A 2006 memo penned by Newt Gingrich praised the health reform law Mitt Romney piloted as governor of Massachusetts, and threatens to undercut the former House speaker's criticism of that plan.
A memo (first unearthed Tuesday by the Wall Street Journal) distributed through Gingrich's Center for Health Transformation credits Romney and his state's health reform law as a positive development.
"The most exciting development of the past few weeks is what has been happening up in Massachusetts. The health bill that Governor Romney signed into law this month has tremendous potential to effect major change in the American health system," Gingrich wrote. "We agree entirely with Governor Romney and Massachusetts legislators that our goal should be 100 percent insurance coverage for all Americans."
That would seemingly temper Gingrich's criticism of the Massachusetts plan as the "forerunner of Obamacare."
Gingrich has similarly criticized the individual mandate contained both in Romney and President Obama's health reforms, despite having supported a similar model for health reform in the 1990s. He's since disavowed such a plan.


Willard was FOR universal health care - before he was against it.
He's been for AND against EVERY issue! Mitt Romney is a completely amoral talking head who will say anything to get elected, a man of no convictions whatsoever.
The most important thing here is that republicans oppose the new health care simply because it has the president's name on it. If the economy hadn't tanked, it would have been enormously popular, but the republicans hijacked it and demonized it. Giving health care to 37 million was a good start. We still need the public option.
I think the most important thing to understand is that conservatives relish & wallow in the pain & suffering of the American Family
All of their policies hurt them --- They are the "Consumer",,,, They are the "Job Creators" ,,,, They are the "American Family"
Do they once stop to consider the facts that when the American Family is in economic ruin --- There is no "Strength in Marriage" ----- NOPE,, NOT ONCE
Jim, do you still think that Karl Marx is "God" and that Obama is his only begotten son?
LARRY: And are you still a goose stepping, Brown Shirt, Fascist Nazi???
See how clever I am Larry? I can call names just like you though in your case I suspect my words are somewhat more appropriate.
Lary,,,, What's with your fixation on Karl Marx?
Don't you understand that every conservative President is a socialist by your narrow minded uneducated definition?
The difference is that my father fought against the Nazis and was blinded in the war in Europe.
the difference is that I have fought for liberty all my life while you leftist continuously fight as the real fascists and marxist totalitarians to take away liberty and replace it with marxist collectivism.
Where is Flipper now? It's a shame he will be known as the Iconic Flipper a once loved dolphin viewed by many of children from 1964-1967.
Republicans are SUCH hypocrites
Democrats are not hypocrites? Hard to distinguish the two actually.
Good point....but democrats do occassionally tell the trush and are not nearly as hypoctical as republicans....plus..Democrats are better at keeping America Safe and killing terrorists
Dems got one that Bush set up. Republicans caught them, waterboarded them and killed them while the Dems screamed to let them go! LOL
hey waterbrain.....was it Rush, sean or glenn that convinced you of that?
i think you've been cheated from reality
This doesn't matter at all. Anyone out there still planning to vote for one of the current GOP candidates has no memory capacity past the last episode of the Bachelorette or Dancing With Stars. These huckster politicians can say anything and their gullible, "low-information" (i.e. stupid) believers will swallow it whole.
Your real funny let me tell you
If Rebublicans were just hypocrites half this bitchen' wouldn't be happening. Carpet baggers is more like it.
Inbred Carpetcritebaggers --- It's a "Family Value" thing the have going
Newt would talk @!$%# about his mother just to get elected....he's pathetic.......oh and add hypocrite!!!!
Both Newt & Mitt change policies & religions as often as most change their underwear
One more example of how the republican candidates are tripping all over their pasts in an effort to attract the votes of the right wing tea baggers in their party. What a pathetic bunch of hypocrites!
The Tea Party met it's "Waterloo" at the border of our largest colony & first state,, Virginia stopped their advance
Can't wai for you to eat these words in 2012 - just as others did iin 2010.
TO: Watermoon who wrote:
Ha! You haven't been keeping up with current events! Nobody can stand the TeaBaggers, not even Republicans, and especially not the ones who voted for them in the first place!
