health care?
March 22, 2008
When I read about health care, the issue seems to be about insurance. Only insurance. As if once everyone has insurance costs will go down and we’ll all be healthy. But insurance just spreads the costs around. It seems to me any comprehensive discussion has to include (1) public health, (2) personal fitness, responsibility and risk avoidance, (3) evidence based medical practice (how many commonly accepted medical procedures and practices actually work? and for whom?), (4) poverty, (5) the problem that a few people drain the system disproportionately, (6) the issue that most people tend to incur most of the medical expenses for their entire lives in the last year of their life. I don’t know what could come out of such discussions (some of the obvious ‘remedies’ are obviously untenable), but I know other people are probably a lot more imaginative ideas than I do. And I’d like to hear.