Report on Heath Care

Here is an international report on health care delivery by the Commonwealth Fund. It has some interesting facts. For Canadians, it should be alarming that our ranking from 4th best has slipped to 6th best under the right wing Conservative party:

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And here is the summary breakdown of the evaluation of health care systems. The US is by far the most expensive and delivers really substandard results. Americans should be ashamed:

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Bottom line: Canada delivers roughly the same low quality health care but with better access and longivity results and at half the cost that Americans pay.

Meanwhile, here is a peek at health care politics in America. The lunatics run the asylum. This is from a post by Paul Krugman in his NY Times blog:

What’s In A Name?

A lot, or at least that’s what Republicans think. Greg Sargent reports that they’re demanding that a TV station stop running ads saying that the GOP wants to end Medicare; the claim is that this is a lie, because the new program the GOP wants to impose in place of Medicare is still Medicare.

As Greg says, this is important — because if they can get away with this, it will amount to a serious infringement of free speech, preventing people from running truthful ads.

Because the fact is that Republicans are trying to end Medicare. The program we now call Medicare is one in which the government acts as your insurer, paying your major medical bills; coverage is guaranteed to all seniors. The program Republicans want gives you vouchers and tells you to go buy your own insurance, if you can. That’s not at all the same thing.

Oh, they’re also trying to stop anyone from calling it a voucher plan — but that’s what it is.

What about the claim that the Ryan plan actually does guarantee coverage, because it says that insurers can’t turn you down? That’s based on word games. What the plan says is that you can’t be turned down because of medical history — it imposes community rating. But it says nothing about requiring that insurers sell coverage at a price you can afford. And the Congressional Budget Office analysis of the Ryan plan makes it clear that it would put insurance coverage beyond the financial reach of many seniors.

So you can call the new thing Medicare; you could also call an onion a rose. But a non-rose by the same name does not smell as sweet.