'Sicko' director Michael Moore got bogged down in petty arguments over some of the numbers cited in his documentary while appearing on CNN this week, but managed to get some very compelling points across as well in this ongoing debate about problems undermining our health care security.


While appearing on Larry King's softball tournament (I love Larry, but he's not exactly Mike Wallace when trying to pin down a subject–whether the guest is Colin Powell or Paris Hilton), Mr. Moore responded to critics who hammered him for suggesting that health care is “free” in nations with single-payer systems.

These critics point out that universal health care is far from free, as citizens in these countries pay much higher taxes than here in the USA.

However, he countered, while Americans might pay lower income taxes, they are burdened with enormous hidden taxes–in the form of soaring health insurance premiums, deductibles and co-payments. Those who are uninsured may have to pay thousands more out of pocket to secure care, if they can afford it at all. Indeed, health care bills are reportedly one of the leading causes of bankruptcy these days.

Mr. Moore went on to argue that even if you concede that those in single-payer nations pay higher taxes, at least they enjoy the peace of mind that no matter what happens to them–whether they are badly hurt in an accident, suffer a catastrophic or chronic illness, or lose their jobs–they and their families have access to health care without worrying about shelling out additional dollars.

He also noted that single-payer systems eliminate the armies of clerical workers hired to battle over claims, saving billions in unproductive frictional costs.

Mr. Moore also addressed those, like me, who are critical of single-payer systems because of the long wait times those with serious health conditions must often endure to get care. He conceded the point, but argued that such waits are unavoidable because everyone in the country is covered and equally able to access care–the goal of any egalitarian democracy.

Here in the U.S., he noted, one reason care is delivered faster is that 45-to-50 million people cannot afford to get on line for treatment, whether they are insured or uninsured.

Anyone want to counter these points?

One problem with the U.S. is that we always operate in a vacuum. Rather than examining how other countries handle challenges–like how to provide universal health care–we maintain tunnel vision and stubbornly try to reinvent the wheel.

Can't we take an open-minded look at what Canada, England and France are doing and see if there is a way to adapt and improve upon their systems while closing gaps in our own?

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