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Skeptical Debunker

Opinion: Trudy Rubin: U.S. ignores health care successes in Europe, Japan - San Jose Me... - 0 views

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    One of the most bewildering aspects of the current health care debate is the failure to learn key lessons from health systems abroad. Conservative talk show hosts decry the alleged evils of "socialized medicine" in countries with universal health coverage; they warn grimly of rationed health care. Yet there's nary a peep from Rush Limbaugh or Glenn Beck - let alone Congress - about countries such as Germany, France, Switzerland or Japan, where coverage is universal, affordable, and top quality, and patients see private doctors with little or no waiting. And, oh yes, their health costs are a fraction of our bloated numbers: The French spend 10 percent of GDP on health care, the Germans 11 percent, and they cover every citizen. We spend a whopping 17 percent and leave tens of millions of Americans uninsured. If you want a very readable short course on how European systems really work, take a look at "The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care," by T.R. Reid, a former Washington Post foreign correspondent. You might also watch a fascinating 2008 Frontline series, available online, in which Reid was an adviser: "Sick Around the World: Can the U.S. Learn Anything From the Rest of the World About How to Run a Health Care System?"
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    Article continued (Diigo would not highlight!?) - So far, the answer seems to be "no," not because there aren't valuable lessons, but because politicians won't relinquish their myths about European health Advertisement systems. Reid takes up that task. Myth No. 1, he says, is that foreign systems with universal coverage are all "socialized medicine." In countries such as France, Germany, Switzerland, and Japan, the coverage is universal while doctors and insurers are private. Individuals get their insurance through their workplace, sharing the premium with their employer as we do - and the government picks up the premium if they lose their job. Myth No. 2 - long waits and rationed care - is another whopper. "In many developed countries," Reid writes, "people have quicker access to care and more choice than Americans do." In France, Germany, and Japan, you can pick any provider or hospital in the country. Care is speedy and high quality, and no one is turned down. Myth No. 3 really grabs my attention: the delusion that countries with universal care "are wasteful systems run by bloated bureaucracies." In fact, the opposite is true. America's for-profit health insurance companies have the highest administrative costs of any developed country. Twenty percent or more of every premium dollar goes to nonmedical costs: paperwork, marketing, profits, etc. In developed countries with universal coverage, such as France and Germany, the administrative costs average about 5 percent. That's because every developed country but ours has decided health insurance should be a nonprofit operation. These countries also hold down costs by making coverage mandatory and by using a unified set of rules and payment schedules for all hospitals and doctors. This does not mean a single-payer system or a government-run health system. But it does sharply cut health costs by eliminating the mishmash of records and charges used by our myriad insurance firms, who use all kinds of gimmi
thinkahol *

Has our bloated security budget made us safer? - National security - Salon.com - 0 views

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    The killing of Osama Bin Laden did not put cuts in national security spending on the table, but the debt-ceiling debate finally did. And mild as those projected cuts might have been, last week newly minted Secretary of Defense Leon Panetta was already digging in his heels and decrying the modest potential cost-cutting plans as a "doomsday mechanism" for the military. Pentagon allies on Capitol Hill were similarly raising the alarm as they moved forward with this year's even larger military budget. None of this should surprise you. As with all addictions, once you're hooked on massive military spending, it's hard to think realistically or ask the obvious questions. So, at a moment when discussion about cutting military spending is actually on the rise for the first time in years, let me offer some little known basics about the spending spree this country has been on since September 11, 2001, and raise just a few simple questions about what all that money has actually bought Americans. Consider this my contribution to a future 12-step program for national security sobriety. Let's start with the three basic post-9/11 numbers that Washington's addicts need to know:
thinkahol *

America's creditor identifies its budget problem - Glenn Greenwald - Salon.com - 0 views

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    Since America's political and media class steadfastly ignore this glaringly obvious point, it's nice (albeit self-interested) of the Chinese to point it out for us.  As we endlessly hear about a massive debt crisis, the current President has started one optional war that has already exceeded its estimated costs, plans to continue (if not escalate) two more, is drone-attacking a new country on a seemingly weekly basis, expands sprawling covert military actions in still other countries, builds new overseas detention facilities, all while offering only the most modest, symbolic and illusory "cuts" in military spending.  The alleged need to slash the financial security of American citizens -- and the notion that America faces a severe debt crisis -- would be more persuasive if the country didn't continue its posture of Endless War and feeding the insatiable, bloated National Security State (to say nothing of the equally insatible and wasteful Drug War and its evil spawn, the increasingly privatized American Prison State, which the Obama administration is expanding as aggressively as the War on Terror).
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