The Guardian April 7, 2004


Best health insurance deal in the United States

As the Howard Government dismantles Medicare and tries to take 
Australia down the US path of privatised health services and 
ever-shrinking safety nets, it is worth taking a look at one of 
the best private health insurance deals in the US and what it 
offers. David Lawrence reports in the US communist weekly, 
People's Weekly World.

I want to tell you about the best health insurance deal in the 
United States, bar none. Here it is: The purchaser pays US$35 per 
month. In return he or she gets:

* unlimited doctor's office visits
* accident care
* unlimited physical therapy
* routine exams
* unlimited specialty care
* durable medical equipment
* unlimited on-premises lab and x-ray
* unlimited EEG/EKG (expensive, sophisticated medical tests)
* unlimited hospital visits
* unlimited prescriptions
* pap smears
* unlimited medical consultations

"But wait, there's more", as they say on TV. There are no 
deductibles. In other words, patients don't have to pay, say, the 
first US$500 in medical bills before the insurance kicks in. 
Moreover, there are never any co-payments.

Patients with this health insurance get 100 percent coverage for 
all medical benefits listed above from the first time they see 
the physician. These patients are never stuck paying 50 percent, 
30 percent, or even 20 percent of any charges for any covered 
visit or medical procedure.

By now you are probably thinking, "Wow! That's fantastic! Where 
do I sign up?" I would love to be able to tell you that you can 
rush right out to your local health insurance sales office and 
sign on the dotted line, but unfortunately, it is not that easy.

This is a very exclusive deal. In fact, it is only offered to 535 
people in the entire United States. You would think that these 
would be low-income individuals, maybe, to get such affordable 
health insurance, but they are not.

No, in fact all these people earn US$158,000 a year or more, and 
quite a few of them are millionaires. Have you guessed yet who 
these lucky, well-insured folks are? They are your elected 
officials, the 535 members of Congress!

And how was the cost of this health insurance determined? 
According to the Congressional Committee on House Administration: 
"Based on an analysis of several databases on health care 
statistics, an independent consulting actuary estimated that the 
relative value of the services provided by the Attending 
Physician amounts to less than 45 percent of a federal employee's 
average annual share for prepaid health care plans available to 
federal employees in the Washington, DC, area."

In other words, they claim that this is based on what other 
federal employees pay for comparable health insurance coverage. I 
suspect that the other "federal employees" would not agree.

So remember, while President Bush and his cronies in Congress 
spend hundreds of billions of dollars making war around the 
world, and while they cut hundreds of billions of dollars from 
health care and social services for children, the elderly, and 
low-income families, these elected officials have the best health 
insurance deal in the nation.

Finally, here's a fun thing to do with large numbers. First, 
multiply $35 times 12 months. That comes out to $420 per year for 
a great primary care health insurance package. (In other words, 
it includes all the benefits listed above, but does not include 
long hospital stays or certain long-term physical or mental 
health treatments.)

Next, let's divide $420 into, say, all the money President Bush 
has spent invading and occupying Iraq — that's now about $106 
billion. The answer is ... $252 million. In other words, all the 
money wasted by Bush and the other armchair corporate warriors 
invading Iraq and killing tens of thousands of people could have 
provided primary care for four of every five Americans for an 
entire year.

War around the world, or health access across the nation? Only 
our political struggle can determine the answer.

If this is the best deal on offer in the US, then it is a sharp 
reminder to Australians how important it is to fight for Medicare 
with universal bulk billing and adequate funding our public 
hospital system so that everyone can have the quality treatment 
they need, when they need it and without a fee.

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