24 August 2009

Everyone Rations Health Care

If we have any hope of a rational discussion on health care reform in the U.S., we need to get past the lies and the spin being flung about with such great abandon. Here's a big one: "Socialized" medicine, a misnomer in its own right applied to current attempts at reform in the U.S., will cause health care rationing.

Here's the truth - every country rations health care. Every. one. The difference is that the U.S. uses a criteria different from every, other First World country. We don't base it on medical effectiveness, or any, other sort of good science.

No, we de facto ration based on how wealthy you are. If you can afford it, the sky's the limit. If not, well....you get rationing. And the poorer you are, the more your access is rationed.

So can we please ditch the "rationing" shibboleth ? and have both a rational and heartfelt discussion about whether this is the direction in which we want our society to evolve ?