The right embraces inefficient universal healthcare system

Disgraced former House Majority Leader Tom DeLay (R-Texas) spoke to a crowd of Britons and Americans at the Oxford Union, a 184-year-old debating society, yesterday, where he spoke on a variety of subject, most notably healthcare.

DeLay warned that a Clinton victory would result in higher taxes and bloated government. He also said she would seek to create a British-style publicly funded health care system, a prediction that was met with thunderous applause.

“By the way, there’s no one denied health care in America. There are 47 million people who don’t have health insurance, but no American is denied health care in America,” he said to derisive laughter.

Now, to suggest that Clinton’s plan in any way resembles the British system is obviously foolish, and makes clear that DeLay has no idea what he’s talking about. But the second part of his argument — “no American is denied health care in America” — is far more interesting.

TP notes several instances of Americans being denied care, but I think I know what DeLay means. His argument is less sophisticated — DeLay was arguing that if an American gets stick, he or she can go to an emergency room and get treatment, whether he or she has insurance or not. And in a sense, DeLay is right.

In fact, this argument has become increasingly common among conservatives who oppose helping American families without insurance. Unfortunately, they apparently haven’t thought through the implications of their talking points.

It comes up with surprising frequency. A few months ago, for example, the president delivered a speech in Cleveland, and talked about our healthcare system.

“The immediate goal is to make sure there are more people on private insurance plans. I mean, people have access to health care in America. After all, you just go to an emergency room.”

Three years ago, then-HHS Secretary Tommy Thompson visited Iraq to drop off $1 billion to help establish a universal healthcare system for Iraqis. Pesky congressional Dems asked why the administration opposes universal care in the U.S., while supporting a system in Iraq.

Health and Human Services Secretary Tommy Thompson said yesterday there are major differences between the two countries that defy simple comparisons.

“Even if you don’t have health insurance,” said Thompson, who toured medical facilities in the Iraqi cities of Baghdad and Tikrit on Saturday and Sunday, “you are still taken care of in America. That certainly could be defined as universal coverage.”

He didn’t specifically mention emergency rooms, but the implication was pretty obvious, and very much in line with what Bush and DeLay have said: in the United States, sick people receive care whether they have insurance or not, which necessarily makes our system “universal.”

In a sense, that’s true. If you’re sick, there are public hospitals that will treat you in an emergency room. Of course, it’s extremely expensive to treat ill patients in this way and it would be far cheaper to pay for preventative care so that people don’t have to wait for a medical emergency to go to the hospital.

Under the Bush/DeLay model, a sick person with no insurance goes to the emergency room for treatment. Does he get a bill once he’s taken care of? Probably, but it doesn’t matter because he can’t afford to pay it.

If the patient can’t pay the bill and hospital can’t treat sick patients for free, who pays the medical bill? Everyone else.

Everyone pays, everyone gets treatment. Tom DeLay and his right-wing allies support the most inefficient system of socialized medicine ever devised.

No wonder the Brits were laughing.

Tommy Thompson said: “Even if you don’t have health insurance, you are still taken care of in America. That certainly could be defined as universal coverage.”

Well, sure, I could ‘define’ lots of things as universal coverage. That’s the point of a definition. For instance, anyone who wants a blanket in America can get one. That certainly can be defined as ‘universal coverage’, too.

It warms my heart to see DeLay openly mocked in a public setting.

  • And sometimes you don’t get treated, you get sent somewhere else, or you have to wait for hours because they are so busy, and you don’t get any comprehensive treatment, and as you say, you are much sicker than you might have been if you had regular medical care.
    Not sure if these idiots just don’t know what is really going on in emergency rooms, or if they just don’t care, but I think they should all have their health insurance, especially those who are working for the government, taken away for a year, and see how they do! Didn’t John Edwards threaten the Congress with taking away their healthcare so they could find out what it is like not to have a really good program that doesn’t spend its time trying to find reasons not to pay your benefits.

  • the unspoken problem with this method of providing universal care is that people who can’t get or can’t afford health insurance cannot engage in preventative medicine, and they are forced to wait until they become “emergency room” sick before seeking treatment. this generally results in a more unhealthy population, with more frequent and more serious illnesses, who usually end up dying at an earlier age.

    but, then again, i suppose that is what these people want…….

  • I wish that someone would explain to these morons that not all unmet medical needs are treatable in emergency rooms. When we address the cost and inefficiency of emergency room care in response to their nonsense, we are taking our eyes off the ball.

    If I have an arthritic knee that prevents me from working, I can’t get a knee replacement at the local emergency room. If I have diabetes, I won’t get the insulin I need at the emergency room. If I have cancer, I can’t get surgery, chemo, or radiation treatments at the emergency room. And if I need expensive meds to prevent a medical emergency, I certainly won’t get those from the emergency room.

