This morning on Washington Journal was a discussion with Marogt Sanger-Katz of the NYT Upshot blog. She wrote a post: No, Giving More People Health Insurance Doesn’t Save Money. It’s a controversial title for sure, but there is some interesting points that I know are often mentioned on a few email lists I’m on for my profession.
Let me just say I’m am a bit cautious of her writing after listening to her answer regarding why the nation did not get a single payer system in her interview this morning. She was correct there was not the political will, but she suggested that it was do to a lack of interest/drive on the part of the people. She states most of the people do not want single payer. My understanding is that is was more the politicians involved namely President Obama and the congressional dem leadership that flat shut down any talk of single payer and then the Medicare option. Ms. Sanger-Katz did not mention this at all. Here is the clip:
In her article however, she does mention the issue of “number to treat”. This is a big issue in health care and has been ignored generally. When the move was on to control costs, medicine began to promote prevention, only it was not prevention by means of better food, better life environment via a reduction in the risks of life (security of housing, income, aging). If you think about it, to promote better food requires going up against our industrialized food system. To promote a better life environment would mean going up against the entire economic model we have been deriving policy from that has lead to the life people are living today.