Follies of Public Healthcare
Many of us have had the opportunity to get or renew our driver’s licenses in person at the DMV. I had the privilege of having to renew my license in person recently. In case it has been a few years since you have had to do this, let me refresh your memory on how it plays out:
After planning to go to the DMV, you leave work early in order to get to the DMV before their 5:00PM closing. Parking is usually unavailable at the local DMV, so, upon arriving, you are forced to park along the street next to the DMV. The sidewalk to the entrance of the DMV is packed full of people who have their number and are waiting for their turn, or perhaps have nothing better to do than to hang out at the DMV. You push past people to get to the first line which you are required to wait through. As you enter the body-odor filled building, you are impressed that so many people could fit into such a small, neglected and outdated building. Being a good citizen, you dutifully wait in line to get a number. Time passes and you slowly inch closer to the evasive counter. Time slows as the lady and her daughter in front of you finally gets to talk to the woman giving out numbers. The lady appears to get upset as she finds out that she is missing one of the necessary documents required to get a driver’s license for her daughter.
Finally, your turn has arrived. You get to the counter and explain to the woman that you need to renew your driver’s license. She hands you some paperwork and then tells you that you need to fill these out and need to have the following documents in hand: your old driver’s license, proof of insurance, and your birth certificate or passport. As she mentions the last one you gasp, realizing that you didn’t think to bring your birth certificate. You explain this to her and she responds by saying that the wait is about an hour so there is probably time for you to get home and back with the necessary paperwork. Then she gives you your number, 87, in the event you get back in time.
Not wanting to deal with the mess again another day, and figuring that you would rather pass time by driving than by waiting in the smelly room, you decide to drive home to get your birth certificate. Since you only live 20 minutes away from the DMV, you figure you should be able to do it. It is now 3:30PM and the DMV closes at 5:00PM, so you figure you can make it even before the hour wait is up.
You start driving home but almost immediately are slowed down by the school zones where children are flocking across the roads in droves. Out of frustration you quietly mumble to yourself “I should have taken University…” Thinking the delay creates a good opportunity to do paperwork, you start filling out the forms the DMV woman gave you when you are stopped and waiting. After about 30 minutes of intermittent speeding mingled with lethargic school zones, you finally arrive home. Now where did I put my birth certificate? You begin digging through old files looking for your birth certificate. Suddenly you remember that you put it in the safe with other personal documents to keep safe. You pound out the combination and take your birth certificate as quickly as possible. 5 more minutes have passed, but you should be able to still make it before your number should come up, so you sprint back to your car and speed all the way back to the DMV. On your way back, you make a world record for getting through town: you did it in 15 minutes. You park along the street and sprint to the entrance of the DMV, pushing back through the crowd of people, at the same time finalizing the answers on the paperwork. As soon as you get through the door, you look at the display which shows the latest number to be called. “95″ it says. You missed your number.
Now the line to get a number is twice as long as it was previously because it is full of teenagers who just left school and are in to get their licenses for the first time. You decide to utilize the time to double check the paperwork that you were filling out while driving. Minutes pass by, and you inch closer to the DMV woman. The room has impressively filled up even more than it had before, and the stench of body odor fills every open space. You finally arrive to the DMV woman who asks you what you want. You explain again and she dutifully hands you another number. 128 is your new number. You realize that the DMV will be closing in just a few minutes and wonder what will happen — will you be ejected or will be attended even after the DMV closes? Pondering over these things becomes quite worrisome, as you don’t want to have to plan on missing work again for another trip to the DMV.
You brought a book to read during any wait you might have, so you sit down in a chair that was just vacated by someone whose number was called and begin to read. The second that five o’clock hits, and to your relief, the DMV woman locks the front door and then returns to give numbers to those in her line. People who arrive knock on the door in an attempt to get in, but the DMV woman pays them no attention. As soon as the DMV woman finishes giving out numbers, she calls every remaining person in order by number to stand in line. Reluctantly, you stand up and begin the rest of your long wait standing, relatively unable to read. Time passes, and eventually you get attended to.
Everyone hates waiting in lines like that, and yet the government is so effective at creating them. Remember your last visit to the post office? On top of the terribly long lines the post office is cutting back hours and days of operation in order to save money.
The Healthcare Debate
As we are all aware, congress is now debating, and Chairman Obama is now pushing, for a public healthcare system. Because they know the people of the United States do not yet want government controlled hospitals and employed doctors, they are trying to get their foot in the door by creating a “government insurance” company. Voters are a little less reluctant to accept such a plan. Unfortunately, many do not realize the power that will be conferring on the government; The government will be able to dictate pay rates to the hospitals and doctors. This is currently done by competing insurance companies, and doctors and hospitals get to choose which rates they are willing to do the work for. If the government is in control, however, chances are that the hospitals and doctors will be forced to accept government health insurance.
