Misconceptions about Foreign Health Care and Our Own

A friend shared a fascinating article from the Washington Post about many of the misconceptions that Americans believe about health care in other countries. Due to the huge amount of incorrect information being thrown around in this country during Congress’s attempt at fixing our broken system, you’ve probably heard some of these already.

I don’t claim to be any sort of expert on health care, but I have no doubt that our system is broken. You’ve seen and experienced it yourself. We have some of the best doctors, nurses, and facilities in the world. Yet tens of millions of people inexcusably lack health insurance, the costs of health care continues to rise much quicker than inflation, and the entire system is a jumbled, confusing mess of paperwork and bureacracy.

For one example, consider Jenny’s recent gallbladder surgery. The hospital sent our insurance company a bill for over $11,000 for the surgery itself and a separate bill for $700 for the ultrasound that revealed the stones that got things rolling. (heh heh) The surgeon sent the insurance company a bill for maybe $3000. In each case, the provider was billing MORE than the actual cost of the procedure knowing that the insurance company would only cover a lower amount, which is related to whatever government-run Medicare decides is a fair price for that procedure. The provider writes off the difference, which provides them some tax benefits. Then we have to pay 10 percent of whatever amount the insurance company decides is fair. So out of a total “bill” of over $15,000 for a surgery that took less than an hour and an ultrasound that took 5 minutes, we are paying about $500. Only God and perhaps the providers know that actual cost of the care Jenny received, but it has very little to do with what we paid or what the insurance company paid.

At the same hospital, and hospitals around the country, pregnant women show up every day in labor with no insurance at all. The hospital is legally obligated to help them, so they deliver their babies and provide the same high level of care that we received when Brenden was born. The mothers’ out-of-pocket cost? $0. Reimbursement to the hospital and doctor? I assume they get something from Medicaid, but less than they got from us and our insurance company. But they probably got NO prenatal care because they didn’t have insurance, adding risk to both baby and mother.

I don’t understand why it’s so difficult for the wealthiest, most powerful, and most advanced country in the world to provide a cost-effective, efficient, and innovative health care system that makes coverage available for everyone in a fair way. As you can read in the Washington Post article, countries around the world have added great ideas to their own systems. I hope that our leaders can learn from the many examples out there and hammer out a plan that works for us.

The Eagle Has Landed

Monday was the 40th anniversary of the July 1969 moon landing, one of the defining moments of the 20th century. I’ve always had some interest in space, partly because it’s so big that it boggles my mind. To think that I could travel at the speed of light for an entire lifetime in the same direction and not even pass through a tiny fraction of the universe…how can you not stand in awe, both of the universe and of the God who created it?

Anyway, after the landing, some people examined the photographs and other evidence from the trip and decided that NASA had faked the moon landing for political reasons because the actual trip was impossible. They offered some interesting arguments: shadows that didn’t line up, an astronaut in shadows that somehow was still visible, a flag that seemed to blow in the breeze. I wasn’t completely convinced either way, but I must admit, they got me thinking. A friend of mine at work is a staunch believer in the conspiracy theory and even has a website dedicated to the cause.

In honor of the anniversary, The Discovery Channel’s excellent show Mythbusters decided to test the conspiracy theorists’ arguments. Guess what? They debunked most of the major arguments, including:

  • How could a flag move in a vacuum as if blown by the wind?
  • How could the sun cast shadows that appear to be unparallel?
  • How could such a perfect footprint be made in moondust with no air or water vapor to help it keep its shape?
  • Why couldn’t the hoaxsters have faked the moon walks by playing a normal walk in slow motion?

I try to base my judgments on evidence when available. For me, the Mythbusters busted every one of these conspiracy theorists’ arguments. Coupled with the simple truth that the difficulty of pulling off such a hoax involving SO many people on such a monumental event would be pretty much prohibitive, this show convinced me of what most of us want to believe: yes, Virginia, man really did walk on the moon.

“Change Has Come to America”

On January 20, 1997, I stood several hundreds yards from the Capitol in Washington, DC surrounded by hundreds of thousands of people, the largest crowd I had ever seen. The occasion was the second inauguration of William Jefferson Clinton. I had just turned 18 and voted for the first time a few months earlier. Although I’d voted for the other guy, I was thrilled and grateful to be part of such a huge event. Thanks to a program called Presidential Classroom, several dozen high school students and I spent a few days in DC, heard from a variety of great speakers, and most importantly, attended the inauguration. It’s difficult to put into words how that experience felt. Words like pride, gratitude, excitement, hope, and wonder come to mind. Seeing so many of my fellow citizens coming together to witness history, the renewal of office for a legitimately and peacefully elected leader of the most powerful nation on earth, was a moment I won’t soon forget.