You are still watching news programs that parrot White House talking points. Try Fox News - a republican bastion - before you think you know what republicans think. You aren't ever goiing to know if you just listen to liberal talking heads spouting liberal propaganda and calling it news.
TO: FatBobMob who wrote:
Wrong. Like Ross Perot famously said: "People don't know how much a billion dollars is. One billion dollars is enough money to build everyone in America a new home" (and he said that BEFORE prices on houses were as low as they are today!).
Ross Perot is a Republican who ran for POTUS as an independent back in 1991 with Bill Clinton and George H.W. Bush (41).
I bet you haven't seen the newest list of billionaires and how many there are of them. All of the hills in Los Angeles are covered with billionaires and millionaires from all over the world.
The fact is, Republicans will tell any story and make up any lie to NOT take care of their own, and it makes me SICK that the average Working American can't even get a pay raise without some ignorant Republican coming along and calling THAT a "redistribution of wealth".
REPUBLICANS = TAX CUTS for the rich, and PAY CUTS for working Americans.
Obama / Biden 2012
American,
A pay raise by the PRIVATE sector is not "redistrobution of wealth". When the GOVERNMENT takes from one and GIVES to another, it is!
It's just another sign that libs have no idea what's happening and who the IGNORANT ones really are!
My favorite is the description that a billion is having a stack of $1000 bills that is 666 feet high - higher than the Washington Monument. (Based on 1000 bills being of sufficient width to be 8 inches high.)
By the way, a trillion dollars then would have to be stacked horizontally and would have length of 126 miles. Can you imagiine driving over two hours at 60 mph and not getting to the end of a "stack of thousand dollar bills. Hell, a few inches would be wonderful to me.
Obam willl spend 3.4 trillion next year (429 miles - of $1000 bills remember. Don't want to think about it in ones as it would go around the equator of the earth 16 1/2 times.) The deficit he will cause would be a mere 176.6 miles. Seriously, get out a map and see just what this would mean in terms of driving. As I remember this last was about the distance from Washington DC to Philadelphia - every inch of the way we see $1000 bills lying plush along the side of the road.
American,
"All the Hills of Los Angeles are filled with billionaires and millionaires". So what!!!!! Why aren't you there???
Not educated enough?. Don't work hard enough? Aren't talented enough? Don't want to take risks and start a business? Tell me..........Oh, illogical one..........
P.S. Sorry for the typo in "redistribution".
No disputing the gist of your statement, just Perot's math. 1billion = ten thousand homes at $100,000 each. Not sure what kind of home he was wishing on the rest of us.
bernie-1722829, oh we know EXACTLY who the ignorant ones are, and it begins and ends with Republicans, who run their mouths constantly and have no idea what they're saying, nor any idea of the consequences of their errors. Not to mention the fact that Republicans have been claiming amnesia for 3-1/2 years in order to not have to face the fact that they've screwed up everything they've touched for the past 10 years!
TO: bernie-1722829 the insult comic:
My point is, oh uneducated one, that they can afford to pay their freaking taxes, and they have no business being the beneficiaries of "waste, fraud and/or abuse".
One thing about me bernie, you'll never find me on my front porch rocking chair dipping snuff and collecting government welfare checks, such as yourself, Mr. Misspeller!
And then the Democrats took over in January 2007. How have the past five years been for you? Is there anyone in America - other than those living inside the Beltway - that can say they are better off today than they were five years ago? And I never heard a Republican president say that he iinherited the mess and it is not his fault that it is far worse today thay when he took over.
Actually I can say I am better off now than I was five years ago. I do consider myself among the fortunate, but I am sure that I will not be better off if the Republicans take office and screw us all!
American,
Awwww, too bad you and your libs are the ones collecting welfare, you illogical one. I am part of the 1% that worked 70 hours a week starting and keeping a business afloat so I wouldn't have to be on Obama's dole.
P.S. Guess you don't know the difference between a "typo" and a "misspelling", oh bright one.
TO: bernie-1722829 who wrote:
No bernie, you're part of that 100% of Republicans who gets on these blogs and tells lies all day long. It would be nearly impossible to find someone in the top 1% wealthiest in this country -- who can't spell!
