August, 2019, Part 7, The Unfolding Disaster That Is Obama Care: The Failure of Single Pay Health Care Systems Around the World, Continued

Every month for years now we have had to discuss how bad Obama Care is turning out to be under the continuing theme, “the unfolding disaster that is Obama Care.” This month is no different. As the legislation continues to march through America, driving up health care and health insurance prices as it serves as dead weight on economic growth, it cements its rightful place as the worst piece of legislation Washington has ever produced.

It never had a chance to be successful since it really never addressed the underlying root causes of our ever increasing health costs in the country:

• Americans eat too much of the wrong kind of food, resulting in obscenely high obesity rates for the country.
• Our food chain is infested with overdoses of high fructose corn syrup, salt, sugar, and other unhealthy additives.
• Americans smoke too much.
• Americans do not exercise enough.
• The country is in serious need of health care tort reform.
• Barriers to insurance company competition across state lines need to come down.
• Obama Care never “followed the money” to find out who is actually profiting from the ever escalating healthcare costs in this country and how to get those factors under control.
• Obama Care never got the immense amount of fraud and abuse in current government healthcare programs, Medicare and Medicaid, under control in order to save money to efficiently fund other government health care initiatives.
• Obama Care never put serious research money towards curing the major diseases that drive high healthcare costs such as high frequency cancers and dementia type diseases.

You cannot resolve any problem unless you understand and address the underlying root causes. No difference here: Obama Care legislation never addressed these listed root causes and thus, has no chance of ever being successful.

But it is not just missing the root causes of our healthcare costs that makes Obama Care so horrible. It resulted in millions of Americans losing access to their favored doctors, hospitals, and insurance policies. It has caused insurance premiums, deductibles and copays to escalate substantially. It will likely add trillions of dollars to the national debt. It has exposed millions of Americans to higher than necessary identity theft chances. It has created government bureaucracies that are wastefully spending taxpayer wealth and being exploited by criminal elements. It has stifled economic growth and job creation.

These are just a sample of the types of idiocy that we have been reviewing for the past several years in this blog relative to Obama Care. To read those past posts, just enter the phrase, “the unfolding disaster,” in the search box above.

Six posts ago we reviewed the many, many failures and disasters of Obama Care, probably the worst piece of legislation ever passed when it comes to comparing it to its objectives and its promises. This was the Federal government’s most recent and deepest attempt to try and control the healthcare of Americans and it has ended badly. 

In subsequent posts, we showed the numbers and realities around the world of how single payer healthcare systems always fail to provide effective and efficient health care to its citizens. Despite these realities, many Democratic candidates for President want to implement a failed system like this in this country. Today we will continue that discussion of failed single payer healthcare systems from other countries, further proof that this approach to healthcare is a bad, bad idea.

We continue that discussion today, the failures of the single payer healthcare model:

1) Dr. Kevin Pham and Robert Moffit, Phd, writing for the Heritage Foundation on August 13, 2018, laid out a perfect illustration why socialized medicine/single payer healthcare systems are almost always expensive. But first, a look at some of the real numbers the authors talk about and how government run healthcare makes a bad situation worse:

• Depending on the assumption set used, this country will be looking at a doctor shortage of anywhere from between 43,000 to 121,000 doctors within 12 years.
• A root cause of this shortage is the reality that doctors today spend more and more time on non medical, regulatory, and administrative activities, leading to frustration, burnout, and premature retirements.
• Socialized medicine increases these frustrations while reducing the freedom to treat patients the way doctors are trained to treat them while capping their compensation.

So single payer health care plans, government control over health care decisions, make it difficult to get enough supply of high quality doctors to enter the field, making health care quality even worse, as we recently saw in England during the recent flu season:

• Back in October, 1975, a British politician, Labor Minister David Cohen, had a rare insight into why his government’s actions, in this case the creation of socialized medicine and a single payer government run healthcare system would fail miserably: “The health service was launched on a fallacy. First, we were going to finance everything, cure the nation and then spending would drop. That fallacy has been exposed. Then there was a period when everybody thought the public could have whatever they needed on the health service- it was just a question of governmental will. Now we recognize that no country, even if they are prepared to pay the taxes, can supply everything.”
• Fast forward to the winter of 2018 where a very bad strain of influenza hit the country.
• British hospitals were overcrowded and overwhelmed which is not surprising since a survey conducted by the British Medical Association found that 82% of its members felt their workplaces were understaffed, which is not surprising given the point we made above about doctors not wanting to stay in the field due to overt government interference in the medical process.
• Listen to one doctor describe his personal flu experience: “I came on to shift yesterday afternoon and there were patients literally everywhere. The corridor into the hospital was so busy we couldn’t have got a cardiac arrest patient through it into the resuscitation room. To say staff were at the end of their tethers would be a complete understatement.”
• This pre-existing doctor shortage situation in a single payer system combined with the flu outbreak resulted in 50,000 surgeries being cancelled because limited resources were diverted to flu patients.
• This in turn further endangered those that needed the surgery, likely making their medical conditions more expensive and dangerous to treat later.
• By March, 2018, British emergency rooms had 15.4% of their patients waiting over four hours before seeing anyone for treatment.
• This was the worst performance ever recorded.
• Back in the real world, the number of ailing British citizens waiting 18 weeks or more for treatment increased by 35%, from 128,575 in 2016 to about 362,000 in 2017 to 490,000 patients in 2018. 
• Thus, half a million people in this single payer government run system had to wait four and a half months to get treatment.
• Even worse, 2,755 sick folks had to wait OVER A YEAR to get treatment.