Today at noon EST, this scene will repeat itself, only this time it’s different. For the first time, a black man is assuming the highest office in the world, only a few decades after discrimination against blacks was made illegal. An unpopular president is leaving office after 8 years and a dubious record. Barack Obama, for reasons both obvious and ellusive, is filling our nation’s capitol with a sense of excitement and hope not felt in many years. Estimates of the crowd for today’s festivities range from 1-3 million people, surely more than I joined at Clinton’s inaugural. I wish I could be there with them.

Cynics may scoff and say Obama is just another politician, a silver-tongued weasel who tells the people what they want to hear and then fails to deliver. But for some reason I believe Obama is different. Sure, he can’t change the world overnight. Barring a bizarre miracle I couldn’t begin to understand, tomorrow the economy will still be in the toilet, and we’ll still be fighting two wars with no easy end in sight. But maybe, just maybe, with enough time and cooperation from the rest of Washington and the rest of the nation, Obama can turn things around. I am eager to find out.

“Just ‘Cause They’re Black”?

I’ve read and heard some people say that Obama will get the black vote simply because he’s black (even though he’s only half black). Back when Hillary was in the running, I heard people assume that female Democrats would vote for her simply because they were female. Some probably assume the same about women voting for McCain now that Palin has joined his ticket. I’m sure you’ve heard similar stereotypes about these or other groups, such as Mexicans, Asians, Jews, Arabs, Christians, or gays. It’s tempting to paint a group with a very broad brush and forget that any group is made of individuals who might or might not match the group’s stereotype. I’ve done it myself, and you probably have as well. Why? Convenience? Prejudice? Ignorance? The problem is that doing so assumes that each individual lacks the capacity to think for him- or herself and make independent decisions. What an insult! Here are some other assumptions that you might have heard:

  • All Mexicans are here illegally.
  • All preachers just want your money.
  • All poor people are lazy.
  • All Christians are Republicans.
  • All environmentalists are liberal wackos.
  • All Muslims are terrorists.
  • All Americans are self-centered warmongers.
  • All cops like donuts.

Obviously all of these are false, but there are people who honestly believe them, or at least spout them off. There are many other, even more sinister and offensive assumptions out there. A CNN columnist wrote an interesting article about this issue with regard to the black community. Sure, analyzing the differences among various groups requires some generalization. But almost any generalization is bound to have some exceptions.

The End Approaches…

Wednesday night McCain and Obama debated for the third and final time before the election. I thought this was the most entertaining of the three. The moderator did an excellent job of asking tough questions and then forcing the candidates to answer them instead of dancing around like they normally do. By now most voters have made up their minds. Election Day is November 4, less than 3 weeks away. Early voting in Texas starts Monday, Oct 20. Obviously I want my candidate to win, but either way, I’ll be glad when it’s over.

Something frustrates me about this election: because of our two-party political system and the archaic electoral college, a handful of states really matter for each presidential election only. CNN has a great website that shows how each state lines up based on the current polls. The Republicans could run Mickey Mouse for President, and Texas and Utah would vote red, sending ALL of their electoral votes to Mickey regardless of the popular vote in those states. The Democrats could run Homer Simpson, and New York and California will vote blue, sending ALL their electoral votes to Homer. All but a few states use the winner-take-all approach, which makes campaigning in, or even worrying about the concerns of, the out-of-reach states a waste of time and money once the primaries are through. I have never read a good justification for either of these terrible systems. However, since the current lawmakers benefit from the two-party system and possibly from the electoral college as well, I doubt either system will change any time soon.

LIARS!

As interesting as this year’s presidential campaign has been, it also reminds me of one of the main reasons I hate politics: most, if not all, politicians deliberately distort the truth in order to win. Both Palin and Biden did it tonight. McCain and Obama do it all the time. For examples from tonight, check out this story on Yahoo News. I assume they know the press and a host of watchdog groups can investigate their claims and post the results. So I guess the politicians assume we’re either lazy or stupid. That bothers me. Does it bother you?