And bernie, you're wrong again. Just take a look at your Republican, Michelle "Welfare Queen" Bachmann who even has the gall to run for POTUS!
Bachmann gets 23 welfare checks EVERY month, one for each of her 23 foster kids, not to mention food stamps, Farm Aid paid for by us American Taxpayers, and hundreds of thousands of dollars EVERY year in Medicaid payments ALSO paid for by me and the rest of us American Taxpayers!
Yeah, but Republicans turn a blind eye, so long as THEY are getting the recipients of all that "waste, fraud and abuse!
If Bachmann was a "conservative" Republican, she wouldn't be taking ANY government money, instead she takes all she can GET, which is why she won't adopt those children -- cause Bachmann can stand to think of NOT getting those 23 welfare check every month!
maggie: thanks for the insight. that was pretty ignorant.
American,
If it's so easy to get all the money you want the way Bachmann did it, by taking in 25 children, why don't you? Wait, she's a republican and she wanted to see all those kids not get some kind of love or food.
Are you not smart enough? Don't want to work hard? Not talented enough? Don't want to take risk? Or, are you just too "moral" and "ethical"? Tell me, oh wise one!
Arguing with libtards is such a chore. They know so few facts, begin from false premeses and then have no clue as to rules of logic. You would think that they would appreciate Gingrich for this compliment that fosters their Obamacare as legitimate, but they are so filled with hate that they attack someone that is agreeing with them.
Beyond that, there is no one on the Right that does not recognize the right of the state to institute programs that aid the health and welfare if its citizens. This has been the right of the state since before 1776. The constitution confirms this right in the 10th amendment. It is why they can require car insurance for example. It is the federal government that is estopped from doing these things by the constitution, not the state.
Romney helped Massachusetts develop the health insurance program along with so much more. It is why he is the best candidate for the next president. He worked with a legislature that was 85% Democrat and accomplished so much! The last thing we need is four more years of a president doing nothing and whining that the other party is obstructing him.
Watermoon,,,, Did you ever figure out yet that Obama wasn't born in Kenya?
Jim,
Keep up the same ole', same ole'.
Nice non rebuttle, though!
Sorry Jim, but Idon't believe that and never did. Kenyans are known to be hard-working and intelligent people. Was that meant to be a rebuttal of something or just an inane question? It certainly seems to make my point as to the inability of a libtard to handle logic.
Just ask him Bernie.... He hasn't figured it out yet
Intelligent Republicans, there a lot of you out there. I'm sure you must be scratching your heads over what has become of your party. I know you hate Obama, but, please, stay home on voting day in 2012. Think ahead to 2016 and come up with a reasonably good candidate. This current crop is pathetic, and you don't honestly want any of them running the country, do you?
gravis, I bet you can't find even ONE "intelligent Republican" that hates anybody, least of all the POTUS.
The problem is the Republican Party is overrun with ignorant fools who wouldn't know a cat from a canary.
Will you marry me?
Obviously, you are content with Obama, Biden and Pelosi, and think they're doing a great job.
American,
Wow...You are really intelligent.
Yes, we republicans hate everyone...And we want to see everyone die from poison food. We want the air to be choked with polution. we want the rivers dirty. We want our children to starve.
What else can you think of that we "mean, rotten" republicans want, putz?
I sure can bernie, you want to live tax free, borrow from other countries as if there are no limits, and have the poor and senior citizens of this country pay your freaking bills for you while you steal their retirement money.
BERNIE: Very impressive little parody of yours.
Only problem is, most of your remarks are truer than you'd ever want to admit to.
You can't claim to love clean air and yet oppose every piece of legislation to support it.
You don't want children to starve??? Coulda fooled me. Yours is the party that said Catsup qualifies as a vegetable for school lunches. Or the fact that the GOP has tried to undo school lunch programs for poverty stricken kids. Or the fact that they have drastically cut back on home heating assistance for the poor and elderly. I mean, what's the worst that could happen, some people might freeze to death, right???
BERNIE: Very impressive little parody of yours.
Only problem is, most of your remarks are truer than you'd ever want to admit to.
You can't claim to love clean air and yet oppose every piece of legislation to support it.
