Oct 20, 2008
A couple of health-care-related reports came to our notice this week, different but not entirely unrelated.

From the New America Foundation comes a report warning against implementing an insurance plan favored by some members of Congress and by John McCain. Across State Lines Explained: Why Selling Health Insurance Across State Lines is Not the Answer warns that the worst part of this plan is that insurance companies would only have to abide by the laws of the state in which they were headquartered, and not the laws of the states in which they were selling their insurance. Yes, that’s right: More veiled deregulation.

According to the report, insurers selling across state lines would have an easier time cherry-picking healthy customers to insure and charging higher premiums to the elderly or less-healthy populations—or refusing to insure them at all—resulting ultimately in increasing even more the 90+ million people currently un- or underinsured.

Americans have been speaking up for years for single-payer, Medicare-type health care.^1,2 Neither of the main presidential candidates has come out for such a plan, beholden as they both are to the insurance companies. Meanwhile, health care premiums have doubled during the Bush 2 administration.³ It is time to support those politicians, and only those, who do favor what the American people want.

The other report may fall into the “Well, duh!” category. America’s Health Starts with Healthy Children comes to us from the Robert Wood Johnson Foundation. The report, which examined children’s health in association with parental economic and educational factors, concludes, “Across the country and within every state, there are substantial shortfalls in the health of children based on their family’s income and education....”

In addition to having a general infant mortality rate worse than 41 other countries (including the Czech Republic, South Korea, and Cuba),⁴ the report finds that a greater proportion of children from poorer families enjoy less than optimal health than those from higher-income families. The gap is as wide as 44 percent to 7 percent in Texas, down to 13 percent versus 6.4 percent in New Hampshire.

Child obesity, neglecting to teach our children math and science skills, inequitable health care across economic lines, huge and growing income inequities, governmental inattention to the will of the people: these things must stop.

We must address the three pillars upon which our civilization and our collective well-being depend—income, health, and education—and we must end their inequitable distribution. The American people know how to do it, and are willing to make the necessary sacrifices. It is our one-party political establishment, and the hammerlock hold the corporations have over it, that are impeding change.
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¹ Growing Health Care Concerns Fuel Cautious Support for Change (.pdf), an ABCNews/Washington Post Poll, October 13, 2003 (Accessed October 17, 2008)
² Single-Payer Health Care, from Wikipedia (Accessed October 17, 2004)
³ Employer Health Benefits 2008 Annual Survey, from the Kaiser Family Foundation (Accessed October 17, 2008)
⁴ Rank Order - Infant Mortality Rate, from the CIA World Factbook, October 9, 2008 (Accessed October 17, 2008)
tags: Health | Governance