A national health plan America can afford


Part II of II


Continued from last week

 


ne of the keys to the success of the WHO plan is this: What goes for "profit" in the private sector (the difference between income and expense), in the WHO scheme is retained and re-invested in the WHO insurance fund. The resulting growth of that fund helps explain how the premium contributions by participants and WHO can remain as low as they are while the plan remains in balance — in every country in the world! Thus a workable model already exists, a solidarity plan for health for all, and it is affordable and financially solvent. WHO has simply designed a better mouse trap.

So here’s my proposal for America: Let’s build on the WHO plan, taking into account the experience of those whom President Ike Eisenhower called "our socialist friends" in Europe and other countries.

Why the xenophobia? Let’s put to work what actually works. Let’s adopt a basic, standardized American National Health Plan, with room for a central gatekeeper as well as outside players — provided they play by our rules. In other words, if private HMOs or insurance companies want to participate on our exact standard terms (they can always offer supplementals), they may do so. Otherwise, stay out of the game.


u u u


The standardization of claim forms and procedures in the WHO plan, applied to a national health for all plan, will offer to providers, insurers and participants alike an enormous saving in administrative costs, analogous to the savings under a single-payer system. A standard plan in business and industry will help America be more competitive internationally. It’s amazing how many of our captains of industry have not yet woken up to this seemingly obvious economic fact of life.

More importantly still, the adoption of a WHO-style national health plan will bring up the level of health indicators in America to those of our "socialist" friends. There’s nothing un-American about it. As Malcolm X used to say, "If somebody is doing better than you are, he’s probably doing something you ain’t."

Of course, one reason the WHO plan works so well is that all its participants are, or have been, employed, and have, or will have, pensions for life. What do we do in a national health plan about people who are too poor to pay adequate premiums?

For starters, we could stop outsourcing jobs, and we could rebuild the real economy of America. But more specifically, we have a range of practical solutions, including more equitable reform of the existing IRS tax code. Also, if we fully fund a tax-supported, dedicated National Health Fund, analogous to what the WHO already does, and if we invest wisely and responsibly, as WHO does, then the growth of that fund will help offset expenses, ensure sustainability, and help cover poor persons who could otherwise only be covered by additional taxes and/or emergency (ER) services in their local hospital (as President Bush proposes for children).

One point of distinction between handling and investing money in WHO and doing so in the supposedly efficient U.S. private sector is that in WHO we have virtually never had a case of fraud or mismanagement in the management of the WHO investment account. It’s interesting to speculate why the difference.


u u u


The single, most obvious quick fix needed to set up the American national plan for health for all, is to end the current mistaken, senseless and costly war and occupation of Iraq — a country that never attacked or even threatened us. (Let’s stay out of Iran while we’re at it.)

As a former tank and artillery soldier I can tell you this: We marched in; we can march out. How about the Iraqis? As Albert Camus would have foretold, they will grow weary of the killing. Like the plague, it will burn itself out.

The damage was done when we went in. Now we must remove ourselves as the target and incentive for violence. Think of the savings: We can invest those some 200 billions of U.S. dollars a year in setting up the American national health fund, and in supporting child education and other rights and benefits of the American people. Now there’s a national plan we can truly afford!

Is all of this unlikely, pie-in-the-sky, dreamland stuff in America? Not necessarily. The U.S. National Academy of Sciences has published a proposed model plan in many respects reflecting the WHO plan, which actually exists and works, as described above. Others propose an expanded Medicare-style single-payer system, again with many features already working in the WHO plan. The devil, of course, will be in the details.

The main point is that a national health for all plan is not un-American, unfeasible or unaffordable. Why not give it a try? All it takes is brains, effort, humility, a sense of social responsibility and compassion, and above all, political will. This last attribute, political will, is a criterion to think about when voting in the next presidential and legislative elections in November 2008.

 

Sharon resident Anthony Piel is a former director of the cabinet and general legal counsel of the World Health Organization.


