{"id":878,"date":"2007-08-24T14:48:00","date_gmt":"2007-08-24T18:48:00","guid":{"rendered":"http:\/\/blog.cmhughesmd.com\/?p=878"},"modified":"2007-08-24T14:48:00","modified_gmt":"2007-08-24T18:48:00","slug":"nejm-healing-our-sicko-health-care-system","status":"publish","type":"post","link":"http:\/\/blog.cmhughesmd.com\/?p=878","title":{"rendered":"NEJM &#8212; Healing Our Sicko Health Care System"},"content":{"rendered":"<p><a href=\"http:\/\/content.nejm.org\/cgi\/content\/full\/357\/8\/733\">NEJM &#8212; Healing Our Sicko Health Care System<\/a>:<\/p>\n<blockquote>\n<p>&#8220;To get around this catch-22, we will need populist anger but also<br \/>political foresight. Moore heads abroad to show us that a single public insurer<br \/>is the only hope. But one need not travel to Canada, the United Kingdom, or<br \/>France (much less Cuba \u2014 Moore&#8217;s most dubious destination) to see the virtues of<br \/>combining universality with public cost control. Medicare, our country&#8217;s most<br \/>popular and successful public insurance plan, covers everyone older than 65 and<br \/>people with disabilities \u2014 groups with great need for coverage and little<br \/>ability to obtain it privately. Yet it has controlled expenses better than the<br \/>private sector, spends little on administration, and allows patients to seek<br \/>care from nearly every doctor and hospital. For some reason, Moore ignores<br \/>Medicare. He talks about the post office, the fire department, public education<br \/>\u2014 but not the one public program that most resembles the &#8216;free universal health<br \/>care&#8217; he extols. <\/p>\n<p>&#8220;That&#8217;s too bad, because the Medicare model is the not-so-secret<br \/>weapon in the campaign for affordable health care for all. Today, many advocates<br \/>of national health insurance have wisely started calling for &#8216;Medicare for All&#8217;<br \/>rather than their old rallying cry, &#8216;Single Payer.&#8217; But moving to a national<br \/>insurance plan overnight, whatever the label, means threatening the private<br \/>coverage on which so many Americans rely and requiring our cash-strapped<br \/>government to raise the highly visible taxes necessary to fund a system now<br \/>financed largely by the hidden drain on workers&#8217; paychecks. We may be moving<br \/>toward the day when we are ready to clear these hurdles in one leap, but we are<br \/>not there yet. &#8220;<\/p>\n<\/p>\n<p><em>A fairly reasoned discussion in all, but we need leadership of the RFK variety:<\/em><\/p>\n<p>&#8220;There are those that look at things the way they are, and ask why? I dream of things that never were, and ask why not? &#8220;<\/p>\n<p><em>(Okay, <a href=\"http:\/\/en.wikiquote.org\/wiki\/Robert_F._Kennedy\">wikiquote says he lifted that <\/a>from GB Shaw, but,  same spirit.)<\/em><\/p>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>NEJM &#8212; Healing Our Sicko Health Care System: &#8220;To get around this catch-22, we will need populist anger but alsopolitical foresight. Moore heads abroad to show us that a single &hellip; <a href=\"http:\/\/blog.cmhughesmd.com\/?p=878\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;NEJM &#8212; Healing Our Sicko Health Care System&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"sfsi_plus_gutenberg_text_before_share":"","sfsi_plus_gutenberg_show_text_before_share":"","sfsi_plus_gutenberg_icon_type":"","sfsi_plus_gutenberg_icon_alignemt":"","sfsi_plus_gutenburg_max_per_row":"","footnotes":""},"categories":[142,5],"tags":[],"class_list":["post-878","post","type-post","status-publish","format-standard","hentry","category-sicko","category-single-payer-health-care"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/878","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=878"}],"version-history":[{"count":0,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/878\/revisions"}],"wp:attachment":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=878"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=878"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=878"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}