking time to cook and sit down to a meal is valued as a legitimate time-taking activity.
Of course, government (through the FDA?) has a major role to play in outlawing some of the stuff that is put into processed food and running health campaigns inciting people to eat fruit and vegetables. There is also the issue of TV ads for processed food during TV programs aimed at kids. School lunches are an issue, as well as vending machines in schools. The French goverment has recently banned vending machines offering anything but plain yoghurt and apples (well, that is the gist of it) in schools, but it balked short of outlawing processed food ads during kids' programs.... because the current government is awfully close to private networks.
12:27 PM on 09/25/2009
Single Payer would be better then the Public Option. A majority of Americans voted in November for the President and his mandate of Universal health care. We put in a majority of Democrats to help get the job done. So what is the problem? Blue dogs,the Center of Responsive Politics web site has a list of how much each of the blue dogs and republicans have received from pharma and insurance companies. So remind your elected officials ,who they are working for. According to the September 3, issue of Rolling Stone,"Sick and Wrong", Single Payer would save $350 billion dollars. Public Citizen's estimates are higher. There is 1300 private insurers, forcing doctors to fill out different forms and different reimbursement procedures for each and everyone. This drowns medical facilities in idotic paper work and jacks up prices. Nearly one third of all health care costs are associated with wasteful administration. Fully $350 billion dollars could be saved on paper work alone if the U.S. went to Single Payer. Public Option does not reduce the $350 bilion on paper work. Dennis Kucinich co-authored legislation with Congressman John Conyers. The bill H R 676,would expand Medicare to all".AMERICA IS THE GREATEST COUNTRY IN THE WORLD AND THE ONLY INDUSTRIALIZED NATION WITHOUT HEALTH CARE FOR ALL ITS CITIZENS".
07:12 PM on 09/25/2009
Group insurance is primarily a financial product -- more akin to a reverse mortgage -- sold to help defray the cost of health care. It is not a guarantee of medical treatment and there are coverage limitations as there are with any financial product be it a mortgage, stock or bond. This product just happens to underwrite your body so it is more personal.

People have been mislead about the product they are purchasing when they buy it and the fine print or details have not been explained.

Unless you sign up with a large company where you do not fill out a questionnaire you are not put through the same underwriting standards as those who are in a small group which is unfortunate. Company A can buy a product with the same brand name as company B purchases but the bundle of health services offered may be different.
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11:27 AM on 09/30/2009
Good information. Thanks.
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William1950
everything I say could be wrong.
11:39 PM on 09/24/2009
okay.. point taken, France is about as big as Michigan... we are a republic, more like europe as a whole... so yeah, we have more problems, we have more infrastructure to change and more regulations... etc ect ad nauseum..
We, America.. the United States, need non profit single payer health care for everyone. let there be supplemental policies sold by joe blow insurance company.. this non-profit would of course be paid for by a tax.. but, your employer if you are lucky enough to still have one, would not furnish your health care insurance.. or partially furnish your insurance... that cost would be gone.. you would be able to see any doctor you wanted that would see you.. if you need treatment your doctor would provide it.. they would then send the bill to the agency in charge of payments and they would be paid..
yes yes yes... all the points about education and preventative care and obesity and poor health choices by individuals are taken too... yeah, we are not perfect people
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HUFFPOST SUPER USER
William1950
everything I say could be wrong.
11:42 PM on 09/24/2009
But I think that some of us are forgeting that we are all Americans... We comprise many diverse cultures and mindsets and life styles and belief systems.. that is our great country... We did not get that way by abandoning our principles.. by abandoning our brothers and sisters.. our fellow Americans. some on the right, and some on the left are forgetting this. ... We citizens of America are being taken for a ride by corporate interests on every front... we are being used and abused and left to fend off the wolf at the door so that some few can enrich themselves at our expense and we are letting it happen... by fighting among ourselves. It is not a left / right issue... it is purely about money.. who has it and who will get more ... until we stand as one country, together - right wing republicans and left wing democrats, treehuggers and redneck loggers .. bikers and bankers.. all together, we will continue to lose.
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tribalogical
FANTASYLAND is over there, on the right.
03:39 PM on 09/26/2009
It wouldn't even be a "tax". It's more like a continuing "premium payment", except that you'd be paying LESS into a universal, single-payer system instead of a for-profit "policy". And you would enjoy permanent, irrevocable, fully paid for, *total coverage* 24/7 health care.