You don't want children to starve??? Coulda fooled me. Yours is the party that said Catsup qualifies as a vegetable for school lunches. Or the fact that the GOP has tried to undo school lunch programs for poverty stricken kids. Or the fact that they have drastically cut back on home heating assistance for the poor and elderly. I mean, what's the worst that could happen, some people might freeze to death, right???
American,
First you tell me I'm collecting government welfare and now you tell me I want to live tax free!
It's so easy making fun of the left!
Intrepid,
There are approximately 165 state, local and federal programs to "help" the truly needy. And, the only ones these programs REALLY help are the "poor" people that administer them. Tell me why after 60 years and TRILLIONS of dollars do we still have generation after generation.....from the same families, on the dole
No one is claiming there is not a need to help, but please...........why all the duplication, waste and fraud?
Oh, so what bernie, you just want the rich to live tax free? But you want to pay your fair share in taxes?
American,
"The rich live tax free"???? The top 5%, that you are so jealous, envious and hate so much, pay about 35% of the taxes collected.
You still haven't told me why you're not "rich".....Or, what the definition of "rich" is.
So, one more time........Not educated enough? Not talented enough? Don't want to take risk? Too "moral? Too "ethical"?. Not "greedy" enough? So easy making fun of you! So easy getting your shorts in a knot!!!
hypopcrites, damn, hypocrites, damn, my lobbiest got grits, you god damn.... come and meet my pretty blond wife, ignore the pain and nazi strife and..... will you be my bestest friend;;;; I'll love you till the bitter end.... the oceans not yet dead you see,,, my picture rules both you and mee......
Jealousy is the new norm for democrats.
And OUTRAGEOUS GREED, IGNORANCE AND HATE SPEECH is the new norm for republicans.
American, .
Oh, now I see. You are not "GREEDY" enough to be part of the 1%. You are way too ethical to be a "greedy" millinaire.
Obama is the president of hatred voted in by the party of haters. And so they see their essence in others. "Everything looks yellow to the jaundiced eye."
Democrats - did you hate Bush? Now your president leads you to hate oil companies, coal companies, uility companies, insurance companies, Fox News, auto ccompanies, all corporations, banks - and the TEA Party, Saran Palin, Herman Cain (toss in some racism since this "boy" didn't know his place and be a liberal like all good blacks) Michelle Bachman and so many others.
It is said that one rarely looks under the bed unless one has hidden there herself and Dems are the best example of this. Selfish hypocrites who steal from the work of others and call it compassion/generosity. It has also been said that one hates most that which she doesn't like in herself.
Obama is the president of hatred voted in by the party of haters. And so they see their essence in others. "Everything looks yellow to the jaundiced eye."
Democrats - did you hate Bush? Now your president leads you to hate oil companies, coal companies, uility companies, insurance companies, Fox News, auto ccompanies, all corporations, banks - and the TEA Party, Saran Palin, Herman Cain (toss in some racism since this "boy" didn't know his place and be a liberal like all good blacks) Michelle Bachman and so many others.
It is said that one rarely looks under the bed unless one has hidden there herself and Dems are the best example of this. Selfish hypocrites who steal from the work of others and call it compassion/generosity. It has also been said that one hates most that which she doesn't like in herself.
Sorry about that. I got a message saying that the comment couldn't be posted and to try again. Maybe they just liked it so much that they wanted it twice?
TO: Watermoon who wrote:
Everybody in the World hated Bush.
Again, you can't know what the other half thinks if you just watch the ABC et al liberal propaganda networks.
To me, the most important advantage to universal healthcare is the fact that it eliminates the neccessity of people without insurance waiting til the doctors' offices to be closed, so they can go to the ER, which at that time treats them, because the law already mandates that they have to treat them. It's a lot more expensive to treat them there. It also ties up medical personnel who could best be used for real emergencies. I've known people who have made, and spent good money foolishly, who don't carry insurance. When they have major trauma, people take up collections, and they use the limited slots for indigent rehab. With universal healthcare this could be avoided. Something a lot of people don't understand about insurance companies, is they make deals with doctors, and hospitals, to limit the amount insurance has to pay them for various procedures. My insurance has a deal with the VA, where they pay miniscule amounts for procedures. Additionally, the VA has a deal with my insurance, where the insurance only pays the exact amount the VA has to pay for my meds. Then the VA requires me, and other vets rated under 50% disability to pay the balance of the $8 prescription fee. Effectively this makes the bill cheaper for my insurance company, while negating my benefit that my insurance is supposed to pay. This applies only to non-service-connected medications.
