This guy writes "brilliantly"?
It seems like the usual skin-deep analysis, to use the word generously, we've become accustomed to from the right.
So: 5% of people wait 4 months or more in the US, compared with some percentage in the 27% in Canada and 38% in Britain. But given that both countries have some species of national health care, one would think that the 27 and 38% respectively represent the entire population, whereas the 5% in the US means 5% of those who can afford surgery, because they are insured.
There are elective surgeries, which I would
hope we're not talking about here. There are non-elective surgeries. Then there are the surgeries that are deemed elective if one has fallen between the cracks, or if one's insurance is exhausted (even for the well insured.)
Fifteen percent of Americans are uninsured. Right off the bat, that's 15% who wait oh I don't know,
forever, for those surgeries.
As to the remainder of the article, and the remainder of the conclusions drawn, you will notice he is very excited about explaining how many CT scanners and MRIs we have. Bully! These are wonderful money-making services in the insurance game. There is a very good reason for the excess capacity.
For adequately insured Americans, as the author points out, even if a surgery is not in any way urgent or pressing, there is often plenty of capacity. You can get that procedure now, whether or not you need it now. Bully again.
Now then, what if there is a species of surgery one might need
eventually, but one does not need right
now? Well, if there is an incentive in providing said surgery before necessary in the US system which is absent in the Canadian and British systems, it is natural to assume that the surgery that
can wait sometimes
does wait.
Terrible, terrible thing that.
However, the single-payer systems evidently are making the right calls, which the almighty dollar does not do. That is why we trail countries like Canada and Britain in categories such as preventable deaths (US dead last of 19 industrialized nations.)
France best, U.S. worst in preventable death ranking (19th out of 19) - Reuters - Democratic Underground
By most measures we spend more on medicine than anybody else. On the high end of the spectrum, we have some of the foremost medicine on Earth. But as they say on the London tube, "watch the gap." The middle class and poor in America, while perhaps benefitting in a "drive-through mentality way" when from quick access to the services they
can access, are not living as long or as well as elsewhere.
Your "brilliant" author makes the case that you don't get something for nothing. That's absolutely the case. In American medicine, however, we seem to have the opposite problem: all too often we get nothing for something.
I'd like to stop doing that.
PFnV