Friday, August 21, 2009

A health care primer for media who should already know this stuff

Which is why media pundits like Lou Dobbs, Glenn Beck, Sean Hannity and others don't know the basic facts about our healthcare system that continue to feed false information to the viewers in order to water down the reality of a broken healthcare system in this country and continue to carry water for the healthcare industries and corporation line money in the pockets and dumb down America.

Media Matters:


For example, Lou Dobbs seems to have a problem absorbing basic facts about health care:

DOBBS: Is universal health care, the so-called public option, or single-payer, which -- however you want to break it down…

Similarly, earlier this month, Chris Wallace stated:

WALLACE: Congressman Rangel, here's a top House Democrat saying the Republicans are right, that the public option is a stalking horse for a single-payer government takeover like we see in Britain or Canada.

Ok, full stop. Let’s “break it down” in a way that doesn't involve journalists who should know better conflating a bunch of terms that mean different things: Universal health care is different from the public option, which is different from single payer. Britain and Canada have very, very different health care systems.

Universal health care refers to the goal -- not any specific policy proposal – to provide quality, accessible health care to everyone in the country. There are many different ways you can get there; we currently aren’t following any of them.

The public option is a proposal included in the Senate health committee and House bills that would establish as one option among many a government-run health insurance plan. It would not be open to anyone who wishes to enroll in it, and those who are eligible would be able to choose it from a list of other, private options. CBO estimates that if the public option passes in the form envisioned by the House draft bill, only about 11 or 12 million people would be enrolled in it by 2019.

Single-payer is a health care model wherein a single source – usually the government – finances all or almost all health care expenditures; basically, everyone in the country has government-provided health insurance. You go to the doctor or the hospital, they treat you, the government pays. Our Medicare program is effectively a single-payer system for the elderly. Canada’s health care system features single-payer insurance available to all citizens, with doctors working in public or private practices, but receiving payment for most treatments from the government. There is no proposal currently under serious discussion that would institute a nationwide single-payer system.

The United Kingdom has a single-provider health care model, wherein the government owns and operates the health care system, employing all doctors and other medical personnel through the National Health Service and paying them for all medical services. Our own VA is a single-provider system for veterans. There is no proposal currently under any level of discussion whatsoever that would institute a nationwide single-provider system

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