Imagine being born, and you're covered. Your entire life, you never have to question or worry what will happen if you get sick (beyond getting treated and returned to health). Permanent, comprehensive, on-demand health care...

This new argument, that "Americans are less healthy, so a universal system would cost more, or just be untenable" is, I believe, a new spin from the anti-reform folks... namely, the insurance industry.

The fact is that 45,000 fewer people would die each year due to lack of access to basic health care. Millions wouldn't go bankrupt due to medical costs. Everyone(!!) would have free access to any doctor and any health care they need, AND...... it would collectively and individually cost us less money.

What's not to like in this scenario??

Call your Representative and Senators, and demand they support HR 676. Also tell them to do it NOW, not 15 years from now.

We can't wait anymore!!!! We're dying out here!!!
04:42 PM on 09/24/2009
Isn't it strange when progressives (or liberals or whatever name we are given by the right these days) try to work to improve this country their favorite comeback is if you don't like the US move. I wonder if these same folks had a roof leak they would just move instead of fixing it. Something to think about.
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LeftRight
TANSTAAFL
12:00 AM on 09/27/2009
Wow..... Says a conservative, who has apparently forgotten the last 16 years, when the Conservatives were all about saying things like "America, Love it or Leave it!"

I served my country in the GWOT, and yet I was being told that REGULARLY by people who had never CONSIDERED serving their country, but who happened to like Bush!
04:10 PM on 09/24/2009
Lousy French, living longer than us on their crazy commie health care system. (um... how does one go about getting a visa to live in France?)
01:51 PM on 09/24/2009
George Carlin said ... "Just think of how stupid the average person is, and then realize half of them are even stupider!" This system has failed. The other countries seem to be doing it better. We don't even have to experiment. They have already done that. All we should do is study their different plans and adapt what works while disregarding what has failed. Whats wrong with that?
02:16 PM on 09/24/2009
George Carlin also said we had no rights in this country, only priviledges.

And apparently Health Care for all is a priviledge and not a right in this country.
01:37 PM on 09/24/2009
All Americans deserve the care they provide for their senators.
11:53 AM on 09/24/2009
The healthcare industries large companies are apparently HYPOCRITES now.

ANY business worth its salt uses what’s called “BEST PRACTICES” to be as efficient as possible (Where they “borrow” ideas that are working from others in their industry, for their own companies)

Clearly, the French seem to have a “best practice”, in their healthcare system.

WHO CARES who came up with the idea????????

And....

Since when is America content to be so far BEHIND others??????
11:33 AM on 09/24/2009
“What are we, idiots? “
Rhetorical question, I assume.
10:59 AM on 09/24/2009
Sadly, in the United States, it's not about cause, effect, or results--it's just about money changing hands--and sticking to a few. This is why there's a 20-35% "administrative overhead" in commercial health insurance, the "death panels" do exist in the form of "utilization review" (makes the Final Solution look like the work of amateurs--and it makes a profit!), and there's enough money to grease the hands of anyone who threatens to get in the way.

With a system like this, why make classic prostitution illegal?
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HUFFPOST SUPER USER
mhazard
Hillary/?2016
10:32 AM on 09/24/2009
Everyone needs to watch the documentary "Sicko". It is very enlightening.

England established their healthcare system in 1948, three years after the war ended. They were a mere shell of a country because they had been bombed almost out of existence. Yet, they knew the value of seeing that their populace had decent health care. Where did they get the money to do this?
I don't know. Does it matter?
Where did we get the financing for the Iraq War? Who knows? We can find financing for death and destruction but none for health care reform. Sad!!
09:57 AM on 09/24/2009
The simple answer to the question asked in this column is, of course, "yes." The presumption, however, that achieving #1 status has anything to do with how many Americans are insured or uninsured, whether there's a public option or anything else that is currently the focus of our health insurance reform debate, is just wrong. America will never be #1, irrespective of how we organize or pay for health care, unless and until we direct our focus to health. Our nation is an engined for producing chronic disease; the resultant demand for services is insatiable and the care system is inadequately equipped to keep pace. And that's before the Baby Boomer generation hits their peak utilization years and before we add 45 million uninsured to the system. We will make no progress against this issue, let alone against this goal, until we deprive our chronic disease machine of fuel.