Thursday is the anniversary of Medicare's enactment.
JOHN GEYMAN,
http://www.pnhp.org/blog/author/johngeyman
Geyman is professor emeritus of family medicine at the University
of Washington. He is past president of Physicians for a National Health
Program and author of the book "Shredding the Social Contract: The
Privatization of Medicare."
He said today: "Medicare on its 44th birthday is remarkably
successful. It's the one solid rock we have in our disjointed healthcare
system. It covers 43 million Americans age 65 and older as well as some
2 million disabled people. It is consistently rated more highly than
private insurance in terms of reliability and quality of coverage. It
provides a comprehensive set of benefits, free choice of providers and
hospitals anywhere in the country, and simplified administration with an
overhead of only 3 percent -- versus administrative overhead and
profit-taking five to nine times larger for private insurers.
"Medicare was passed in 1965 after a fierce political debate even
more divisive than the one we're having now. Those opposed to reform
today are saying that a government program will get between you and your
doctor. But traditional unprivatized Medicare shows that to be untrue --
less bureaucracy than that of the private insurance industry, with its
more than 1,300 insurers working hard to cherry pick the market for
their maximal revenue by denying claims or even canceling coverage.
"Despite its successes, Medicare is not a perfect program. It would
be even more successful were it not for political compromises along the
way allowing it to be privatized. A good example is the Medicare
legislation of 2003. The problem was soaring prices of prescription
drugs. The result has been a bonanza for the drug and insurance
industries. The new drug benefit was handed over to the private sector
to manage, prices have continued up unabated, the government was
prohibited from negotiating lower prices as the Veterans Administration
does, and new subsidies were offered to private insurers for Medicare
Advantage, private Medicare plans that seek out healthier Medicare
beneficiaries.
"The same forces are at work today as healthcare reform proposals
make their way through Congress. Under pressure from industry and their
lobbyists, the public plan has been watered down to a small and
ineffectual option at best, if it ever survives to being enacted. But
the strengths of traditional Medicare as a system of social insurance,
coupled with a private delivery system, remains a solid foundation upon
which to build a better system in this country in terms of access,
affordability, quality, efficiency and reliability."
For more information, contact at the Institute for Public Accuracy:
Sam Husseini, (202) 347-0020; or David Zupan, (541) 484-9167