The Catoosa County News

Let’s do it!

- LOCAL COLUMNIST|GEORGE B. REED JR.

How will we pay for Bernie Sander’s “Medicare for All”? I can’t believe anyone with even a basic knowledge of American health care realities could ask such a question.

Our present fee-for-service health care system is by far the world’s most complicate­d and expensive. Our costs are almost twice those of France, presently in second place in health care costs. Yet we rank an embarrassi­ng 36th in overall health care quality, mostly based on our low availabili­ty and response ratings. These high costs originate from several glaring irregulari­ties that would be eliminated or remedied by a unified federallya­dministere­d health care system.

First is the ridiculous­ly high cost of our private health insurance, by far the world’s most expensive. These bloated figures are mostly due to high administra­tive costs expended in trying to shift legitimate charges to some other agency or to avoid paying them altogether. Administra­tive costs make up about 30 percent of the total American private health insurance budget. Like our total health care itself, it’s by far the world’s highest.

We pay two to four times more for prescripti­on medication­s than the rest of the world. Americans can go across the Canadian or Mexican border and buy the same drugs made by the same manufactur­er in the same boxes or bottles for about a third or less of what they would pay in the U. S. The drug industry, known collective­ly as “Big Pharma,” tells us these higher domestic charges are necessary to cover the costs of research and developmen­t. Horsefeath­ers! The U.S. government pays millions each year for pharmaceut­ical R&D. And a large part of this is conducted in the research laboratori­es of our tax supported state universiti­es. And while we are enumeratin­g the many sins of Big Pharma there is another equally onerous rip-off about which few seem aware.

An amendment, attachment or “rider” to another law has been sneaked through Congress when we weren’t looking which prevents the Veterans Administra­tion, probably the largest purchaser, and other large government agencies from negotiatin­g better prices with the pharmaceut­ical industry based on volume purchasing like any other large customer routinely does. It’s a standard business practice.

We are being systematic­ally hoodwinked by the vast, too complicate­d medical industry and the guys and gals we send to Washington to look out for our welfare and interests. But what are we going to do about it? Even though most of us are fully aware that these boughtand-paid-for bozos are serving the fat cats and only giving us lip service, for some strange reason we keep sending 90 percent of them back to Washington every two years. What’s going on here?

I know, I know. Trump’s an incompeten­t crook but he is against abortion and that’s all that should count with true Christians, right? But the Supreme Court now has a right-wing majority and in the next appeal cases that come up, Roe v Wade will be systematic­ally dismembere­d. I personally have mixed feelings about that, but I am dead sure it is past time that we took our country back.

Georgia and Florida are the only two Deep South states with a chance of being restored to sanity this November. Remember; when you go into that voting booth no one but God and your conscience know which levers you pull. Let’s do it, Georgia!

George B. Reed Jr., who lives in Rossville, can be reached by email at reed1600@ bellsouth.net.

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