Health Care Now–Paul Krugman, NYT. A Reply

If you are a regular reader of Extreme Thinkover (here’s a shoutout to Eddie and Micki, two of my colleagues), you know one of my passions is health care reform and universal health care insurance.  We need it and we need it now!

This week Paul Krugman, who writes for the New York Times published, in his January 29th column, “Health Care Now.”

It’s a good piece, not only because he agrees with me, but that he presents a concise description of what is holding up getting started on the health care reform legislation in the new Obama administration, and then gives a Nobel-winning prize economist’s perspective why sooner is really necessary.

There is a bit of a mystery, though.  When the column was published over 350 people, including me, posted a reply.  After so many hours, the comment section was closed, which is standard NYT practice.  But then by the evening of the next day, the comments link was taken off-line.  Nothing from Krugman or the NYT as to why.  However, since I back up all my posts, and planned to put it on Extreme Thinkover, what follows is my reply to Dr. Krugman’s column.

^^^^^^^^^^

Paul–For some of us in the medical industry, the tsunami you call the looming health care disaster has already crested.  The hospital I work for, part of a Catholic health care system, incurred $66 million in uncompensated care last year (FY08).  That’s not waste or bad management.  That’s the amount of money we spent to treat every person who came to us, for which we could not recover a single dollar.  There are no golden parachutes or corporate jets in our health system.  And the administration says we are already $3 million ahead of last year.

Our mission is to treat the sick.  Anyone who thinks that not having access to health insurance or basic health care is overblown rhetoric or too expensive just needs to spend one day with me.

I cannot urge the Obama administration strongly enough to initiate their health reform legislation.  Nothing short of universal health care will work in the short or long run.  During the election I studied the various plans being touted (AARP, AMA, both candidates, the Catholic Health Association), as well as the legislation being introduced by various politicians.  I support the plan by Sen. Max Baucus (D-MT). Be assured, I have written him several times, urging him to act quickly.

I know the financial crisis needs immediate attention, but there is no reason for the groundwork not to be laid now to push hard for health care reform and universal health insurance in Congress as soon as possible.

We need it now.  We needed it for all those patients who came to us last year, requiring  immediate medical care, but who had no way to pay for what collectively amounted to $66 million to just one hospital.  They got the care they needed, anyway.  That’s what can happen when you believe that health care is a human right.  It would just be nice for those people to have insurance so they are not prohibited from exercising that right.  It wouldn’t be bad to get compensated for that care either.

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