The fact is we can’t NOT afford universal health care. Most appropriately single payer health care. We won’t get single payer any time soon, but it is the least expensive way to provide superior health care to every citizen of the United States.
Besides, we’re paying for it now. In fact we are over-paying for it by double what it costs in the most expensive system in the 37 countries that offer it. The problem is that nobody can see the cost directly. If you’re insured by your employer it cost them about $500 a month for a single person and $1000 for a family of four. That expense could be going into payroll, re-investment or modernization of the business. You might even get a share of it in your paycheck. That cost is a hidden tax that you never see.
If you’re not insured by your employer you either know exactly what health care costs or you get your health care at the emergency room. There are three problems with that: it’s the most expensive health care available costing many times what the same treatment would cost at a doctor’s office, you have to be critically ill to get treatment there so what might have been cured with a simple doctor’s visit and some medication now requires far more aggressive treatment, and if your condition isn’t traumatic you can’t get treated at all. Got cancer? No treatment for you! Have chronic allergies that require prescription drugs to control? No treatment for you! Who pays for all this expensive treatment? Everybody with health insurance, that’s who. Why do you think an aspirin costs $35 in a hospital? To offset the 30-40% of treatments that never get paid for! Oh, and by the way, that chronic allergy costs your boss additional money in lost productivity which is another hidden tax paid by your employer and passed on to you in lower wages.
My answer? Quit hiding the costs. Just raise taxes and give everybody Medicare for All. Everybody in, nobody out. Ask any employer if s/he would trade a $250/employee tax for the $500 insurance cost? Think they’d go for it?
Medicare already exists, costs 30% less than private insurance for administration and everybody I know who uses it loves it. Oh, but the Conservatives say that there is too much fraud and abuse in the Medicare system. Yeah, ya’ know why? Because the private insurance companies perpetrate it on you and me tax payers. In Senate Testimony Senator Bernie Sanders (I Vermont) read off a string of Medicare fraud cases that totaled $4.4 Billion (read it here:
http://www.sanders.senate.gov/news/record.cfm?id=315056 ). Those were just the cases caught during the Bush years when the DOJ was busy prosecuting Democrats, justifying torture and generally ignoring big business raping and pillaging the public. Get the profit out of health care and, poof!, fraud goes away.
There is something profoundly wrong, some would say sick, about an insurance company making a profit by denying treatment for people in pain.