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07.22.2008 12:29 pm

Fighting for socialized health care

jeff_barracks_opt.jpgOur friend Jason Rosenbaum at the Columbia Tribune reports that Democratic Congressional candidate Judy Baker has gotten herself into a little trouble over socialized health care — but not the kind you probably expect.

It seems Ms. Baker has been talking up a proposal to allow veterans to use local health care instead of Veterans Affairs hospitals. The idea is to take off some of the strain caused by the influx of veterans injured in the conflicts in Iraq and Afghanistan, and to make it more convenient for veterans to access care.

But spokesmen for the American Legion, Disabled American Veterans and Veterans of Foreign Wars have all panned the idea. Mr. Rosenbaum quoted Dennis Cullinan, national legislative director of the VFW, explaining that the change would weaken VA care.

“Instead of becoming a health care system, it (the VA) would become a health care payer. . . . We would strongly oppose that.”

In the national debate over health reform, we hear a lot about socialized medicine. Most often, it comes from people who don’t know what socialized medicine means.

Socialized medicine is, in point of fact, a system where government directly owns hospitals, directly buys and dispenses prescriptions and directly pays the doctors, nurses and other professionals who provide care. Military medicine is an example of socialized health care. So is the VA system.

The VA system has than many (if not most) privately owned hospitals. It was a leader in installing computerized medical records and computerized prescribing.

VA hospitals don’t tend to have the elaborate and expensive furnishings that privately owned hospitals do. That stuff may attract paying patients, but it doesn’t improve the quality of care.

So how does socialized medicine work? Just ask the folks at the DAV, VFW and American Legion who “strongly oppose” any plan to take them off it.

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16 comments

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People in the government opposing change that would force them to compete with private industry? Say it’s not so!

In VA hospitals and other truly socialized systems, life-threatening injuries and illnesses tend to receive excellent treatment, but minor or moderate problems get years-long waits to see medical professionals who are overworked and underpaid. Remember Walter Reed? “Frills” like pain medicine for women in labor are jettisoned in Britain’s socialized medical care system.

Accordingly, veterans with private health care often use that instead, just as Brits try to avoid socialized health care at NHS. Let’s be careful not to only learn the government’s side of the socialized medicine story.

http://www.grafshepherd.com

— graf.shepherd
12:42 pm July 22nd, 2008

graf,

Are you referring to the Walter Reed Army Medical Center? It’s not a part of the Veterans Affairs hospital system. But thanks for sharing.

— John G. Carlton
12:48 pm July 22nd, 2008

So, Mr. Carlton, should we take it you would prefer to get your health care directly from the same government that can’t effectively manage food service in the U.S. Senate? That would be the same government that admits that without drastic changes unfunded liabilities will soon destroy the Medicare and Social Security programs. Also the same government that has spent trillions of the taxpayers’ earnings on failed military wars, poverty wars, drug wars, and dozens of mismanaged housing, nutrition, education, energy, and crime programs. Government health care isn’t change. It’s more of the same.

— A#
1:05 pm July 22nd, 2008

A#,

My father was in the United States Air Force. I grew up receiving health care on base, which by definition was socialized health care (like what President George W. Bush and members of Congress get). I didn’t have any complaints, but what did I know? I was a kid.

The point I’m trying to make with this is that health care is a lot more complicated that the cartoon version that too often passes for debate in this country. Also that many of the people who scream loudest in this debate don’t really know what they’re talking about.

If the government does such a terrible job of providing health care, why not replace government health care for the military and veterans? Judy Baker is suggesting that on a very small scale, just to take the strain off VA hospitals. But the people who get care at those hospitals want none of it.

When was the last time you heard President Bush — a man who openly disdains “socialized health care” for others — complain about the socialized health care he receives? Ever heard of members of Congress turning down the health benefits?

Me neither.

— John G. Carlton
1:45 pm July 22nd, 2008

A# - don’t forget Katrina and the IRS!

John, you miss the big points about socialized medicine. It is just another way for the government to take money and gain more power causing more government corruption. Remember where you heard this first?

— A CENTRIST
2:14 pm July 22nd, 2008

Iraq and Afghanistan vets are committing suicide at twice the rate of the normal population. We need to give them more mental health choices, even if it’s not at a VA hospital.

— AJH
2:20 pm July 22nd, 2008

Doc, if you think John Q. Public will get the same level of health care as the politicians and bureaucrats you have yet to learn the lesson Marxism gave the USSR and others. Since you are only one of many who ignore those lessons, our children will learn it firsthand. Math and human nature, Doc. Math and human nature. Governmental health care for military families, veterans, and politicians doesn’t compare to health care for a third of a billion people. Splitting hairs about the term socialized medicine won’t change the inevitable result of expanded federal control of health care.

— A#
2:36 pm July 22nd, 2008

Mr Carlton,

Socialized — under group or government control as from socialism referring to a broad array of ideologies and political movements with the goal of a socio-economic system in which property and the distribution of wealth are subject to control by the community.
Medicine — something that treats or prevents or alleviates the symptoms of disease.

Any problems with the definitions? OK then, let the debate begin.

— John Deal
2:53 pm July 22nd, 2008

Mr. Carlton,

You argue health care or medicine delivered to veterans and active duty individuals is socialized medicine. This is simply untrue. Medicine (in the general sense and not just describing drugs) is delivered to persons having participated in our nations military as part of compensation for services provided. Thus, when my father was active duty, just as when yours was, I received medicine from a government owned entity as part of the compensation my father received for joining the military.

To say that practice has anything to do with socialism is a bald-faced lie. It has nothing to do with community control of property and everything to do with just compensation for work performed by members of the military. Compensation of a police force is a justifiable action of government.

Another error you seem to enjoy making is that socialism entails public ownership of all capital involved in the system. This is not necessarily true. Public control of capital without nominal “ownership” is just as much socialism if the government owned all the buildings. The obvious extension of your argument is this: well clearly it isn’t socialized medicine, we don’t chain up the nurses and doctors when they are done working, so we don’t own all the capital involved in the system so it doesn’t fit the definition of socialized medicine. Clearly ludicrous.

Your response?

— John Deal
3:05 pm July 22nd, 2008

Americans seem to believe that health spending equals health quality — that covering more people and providing better quality care is more expensive than covering fewer. All the evidence I’m aware of suggests that’s wrong.

Specifically, the United States spends dramatically more (on average, about twice as much per person) than other developed countries. A new study from the Commonwealth Fund reveals how we do against international and national benchmarks. The answer isn’t encouraging. We scored lower on quality measures in 2008 than we did in 2006.

You can find the study here: http://www.commonwealthfund.org/usr_doc/Why_Not_the_Best_national_scorecard_2008.pdf?section=4039

In a 2001 report entitled Crossing the Quality Chasm, the Institute of Medicine said that quality of U.S. health care is inconsistent and in many cases, not as good as it should be. You can find information here: http://www.iom.edu/CMS/8089.aspx

The Dartmouth Atlas of Health Care has published numerous studies showing that Medicare patients who live in areas where health spending per person is highest actually have a lower life expectancy than those living in places with lower spending. You can find it here: http://www.dartmouthatlas.org/

There’s a great deal of food for thought in there, folks. Please take the time to read through it.

Again, my purpose with this post is to point out that health care is more complex than the cartoon version that passes for debate on talk radio and in most of the blogosphere. And to say that many who speak loudest know the least about it.

— John G. Carlton
3:05 pm July 22nd, 2008

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