Reform health care, not just insurance

Talking to Myself isn't really a health care blog, but it does seem that's most of what I'm blogging about these days. But this is an important issue, so here we go again. Over at Common Dreams, Randall Amster asks the thought-provoking question, Does Anyone in the Healthcare Debate Really Care About Health?

Amster argue persuasively that merely assuring access to the current system, with its emphasis on drugs and surgery, isn't going to make us any healthier.

What I'm suggesting may be difficult for some folks to accept. It has become convenient and comfortable for many people to rely on the current healthcare system. Prescriptions for painkillers and their ilk are glad-handed all over the country every day. Radical surgeries are performed routinely in non-life-threatening situations. Giving birth has been rendered an "illness" requiring hospitalization and, oftentimes, surgery if nature doesn't follow the predetermined clock precisely. Children are given full-spectrum vaccinations before they can even walk, and when they start to run are medicated psychotropically if they don't color within the approved lines. Emergency rooms are staffed by everyone except doctors (who still wind up billing you anyway) and are filled to the brim with people lacking true emergencies. And so on.

This is a sick system, and a sickening one too. Most of the reasons for entering the healthcare system could be attended to in myriad other ways that are healthier and more beneficial for individuals and society as a whole. Unfortunately, we've chosen to accept and subsidize in large measure one model of healthcare to the exclusion of competing options. How many plans in existence today provide coverage for midwives, naturopaths, nutritionists, masseuses, or the like? Even in the few cases where they might do so, how many people utilize these services in any event? Let's be real about this: our healthcare plans, and the ones being debated nationally right now, are overwhelmingly about the "pills and surgery" reactive version and hardly at all about proactive, natural options. The only talk even remotely along these lines is about preventive care, but even that becomes about screening and testing for conditions that then will likely require pills and surgery.

Amster describes health care systems in Japan and New Zealand, which he says work much better than ours. The entire essay is well worth reading.