I've got Tricare as well... Just had a broken tooth, they only cover 60% of the pulling.. They wouldn't pull just 60% of the tooth ----- It could be improved, a lot of vets & retirees can't cover the difference
Dental problems are indeed medical problems & one policy should cover it all in my opinion
So have each state make health insurance mandatory just like they do car insurance. But don't force others to pay for it - just like they don't with car insurance. Make all people set this as a priority - before buying their televisioons, cars, and even homes - just like I and so many others did!
One thing is sure Romney's dirty tactics will not work with me, I know now he is the one who's throwing s--- to others, perhaps Obama is been collecting allots of money for his re-election but the question is who's the questionable contributions to the Democratic party for sample China, and others.
Why ask? If anyone is opposed to campaign disclosure it's conservatives & that's a matter of pubic record
You aren't going to get anywhere just bitching about the democrats --- Start with them 1st & address the heart of the problem
Eliminate the Super Pacs that people like Sarah Palin & her daughter has made millions from
And the 850, 000 a year don't hurt either,,,, ha ha....
Well, let's keep it short and to the point. Does the word hypocrite suit as a synonym for liberal. I'm not being obstreperous, but too many liberals want to borrow, spend, and tax. You don't mind saying you're all for higher taxes to spread the wealth, as long as you're not the ones being taxed. I guarantee, if there was a flat tax, but the government said it would publish a list of all do-gooders who will voluntarily contribute more than they are required to pay, not one of you would make the list. It's great to say all people deserve everything someone else has, but don't make me pay for it. Make those who have worked hard and done it the right way keep digging deeper and deeper. That's a great concept for ending democracy. Keep taking from those who work and just give it to those who won't or don't. Obviously, this could go on for ever, but I think you get the point. If people were given assistance to become independent and self sufficient, rather than free this and that for generation after generation we might just turn the corner. Once you train people that they deserve to be given everything, entitled, it's over.
There is a Republican talking point offered in answer to why America is the only country among the top 25 industrial powers that doesn't have single payer/universal health care, paraphrased: "America is special, unique, and must find its own health care solutions." The only thing unique about health care in the United States is that there are far more health insurance and pharmaceutical lobbyists than anywhere else in the world. Although Teapublicans talk about the many Aunt Suzies in Toronto who complain about waiting for some medical procedure in Toronto, all Canadians are entitled to health care as a matter of right, none of the hospitals are passing the costs of emergency room care for the poor to those capable of paying insurance coverage, and the vast majority of Canadians are satisfied with the quality of care they receive. In fact, "[b]y over a ten to one margin, Canadians prefer their own health care system over ours (82%-8%). 70% of them are either fairly satisfied, or very satisfied with the system." http://www.harrisdecima.com/sites/default/files/releases/071009E.pdf. So are the citizens of the 23 other industrial powers who don't have universal health care.
The health care industry makes up 16% of our overall economy, and the Congress sold out Americans' welfare to keep that part of the economy strictly in the private sector, even adding a mandate that all Americans must pay for insurance coverage. Between 55% and 70% of Americans wanted a public option to offer competition for private health insurers, yet only 41 Senators ever favored a public option. That Teapublicans defeated the public will is palpable. They've misrepresented what the public wants and have successfully defeated the the will of the majority elsewhere. According to a recent poll, 63 percent say the budget super committee should have called for increased taxes on higher-income Americans and businesses, http://politicalticker.blogs.cnn.com/2011/08/10/new-cnn-poll-majority-want-tax-increase-for-wealthy-and-deep-spending-cuts/, yet all Teapublicans completely ignore that; instead, they onhly talk about reduced taxes even though income taxes are as low as they've been in 50 years (and poverty is as high as its been in 60 years).
