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Posted On 10.24.08

Before the economy took a nose-dive and sucked up almost all available air time in this election, one of the biggest issues that concerned voting Americans was Healthcare.

It's still a big issue; it's just been dwarfed by the fact that Wall Street has crashed.

I live in Massachusetts, where, since 2006, we have had state-wide universal health care. The bill was signed into law reluctantly by Mitt Romney, our ersatz governor at the time. He was quite open in his opposition to the bill, saying that health care was the responsibility of families. He felt that this move would hurt the insurance companies and drive up insurance costs.

Romney's fears were not realized to a great extent. In Mass., you now have the option to select an insurer on your own, pick from numerous plans, with a wide range of prices. There is a governmental office to help you pay for insurance if you can't afford it on your own. The numbers of the uninsured in Mass have plummeted. Emergency room wait times have dropped because they are no longer the only place for the uninsured to go for treatment for routine problems. The response has been overwhelming: people want to be insured and the universal system works to keep them insured. In the long run, this will mean more preventative care, which will improve the state's health overall and lead to a drop in health care costs.

When I lost my job last year, I couldn't afford coverage under the COBRA system. So, I called a few health insurance companies and found that Blue Cross Blue Shield offered a great plan at $200 less than COBRA. I was very happy with that plan. When my budget dropped significantly this summer, I looked at my options again. I could sign on to my husband's insurance plan, but it would actually cost more to insure me this way (his employer's "family" plan only becomes economical once children come into the picture). So I shopped around again, and found an even cheaper, comparable plan from Harvard Pilgrim Health Care.

I know one woman who until recently was between jobs, and she didn't want to pay for health insurance in between. She's lucky that nothing went wrong in those six months. But I wasn't willing to take that risk, and so, when I went to the hospital earlier this week, I could focus just on the surgery and recovery, and not worry about how much the stay at MGH would cost me out of pocket.

When John McCain talks about his $5,000 health care credit, that is bunk. For me as a single person, that wouldn't cover my monthly premiums, to say nothing of my deductibles, co-pays, prescription costs, and so forth. The system today is set up to favor the health insurance companies. Here in MA, the companies get plenty of business from the previously uninsured, and a dose of healthy competetion.

I would like to see people all over the country have the same options that I do regarding health care. Universal Health Care Works.

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Milena Thomas
October 24, 2008 7:35 am

Universal Health Care does work. However, what are your thoughts on the long-term quality and fiscal viability of the system? Also, do you think the expansion of health insurance coverage beyond catastrophic care (as every other type of insurance is intended) is appropriate and/or necessary, and why?

Scott M
October 24, 2008 11:29 am

I have the same questions as the commentor above. Countries like France and Britain, with a lot of socialized health care, are running massive deficits for their health care systems.

Norcross
October 24, 2008 12:36 pm

@Milena - I think any socialized health insurance should go far beyond catastrophic care, given that most 'catastrophic' situations would be completely avoided with proper care and attention earlier on.

@Scott - M Given the current amount of waste in the private systems (mainly by insurance companies), it would be difficult to do an accurate comparison of costs / benefits. As Kate elluded to above, situations where a person was going to the ER with the full-blown flu or pneumonia would have the ability to see a doctor before the sickness got that far.

Scott M
October 24, 2008 1:35 pm

I'm not talking about costs vs. benefits. I'm simply talking about costs.

Benefits never make it back into the federal budget as monetary gains. I'm worried that government will pay for health care, but then won't have enough money to cover it, and will pay out more money than it has, and have to raise taxes further to cover it.

I know it's not as simple as that. But that is my concern in a nutshell. Other coutries have the same problem. Sure, their healthcare provides great coverage. But behind the scenes it is going bankrupt. How do WE prevent that here?

Tim
October 24, 2008 2:20 pm

Screw health care. I want to have the largest military in the history of the world and I'll pay as much in taxes as necessary to keep it that way. Let the foolish sick die.

Reina
October 24, 2008 8:57 pm

Who is paying for your universal healthcare in Mass? Were taxes raised? I heard a radio commentator refer to Mass as Taxachusetts. Is there any truth to that? Who provides the healthcare to the people who can't afford to pay for their own plans?

forHealth
October 25, 2008 7:58 am

Ummmm... Health insurance does NOT work. Massachusetts is getting an $80 billion bailout from the federal government to pay for it. That means the tax payers of the entire country are paying for your insurance. Also, there will be an increase in co-pays, premiums, and deductibles next year. Where is all that money going? There are wait times of 3-4 months to see a GP. And not everyone is insured. There are still some hold outs. No it isn't working.

It works so well that Hawaii dropped their universal health plan for kids only 7 months after it started.

B-Bop
December 3, 2008 3:09 pm

Is Universal Health Care the same as expanding Medicare to everyone, not just those over 65? I don't think the government is the right group to run a system as complex as health AND WELLNESS programs. Just look at the Social Security program. I have always heard that timely access tends to be the biggest problem with Universal type of coverage. The waste is not with the insurance carriers, but in the way the payment system is set up. The solution needs to be a NEW way of thinking, and providing for the basic needs of the legal residents of this country. Why not have a standard fee, based on age, or income? It needs to pay the doctors more for preventing sickness, than treating someone after they get really sick...

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