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A US NHS universal medical system could become America's largest employer



(Written by an American expat living in the European Union)

There are 59 million Americans who don’t have medical insurance. There are 132 million Americans who don’t have dental insurance. What if there were an alternate United States where everyone was medically and dentally insured? Well it just so happens that I live in what some call the United States of Europe otherwise known as the European Union and here everyone that I see everyday is fully medically insured. They live on average longer than we do in America and they pay less for their medical system than we do in America, even though they insure 100% of their populations.

Why can’t the Teabaggers see this? If they could see it, would it change anything? Would it change you? It changed me. It is possible to change America, one person at a time. All we have to do is get the word out that universal medical works in every major industrialized country in the world, therefore it can also work in America not only to provide health care but also to become America’s biggest employer with jobs that pay a living wage that can’t be outsourced.

The Case Against Universal Medical

The case against universal medical that the Teabag crowd is trying to use to repeal the progress that has been made in health care reform is that it is a “job killer”. Now I am not any kind of an economics professor, I am just a working stiff with an MBA degree but even I know the economic argument that says universal medical systems can be a job creator. Case and point is the British medical system known as the National Health Service (NHS). It turns out that its not just Britain’s largest employer, its one of the biggest employers in the world. Additionally it provides cradle-to-grave medical care paid for purely through taxes from the British population wherein they spend less on medical and live longer than we do in America.

The NHS is one of the largest employers in the world, along with the Chinese People’s Liberation Army, the Indian railways and the Wal-Mart supermarket chain.

The NHS in England and Wales employs around 1.3 million people. This is approximately one in 23 of the working population.

Source: http://www.nhs.uk/Livewell/NHS…

America needs jobs that pay a living wage that can’t be outsourced

The bottom line is this, if America is going to recover economically it needs to grow jobs that pay a living wage that the plutocrats can’t outsourced or offshore. As an MBA, I know there is no such thing as a jobless recovery. Any talk of a jobless recovery in the economy is just nothing but a pure lie. If there is going to be a real economic recovery than we need to grow jobs and lots of them and these jobs can’t be low wage, no benefit jobs. They have to be jobs that pay a living wage that would allow someone to pay off a $300,000 dollar mortgage and to pay their $800 a month payments on their turbo diesel pickup. That’s the only way America will ever get to a real recovery that isn’t Wall Street propaganda.

If the British national health care system is one of the world’s biggest employers, couldn’t an American national health care system become the world’s biggest employer?

Why wouldn’t that work? Universal medical care systems work in every major industrialized country in the world, there is no earthly reason why a universal medical access system couldn’t work in America. As I am writing this, I can look out the window and tell you that every single person that I see is literally medically insured and has always been medically insured and will always be medically insured. That is the case across every country in the European Union. Additionally this also means that small business employers who provide the majority of jobs in the European Union aren’t saddled with health care costs for their employees that are unreasonable and unsustainable unlike their small business counter parts in the US.  

In the GOP class warfare against the American working class, not only do they lie about the fact that universal medical access systems are a “job killer” and they also lie about the excellent care universal medical systems deliver. Then they have to print embarrassing retractions in the web of ignorance and lies that they spin. Here’s one example of just that phenomenon.

Academic elite Professor Stephen Hawking spoke up in defense of the British National Health Service

And the Investor’s Business Daily said in an editorial: ‘People such as scientist Stephen Hawking wouldn’t have a chance in the UK, where the National Health Service would say the life of this brilliant man, because of his physical handicaps, is essentially worthless.’

        They had to correct the piece when it was pointed out that the physicist was born, lives and works in the UK.

        Mr Hawking said: ‘I wouldn’t be here today if it were not for the NHS.’

http://www.dailymail.co.uk/new…

The bottom line is that every major industrialized country in the world has a universal medical access system in place that works wherein they pay less than Americans do and they live longer than Americans do. In the case of England, the British national health care system is proof of just that. It is only proof of something else, that is it is one of the biggest employers in the world even though the British population is right around 60 million. Therefore as the population of America is an excess of 300 million, it is not possible therefore that an American national health care system could become the world’s largest employer?

