Nationalizing Health Care for All Americans


Picture of surgeons and nurses in operating room.

Picture of surgeons and nurses in typical hospital operating room.

Obamacare won't do it, Trumpcare or the recent Graham-Cassidy Republican proposed bill won't do it, even a single payer program, as promoted by Democratic Senator Bernie Sanders, will not solve the health care problems in America. The health care system in America is broken. It is too expensive, selective, duplicative and wasteful. It is treated, not as a right, but as a privilege, thus leaving millions of Americans without decent health coverage.

The only solution is to turn the entire health care arena over to the federal government as a national health care system! Make it similar to Medicare or Veterans Care, for all. And also include mental health, dental, eye, hearing and other health care related services necessary to the well-being of its citizens.

Health care should be a right, not a privilege in America!

Hospitals, clinics, labs, imaging centers, emergency and urgent care centers should all be run and owned by the federal government. Doctors, nurses, allied health professionals, technicians and clerical staff should be generously salaried, unionized and all employees should be an integral part of a national federalized health care system. Decision making could still be made on a de-centralized basis, locally and by region.

The 1600 or so private, for-profit health insurance companies will have to be transitioned out of business over a reasonable period of time (5 years) to allow for retraining and placement of employees under a new federal health system.

It is time for the United States of America to join 36 other developed countries (in Europe and Asia) around the world that already provide some form of universal or national health benefits for its citizens. Most are through compulsory government-subsidized public insurance plans, such as the United Kingdom's National Health Service. The poorer countries, where poverty and corruption abound, are usually not counted, such as in Africa or Latin America.

The advantages of a universal health system in the United States would eliminate expensive and costly duplication of unnecessary medical equipment, prescription drugs and medical services; plus the delivery of unnecessary treatments, operations and services,.

Under the capitalistic system, the profit motive tolerates waste, duplication and the delivery of unnecessary treatment, making it less efficient and even harmful. Under a federalized system, administrative costs drop from 35% in the private sector to between 5% and 10% of the entire health care dollar in the public arena.

The National Health Expenditure Accounts (NHEA), which makes the official estimates of total health care spending in the United States, states that spending grew 5.8 percent in 2015, reaching $3.2 trillion or $9,990 per person on Dec 6, 2016. The overall share of the U.S. economy devoted to health care spending was 17.8 percent in 2015.

On annual health care spending of $3.2 trillion dollars, significant savings of up to $700 billion, say some health economists, can be achieved and transferred to fund more comprehensive and essential health services and salaries. This will partially, but significantly, defray increased government costs for a nationalized health system. Realignment of the United States' annual budget areas and application of a fairer and more equitale tax, would more than adequately cover the costs of such a comprehensive system.

Healthcare in America is applied, in limited ways, many times, to only 70% of the population. 30% of the population, or 90 million Americans, now are without sufficient health care. Obamacare addressed a portion of this segment, but nowhere near came near the 90 million Americans without health insurance.

The quality of health care, and its improved impact on citizens well-being and longevity can be demonstrated easily when comparing the health outcomes of countries with such national systems.

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