What connects U.S. Senator Ted Kennedy, renowned physicist Stephen Hawking and your Grandma? The answer, if you’re a right-wing American, is that all three would be left to die if the NHS – Britain’s world famous universal health service – had its way. Yes, that’s right, welcome to the madness that is the current debate in the US over health-care reform: a bizarre dumping ground for crazy that has now – thanks to self-serving Republican politicians and the loonier fringes of the right – set its cross-hairs on Britain’s health care.
Thus Kennedy, who is battling a brain tumour, was cited by Republican Senator Chuck Grassley last week as someone who would be denied treatment for his tumour if he had the rotten luck to find himself in England. Grassley is one of the leading Republican players in negotiating a health-care bill. Needless to say, his claim is a lie. Then there’s the claims that the NHS has “death panels” that refuse costly treatment for old people, thus sentencing them to a premature death. Another lie.
And Stephen Hawking? According to a now legendary editorial by the Investor’s Business Daily, people such as Hawking “wouldn’t have a chance in the U.K, where the National Health Service would say the life of this brilliant man, because of his physical handicaps, is essentially worthless.” Unfortunately for the editors of this fine publication Hawking is, obviously, British and has lived in Britain, under the Nazi-like grip of the NHS, his whole life. Oops. “I wouldn’t be alive were it not for the NHS” was his rather definitive response.
Naturally, these kind of accusations tend to focus the debate on the relative merits of the NHS . Defenders of British health-care can point to the incredible, mind-boggling cheapness of the system compared to America: according to OECD figures, in 2007 Britain spent a staggering $4000 dollars less on health-care per person than the U.S. And yes, there is rationing in the British model (a logical inevitability in a universal, free system) but the common sense, cost-effective decisions of NICE – the body that gives advice on the effectiveness of treatments – are much preferable to America’s idea of rationing which is, you know, leaving 45 million people without any form of health care. And considering how incredibly cheap it is, Britain’s health-care is not that far behind America in terms of patient outcomes and even ahead of it in many areas. Moreover, despite its lower levels of health spending, Britain still manages to be second only to the US in terms of pharmaceutical innovation, which rather puts a sword to the lie that government health-care stagnates medical progress.
But all this is in danger of overlooking what is surely the most startling element of America’s health-care debate, which is that so much is being made of the merits of the NHS despite the complete absence of anything at all like it in any of the health-care reform proposals. This is a really crucial point, so I’ll say it again: Nothing remotely like the NHS is being considered, in even the smallest measure, in any of the health-care bills currently on the table. The current debate, then, is like attempting to reform the rules of cricket and getting mired in a row over the merits of baseball. It’s just not relevant.
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