Now isn’t this what America needs? Jobs that pay a living wage that the plutocrats can’t outsource or offshore? Also with that many new jobs in the American economy that pay a living wage, wouldn’t private employers have to raise their wages in order to attract and keep quality employees. Wouldn’t that strengthen the tax base and create a real American economic recovery? It a stronger tax base also means better funded public services which would create even more jobs in the public sector. Additionally it’s working in the European Union, I can look out my window and see that everyone is completely medically insured. But aside from the economic arguments, isn’t it the moral thing to do as a human right to provide medical access to all Americans, just like they do in the European Union for all their citizens, plus the 1.2 million Americans living over here.

While we can all be proud Americans, surely we don’t have to be proud of the broken American social safety net. There we can do better and the best way to bring that about is to stop the GOP led class warfare by putting America back to work through a public works US NHS system, which provides a living wage in jobs that can’t be outsourced, in support of the American working class dream. While at the same time providing a European style social safety net with a US NHS health care system at its center piece which provides for portability of health care when workers change jobs or start their own small business enterprise.  

Finally let’s please take note that while the GOP Teabag class warfare crowd preaches individual responsibility on the one hand, they do everything possible to avoid any collective responsibility  wherein all of us working together would leverage economies of scale that would make vital services such as health care far
more accessible and affordable in a way that provides for badly needed cost containment. To reiterate, health care reform is not a “job killer” but rather under a US NHS system would be an aggregate job creation engine in support of the working class American dream.

Please help us get the word out on this subject on Facebook. Thanks.

(Cross posted by author from the Daily Kos.)


109 comments

  1. Kysen

    Good to see ya on the Moose…

    I agree with pretty much the full of this diary. I had to laugh at the Stephen Hawking bit, I remember when it happened. Priceless.

    I think the sad reason it is not possible here (for now) is that the Insurance industry is just too powerful and holds too strong an influence within our government. It is a form of ‘acceptable’ corruption that has crippled any real chance of reform (at least for the near future).

    Photobucket

    Thank you for posting this here, DemRam…/grin, and ya don’t need a ‘Tip Jar’ here…Moose are pretty generous with the Fierce’s.  😉

  2. jsfox

    And this is not a slam on the NHS, but rather a look at other models.

    Such as taiwan, The Netherlands or Switzerand who all took the opportunity to review and judge exisitng models and come up with effective hybrids of the NHS.

    Frontline did a great piece on this back in ’08

    http://www.pbs.org/wgbh/pages/

    And finally welcome to the Moose!

  3. sricki

    The problem is that we’ve got corporations, lobbyists, GOP politicians/pundits/anchors/columnists/radio hosts, and a whole lot of ignorant people who’ve been duped by by the aforementioned groups… all fighting against us.

    I’m beginning to wonder if we’ll ever get around them.

    So the solution is… I’m really not sure what at this point.

    We’ve had people in hysterics over Obama’s very moderate plan, acting like he’s a “socialist” (a dirty word when it shouldn’t be) come to destroy us all. The thought of trying to bring true universal health care to this country at this point is… daunting and depressing.

    I’ll probably be back to gripe about this later because the stupidity to Americans on the issue of health care infuriates me.

    Btw, welcome to the Moose!

  4. spacemanspiff

    Something I want to comment on that really doesn’t get much attention. As a young physician the sterotypical image of doctors being loaded is a thing of the past. The cost of medical school is ridiculous by itself. I won’t even get into how much higher everything is when you consider that to get into med school you have better chances coming from a great university. Most docs when they are done with just med school are about 200,000 dollars in debt. Give or take. Once they graduate most go into specialties which means 4 more years of training while making on average about 3,000 g’s a month. You guys do the math. I could say the same of lab techs and nurses who are woefully underpaid. The reason I emphasize on physicians it’s because of the amount of years that are put in and the long hours associated with it.

