The notion of affordable health care is one of our country’s most debated topics. Politicians argue about whether they have the answers to provide a better system that enables all Americans to afford healthcare coverage for themselves and their families. Obviously, one of the keys to providing affordable healthcare is through insurance.

As such, all Americans can share in the risk and thus be able to face catastrophic accidents and illnesses for which one average person alone could not truly afford. Again, all Americans, healthy and unhealthy. This is the premise of health insurance. Health insurance was meant to provide health coverage for unforeseen catastrophic accidents and illnesses that would otherwise bankrupt most of us.

Now on to the topic of affordability. This is a different concept and it has a lot to do with the value we, individually, place on our well being and overall health. By this I mean that perceived affordability, the cost of healthcare, whether through insurance or self insurance, is probably very different between two individuals with exact income levels. Two individuals, who, although they make the same income, place a different economic value on their health and well being and possibly that of their families.

One individual could place a higher perceived value on their entertainment expenses rather than on purchasing health insurance or, if self-insured, paying the necessary expenses to help them remain in good health. According to our current laws this is legal in most of our states, that is, to make the decision to not purchase health insurance or not to pay for healthcare services that would help an individual remain and/or get healthy.

This scenario would seem fair and appropriate until the individual who purchased health insurance before spending on other items now has to participate along with all other Americans, in contributing financially to pay for healthcare costs incurred by uninsured individuals who have accidents and/or illnesses. These same insured Americans have to contribute for all other Americans who decided not take care of themselves and their well being.

Now, I am not saying that we as Americans do not have an affordability problem in our healthcare system or that we could not efficiently improve our healthcare delivery system, but that in addition to affordability, there are decisions that we must face to ensure that a fair system is in place for all Americans.There must be changes to our laws that create requirements for all Americans to purchase health insurance, if they can afford it!

As our federal government debates over the system that should be put into place to provide access to affordable healthcare, we have to keep in mind the responsibility we all share to prepare ourselves for illness and accidents by purchasing health insurance. As the number of uninsured and underinsured in our country decreases, the costs to the insured will decrease proportionately.

Cornell University graduate students collected signatures to send to the school in order to attract attention to the growing health insurance problem affecting many of the students and their dependents. The university offers graduate students enrollment in a student health insurance program, and many of their dependents are also eligible to obtain coverage this way but many students feel the cost is excessive.

Around 7,800 graduate students attend the University and bring with them at least 1,200 dependents, including spouses, children under the age of 19, and same-sex partners. Student premiums for the health care plan are a reasonable $1,434, yet their dependents must pay $3,149. Because jobs for graduate students at the university pay only about $20,000 a year, covering the costs of health insurance for a family can be nearly impossible.

After collecting about 500 signatures, the Mao Ye – the student-elected trustee – plans to present the petition to the Board of Trustees on October 19^th. Ye and others are also working on a health insurance plan that will be more affordable for graduate students and their dependents.

A survey released on January 8, 2008 of preventable deaths in 19 industrialized countries ranked the United States last when it comes to providing health care to its citizens. The survey was conducted by the Commonwealth Fund, a charitable organization created to promote health care in the industrialized parts of the world. Their study, which was called “Measuring the Health of Nations: Updating an Earlier Analysis” and published in the Health Affairs journal this month, examined the death rates for individuals under the age of 75, particularly looking for problems that could have been prevented through more effective health care.

The same study had been conducted twice before: once in 1997/1998 and more recently in 2002/2003. Part of establishing the country rankings involved looking at each country’s improvement as compared to past studies. While all of the other countries saw a decline in preventable deaths by an average of 16 percent, the United States’ rate only decreased by 4%. The U. S. was also ranked last in the 2002/2003 results after placing 15^th in the 1997/1998 results. Had the United States shown similar improvements approximately 100,000 deaths would have been prevented.

The survey’s top five countries included France in first place followed by Japan, Australia, Austria, and Canada. The survey also pointed out the United States spends more on health care than do any of the countries with better results.