    The correct response to their “let them eat cake get treated at the emergency room” argument isn’t just about inefficiency. You can’t get proper medical care at all at the emergency room because… the emergency room is for emergencies, stupid!

    “It warms my heart to see DeLay openly mocked in a public setting.”

    Me too, gg.

  • I suspect they understand how ridiculous it is, the emergency room nonsense. They don’t care is the point. The system serves them, and they don’t care about anyone else, and they don’t want to change it, because it makes so much money for the rich folks, who are the people they do care about.

    Two points about our horrible health care and health insurance system that are seldom mentioned:

    1) We are still largely an employer based health insurance nation. That means we, as consumers, pay for the health insurance of covered workers through the costs added to the goods and services we buy. So the uninsured, who have no insurance of their own because they can’t afford it, or can’t qualify because of pre-existing conditions, are still paying for the insurance of everyone else. How fair is that? It’s an outrage.

    2) Many who have pre-existing conditions who could otherwise afford health insurance wind up in emergency rooms with very expensive illnesses or injuries, like heart attacks or strokes, that completely bankrupt them. That’s an outrage, that someone goes bust paying for treatment when he/she was denied the right to purchase insurance.

  • Wonder why the Shrub didn’t wait to have his polyps removed in an emergency room. Or how he even knew there was something to remove before he was shitting blood and had to have all his plumbing removed…

  • SHORT REPUBLICAN HEALTH-CARE FINANCE: we need a system that works great for healthy rich people.

    See the recent opinion piece by Ramesh Ponuru in TIME. We should abolish health care deductions for corporations, and instead have a system in which individuals cover their own regular health care costs out of their income, then have catastrophic care insurance paid for by the tax benefit.

    1. Umm….what happens under this plan to people who don’t have disposable income when they get sick? No insurance, and no cash on hand…so they do what they do now: they wait until they’re really sick and go to an ER. No savings there! Such people are no better off under Ponuru’s system (though also no worse), and remain a major drag on public health. And if their disposable income is limited enough that the choice is “catastrophic care insurance” or clothes for my kids? Or even, “catastrophic care insurance or a new flat-panel TV”, for that matter? When they get sick, what happens then? Since even the NR can’t seriously propose that we just let such people suffer on the street (I hope), they end up paid for by the taxpayer, create a major moral hazard problem, etc. Ah, but a mandate to buy catastrophic are insurance would solve this problem wouldn’t it? Yes, but is the NR really suggesting a huge required mandatory insurance system? Sounds like something a socialist like Hilary might propose, to me!

    2. Equally neglected is the supply side for this putative catastrophic care insurance. Clearly, Ponuru has never tried buying individual health insurance. Why would any sane insurance company in a free market sell individual catastrophic-care insurance to a diabetic, or a carrier of bad breast-cancer genes, a child with leukemia, or someone who’s had a heart attack already? Again, a mandate to sell such insurance at fixed premiums to all comers would work here…but, oh dear, that sounds pretty socialist, too.

    Thus: the Ponuru plan, as far as I can see, only works for people who are already healthy and wealthy (even if, like Ponuru, they don’t seem very wise). Works great for them! For everyone else, it only works if there is both a purchase mandate and a selling mandate for insurance…in which case he’s just suggesting universal government-regulated health insurance with a high deductible.

    So much for Republican ‘revolutionary thinking’!

  • Test post. It says that there are 14 comments but only seven are showing. What’s the deal?

  • Actually, people ARE denied healthcare in America.

    In Dallas, TX, if you’ve been to Parkland Hospital (the Dallas County general hospital) and if you haven’t paid your bill, then you won’t be treated except for life-threatening emergencies.

    Lose a toe? Too bad. Slice yourself up with a chainsaw? Go somewhere else.

    I know; I lived in Dallas for 6 years and I’m a 4th generation Texan – and ashamed of it.

  • Can someone tell me why in hell Delay is given a soapbox to speak anywhere, much less to represent our nation (to one degree or another) in another country? Does this mean Duke Cunningham can look forward to a lucrative speaking career once he’s out of the slammer? What does a person have to do to be treated as the pariah they are? My only consolation is that the Brits in attendance laughed at his bullshit, but still, Delay should be treated as a leper, not a celebrity.

  • Pure semantics. Anyone who wants anything can have it, but at what cost. I want that guys wallet, I can take it and then go to jail.

  • OK — I get your point, but I guess I don’t quite get it: the Democratic candidates seem to be trying to distance their plans from those of the British & Canadian plans as much as possible. Why?

    Really — what are the real difference between existing real-world national health care systems and Democratic promises? Why should I be assured that American bureaucracy will be better providing heath care than anyone else ever has?

    I’ve posted what I hope are some good tough questions about the Democratic health care plans. It would be great to get some good answers:

    http://libertydesirebelief.thechartersofdreams.com/2007/11/smarter-better-than-the-britis.html

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