So in my AP US gov class (yes, I’m in high school) we had a debate on universal health care. It was like 7 (con) v. 11 (pro).
I pretty much single handedly owned the rest of the class, though my team mates pitched in and did well also. My biggest problem was that anyone who was being too dominant had to step down, so I wasn’t able to refute all of my opponent’s arguments.
In any case, here the basic outline of my case:
- The had the world’s best health care system.
- The World Health Organization ranks the number one in the world in responsiveness to patients’ needs in choice of provider, dignity, autonomy, timely care, and confidentiality.
- US provides world’s highest quality health care.
- The American Enterprise Institute found exogenous factors (like subjective “fairness” and “equality” rankings) effect the ’s low ranking on the scale.
- American cancer, pneumonia, heart disease, and AIDS patients have a greater probability of surviving due to our superior health care system. For example, male American cancer patients have a 62.9% chance of surviving five years while male cancer patients have a 44.8% survival rate.
- One out of every three Canadian physicians sends a patient to the for treatment each year, and those patients along with the Canadian gov’t spend more than $1 bil annually on health care in .
- Foreign heads of state and gov’t (i.e. Italian PM and Canadian MP) come to for their health needs.
- The American system breeds innovation: 18 of the last 25 winners of the Nobel Prize in Medicine are either US citizens or individuals working here.
- Advanced medical technology is far more available in the than in any other country (eg highest per capita MRI units and CT scanners).
- US patients are more likely to receive preventative care for chronic or serious diseases than are Canadians.
- Countries with universal health care face long waiting lists, rationing, restrictions on physician choice, and other obstacles to care.
- It has been shown that when people have free access to health care they tend to abuse it. All nations that have adopted universal health care have experienced a problem called “nomadisme medical” in France, but commonly referred to as the “moral hazard” by economists: patients go from one doctor to another (causing waiting lists, rationing, doctor shortages, and high costs) until they find one whose diagnosis they prefer.
- Countries with universal health care have inferior access to advanced medical technology, due to central planning. The has the most per capita CT scanners and MRI units out of any country.
- In France: “one study found that nearly 90% of French asthma patients are not receiving drugs that might improve their condition” and “mismanagement and the inability of the system to cope with emergencies were blamed in part for the deaths of 15,000 elderly individuals in the summer of 2003 during the European heat wave; and a shortage of hospital beds occurred in 2004 when a nationwide flue and bronchitis epidemic broke out.”
- Waiting lists:
i. In : average of 70 days for a mammorgram, 74 days for an endoscopy, and 23 days for a sonogram.
ii. In : average of 65 days to see a specialist ( 140 days, Galacia 81 days). Average of 71 day wait to see a gynecologist and 81 day wait to see a neurologist. The mean waiting time for a prostectomy is 62 days, for hip replacement surgery it is 123 days. There is no rehabilitation for surgery patients.
iii. : hip replacement surgery - four months prostectomy – three months hysterectomy – two months…. Approx. 23% of all patients referred for hospital admission have to wait longer than three months for admission. Approx. 280,000 Norwegians are waiting for care on any given day out of a population of 4.6 million.
iv. : at least 25% of emergency room patients do not need immediate treatment. Currently, more than 150,000 Portuguese are on waiting lists for surgery, out of a population of just 10.6 million.
v. : hospitals suffer from staff shortages, less than half of authorized medical positions are actually filled. needs and estimated 5,000 general practitioners to meet demand while there are only about 600 practicing ones. Six month wait for an outpatient appointment, wait for either the hypertension or neurology departments is 150 days.
vi. : three month wait for hip replacement and two month wait for prostectomy and hysterectomy.
vii. : 750,000 Britons waiting for admission to hospitals. Cancer patients can wait as long as eight months for treatment. Roughly 40% of cancer patients never get to see an oncology specialist. Only 30 to 50% of patients are treated within 18 weeks. For trauma and orthopedics patients, the figure is only 20%. Overall, more than half of British patients wait more than 18 weeks for care.
viii. : more than 800,000 Canadians waiting for treatment at any given time. Treatment time averaged 17.7 weeks (not including waiting time). At least 50 patients in alone have died while on a waiting list for cardiac catheterization. “Thirty-three percent of Canadians who say they have an unmet medical need reported being in pain that limits their daily activities.” Canadian Supreme Court Chief Justice: “patients die while on the waiting list.”
- People in nations with universal health care are dissatisfied.
- 65% of French adults believe that reform is “urgent” and another 20% believe that reform is “desirable” (85% total).
- 60% of Italians believe that health care reform is “urgent” while another 24% believe it is “desirable” (84% total).
- 46% of Spaniards describe the need for reform as “urgent” while another 35% see reform as “desirable” (81% total).
- 63% of Britons say that the need for reform is “urgent” while another 24% say it is “desirable” (87% total).
- 59% of Canadians want “fundamental changes” to health care while 18% want their health care system to be totally scrapped (77% total).
- Universal health care will be too expensive.
- Health care spending is 4.3 times the amount spent on national defense just because of Medicaid, Medicare, and SCHIP, imagine what it would be with more spending on universal health care!
- Health care spending is projected to increase to $4 trillion by 2015. Our gov’t cannot afford that.
- Health programs already account for 24% of our federal budget. Anything more would lead us into overtaxation and bankruptcy.
- ’s health care system ran the nation into a 10.3 billion deficit. This could top 66 billion euro by 2020.
- is currently running a 700 pound yearly deficit due to health care.
- High payroll, income, and sales taxes are needed to fund health programs. These high taxes often cause unemployment (as entrepreneurs don’t have enough money to hire multiple people) and people to have lower wages (as employers use wage money for payroll taxes). Purchasing power is also reduced due to high sales and income taxes.
- Cutting regulation will make health care more accessible.
- Economists estimate that regulation of health care accounts for about 30% of health care costs in . By eliminating regulation and taxes on the health care industry, the government could make health care more accessible to everyone.
Here are my sources:
http://www.cato.org/pubs/pas/pa-613.pdf
http://www.angelfire.com/pa/sergeman/issues/healthcare/docshortage2.html
http://www.isil.org/resources/lit/we-can-have-afford-hc.html
Hope this can help anyone here who is currently debating about universal health care with socialists-in-wolf’s-clothing.