The Human Cost of Rationing Healthcare

This week the Congressional Budget Office projected enormous cost increases under the current congressional plan for national health care. It was promoted as saving taxpayers money, but the CBO estimates a cost over $1 trillion and it is likely to raise the tax burden for many Americans to close to 60% of their already dwindling incomes, as government bureaucrats balloon the cost of what is already the most expensive health care system in the world. The devastating financial impact of ObamaCare for the nation and every citizen is now overwhelmingly clear. But just in case you still harbor any illusions about how disastrous current proposals for national health care would be, I thought it was time to revisit the other cost — the cost in human suffering and loss of life under socialized medicine.

A key element of the cynically misnamed Affordable Health Choices Act, which is the plan currently being rushed through congress to meet deadlines and criteria set by President Obama, is rationing health care using Comparative Effectiveness Research (CER) methodology where government bureaucrats would set up schedules by which treatment would be allocated based on statistics and cost to benefit ratios rather than the interests and needs of the specific patient. Decisions on care would be matters of policy based on group effectiveness rather than on a case by case basis and doctors would have to abide by these decisions without regard to the welfare of the patient.

The impact of rationing in other nations where it has been introduced as part of the national health care system has been horrendous. It attempts to reduce the financial cost of the system by a trade-off which increases the cost in lives lost and individual suffering. Two nations with many similarities to the United States which have resorted to rationing health care are Great Britain and Canada. In both nations the human cost has been high and the results are easily quantified.

The failure of rationing comes down to two basic problems — denial of treatment and very long wait times. Both of these can result in suffering and death for patients, especially those with critical and chronic conditions which are treated easily and routinely in the United States today, but which often result in death in Great Britain and Canada.

One telling scenario of denial of care comes with cardiac patients. In the United States if you come into a hospital with an arterial blockage you are usually scheduled for an angioplasty or a bypass in a matter of days, because that is the best way to achieve a long-term solution to the problem. In Canada and Britain the common response is dictated by a shortage of surgeons and facilities, so you are given beta blockers to try to keep your heart functioning and sent away. If you're lucky you'll survive the months that it takes to get you scheduled for surgery or maybe come into the hospital in the middle of an actual heart attack when your chances of surviving the surgery are lower but they may actually operate. Or even better, if you live in Canada they may slap on a heart monitor and have an ambulance drive you to the US for treatment as they do with hundreds of cardiac patients every year. The sad reality is that many who are denied immediate surgical treatment for heart problems just die.

In the US a coronary patient is four times as likely to receive surgical treatment as in Britain. In the US only 5% of Americans are made to wait more than four months for surgery. In Canada 27% wait four months or more and in Britain 36% wait four months or more. While the base rate of coronary disease in the US is higher than in other countries because of diet and lifestyle, the rate of survival for those diagnosed with coronary problems is much higher than in other countries because patients get the best and most appropriate treatment more quickly.

The same pattern holds true with cancer. Overall Britons and Europeans in general die at a higher rate from all forms of cancer than US citizens and the difference is dramatic in cases where early detection and treatment are important. For example, women with breast cancer in Britain have a 46% death rate as opposed to 25% in the US. Men with prostate cancer in Britain have a 57% mortality rate while in the US only 19% die and the death rate is declining rapidly because of early detection. It's the same with colon cancer. In Europe as a whole there is only a 8% survival rate, in Britain there's a 40% survival rate and in the US there's a 60% survival rate. With cancer of the esophagus only 7% survive while in the US 12% survive, although it's still one of the most deadly forms of cancer. Both long- and short-term recovery and survival rates for all forms of cancer are also significantly higher for US patients. Rationed care has limited diagnostic facilities like MRI machines and has created long wait times for specialist doctors. In fact, 40% of cancer patients in Britain never get to see a cancer specialist at all, and the National Health bureaucrats have denied basic tests like pap smears and ruled out powerful chemotherapy medicines as too expensive, all of which has cost lives. With diseases like cancer where early detection and treatment are vital,  resource rationing means a lot more dead patients.