There is little difference between Romney, the prevaricator, and Gingrich, the prevaricator. The villains are those politicians who sold their souls to America's corporate oligarchs, most of whom also signed the Grover Norquist pledge. They have been compromising the interests of working people for decades, transferring wealth from the middle class to the upper class, fighting against fair taxation of the rich, all the while extolling the virtues of capitalism even though it's not working for as much as a quarter of our population.
Republicans have been waging war on the middle class for over 30 years, ever since Reagan started selling America on the radical economic ideas of Milton Friedman and his Chicago School of Economics. You know it as the "lower taxes-cut government spending--deregulate business--privatize governmental functions" serenade. It's been our economic orthodoxy since Reagan, and its implementation has led to predictable results--the impoverishment of the middle class and the enrichment of the upper class. Although workers' wages have remained relatively flat since 1978, the average annual income for the top 1% went up by 275% between 1990 and 2011. The upper 20% in the United States now "earn" 85% of all annual income. http://sociology.ucsc.edu/whorulesamerica/power/wealth.html. Had anyone been paying close attention, we could have seen how Friedman's ideas impoverished the middle class populations in post-Allende, Pinochet's Chile, in Lech Walesa's Poland, and in post-Glasnost Russia. Subscription to this form of "austere capitalism" has been made a condition for developing countries' acquisition of loans from the World Bank and the International Monetary Fund. Its tyrannical reach can been seen by how many economic advisors to the President or heads of the Fed are Friedman acolytes--both Greenspan and Bernanke, and Summers, Paulson and Geithner were Friedman acolytes who went through the Morgan-Stanley mill.
Perhaps corporate America's greatest triumph was Citizens United, wherein our First Corporatist Chief Justice, John Roberts, writing for a conservative majority, conferred First Amendment rights on corporations (corporations are not just persons for purposes of having standing to sue and be sued, but also as persons that enjoy First Amendment protections against limiting free speech by limiting campaign contributions) and insisted that their political contributions could be made anonymously to PACs. This paves the way for anonymous corruption of politicians, hardly the kind of transparency we've come to expect in order to know who supports whom or what.
Time for America to awaken from its ideological slumbers. America should strive to regain its status as a representative democracy by passing an amendment to overturn Citizens United. Anyone who signed Norquist's pledge should be voted out of office as traitors who abandoned the interests of America's citizenry for a rigid, irrational fealty to economic dogma.
Thank you for not making me type all that. Well said.
No, we need to go back to what made this country great and let it work. Capitalism!
Not crony crap, but a properly regulated level playing. That will fix the cost.
Capitalism Failed
Where has communism worked? And what socialist country has even near the standard of living as the USA. That poverty is defined here as a family of four making $21,600 a year when it is defined globally as the family of four making $2920 a year is very telling. Living in poverty in the USA is equivalent to middle class or wealthy in most all socialist or communist countries. If this shows capitalism failed then thank god I live in this failed situation rather than the success of the other.
The only problem with our health care cost is that capitalism was thoroughly removed!
Apply it and rates will plummet.
BAREFOOT: How on earth do you figure that???
We have a for profit health care system, the most expensive in the world by far yet we rank 37th in terms of quality of care and you're complaining that we don't have enought "Capitalism"? LOL
To which I respond with the oft-quoted definition of insanity, which is, doing the same thing over and over and expecting different results.
We've tried to introduce healthcare reform in one form or another for 7 decades, and it always got shot down by CONServatives before 2009, and during that time, America's healthcare costs per capita grew to twice the next highest advanced country (Japan), welcome to Capitalism, teabagging idiots!
Most teabaggers/CONServatives vote against their own interests because they think they're gonna win the lottery and join the 1%, welcome to Capitalism!
That 37th ranking is pure bogus and has been throughly rebutted. It is based on dissimilar definitions and false data. As an example, infant mortality is "lower" in Japan because they don't consider a child born dead in the data. It must survive a period of time to be considered.
If our system is such a failure why do the wealthy from England, Canada and so many other counries come here for their needs? There is no better health system in the world and it is open to anyone in the country - just like the grocery store is open for food needs. Trouble is that theh liberal doesn't think it is right that he should have to pay for anything. He should be allowed to feed off the teat of a giant mommy and not ever grow up and be an adult!
