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- Newsgroups: misc.activism.progressive
- Path: sparky!uunet!gumby!wupost!mont!pencil.cs.missouri.edu!daemon
- From: harelb@math.cornell.edu (misc.activism.progressive co-moderator)
- Subject: Health Care: NPR Propaganda repeats Washington Party Line
- Message-ID: <1992Sep1.191837.8042@mont.cs.missouri.edu>
- Followup-To: alt.activism.d
- Originator: daemon@pencil.cs.missouri.edu
- Sender: news@mont.cs.missouri.edu
- Nntp-Posting-Host: pencil.cs.missouri.edu
- Organization: misc.activism.progressive on UseNet ; ACTIV-L@UMCVMB
- Date: Tue, 1 Sep 1992 19:18:37 GMT
- Approved: map@pencil.cs.missouri.edu
- Lines: 178
-
-
- "It is quite striking to hear you describe the $65 billion _cost_
- of Bush's plan -- which he wants to pay for by slashing MediCare
- and MediCaid -- without any mention of the net _SAVING_ a National
- Health care system would entail -- savings in the many billions of
- dollars ... [noting] that voters had insisted on lower costs in
- one election, and on [more] health care in another, your
- interviewer practically snickered as she asked your guest whether
- these silly voters "just aren't putting two and two together?"
-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- Topic 25 -> HEALTH CARE <- Response 1 of 2
- harelb
- Info resources on econ justice issues 7:33 pm Aug 19, 1992
- From: harelb@math.cornell.edu (Harel Barzilai)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
-
- =====================================================
- I n t r o d u c t i o n : L e t t e r t o N P R
-
- (Or: Reality versus Media Coverage)
- =====================================================
-
- [The sources used in this letter will be reproduced, in full, later in
- this series (i.e., as later responses) --Harel]
-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- Date: Thu, 6 Feb 92 22:29:45 PST
- From: Harel Barzilai <harelb@igc.org>
- To: fax:14155532241
- Cc: harelb@math.cornell.edu
- Subject: Health Care Coverage
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
-
- "All Things Considered"
- National Public Radio
- 2025 M Street, NW
- Washington, DC 20036
- 202/822-2000
-
- Dear NPR,
-
- I was frankly astonished to find that in your coverage of Bush's plan
- on health care, as well as of alternative plans and strategies [All
- Things Considered, Thurs., Feb. 6th], you completely neglected
- coverage of a proposed National Health Care plan.
-
- This, despite the fact that several Democratic candidates for the
- presidency are in favor of such a plan [including Larry Agran, who was
- recently excluded from the MacNeil/Lehrer debate on TV, amazingly,
- despite polls showing him ahead of Jerry Brown and catching up with
- Tom Harkin, and whom I would very much like to see (or rather, hear)
- interviewed on All Things Considered]
-
- It is quite striking to hear you describe the $65 billion _cost_ of
- Bush's plan -- which he wants to pay for by slashing MediCare and
- MediCaid -- without any mention of the net _saving_ a National Health
- care system would entail -- savings in the many billions of dollars
- from lower administrative costs _alone_, according to the GAO [1]
-
- For example, in 1987 alone almost $90 billion could have been saved
- (enough to expand access to care to all Americans) if the U.S. was as
- administratively efficient as Canada. [2]
-
- In 1990, the United States spent $640 billion on health
- care. With a Canadian-style system, at Canadian rates, we could cover
- everyone for $365 billion. [3]
-
- *** *** ***
-
- The lack of realization of all of this potential is all the more
- depressing in light of the general silence in the media about these
- crucial, central facts surrounding the Health Care debates.
-
- For example, earlier this winter when All Things Considered talked
- with a commentator about elections in different states and noted
- that voters had insisted on lower costs in one such election, and on
- health care in another, your interviewer practically snickered as she
- asked your guest whether these silly voters "just aren't putting two
- and two together?"