How much further of a step would it be to make doctors and hospitals immune to law suits for malpractice under the theory of governmental immunity? As soon as doctors become governmental employees, they would likely become immune to law suits.
I digress. There are many, many grave issues with a public healthcare system, and the conservative media catches many of them. I wish to make a few points regarding my story with the DMV.
The DMV vs Public Healthcare
Imagine breaking your arm and going to the emergency room. Because healthcare is now public, everyone with any type of ailment or nothing better to do would likely be hanging out at the local hospital. As you push your way through the hospital, you reach a line to get a number. Writhing in pain, you finally reach the desk of the lady who gives you a number and asks if you have the correct paperwork. Oh crap! I forgot to grab my birth certificate after I broke my arm! So, figuring you have to wait still, you drive home to get your paperwork, all the way cringing in pain with every acceleration. Imagine the pain as you attempt to work through your file to find your birth certificate, or the frustration when you get back only to find that your number was passed over and have to wait through the line yet again.
Imagine when the government, in an effort to save money, cuts back on hospital hours or on sicknesses that can be treated. Imagine the type of care you will receive when a doctor gets paid a flat rate per patient they see.
Brazil’s Public HealthCare System
Many of the above concerns are not just speculative. They are actually occurring in the world today in many countries with socialized medicine. I lived in Brazil for 2 years between 2002 and 2004. I was injured several times during that experience and spent much too long in public hospitals. I remember watching a stray dog wander through the halls of the hospital. I remember learning that many doctors are paid $3 per patient that they see. I remember the lines and waiting involved with every single visit. I remember seeing many talented doctors leave the country to practice in another country that paid better. One experience, however, stands out in my mind as our government decides what to do with healthcare:
It was a morning, and as was custom, I went to clap my hands (the Brazilian equivalent of knocking on a door) in front of a house I was attempting to visit. As I neared the house, a massive rottweiler on a chain bounded around and snapped at my hand. A sharp pain went up my wrist and through my arm. Lucky for me, the chain kept him from getting any more than a small section from the side of one finger. I quickly backed away and looked at my hand. As I tried to piece together what had happened, fresh blood began dripping to the ground. I fuddled around in my backpack with my other hand and grabbed some additional cloth I had to stifle the bleeding. Without much hesitation I decided to start walking the two miles to the local hospital. When I arrived there was a long line of people inside, many of whom were moaning or were hunched over, clutching their stomachs. Upon seeing their condition, I suddenly felt like my finger wasn’t so bad after all and that waiting in line would not be such a bad fate for me. I gave my name to the nurse and explained what had happened. She told me the wait was approximately 6 (six) hours. I nodded and asked if I could return in a few hours and keep my place in line. She said I could, so I walked out and went home to try and do what I could with my primitive first aid knowledge and tools at home. Several hours later, having been unable to do much and worried about tetanus and rabies, I returned to the hospital and was informed that my turn had passed, but that I would be given preferential entry because I had come earlier. I sat down and waited for another hour for my name to be called.
When I was finally called, I got up and worked my way through the back rooms to where the doctor was. He looked at me and pulled back my shoddy bandaging to look at the wound, which was caked in blood. He sent me away to have a nurse clean the wound so he could look at it better and then he called in another patient. I dutifully went to the other room where the nurse was working, and she glanced at my finger and began scrubbing. Although I had managed to stop much of the bleeding, when she began scrubbing, the bleeding started anew. When she finished she sent me back to see the doctor by putting me in a smaller line with three other people. Needless to say, by the time I got back to see the doctor my finger was covered in blood yet again. When I entered the doctor’s room he quickly stated “I am sorry to inform you, but we are out of rabies shots. You should call around to all of the other hospitals to see if any of them have any left. Also, you will want to go get a tetanus shot at a pharmacy. Come back if you start having other symptoms of rabies [and then he told me a couple to look out for].” He quickly glanced at the blood-covered-finger and then told me to go and have the nurse to dress the wound. I did so, and then went home for what was left of the evening.
The next day I went to the pharmacy to get a tetanus shot and called around to all of the local hospitals. I found out that every single hospital was out of rabies shots.
What happened to me in Brazil could easily happen here in the United States if the government enters the healthcare business. It happens all over the world where governments are in charge of healthcare. While it is true that the wealthy in this country get the best healthcare, in socialized medicine it shifts simply to the well-connected. No longer is it about who has money, it is about who has power and friends.
Everyone likes something that is free or paid for by someone else. When it comes to healthcare, however, an old adage applies: “You get what you pay for”. If we get healthcare that is “almost-free,” our experience with healthcare will be equivalent in quality.
If we do not keep the politicians from taking our freedom of choice in healthcare away from us, we will regret it. We must not acquiesce.
I challenge you to think of one effective and efficient system or program that the government has created. Any governmental healthcare system will probably have the same long lines and bad service that most governmental businesses have today.