"5 MYTHS About Health Care Around the World"
By T.R. Reid
Sunday, August 23, 2009
AS AMERICANS search for the cure to what ails our health-care system,
we've overlooked an invaluable source of ideas and solutions: the rest
of the world. All the other industrialized democracies have faced
problems like ours, yet they've found ways to cover everybody -- and
still spend far less than we do.
I've traveled the world from Oslo to Osaka to see how other developed
democracies provide health care. Instead of dismissing these models as
"socialist," we could adapt their solutions to fix our problems. To do
that, we first have to dispel a few myths about health care abroad:
1. It's all socialized medicine out there.
Not so. Some countries, such as Britain, New Zealand and Cuba, do
provide health care in government hospitals, with the government
paying the bills. Others -- for instance, Canada and Taiwan -- rely on
private-sector providers, paid for by government-run insurance. But
many wealthy countries -- including Germany, the Netherlands, Japan
and Switzerland -- provide universal coverage using private doctors,
private hospitals and private insurance plans.
In some ways, health care is less "socialized" overseas than in the
United States. Almost all Americans sign up for government insurance
(Medicare) at age 65. In Germany, Switzerland and the Netherlands,
seniors stick with private insurance plans for life. Meanwhile, the
U.S. Department of Veterans Affairs is one of the planet's purest
examples of government-run health care.
2. Overseas, care is rationed through limited choices or long lines.
Generally, no. Germans can sign up for any of the nation's 200 private
health insurance plans -- a broader choice than any American has. If a
German doesn't like her insurance company, she can switch to another,
with no increase in premium. The Swiss, too, can choose any insurance
plan in the country.
In France and Japan, you don't get a choice of insurance provider; you
have to use the one designated for your company or your industry. But
patients can go to any doctor, any hospital, any traditional healer.
There are no U.S.-style limits such as "in-network" lists of doctors
or "pre-authorization" for surgery. You pick any doctor, you get
treatment -- and insurance has to pay.
Canadians have their choice of providers. In Austria and Germany, if a
doctor diagnoses a person as "stressed," medical insurance pays for
weekends at a health spa.
As for those notorious waiting lists, some countries are indeed
plagued by them. Canada makes patients wait weeks or months for
nonemergency care, as a way to keep costs down. But studies by the
Commonwealth Fund and others report that many nations -- Germany,
Britain, Austria -- outperform the United States on measures such as
waiting times for appointments and for elective surgeries.
In Japan, waiting times are so short that most patients don't bother
to make an appointment. One Thursday morning in Tokyo, I called the
prestigious orthopedic clinic at Keio University Hospital to schedule
a consultation about my aching shoulder. "Why don't you just drop by?"
the receptionist said. That same afternoon, I was in the surgeon's
office. Dr. Nakamichi recommended an operation. "When could we do it?"
I asked. The doctor checked his computer and said, "Tomorrow would be
pretty difficult. Perhaps some day next week?"
3. Foreign health-care systems are inefficient, bloated bureaucracies.
Much less so than here. It may seem to Americans that U.S.-style free
enterprise -- private-sector, for-profit health insurance -- is
naturally the most cost-effective way to pay for health care. But in
fact, all the other payment systems are more efficient than ours.
U.S. health insurance companies have the highest administrative costs
in the world; they spend roughly 20 cents of every dollar for
nonmedical costs, such as paperwork, reviewing claims and marketing.
France's health insurance industry, in contrast, covers everybody and
spends about 4 percent on administration. Canada's universal insurance
system, run by government bureaucrats, spends 6 percent on
administration. In Taiwan, a leaner version of the Canadian model has
administrative costs of 1.5 percent; one year, this figure ballooned
to 2 percent, and the opposition parties savaged the government for
wasting money.
The world champion at controlling medical costs is Japan, even though
its aging population is a profligate consumer of medical care. On
average, the Japanese go to the doctor 15 times a year, three times
the U.S. rate. They have twice as many MRI scans and X-rays. Quality
is high; life expectancy and recovery rates for major diseases are
better than in the United States. And yet Japan spends about $3,400
per person annually on health care; the United States spends more than
$7,000.