The human cost of delay of care caused by rationing is particularly significant. One key element of this is the wait time to see a specialist who can provide the best treatment for specific ailments. In the US 74% of patients get to see a specialist within four weeks. In Canada only 40% get seen that quickly and in Britain only 42%. In many cases these delays can cost lives, but the cost of suffering has to be considered as well. In both Canada and Britain the wait times are even longer for conditions which are not life threatening, but can be very painful and seriously reduce quality of life. In Britain a hip or knee replacement can take more than five months and in Canada it can take as long as eight months. That's a very long time when pain is literally crippling.

An unsurprising irony is that as our congress looks at health care reform, activists in Canada, Britain, and a number of other countries are also looking at health care reform. The difference is that they are trying to figure out ways to introduce more choice and more market elements and reduce rationing at the same time we are plunging headlong into the same mistakes which they made a generation ago and which they now realize have left them with unacceptable failures in their systems with thousands of preventable deaths every year and millions stuck on waiting lists for essential treatment.

This is how bad it can get with government-run, single-payer systems, which may have a cost in lives and suffering, but do at least bring down the cost of health care. Imagine how much worse it could be with a combination of government bureaucracy and rationing and the high prices of private insurance and you have some idea of what ObamaCare will be like. It is likely to have all the flaws of socialized medicine while preserving most of the shortcomings of our current private insurance system, because the thousand-page bill which congress was considering is largely authored by lobbyists for the health care, pharmaceutical and insurance industries. It's like yet another bailout for these industries at a high cost in life, suffering and taxation to the American people.

Even the far left agrees that the health care plan currently being rammed through congress serves the interests of big insurance, medical and pharmaceutical companies while doing more harm than good to the average citizen. It rations and reduces the quality of medical care. It massively increases costs and forces small businesses and individuals to purchase insurance plans at inflated prices which they cannot afford or pay substantial penalties which they also can't afford. It passes many of these costs on to the public in huge tax increases. It doesn't solve the key problem of inflated insurance and health care costs and is projected to still leave 20 million people uninsured.

This may be the most monumental legislative disaster ever given serious consideration in the notoriously profligate halls of congress. This plan is not what the American people have in mind when they think of health care reform. It ignores their needs and sets their interests aside to pander to statist radicals and big business. The American people deserve better.

Digg!

About Dave 536 Articles
Dave Nalle has worked as a magazine editor, a freelance writer, a capitol hill staffer, a game designer and taught college history for many years. He now designs fonts for a living and lives with his family in a small town just outside Austin where he is ex-president of the local Lions Club. He is on the board of the Republican Liberty Caucus and Politics Editor of Blogcritics Magazine. You can find his writings about fonts, art and graphic design at The Scriptorium. He also runs a conspiracy debunking site at IdiotWars.com.

50 Comments

  1. One ought to understand transference and countertransference, as well as when a pt is taken part in treatment
    it could be challenging to maintain conformity with methadone treatment centers near
    me – Vickey,.

  2. When the therapy plan is followed, and the medicines are taken as directed, this
    treatment philosophy is shown to reduce symptoms
    of opiate drawback, decrease food cravings for opiates, reduce illegal opiate use, block
    the effects of other opiates, as well as aid clients in staying dedicated
    to methadone treatment program nl (promodj.com) as well as a way
    of living of recuperation.

  3. Exactly what they do is as quickly as you reach the 6th take
    away, you instantly obtain 13 and go to the methadone clinic san diego fashion valley (Murray)
    two times a month to grab your dosages.

  4. Accident – This coverage will assist with prices connected to the repair work or substitute of
    your tow truck jobs, Zulma,
    truck if it is damaged in an accident.

  5. Im going to claim that free methadone clinic san diego [Florian] is
    fairly magic it has actually been a life saver as a mom, better half, daughter, as well as
    an individual I’m general!

  6. We also cultivate a deep understanding of your business, your market, and your
    motive for success. Modern web publishing is much more than just HTML coding.
    Research – Know what keywords you are aiming for and have a realistic chance of dominating.

