PERSPECTIVE FROM THE 19TH HOLE: This is the title I chose for my personal blog, which is meant to give me an outlet for one of my favorite crafts – writing – plus to use an image from my favorite sport, golf. Out of college, my first job was as a reporter for the Daily Astorian in Astoria, Oregon, and I went on from there to practice writing in all of my professional positions, including as press secretary in Washington, D.C. for a Democrat Congressman from Oregon, as an Oregon state government manager in Salem and Portland, as press secretary for Oregon’s last Republican governor (Vic Atiyeh), and as a private sector lobbyist. This blog also allows me to link another favorite pastime – politics and the art of developing public policy – to what I write.
The problem for Senator Warren, as she campaigns for the Democrat nomination for president, is that she can’t sell her health care plan.
The more potential voters know about her plan to give all of health care to bureaucrats the more they don’t like it.
It’s one thing to call for a government role in health care. It’s another to say only government will play a role.
No private health care.
If you like your health insurer, you can’t keep it. If you like your physician, government will tell whether you can keep the relationship or not.
Health care is an issue of national concern and a country as capable and diverse as the U.S. should be able to design a better system, one that includes a reasonable role for government AND a reasonable role for the private sector.
All of this came to the fore this morning when the Wall Street Journal published this:
“Buttigieg’s (Pete Buttigieg, the small town Indiana mayor who is running for the D nomination) rise has been fueled in part by voter concerns about the health plan advanced by presidential campaign rival Senator Elizabeth Warren.
“Those concerns may have room to grow. Shane Goldmacher, Sarah Kliff and Thomas Kaplan write in the New York Times that Warren is still struggling to market government-run health care:
…speaking to reporters the day after unveiling her Medicare for All financing plan, she uncharacteristically stumbled over the specifics, insisting, incorrectly, that only billionaires would see their taxes go up.”
Meanwhile, the Times reports, the United Kingdom’s government-run health plan hardly argues for a similar experiment in the U.S. Today Helen Puttick reports in the Times of London on the lengths patients of the National Health Service (NHS) must go to find a safe operating room:
“An NHS operating theatre has been mothballed because of staff shortages and patients having surgery are being taken to a mobile theatre run by a private company.
“NHS Scotland is paying to transport people daily almost 40 miles from Aberdeen Royal Infirmary to have their operations at the temporary unit. One of the theatres in the hospital’s general surgery suite has been shut because the health board cannot find enough trained nurses to safely provide treatment there.”
In a recent editorial, the Wall Street Journal wrote this:
“Americans who want a preview of coming attractions under Medicare for All should take a look at the annual ‘winter crisis’ at Britain’s NHS that is starting early this year. Data released Thursday showed the worst waiting times in 15 years in English emergency rooms. Hang onto your warm winter hats.
“The NHS managed to treat only 83.6 per cent of emergency-room patients within four hours in October, compared to 89.1 per cent a year earlier and well short of the government’s target of 95 per cent.”
As I have posted previously in this blog, I had a recent experience with health care in the U.K. It wasn’t all good. It wasn’t all bad.
In the end, the service was effective, but it took quite awhile for it to be provided.
Is the service I receive in the U.S. any better? Well, I know the U.S. system better, having been a health care lobbyist for the better part of 25 years, so I know how to work my way through the system, plus the service locations are within easy geographic reach, not across the Atlantic.
For me, the bottom line is that the U.S. ought to be smart enough to find the best of health care in the U.K. and the best of health care in the U.S., merge them, and provide a better system for all Americans.
But it appears that today’s version of politics – going overboard from the left and just saying “no” from the right – will not produce a result worth preserving.