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Universal Health Insurance: Are We Ready?

The United States may be one of the richest countries in the world, but among industrialized countries we also stand out for another reason: we're practically alone in not providing health care for our citizens. Most countries in Europe have single-payor health insurance programs that ensure this basic need is taken care of for their people. As a result, most of those countries and Canada all score much higher than us on measures of rates of illness and on death. In fact, our health care system routinely scores lower than a large number of these countries, despite being the most expensive. Why it that?

Understanding Single-Payor Systems

Despite what you've heard about the dangers of universal health care in the past, the United States already has such a program in place: it's called Medicare. In a single-payor system, the insurer works with medical providers to determine how much to pay for certain care, including immunizations, routine tests, types of surgeries, and prescriptions. Some systems do require co-payments or premiums to be paid and most countries allow private supplemental insurance to be purchased by those who can afford to do so.

Critics of universal health care argue that providing medical insurance to all Americans would lead to a dramatic tax increase. Yes, insuring everyone will be expensive but we are already spending a great deal of money on medical insurance that covers only some of us and not always very well. Take the French system, for example. They only spend 11% of the GDP on medical insurance. Right now, we spend 15%. The French ensure everyone while we have 93 million uninsured and underinsured Americans in our population. Which country is getting a better deal for their investment?

On the subject of cost, we also have to look at the potential savings a universal health insurance system would generate. We could save $150 billion on paperwork alone! Plus, another $50 billion could be saved because of bulk-purchasing of prescriptions. Switching to a single payor system would also help our businesses who already spend a significant portion of their revenue on premiums for their workers.

Future of American Medical Insurance

The entire health care industry needs an overhaul. The costs of becoming a physician are so expensive that fewer people can afford to choose this important career. People are turning away from nursing and other health care professions. Plus, the rising costs of individual health insurance means fewer people can afford this option and the increasing premiums are causing more employers to end these types of benefits for their workers. The bottom line is that without some type of change soon our health care in the United States will be in shambles.

Universal health care, however, could improve the situation. The change could be phased in over the course of 15 years. Physicians and other health care providers could sign up to provide their services through the program. Current private health insurance firms may become administrators. Every person in the United States would have all of their medical needs paid for regardless of their income, employer, age, or pre-existing health conditions. By adopting a single-payor system, we would not only be saving our health insurance programs but also the health of every citizen.

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