As we approach another election cycle, many Democratic candidates advocate “Medicare for all” (aka, universal health care or “free health care for all”). As an active duty member of the United States military, I participated in – or, rather, was subjected to – “free government health care” for over 30 years, and I would like to share some of my observations with your readers.
I believe that in the most prosperous nation on Earth, our goal should be for the private sector to provide quality affordable health care to all, under sensible and practical governmental regulation. Many believe that cradle-to-grave health care is a “right” guaranteed by the Bill of Rights or the U.S. Constitution. But to say that unlimited free health care is a legally established right for every American is a gross misunderstanding of the Founding Fathers’ concepts of rights. Health care – like schooling, housing and gainful employment - is certainly a need, but does not rise to the level of a constitutional right. (Neither do certain proposed reproductive “rights” but that is a subject for another day).
While I was on active military duty, health care for me and my family was “free of charge,” but often required waiting for months before an outpatient appointment came available. The quality of care varied wildly, from excellence to gross negligence, but mostly fell in-between. Inpatient care (once you could get in the system) was usually better than outpatient care because as an outpatient you almost never saw the same doctors twice in a row. This meant doctors treating patients with chronic or recurring problems had to start from scratch with each follow-up visit. My personal experience was that the providers’/doctors’ expertise varied greatly from visit to visit.
Once “free” care is provided by the government, approved access to other – private, and paid – providers will be tightly restricted, and healthy competition will be sharply curtailed. And importantly, the employer-funded health benefits that so many of us depend upon will either shrink or disappear.
My first wife’s outpatient experience with “Medicare for all” casts a harsh light upon the dangers and unintended consequences of universal health care. As a military spouse, my wife endured multiple sacrifices (over 20 moves and numerous family separations lasting six to nine months). It required great courage and persistence to raise a family, mentor many younger wives and help them cope with the challenges of being a military spouse.
During one deployment, she experienced chest pain and was seen by a seemingly random series of outpatient physicians and medical personnel – never seeing the same health care professional twice. Each clinic visit included a chest X-ray and ended with the same diagnosis: “There’s nothing wrong with you, take an aspirin and go home and rest.”
After repeating this drill for over a year, her pain level was such that she literally could not move. One night, emergency room personnel admitted her as an inpatient. Yet another chest X-ray confirmed stage 4 cancer that had metastasized throughout her body. After months of outright medical indifference and neglect, she was now given less than a year to live.
Her attending physician noted that her previous X-rays had, in fact, shown a tumor was present, but that the government-employed health care “professionals” who examined her during numerous “free” outpatient visits had simply “overlooked” every opportunity to save or prolong her life. Tragically, this was the price she had to pay under what is now termed “Medicare for all.”
I submit these experiences not for sympathy, but as a warning that a government-run universal health care system, by its very nature, will sever the lifeline that medical professionals call “continuum of care.” Diminished competition among health care providers, and patients’ inability to choose their providers/doctors, are only part of the true cost of “free” government health care. And in fact, universal health care systems in other nations are not actually free of charge. In these countries, the basic plans may cover the costs of prescription drugs, dental and vision, but access to hospital care typically requires payment of a “premium tax” on a sliding scale.
Everyone knows that health care reform is needed to reduce costs and improve care. But I urge Virginians to consider the consequences of rushing to adopt this election year’s hot political fad by simply throwing out the many viable health care options currently in place, including Medicare, Tricare, Veterans Administration, Medicaid, the Affordable Care Act and private insurance.
In fixing health care, let’s not throw the proverbial baby out with the bathwater.