Public Health Care

We hear a lot about the cost of health care, when what is actually being described is the price of health care, an altogether different thing. The idea that a fair price is what a willing buyer is prepared to pay to a willing seller assumes that if the seller asks an outrageous price, the buyer is free to walk away. If the seller has the only drug or procedure that will keep the buyer alive, he is not free to walk away. He has to pay whatever price is asked. There is no meaningful competition in the health care industry.

The so-called health care industry is in the business of trafficking in human life. If you do not have the money to pay them to keep you alive, they will let you die. If you are in severe intractable pain and do not have the money to buy their drugs, they will let you suffer in agony. They are permitted to charge whatever the market will bear. What will you pay to stay alive? Everything you have, if necessary.

Even the Medicare system is forbidden by law from negotiating prices with the drug companies. The one organization which is in the position of being able to deal with the drug companies on a relatively level playing field is forbidden to do so. They must accept the “market” price derived from the process of extortion described above.

I am constantly amazed that so many people seem to prefer the notion of privatized health care to a public system. The executives of a publicly traded corporation are obliged by law to act in the way that will best benefit their shareholders at all times. Nothing takes precedence over this. A publicly traded health care corporation is not in business to provide health care; that is a side effect. They are in business to provide as much profit as possible to their shareholders. This means that the person deciding what treatment a patient is going to get is going to make the decision that best benefits the corporation, not the patient. It also means that the extortion is not just a morally reprehensible policy, it is dictated by law.

A publicly operated health care provider, on the other hand, such as is found all over the rest of the industrialized world, exists to provide health care to the patient. Its employees will make the decision that best benefits the patient. 

Which would you prefer? To have your medical decisions made by someone who is paid to deny you care if they can find any reason to do so, or by someone whose job it is to make and keep you healthy? 

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