Republicans in Congress have raised the specter of a bloated, "socialized," bureaucrat-run nightmare of a health care system as a means of undermining the White House's effort at a systematic overhaul. And yet, as Democratic sources are now pointing out, when medical crisis hit close to home, many of these same officials turned to a government-run hospital for their own intensive care and difficult surgeries.
Also known as Bethesda Naval Hospital, the National Naval Medical Center is the premier branch of the United States Navy's system of medical centers -- as in, the government runs it. It's also the place where elected officials of all ideological stripes and political branches often go get surgery performed. Indeed, members of Congress pay an annual fee for the privilege of getting treatment at Bethesda Naval Hospital or, for that matter, Walter Reed Army Medical Center. It is, as longtime Democrat Martin Frost wrote for Politico, "like belonging to an HMO." Only, in these cases, the surgery is conducted at a public facility.
None of this has stopped some of the same officials who have taken advantage of this congressional perk from railing against the intrusiveness and inefficiencies of a health care system with greater government involvement.
But conservatives have long used the notion of "socialized medicine" to defeat health care reform efforts -- even though when it comes to the flagship Naval Hospital just miles away, the worries about bureaucratic nightmares, low quality care, and long lines seem to be wiped away.
Read it all here.
Socialized medicine is a system in which the government owns the means of providing medicine. Britain is an example of socialized system, as, in America, is the Veterans Health Administration. In a socialized system, the government employs the doctors and nurses, builds and owns the hospitals, and bargains for and purchases the technology. I have literally never heard a proposal for converting America to a socialized system of medicine. And I know a lot of liberals.
Single-payer health care is not socialized medicine. It's a system in which one institution purchases all, or in reality, most, of the care. But the payer does not own the doctors or the hospitals or the nurses or the MRI scanners. Medicare is an example of a mostly single-payer system, as is France. Both of these systems have private insurers to choose from, but the government is the dominant purchaser. (As an aside here, unlike in socialized medicine, "single-payer health care" has nothing in particular to do with the government. The state might be the single payer. But if Aetna managed to wrest 100 percent of the health insurance market, then it would be the single payer. The term refers to market share, not federal control.) Meanwhile, what we're actually going to get is not socialized medicine or single-payer health care. It's a hybrid system. Private insurers, hopefully competing with a public option. Private doctors and private hospitals. Government regulation and subsidies. It's going to be complicated and messy and inefficient and hopeful and the product of a strange mix of corporate preferences and public compassion and latent populism. It will, in other words, be a uniquely American system, and hard to describe with a single epithet. Read More...
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