Long delays, poor quality, high costs, yeah, that is working out great. And yet despite this British reality and the unfolding disasters of Obama Care, some American politicians still want to bring single payer healthcare to America despite the failure of such a system across the world.

2) What if we are wrong? What if there is a set of numbers that track reality actually show that single payer systems, like the one in Canada, are actually pretty good? So let’s examine some healthcare numbers:

• In the U.S., 56% of the citizens have private health insurance, 35% are covered with government financed health insurance (i.e. Medicare and Medicaid), and 9% are uninsured.
• In Canada, the government provides “free” health insurance to 100% of the citizens but 67% of its citizens pay for additional, needed health insurance coverage.
• The Canadian single payer system, while promoted as "universal,” does not cover prescription drug costs. dental care costs, and other medical costs which leads to a majority of them shelling out additional money to supplement their "free" government insurance.
• Thus, according to the Canadian Institute for Health and Information, many Canadians go without drug insurance or dental care.
• According to the Organization for Economic Co-operation and Development (OECD), the United States spent 17.2% of its gross domestic product (GDP) on health care in 2016 while Canada, on the other hand, spent less on health care, clocking in at just 10.3% of its GDP in 2016.
• In 2016, for instance, the average American spent around $10,345 on health care, including insurance premiums, deductibles, co-pays, and other out-of-pocket costs while the average Canadian spent nearly half that, paying about $6,299 that same year.
• According to a Fraser Institute study, Canadians on average wait 21.2 weeks to see a specialist after a referral from a GP doctor while in the U.S. the average wait time is 24.1 days in metro U.S. areas, according to a Merritt Hawkins study, i.e. it takes about seven times longer to see a medical specialist in Canada than in the U.S.
• The Fraser study also found that in Canada, patients wait 4.1 weeks on average to get a CT scan, 10.8 weeks for an MRI scan, and 3.9 weeks for an ultrasound scan.
• These Canadian wait times for basic diagnostics health tools is very, very much longer than in the U.S., long waiting times that could result in far more serious health and pain levels while waiting.
• The long wait times has led 63,000 Canadians to travel outside of Canada for these basic tests in 2016, travel costs and diagnostic costs that were not covered by their government insurance.
• According to University of Pennsylvania Wharton School professor, Mark Pauly, a professor of healthcare management, “the wait time for scans [in the U.S.] is minimal":“If you are in the ER and need a scan, you will get it right away. There may be some delay in scheduling at a particular facility if you want an elective scan. Though in any large city, I am sure you could find someone who would take you within a few days.”
• Pauly also pointed out in the article that Canadians patients are more likely to suffer from acute diseases, have less access to specialists, and experience worse health outcomes than in the U.S,. since the Canadian system emphasizes primary care vs. acute care medicine and health care: “If you are a basically healthy person and your needs can be satisfied with primary care, you're probably going to be better off under the Canadian system. On the other hand, if you are sick, and especially if you have a chronic condition, you're going to wait longer in Canada and have to hobble around in pain for a longer period of time than you would in the U.S.”
• Canadians have the 13th longest life expectancy rate, age 82, while Americans' expected life length at 79 ranks it 45th in the world.
• Infant mortality rates are also lower in Canada, 4.5 deaths per 1,000 live births vs. 5.9 deaths in the U.S.
• While about 1.7 million people in the U.S. are diagnosed with cancer every year with about 610,000 dying from the disease, according to the Canadian Cancer Society, last year only 206,000 Canadians were diagnosed with cancer with about 80,800 dying from the disease.
• However, since the U.S. has nine times as many people than Canada, the cancer diagnosis and cancer death rates are a little higher in Canada.
• Pauly stated in the article that “ordinary people in Canada are healthier than in the U.S., but outcomes for cancer and very serious illnesses are less good there. It's a great place to live as long as you don't get too sick, as one critic put it.”
• But he also stated that since Canada has many more primary care doctors that can catch bad health trends earlier, which may account for the better ordinary health care and the horrible acute health results.

So, a lot of data but let me summarize: if you are relatively healthy then the Canadian system is better for you. If you do not need specialists, diagnostic scans, prescription drugs, have good, strong healthy teeth, you do not need to travel abroad for basic tests, are willing to risk a slightly higher cancer rate of diagnosis and death, and are willing to wait longer and endure more pain and get sicker and sicker, possibly endangering your life, while waiting to get treated by a specialist for a disease that you do get, than Canada is for you. 

Thus, the numbers do nothing to change our conclusions: single payer systems cause more pain, cost more, have much more bureaucracy which cuts down on the efficiency of providing healthcare. If you are working under the Canadian single payer system, you are going to wait for a very long time just to get a single diagnostic test, tests we take for granted and expect to be done immediately in this country.

We are seven posts into this theme and we still have more to discuss on how badly single payer healthcare systems are in Canada, England, and elsewhere in the world. Stay tuned.

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