Part II of II

Continued from last week

 


One of the keys to the success of the WHO plan is this: What goes for "profit" in the private sector (the difference between income and expense), in the WHO scheme is retained and re-invested in the WHO insurance fund. The resulting growth of that fund helps explain how the premium contributions by participants and WHO can remain as low as they are while the plan remains in balance — in every country in the world! Thus a workable model already exists, a solidarity plan for health for all, and it is affordable and financially solvent. WHO has simply designed a better mouse trap.

So here’s my proposal for America: Let’s build on the WHO plan, taking into account the experience of those whom President Ike Eisenhower called "our socialist friends" in Europe and other countries.

Why the xenophobia? Let’s put to work what actually works. Let’s adopt a basic, standardized American National Health Plan, with room for a central gatekeeper as well as outside players — provided they play by our rules. In other words, if private HMOs or insurance companies want to participate on our exact standard terms (they can always offer supplementals), they may do so. Otherwise, stay out of the game.


u u u


The standardization of claim forms and procedures in the WHO plan, applied to a national health for all plan, will offer to providers, insurers and participants alike an enormous saving in administrative costs, analogous to the savings under a single-payer system. A standard plan in business and industry will help America be more competitive internationally. It’s amazing how many of our captains of industry have not yet woken up to this seemingly obvious economic fact of life.

More importantly still, the adoption of a WHO-style national health plan will bring up the level of health indicators in America to those of our "socialist" friends. There’s nothing un-American about it. As Malcolm X used to say, "If somebody is doing better than you are, he’s probably doing something you ain’t."

Of course, one reason the WHO plan works so well is that all its participants are, or have been, employed, and have, or will have, pensions for life. What do we do in a national health plan about people who are too poor to pay adequate premiums?

For starters, we could stop outsourcing jobs, and we could rebuild the real economy of America. But more specifically, we have a range of practical solutions, including more equitable reform of the existing IRS tax code. Also, if we fully fund a tax-supported, dedicated National Health Fund, analogous to what the WHO already does, and if we invest wisely and responsibly, as WHO does, then the growth of that fund will help offset expenses, ensure sustainability, and help cover poor persons who could otherwise only be covered by additional taxes and/or emergency (ER) services in their local hospital (as President Bush proposes for children).

One point of distinction between handling and investing money in WHO and doing so in the supposedly efficient U.S. private sector is that in WHO we have virtually never had a case of fraud or mismanagement in the management of the WHO investment account. It’s interesting to speculate why the difference.


u u u


The single, most obvious quick fix needed to set up the American national plan for health for all, is to end the current mistaken, senseless and costly war and occupation of Iraq — a country that never attacked or even threatened us. (Let’s stay out of Iran while we’re at it.)

As a former tank and artillery soldier I can tell you this: We marched in; we can march out. How about the Iraqis? As Albert Camus would have foretold, they will grow weary of the killing. Like the plague, it will burn itself out.

The damage was done when we went in. Now we must remove ourselves as the target and incentive for violence. Think of the savings: We can invest those some 200 billions of U.S. dollars a year in setting up the American national health fund, and in supporting child education and other rights and benefits of the American people. Now there’s a national plan we can truly afford!

Is all of this unlikely, pie-in-the-sky, dreamland stuff in America? Not necessarily. The U.S. National Academy of Sciences has published a proposed model plan in many respects reflecting the WHO plan, which actually exists and works, as described above. Others propose an expanded Medicare-style single-payer system, again with many features already working in the WHO plan. The devil, of course, will be in the details.

The main point is that a national health for all plan is not un-American, unfeasible or unaffordable. Why not give it a try? All it takes is brains, effort, humility, a sense of social responsibility and compassion, and above all, political will. This last attribute, political will, is a criterion to think about when voting in the next presidential and legislative elections in November 2008.

 

Sharon resident Anthony Piel is a former director of the cabinet and general legal counsel of the World Health Organization.

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