Quote of note:
To understand what has gone wrong in health care, one need only look at the booming market for prescription drugs. Once upon a time, drugs were a needs-based product. You received a prescription when you were truly ill. Now many drugs are demand-driven, just like Froot Loops and Lucky Charms.
The Health of Nations
By DONALD L. BARLETT and JAMES B. STEELE
For years the people in Washington have offered one plan after another that they said would provide health care for all Americans and rein in costs. Each plan has failed. Today more people than ever have inadequate coverage or no insurance at all. And still costs continue to spin out of control.
Notably absent from the rhetoric has been any mention of the existing system's inherent flaw - the inability of market-based, for-profit medicine to deliver on the political promises.
Two decades ago, when Washington embraced the for-profit model to curb escalating charges, health care spending represented 10.5 percent of gross domestic product. Now it is approaching 16 percent. We spend more per capita on health care than any other developed country. Yet on the important yardsticks, like life expectancy measured in healthy years, we don't even rank among the top 20 nations. In fact, according to the World Health Organization, we come in an embarrassing 29th, sandwiched between Slovenia and Portugal.
The explanation for this abysmal record is one that politicians decline to discuss. The market functions wonderfully when we want to sell more cereals, cosmetics, cars, computers or any other consumer product. Unfortunately, it doesn't work in health care, where the goal should hardly be selling more heart bypass operations. Instead, the goal should be to prevent disease and illness. But the money is in the treatment - not prevention - so the market and good health care are at odds. Just how much at odds is seen in the current shortage of flu vaccine, as men and women in their 80's and 90's line up for hours at a time, hoping to get the shot they have been told they need, but may not receive because not nearly enough has been manufactured.
