OPINIONS - A Different Approach to Health-care Reform
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A Different Approach to Health-care Reform

Because we've had several go-arounds on health-care reform here, I'm a bit reluctant to broach the subject again, but I heard a presentation by Dr. Ezekiel Emanuel on NPR the other day that undermined my conviction that a Canadian/British/French type of single-payer system would be the best solution for the US. I've tried my damndest to find the talk on the NPR website to provide a link, but no joy. Hence my deleting the contents of my previous attempt to post this. I have now found a couple of other references to this subject and I'll make an attempt to get to get the links in here.

I'm still a proponent of the single-payer system, but I realize that for cultural , idealogical, and commercial-interest reasons it's going to be a difficult sell. The Emanuel & Fuchs plan may be able to garner GOP support, particularly if the business community would get behind it, and without that support health-care reform isn't going to go anywhere in the US until the situation has gotten a lot worse than it is now, even though it's pretty bad already. The E&F plan is also much more comprehensive than what Obama and, especially, McCain are talking about, or what Massachusetts is trying to get off the ground. It is also thought out in far greater detail than what Hillary was offering.

I's still squeamish about getting the insurance industry involved, but I recognize that countries like Germany and The Netherlands are running excellent health-care systems with the participation of private insurance companies. I have no problems with a VAT per sé, but I'm wondering about its effect on the sales tax that many states and some cities depend on to keep themselves fiscally afloat.

The links I'll attempt to post below are fairly old, and I got the impression from the Emanuel talk that they have refined their plan considerably since then. If anyone can find a link to the talk on NPR, I would appreciate her/his posting it here.

Boston Review Article

Wasington Post Article

Washington Monthly Article

Bob S.
--
"62 PV544 (B20, M41), "71 142E, "93 240 Classic Wagon.





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