-
- It is hard to avoid the conclusion that NPR was either tragically
- misinformed on this issue, or worse, deliberately suppressed the
- crucial facts (and continues to do so) -- namely that better health
- care is not only _compatible_ with but goes _hand in hand_ with lower
- cost if a single-payer Canadian-style system is adopted in America.
-
- Don't get me wrong. I'm not just saying that a National Health
- Insurance (NHI) plan should have been mentioned in your Feb. 6th
- coverage; by any fair and rational standards, such coverage belongs in
- practically every piece you do on the health care debates, rising
- health care costs, or on the millions of uninsured Americans; not
- merely because of the statistics alluded to and the key facts they
- represent, but more basically because of the world we live in -- in
- which the United States stands alone as the only Western industrial
- country without such a national health plan.
-
- Sincerely,
-
- Harel Barzilai
-
- Department of Mathematics // Cornell University // Ithaca NY 14853
- 216 Fall Creek Dr. // Ithaca, NY 14850
- Email: harelb@math.cornell.edu
-
- ##################################################################
- ##################################################################
-
- [1] The General Accounting Office [GAO] stated in a 1991 report that
- "If the universal coverage and single-payer features of the Canadian
- system were applied in the United States, the savings IN
- ADMINISTRATIVE COSTS ALONE would be MORE THAN ENOUGH to finance
- insurance coverage for the millions of Americans who are currently
- uninsured. There would be ENOUGH LEFT OVER to permit a reduction, or
- possibly even the elimination, of co-payments and deductibles" [In
- These Times, June 26-July 9, 1991. My added emphasis]
-
- The article also notes that "In 1970 both Canada and the U.S. spent
- about 7.4 percent of their gross national products on health care. By
- 1989, The U.S. spent 11.6 of its national income on health and Canada
- only 8.9 percent. Yet in Canada more health care service was delivered
- per person than in the U.S., according to a recent report by the U.S.
- General Accounting Office"
-
- [2] _Health Letter_, February 1991 issue, of the Public Citizen
- Health Research Group. Page 8, "Should the Private Health Insurance
- Industry Be Eliminated?" which "summarized internist Dr. Thomas
- Bodenheimer's article ``Should We Abolish the Private Health Insurance
- Industry.'' Dr. Bodenheimer is a member of Physicians for a National
- Health Program, and his article appeared in _The International
- Journal of Health Services_ last year (Vol 20, No. 2, 1990)"
-
- The article includes the comparisons:
-
- ==================================================
- Billing, administration, and insurance
- overhead as percentage of total spending:
-
- U.S.: 22%
- Canada: 13.7%
- U.K. 11.1%
- ==================================================
-
- and
-
- ============================================================
- Percentage of premiums consumed by overhead:
-
- Private Insurance Companies: 12% (overhead & profits)
-
- Public payers (e.g. Medicare, Medicaid): 3%
-
- Canadian provincial insurance plans: under 1%
- ============================================================
-
- [3] Jan/Feb 1991 _In Health_ magazine, which adds that in Canada,
- according to a recent study, citizens each spent $18 a year for
- "administrative costs," while each of us spent $95 -- for a total of
- $20 billion more than we would have with Canadian-style care. Our
- doctors, hospitals, and nursing homes spend much more -- $62.1 billion
- by a 1983 estimate -- filing out insurance forms, billing patients,
- and collecting.
-
- The article notes that compared to other countries, "[The U.S. health
- care "system"] is certainly the most expensive. In 1987, we spent
- $2,050 per citizen on health care. Canada spent an average of $1,480,
- most European nations even less.
-
- "Unfortunately, spending the most hasn't made us the healthiest.
- Canada, culturally most like the United States, has an infant
- mortality rate 25 percent lower. Their rate of heart disease death is
- 20 percent lower. Their average life span -- 77.1 years -- is almost
- two years longer"
-
- Similar conclusions were reached by a Business magazine [See
- "Condition Critical" cover story, Business Today, Fall, 1990, which
- summarized in hard numbers in its charts how "America spends the
- most... but gets the least"]
-