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Healthcare reform. Yay for progress. Sigh for regress.

My feelings about healthcare reform run hot and cold. Sometimes I fall out of line with the “official” progressive perspective, getting more and more excited by the prospect that reform, even 3rd rate reform, might actually pass. People in the United States have been striving for some kind of universal healthcare system since at least the 1930s and haven’t been able to achieve it yet. We might actually see success this year. Wow! And even if it’s some Rube Goldberg absurdity, expanding coverage to an additional 40+ million people is nothing to sneeze at. (The reform effort at hand promises to expand coverage to a greater number of people than exist in all of Canada, the lefties’ single-payer utopia.) Then again I remember just what a difference there is between what sensible reform would look like and the ugly, genetically modified beast that is standing in for “success.” For example, there’s that annoying factoid that the US already spends roughly as much in government/taxpayer money on health care as the comparable “advanced economy” countries of the world, measured as a percentage of GDP, and yet for their money they cover 100 percent of their populations while we here cover a measly 28 percent of our population.
[Source: for percent of GDP, Word Resources Institute, Earth Trends database (accessed Oct 2, 2009) ; for percent of population, Wikipedia, “Universal health care” (accessed Oct 5, 2009) and American Medical Students Association, “International Health Care Systems Primer” (PDF).]
For the same money! They are getting 3 to 4 times the bang for the buck. And all the while our “fiscal conservative” politicians from both parties do everything they can to prevent us from achieving that kind of fiscal sanity. In other words, if we thoroughly reformed the system, we could probably achieve 100 percent universal coverage and not only avoid spending more but actually spend far, far less than we currently do (when counting both public and private expenditure). But we won’t. Because–for no good reason I can understand–Americans aren’t organizing mass protests in favor of a Canadian-style single payer system or French-style, um, French system. Maybe next time.

I'm an associate editor at Chelsea Green and I like to think about low-tech/appropriate-tech gizmos that I hope to build when I have some spare time. In a previous incarnation, I coauthored the Field Guide to the U.S. Economy. When not at Chelsea Green or biking to work, I live and garden with my family in Norwich, Vermont.

If you need a new blog to follow…

I recommend a new blog from Liz Stanton, Public Goods: The economics of climate, equity and shared prosperity. Stanton is “a senior economist with the Stockholm Environment Institute-U.S. and a research fellow at the Global Development and Environment Institute (GDAE) of Tufts University.” I know her because we were in economics grad school together a […] Read More..

Following up with Allan Savory on using cattle to reverse desertification and global warming

A couple weeks back I linked to the video of a lecture given by Allan Savory, on the topic of “Keeping Cattle: Cause or Cure of Climate Change?” Unexpectedly, and to my delight, a reader of the blog who knows Savory put me in touch with him, and Savory generously agreed to answer questions I […] Read More..

Pigs at the trough and looking beyond local farms

The February Center for Rural Affairs newsletter includes a couple articles especially worth noting. Bad news first: the Obama administration isn’t holding to the President’s campaign promise to clamp down on the loophole that allows unlimited subsidies to go to the biggest farms. In a repudiation of the president’s central campaign pledge on rural policy, […] Read More..

Fascinating lecture: “Keeping Cattle: Cause or Cure of Climate Change?”

Check this out. It’s a lecture by Allan Savory sponsored by Feasta, an Irish organization (“The foundation for the economics of sustainability”). There’s a 10 minute version and a 1 hour version. The full version includes a lot of seriously interesting stuff not in the condensed version. I’d love to have the opportunity to talk […] Read More..

HCR Avatar analogy—and “pass HCR” contingency fund

Maybe lots of other people are making Avatar analogies, but I haven't happened to see them myself. So I'll just throw this out there. (Spoiler alert for people who haven't seen the movie and don't want to know the storyline: avoid this diary entry.) Read More..