  7. Our particular, themed tins are excellent for those that
    need a house for their ‘stuff’, make up, or things they do not wish to deal with in our well-liked ‘denial’ tin.

    Feel free to surf to my homepage … Danon Jewellery Online (Boyce)

  8. その上嫁に指摘された事もあって僕のチンチンは小さすぎるのだと認識したのです。ちんぽこの大きくなる事象は停止し、そのまま大人になってしまったことが原因だと思います。自信が無い男性には内面のペニスの悩みがあるんですね。よくあるのがペニスが短小だという事象があります。

  9. I think everything typed was very reasonable.
    However, consider this, suppose you were to create a awesome post title?

    I ain’t saying your content is not solid, but suppose you added a
    post title to maybe grab people’s attention? I mean The Human Cost of
    Rationing Healthcare is a little vanilla. You should look at Yahoo’s front page and see how they create news titles to get people to
    click. You might add a video or a related picture or
    two to get readers excited about what you’ve got to say.

    Just my opinion, it could make your blog a little bit more interesting.

  10. Simply desire to say your article is as astounding.

    The clearness in your post is just cool and that i can think you are knowledgeable on this subject.
    Well together with your permission let me to seize your RSS feed to stay updated
    with forthcoming post. Thank you 1,000,000 and
    please carry on the rewarding work.

    My homepage dichtungstechnik, http://www.stapin.org,

  11. Have you ever considered about including a little bit more than just your articles?
    I mean, what you say is valuable and everything. However think about if you added some great photos or video clips to give your posts more,
    “pop”! Your content is excellent but with images and video clips,
    this site could certainly be one of the greatest in its
    niche. Good blog!

  12. Hey I know this is off topic but I was wondering if you knew of
    any widgets I could add to my blog that automatically tweet my newest twitter updates.
    I’ve been looking for a plug-in like this for quite some
    time and was hoping maybe you would have some experience with
    something like this. Please let me know if you run into anything.
    I truly enjoy reading your blog and I look forward to your new updates.

  13. Do you mind if I quote a couple of your articles as long as I provide credit and sources back to your
    blog? My website is in the exact same niche as yours and my users would
    certainly benefit from a lot of the information you provide here.
    Please let me know if this alright with you.
    Cheers!

  14. You really make it appear really easy with your presentation but I find this matter to be actually
    one thing that I feel I’d by no means understand. It seems too complicated and extremely wide for me.
    I’m taking a look forward on your subsequent submit, I’ll attempt to get
    the dangle of it!

  15. each time i used to read smaller articles or reviews which also clear their motive, and that
    is also happening with this article which I am reading now.

  16. Alcohol addiction and medicine obsession definitely please all the above mentioned standards, and that is the standard reason that
    rehab programs and also recovery support groups like AA as well as NA support this viewpoint.

    Here is my web-site 1-866-789-1511 (Mckinley)

  17. nackte Asiatinnen aus Gmünd ist eine wilde und geile Weibstück Sexy Japanerin die fickgeile Nutte aus Krems zieht ihren String aus Sexy Japanerin er pimpert mit den Supertitten auf der Motorhaube Sexy Japanerin Die geile unzensierte Vanadis aus Bad Leonfelden ist tabulos Bilder Asiatinnen , 23, hat pralle Megabrüste.

  18. We are an on-line shop offering house decorating goods, specializing
    in ceiling medallions and crown molding, as well as several other decorative ceiling items, which includes tools and supplies for creating your own custom ceilings.

    My web blog :: plumbers near me (Enriqueta)

  19. Hello I am so delighted I found your site, I really found you by accident, while I was looking on Aol for something else, Anyways I am here now and would just like to say many thanks for a fantastic post and a all round interesting blog (I also love the theme/design), I don’t have time to read it all at
    the moment but I have book-marked it and also added your RSS feeds, so when I
    have time I will be back to read more, Please do keep up the
    excellent job.

Leave a Reply

Your email address will not be published.


*