Getting the Health Care Monkey off of our Backs: The road to Health Care Equity in America
Dr. David Ray
July 10, 2022
Dr. David Ray works at Albany Medical Center; he has specialized in treating HIV; and heads the Capital District Alliance for Universal Health Care. His talk was titled “Getting the Health Care Monkey Off Our Back: the Road to Health Care Equity in America.” Thus he likened our health care system to an addiction, that we can’t get free from, even while it does great harm.
His alternative is a “single payer” system whereby all health care bills would be paid for by the government (as with Medicare), cutting out private insurance. He said the 2010 Affordable Care Act (“Obamacare”) was seemingly a step toward that, but lamented that, bowing to the industry’s vested interests, a single payer option was never even on the table – a prescription for failure.
Other advanced nations generally have systems along the lines Ray advocates. In consequence they spend far less on health care than we do. And it doesn’t buy us better health. Our lifespans lag behind theirs; our maternal mortality is way higher.
The cost difference is due to our having far more middle-men, overheads, and administrative costs, which Ray reckoned at about 30% of health spending that actually does nothing to enhance health. “Too many drivers and too few horses,” he said. And the raison d’etre of insurance companies is to avoid actually paying for health care, to whatever extent they can get away with.
Ray addressed what he said are seven myths about a single payer system:
- Its cost. (But two-thirds of health spending already comes from taxpayer pockets.)
- It would eliminate free choice (to the contrary he said, you’d be able to use any provider) and the efficiencies of competition (whereas about half of Americans live so dispersed that local providers are effectively monopolies).
- It’s socialism (but the state will not be a health care provider – it would only pay the bills).
- Care would be delayed (Ray cited comparisons with single payer countries, finding no real differences vis-a-vis America in waits for care).
- Doctors are opposed (Ray pointed to a poll where 68% support it).
- Innovation will suffer (actually we’re not so great on innovation; pharmaceutical companies spend hugely on lobbying and marketing; and drug prices here are through the roof).
- We have the world’s best health care (yet many Americans seek care in other countries, to get better deals).
Ray said a single payer system would be great for U.S. businesses, relieving them of huge costs and risks associated with their health care burdens, which would disappear, making them globally more competitive. He also said coverage for individuals would be much more comprehensive, as against the thicket of restrictions, limitations, deductibles and co-pays that encrust medical insurance. Ray touted a “Medicare for All” bill in Congress that would, basically, give everything to everybody.
He seemed to imagine that such a reform could actually pass in our broken political system.