The Big Lie – Part 2

Some Health Care Facts (without screaming)

We are all too familiar with the shrill criticisms of a government option for health care. It will cost too much. It will increase the federal deficit. Health care will be rationed. We have the best health care system in the world, based upon free market competition. A government option will mean unfair competition in the marketplace. SOCIALISM. And on and on. The problem is that this is yet another example of the big lie told often enough and loud enough becoming fact.

Let’s start with a brief discussion of the facts, something that does not enter into the discourse of those opposed to expanding health care. Currently the US spends a greater share of its GDP (Gross Domestic Product – the value of all goods and services produced on a country) than any other industrialized country that currently has universal health care. According to the Centers for Disease Control the Untied States spent 15.3% of GDP on health care in 2006, this number increased by 6.1% in 2007 to 16.2%, or $2.2 trillion. In spite of devoting more of our economy to health care, the US lags behind every other western industrialized nation in health indicators. It is estimated that currently in the US there are 47 million people without health care coverage, and approximately 18,000 people die each year in the US from preventable causes due to lack of health care coverage. Other countries devote significantly less of their economic resources and have better health care results. For example, in 2006 France devoted 11% of GDP while the UK devoted only 8.4% while providing coverage to all of its residents.

But what is the impact of these differences in the availability and cost of health care? A recent report released by the World Health Organization, World Health Statistics 2009, demonstrates the difference between what we get for the amount spent compared to countries with universal health care. Some of the statistics highlighted in this report are:
Infant mortality – the US has an infant (birth to five years old) mortality rate of 8 per 1,000 live births. This number is higher than every European country with universal health care. The US is behind both Canada and Cuba, two neighbors whom we love to criticize for their systems.
Maternal mortality – the rate of women dying in childbirth is 11 per 100,000 live births in the US, higher than all of western Europe, and once again we rate worse than Canada.
Teen pregnancy – the US has an average rate of 41 pregnancies per 1000 adolescent girls between the ages of 15 and 19, while the average for all European countries is 24 per 1,000.
HIV infection – compared to the rest f he developed world, the US has an astounding rate of HIV infection among adult In the US, 452 people out of every 100,000 people fifteen years old or older are infected with HIV. That is more than three times the rate of the United Kingdom, almost twice the rate in Canada, and almost seven times the rate of infection in Cuba. The average for all the countries in the Americas is 448, lower than the rate for the US, the wealthiest and most developed country in the Americas.

So there you have it, the US is the country that spends the largest share of its economic activity on health care, as compared to all other developed nations,. In spite of our spending level, the US ranks 31st in life expectancy, 37th in infant mortality and 34th in maternal mortality! This all based on a free market health insurance industry. How could the introduction of a government option make these numbers worse, when the US is lower in most health care indicators than every country that has universal or national health care?

Oh, and I almost forgot the most spurious argument of all, but perhaps the one that is shouted the loudest, now that the “death panels” have been killed: “a government option will introduce unfair competition into the health insurance market.” These are the same people who have been shouting for years that private industry is more efficient than the government, and that government programs are wasteful and costly. If this is the case, then reason would dictate that the private companies can only benefit from a government run plan, because the government’s inefficiencies would make private companies look better. However, if in their hearts, they really believed that a government run plan would be costly and inefficient, there would be nothing to be afraid of.

How can you tell which party in an argument knows their wrong, they are the one that starts shouting and name calling first. This holds true for policy debates as well.

Unfortunately facts discussed reasonable do not make as interesting news stories as exaggerations and distortions shouted loudly.