4. Cost controls stifle innovation.
False. The United States is home to groundbreaking medical research,
but so are other countries with much lower cost structures. Any
American who's had a hip or knee replacement is standing on French
innovation. Deep-brain stimulation to treat depression is a Canadian
breakthrough. Many of the wonder drugs promoted endlessly on American
television, including Viagra, come from British, Swiss or Japanese labs.
Overseas, strict cost controls actually drive innovation. In the
United States, an MRI scan of the neck region costs about $1,500. In
Japan, the identical scan costs $98. Under the pressure of cost
controls, Japanese researchers found ways to perform the same
diagnostic technique for one-fifteenth the American price. (And
Japanese labs still make a profit.)
5. Health insurance has to be cruel.
Not really. American health insurance companies routinely reject
applicants with a "preexisting condition" -- precisely the people most
likely to need the insurers' service. They employ armies of adjusters
to deny claims. If a customer is hit by a truck and faces big medical
bills, the insurer's "rescission department" digs through the records
looking for grounds to cancel the policy, often while the victim is
still in the hospital. The companies say they have to do this stuff to
survive in a tough business.
Foreign health insurance companies, in contrast, must accept all
applicants, and they can't cancel as long as you pay your premiums.
The plans are required to pay any claim submitted by a doctor or
hospital (or health spa), usually within tight time limits. The big
Swiss insurer Groupe Mutuel promises to pay all claims within five
days. "Our customers love it," the group's chief executive told me.
The corollary is that everyone is mandated to buy insurance, to give
the plans an adequate pool of rate-payers.
The key difference is that foreign health insurance plans exist only
to pay people's medical bills, not to make a profit. The United States
is the only developed country that lets insurance companies profit
from basic health coverage.
In many ways, foreign health-care models are not really "foreign" to
America, because our crazy-quilt health-care system uses elements of
all of them. For Native Americans or veterans, we're Britain: The
government provides health care, funding it through general taxes, and
patients get no bills. For people who get insurance through their
jobs, we're Germany: Premiums are split between workers and employers,
and private insurance plans pay private doctors and hospitals. For
people over 65, we're Canada: Everyone pays premiums for an insurance
plan run by the government, and the public plan pays private doctors
and hospitals according to a set fee schedule. And for the tens of
millions without insurance coverage, we're Burundi or Burma: In the
world's poor nations, sick people pay out of pocket for medical care;
those who can't pay stay sick or die.
This fragmentation is another reason that we spend more than anybody
else and still leave millions without coverage. All the other
developed countries have settled on one model for health-care delivery
and finance; we've blended them all into a costly, confusing
bureaucratic mess.
Which, in turn, punctures the most persistent myth of all: that
America has "the finest health care" in the world. We don't. In terms
of results, almost all advanced countries have better national health
statistics than the United States does. In terms of finance, we force
700,000 Americans into bankruptcy each year because of medical bills.
In France, the number of medical bankruptcies is zero. Britain: zero.
Japan: zero. Germany: zero.
Given our remarkable medical assets -- the best-educated doctors and
nurses, the most advanced hospitals, world-class research -- the
United States could be, and should be, the best in the world. To get
there, though, we have to be willing to learn some lessons about
health-care administration from the other industrialized democracies.
[T.R. Reid, a former Washington Post reporter, is the author of "The
Healing of America: A Global Quest for Better, Cheaper, and Fairer
Health Care," to be published Monday.]
Now read the following. It was also in print so it must be true - right?
http://www.cato.org/pubs/catosletter/catosletterv3n1.pdf
I feel so fortunate to be in tehh USA rather than in Canada - and this article will tell you why.
Both Gingrich and Romney are a lot like Obama. If either of them gets the nomination, there will be no reason to vote for them and Obama will probably be re-elected.
I'm thinking Newt is not the genius that he would have us believe he is.
Oh, that's OK. He prayed about it and asked forgiveness. At least twice, I think. It's all good.
MEOW.
Just one more of Newt's prevarications (lies)! And the teabaggers love him so what does that make them?!