// October 5th, 2006 // No Comments » // Business & Politics, Life
David Leonhardt has an article in the New York Times (“free” registration required) about the relative cost of health care versus the benefit we get from it.
He argues that while the average cost of a family insurance plan that Americans get through their jobs has doubled in the last 7 years (which he concedes is unsustainable), and that the industry clearly suffers from both greed and waste, in the end modern
medicine is truly an expensive venture that ultimately results in big dividends for it’s beneficiaries (eg., those among us who can afford it or are otherwise insured).
However, the article goes on to point out that the number of Americans without any medical insurance has risen by 23% since 1987 as more corporations decide they can no longer shoulder the cost of subsidizing medical insurance for their employees — in effect reducing healthcare costs by reducing the real healthcare benefits to fewer and fewer people.
The longer term public health consequence is a widening division between those who can afford expensive healthcare and those who can’t. The current trend points towards life spans extended for only the wealthy, and sometimes at the expense of the poor.
History’s lesson tells us this is nothing new — wealth buys privilege, one of which is a longer life. The question is what responsibility do our public institutions bear in ensuring equal access for all. Is high-quality, affordable healthcare a civil right? It hasn’t been defined in those terms so far, and probably never will.
Fairness has rarely been a standard applied to private enterprise. Socialized medicine rings of something inefficient and even communist. The wealthy prefer things the way they are since they can afford the best healthcare at almost any cost. The poor will need subsidies no matter how low insurance costs get. As in so many cases, it’s the middle class that gets the squeeze…again.
Only after you’ve been faced with a friend or relative forced to suffer through a medical setback, sometimes for years on end, because they were denied all-but-emergency care for lack of insurance, can you feel the weight of the inequity of our system.
Medical outcomes are tied directly to an individuals ability to pay for good healthcare. We can pretend it doesn’t happen but it does. I’ve been around enough sick people and hospitals to have seen it first hand. Emergency care is (theoretically) available to everyone in the U.S., regardless of station in life, just enough care to keep you alive. The effects are more long term. The regular preventative checkups and health education many of us take for granted aren’t available to a lot of people, which in the end contribute to a shortened life span that could have been extended by ensuring everyone has access to quality medical care.
Much like the wars we fight, where the poorest among us most often find themselves on the front lines, the present healthcare system in the U.S., for all it’s triumphs, reflects a society — and ultimately a government — that seems to value the lives of it’s people only in proportion to their personal wealth. In so doing, it seems that with all our technological prowess, we’ve advanced little in terms of elevating our ethical standards to giving those with the least among us the care we all deserve.