    While a few of the well connected and already rich doctors find jobs immediately the majority struggle to get their foot in the door. Many would love to go into primary care and visit remote locations where doctors are needed. But they can’t do that because they’ve got a lot of money to pay back.

    You can have the best insurance in the world but a doc with a private practice will just deny you service if he feels like it. Many of them do. While getting everybody insured is something I desperately want I think priorities on both sides are pretty fucked up. I owe the bank hundreds of thousands of dollars I pay off 1 month and I still get a lot of shit from everybody. Patients, insurance companies, BASTARD LAWYERS (I really detest these mofo’s) among others for “thinking I’m the shit because I’m a doctor” or something like that. Lawyers specifically have a racket going since they know the insurance company will settle rather than go into a drawn out and expensive case. How is the very real problem of ambulance chasing lawyers going to be adressed? Is it even on the agenda?

    In Spain right now a lot of physicians are getting out of the country. The system seems to benefit everybody but those that do the heavy lifting. Great. Everybody has healthcare. But who’s going to provide it? Which leads to long lines and more people than people you think die while waiting for care.

    So while I’m glad something is being done to change the system things will never be how they should be until stuff like what I just mentioned is addressed. What good is it to have insurance when you can’t get a doctor to see you?

  5. HappyinVT

    but VT has a really good chance of passing single payer.  Our new Democratic Governor is completely onboard:

    “We are committing to reforms that get us as many of the benefits of a single payer as possible under current federal law, and to asking for a waiver from federal law so that we can gain the full benefits of a single payer when that option is available,” Anya Rader Wallack, special assistant to Gov. Peter Shumlin for health care, told members of House and Senate panels.

    snip

    The plan would move the state through three stages in four years to reach the target of a single-payer system.

    The Shumlin administration proposes the state take two steps effective July 1: Create a health benefit exchange or marketplace called for under the federal health care law and set up a Vermont Health Reform Board to “develop payment reform and cost containment methodologies that will result in sustainable rates of growth in health care spending,” Wallack.

    The next phase would begin in 2014 when the health benefit exchange begins operating. “We propose that we include in the exchange, at that time, employer groups with fewer than 100 employees,” Wallack said. “We also propose that state and municipal employees become part of the exchange, and that we integrate Medicaid, Medicare and workers’ compensation with exchange policy.”

    The state would move to the final stage if and when the federal government granted Vermont waivers to establish a single, publicly financed exchange.

    What could derail the plan is that we hold gubernatorial elections every two years and it’s always close.  

  6. HappyinVT

    A federal judge on Tuesday upheld the health care reform law signed last year by President Barack Obama and found that Congress had the clear authority to regulate health insurance under the Commerce Clause of the Constitution.

    U.S. District Judge Gladys Kessler’s 64-page ruling (below) takes aim at the argument espoused by many conservatives which holds that the passive act of not purchasing health insurance does not constitute an activity that can be regulated under the Commerce Clause.

    “It is pure semantics to argue that an individual who makes a choice to forgo health insurance is not ‘acting,’ especially given the serious economic and health-related consequences to every individual of that choice,” Kessler writes. “Making a choice is an affirmative action, whether one decides to do something or not do something. They are two sides of the same coin. To pretend otherwise is to ignore reality.”

    http://tpmdc.talkingpointsmemo

  7. fogiv

    Remember you from GOS.  Glad to have you posting!  Back with some (hopefully) more (slightly) thoughtful commentary on your diary later.  Gotta check the Libya thread.

    Cheers!

  8. Shaun Appleby

    Lowest common denominator but credible universal single-payer health care which no conservative party dare touch.  Do people pay for private health care in their preferred clinics and hospitals?  Yes.  At about a third of the cost in the US I could reimburse chiropractic and a for a half I could have dental.

    Problems and threats?  An ageing population and the global toxicity of the business models of the immensely profitable but unsustainable pharmaceutical, private insurance and hospital equipment and disposable commodity industries which festers and grows in the miasma of the United States’ health care swamp like a plague.  Get it together folks, you’re not just screwed but your poisons are screwing up the rest of the world!

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