Here I will give my thoughts and viewpoint on the current push to give people socialized medicine in the US. Feel free to chime in on what you think.
As all of you are quite aware, there is a push in this country to give every man-woman-child government sponsored health-care. Here I will tell you why this is a horrible idea and is doomed to fail.
Here in the wonderful USA, we already have 2 forms of socialized medicine:
- MediCare – Given to citizens over the age of 65, or to those under 65 who qualify (renal disease, disability, etc)
- MediAid – Welfare
Both of these are wholly sponsored and paid-for by Uncle Sam. Sure Medicare Part D plans have a small premium, but usually those are taken out of your MediCare check (and are no where near the cost of private insurance).
What this socialized medicine bullshit wants to do, is to give “universal health-care” to people who do not fit within those two categories. Now mind you, that anyone can go to any county hospital (paid for by the taxpaying citizens of that county) and receive medical care without having the ability to pay. Most private hospital ER rooms will also give you stabilizing treatment without you showing proof of ability to pay. That seems pretty damn awesome if you ask me, however people want more.
The big idea that some Americans throw around is that access to health-care is a right. Let me clarify this for everyone who thinks that way:
HEALTH-CARE IS NOT A RIGHT!
Access to a Doctor is as much as right as having access to a Plumber, a Roofer, an Electrician or anyone else in a specialized trade. Until the government FORCES AND PAYS people to go to medical school, it is not a right. You see us Doctors, Nurses, Pharmacists? We chose to go into this profession, we weren’t forced into doing it. Do you see an amendment in the Constitution showing the right to see a medical professional? No. Do you know how to re-shingle your roof, install a shower, fix a rotting foundation, lay brick, or do a bunch of other jobs that you have NO PROBLEM hiring someone to do; but the moment you can’t get in to see the doctor RIGHT NOW (because his/her practice revolves around YOU) the “I HAVE A RIGHT” card gets thrown down as you throw a 2 year old tantrum? Quit fucking whining about your “right” to see a doctor and be thankful there’s more than 1 doctor in 300 square miles like in some 3rd world countries. Be thankful we even have people who choose to be doctors, pharmacists and nurses after dealing with shit-ass people like you.
Now that we cleared up that “confusion” that some entitlement douches like to throw around, we can move on why socialized medicine will not work here:
IF ITS FREE, USE UNTIL CANNOT USE ANYMORE!
Irresponsible humans have a nasty of habit of seeing “free” and totally abusing the shit out of it thinking it is indeed free when its not. Its free to them, but costly to someone else. Let me give you a situation: You have a sore throat. You should probably go and see the doctor but you might want to wait another day. Judging that you can see the doctor “RIGHT NOW”, are you more willing to go if its going to cost you a $100 copay, or $0 copay? Now imagine EVERYONE doing this to the same doctors office. Now get really mad when your appointment is 3 years away, and the doctor sees you for 30 seconds. Now bitch about something that you get for free off of the backs of the working class.
As evidenced by the MediCare system (why do old people need so many fucking lab tests.. OH ITS FREE!) and the welfare system (I need my Nexium, Diovan, but I only really take my VICODIN), if something is perceived as free it will be used, abused, and taken for granted. Just look at e-mail and the internet for example. People believe that email is free, so as a result I get thousands of spam messages a day to my inbox. People believe that its free for me to run this site, so they have scripts setup to check it every 30 seconds for new content (if you’re slow, you wouldn’t realize that I try to post something every SUNDAY). Humans abuse what is free.
I’m sure the Canadian and the UK readers will share how most of them have PRIVATE insurance because the socialized stuff has a 4 year waiting list for appointments for the socialized docs. Hate to say it, but copays filter out the “I must see doctor!” from the “Eh, im bored, lets go get drugs”. If you don’t believe me, go sit in the ER and see what piddly shit comes in to waste our dollars.
THIS COUNTRY IS BROKE
Yeah, we’re broke. We bailed out every corporation that should of failed (will Obama bail out my pharmacy and the other independents when the insurance companies force us under? No) and have a few trillion dollars of unaccounted free money (our money) floating around. Now how exactly are we going to pay for this? I’m paying into a MediCare system that will be long dried up before I ever get to get a lab or appointment covered by it. Medicare part D has to have the ‘coverage gap’ to keep it from going broke (faster), and now we want to give subsidized health care to everyone? Reading above how people abuse what is free doesn’t really make much sense that this is going to financially fly. The government couldn’t throw a 5 year old’s birthday party without tons of red tape and spending 100x what is would normally cost and there is talk about making them have a hand in our health-care? I think this whole ‘universal healthcare’ is just a government ploy to give new jobs to the idiots who work on the federal dime so they can keep their meaningless pointless jobs.
So I don’t really know what the future holds if we have socialized medicine in this country. It might look good on paper, but I think its going to flop. At least I’ll get my opinions in before the government forbids me from giving them (or maybe the’ll just take over this website like they are taking over everything else in this country).
UPDATE: Look, less than 24 hours and already I’m trying to explain what I wrote. So this post was to clarify on how I think that healthcare is not a right (which it’s not, disagree if you will) and two huge issues that any government subsudized plan is going to have (which could apply to ANYTHING that ANYONE pays to service that someone else uses) It wasn’t “YAR YAR NO SOCIALIZED MEDICINE” like the words some of you are putting in my mouth. Since /any/ plan that is made by our broke government is going to be 1000% funded on the backs of taxpaying citizens (since obviously doctors aren’t going to take a huge pay cut, pharmacies aren’t going to take a huge pay cut, where is the cash going to magically come from?) these are the concerns I have (and rightfully so). Like one reader said, we can’t take the usual government approach and throw this together, dust off our hands, and pat each other on the back. You would think that most of you who dealt with the Medicare Part-D bullshit would understand that. This is huge, and its with our money, so we should demand that it be perfect, well thought out, or we’re just throwing money away. And to the federal workers to got offended by my joke about the ‘government conspiracy’, get back to work, quit wasting time reading my website, and dont be so easily offended by the unfaulting sweeping brush that I make jokes under.
- Paying the PBM’s to service them.
- Im dreaming of a Crackhead Christmas.
- SOMABOTS, TRANSFORM!
- A pharmacist example for non-pharmacists.
- Trying to not kill your patients.
- An open letter to my patients.
- The FDA obviously hates the public and needs to lay off the crack pipe.
- How to make your pharmacy career less painful.