{"id":3884,"date":"2009-08-31T09:15:11","date_gmt":"2009-08-31T14:15:11","guid":{"rendered":"http:\/\/2parse.com\/?p=3884"},"modified":"2009-08-31T09:15:11","modified_gmt":"2009-08-31T14:15:11","slug":"health-care-lie-493-rationing","status":"publish","type":"post","link":"https:\/\/2parse.com\/?p=3884","title":{"rendered":"Health Care Lie #493: Rationing"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone\" title=\"Botox\" src=\"https:\/\/i0.wp.com\/farm1.static.flickr.com\/100\/297014595_c5714f1dab.jpg?resize=500%2C375\" alt=\"\" width=\"500\" height=\"375\" \/><\/p>\n<p>[digg-reddit-me]Ezra Klein does a pretty good job <a href=\"http:\/\/voices.washingtonpost.com\/ezra-klein\/2009\/08\/we_ration_we_ration_we_ration.html?hpid=topnews\">taking down the rhetorical slights of hand Republicans are using<\/a> on this issue. His approach might not be the most effective politically &#8211; but it has the virtue of being honest. Rather than proclaiming there will be no rationing &#8211; he points out that we already do ration.<\/p>\n<p>We prioritize botox for the rich over cancer treatments for the poor. This is the <em>status quo<\/em> that we have that is so incredibly expensive. The debate over health care should be focusing on two questions:<\/p>\n<ol>\n<li>How much of our national wealth are we going to choose to spend on health care?<\/li>\n<li>How do we want to allocate our limited health care technology and services?<\/li>\n<\/ol>\n<p>We can agree to spend a lot of our national wealth on health care. After all, we need to spend it on something. The rate of growth is too much now &#8211; but we don&#8217;t need to reduce our levels of health care spending to that of Great Britain. (They spend <a href=\"http:\/\/voices.washingtonpost.com\/ezra-klein\/2009\/06\/bob_bennetts_peculiar_fear_of.html\">41 cents on the dollar<\/a> that we spend for better overall results as measured by life expectancy, infant mortality, as well as <a href=\"http:\/\/www.bmj.com\/cgi\/content\/full\/336\/7659\/1469\">overall patient satisfaction<\/a>.)<\/p>\n<p>Then &#8211; to the second question &#8211; how do we allocate access? Right now, we provide emergency treatment to everyone; those with the most money get any treatment they like without significant waits; the rest of us wait, but at least are treated if we have insurance coverage. There&#8217;s a reason why rich people from around the world travel to America &#8211; and it&#8217;s not just because we have great doctors. It&#8217;s because they get to cut the line and get treated ahead of those with less financial status because our system rations by money.<\/p>\n<p>For the rest of us, the health care reforms being discussed now won&#8217;t reverse this privileged position for the rich. What Obama is proposing is not anything so radical. But rather he seeks to accomplish several things, to moderately improve our current system:<\/p>\n<ul>\n<li>it will <strong>eliminate the fear that your insurance company will drop your coverage once you get sick<\/strong> &#8211; putting you on the fast road to being poor and at the bottom rung of our society and in our health care system at the same time;<\/li>\n<li>it will &#8211; through incentives, tax breaks, and mandates &#8211; <strong>ensure that everyone has a base level of coverage<\/strong><strong>; <\/strong><\/li>\n<li>for the many who already do have coverage, it will provide a sense of <strong>security<\/strong> &#8211; a peace of mind &#8211; that <strong>even if you lose your job, you will still be able to get affordable health insurance<\/strong>; and<\/li>\n<li>finally, for a small number of Americans to start, and then perhaps for a larger portion if the program is successful, it will provide <strong>a choice of health insurance plans in <\/strong><a href=\"http:\/\/2parse.com\/\/?p=3624\"><strong>a functioning and transparent market<\/strong><\/a> for individuals\u00a0which our current mish-mash of <a href=\"http:\/\/2parse.com\/\/?p=3505\">Wall Street-run health insurance companies<\/a> and hodge-podge of regulations isn&#8217;t able to provide.<\/li>\n<\/ul>\n<p>This moderate plan bears <a href=\"http:\/\/2parse.com\/\/?p=3694\">little resemblance<\/a> to the &#8220;<a href=\"http:\/\/2parse.com\/\/?p=3807\">government takeover of health care<\/a>&#8221; that critics are directing their fire at. It isn&#8217;t about &#8220;rationing.&#8221; In fact, what it seeks to do is address the rationing our system already does. In this way, the attacks on the plan are Rovian in the most diabolical sense &#8211; they take the strength of the plan, and try to turn it into a weakness.<\/p>\n<p>[Image by <a href=\"http:\/\/www.flickr.com\/photos\/evill1\/297014595\/\">Aaron Edwards<\/a> licensed under Creative Commons.]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[digg-reddit-me]Ezra Klein does a pretty good job taking down the rhetorical slights of hand Republicans are using on this issue. His approach might not be the most effective politically &#8211; but it has the virtue of being honest. Rather than proclaiming there will be no rationing &#8211; he points out that we already do ration. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[1023,4,458],"tags":[93,2230,2231],"class_list":["post-3884","post","type-post","status-publish","format-standard","hentry","category-health-care-domestic-issues","category-politics","category-the-opinionsphere","tag-ezra-klein","tag-rationing","tag-rationing-health-care"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p8qcx-10E","jetpack_likes_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/2parse.com\/index.php?rest_route=\/wp\/v2\/posts\/3884","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/2parse.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/2parse.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/2parse.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/2parse.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3884"}],"version-history":[{"count":4,"href":"https:\/\/2parse.com\/index.php?rest_route=\/wp\/v2\/posts\/3884\/revisions"}],"predecessor-version":[{"id":3903,"href":"https:\/\/2parse.com\/index.php?rest_route=\/wp\/v2\/posts\/3884\/revisions\/3903"}],"wp:attachment":[{"href":"https:\/\/2parse.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3884"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/2parse.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3884"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/2parse.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3884"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}