WICHITA — Healthcare is the focus of another round of tea parties taking place this week across the country. The Kansas chapter of the grassroots group Americans for Prosperity will organize a rally this Friday in Wichita.
The Wichita protest, at 11 a.m. Friday, July 17 outside Sen. Sam Brownback’s office (245 N. Waco, Wichita), will be held simultaneously with hundreds of other local tea parties nationwide outside the offices of members of Congress.
A letter in the Wichita Eagle written by Brad Beachy of Wichita makes the case for “so-called socialized medicine” to be brought to the United States. Part of Beachy’s argument relies on a ranking produced by the World Health Organization. That ranking has a number of problems.
The ranking Beachy refers to was produced in 2000, and hasn’t been updated since then. So it’s getting a little old. Worse than that, it contains a number of techniques and biases that work against countries that rely on markets instead of government to provide health care.
A recent paper from the Cato Institute provides some useful analysis of the World Health Organization rankings. (See WHO’s Fooling Who? The World Health Organization’s Problematic Ranking of Health Care Systems)
For example, there are two sets of rankings. As the Cato report explains: “One ranking claims to measure “overall attainment” (OA) while another claims to measure “overall performance” (OP). These two indices are constructed from the same underlying data, but the OP index is adjusted to reflect a country’s performance relative to how well it theoretically could have performed.”
Using the OP rankings, the United States is number 37. But using the OA rankings, the United States is 15.
25% of a country’s ranking is based on “financial fairness,” which is determined by looking at the “dispersion in the percentage of household income spent on health care.” As the reports says “The FF factor is not an objective measure of health attainment, but rather reflects a value judgment that rich people should pay more for health care, even if they consume the same amount.”
The report notes this introduces a bias against countries that rely on market mechanisms for paying for health care.
There’s another problem with FF, too: “Put more simply, the FF penalizes a country because some households are especially likely to become impoverished from health costs—but it also penalizes a country because some households are especially unlikely to become impoverished from health costs. In short, the FF factor can cause a country’s rank to suffer because of desirable outcomes.”
The Cato study goes on to document additional problems with the WHO ranking. Problems with the rankings were noticed earlier, too. An earlier analysis of this report from Cato (We’re Number 37 in Health Care! concluded this:
Overall, the WHO rankings’ mathematical formulations serve only to distract attention from the authors’ underlying distaste for individual choice in health care. The report largely ignores the extraordinary benefits the American marketplace brings to health care worldwide, such as new drugs, advanced diagnostic instruments such as MRIs and CAT scans, and lifesaving therapies for cancer and heart-disease patients. Under a WHO-style health care system, lifesaving research and innovation would be stifled and individual choice would be discarded in favor of collective control. Bureaucrats would decide who receives care — and who does not — on the basis of statistical tallies that devalue the lives of the elderly, the disabled and the chronically ill.
By contrast, a free-market health care system upholds the right of every person to make his own decisions. Patients are given choices, not issued numbers, and doctors are freed from impersonal “expert panels” dictating what care they can and cannot provide. The WHO’s idea of government-provided universal health care is a fantasy that masks a system of dangerous, formula-based rationing. If you value your health, don’t trust the WHO.
David Gratzer, a physician born and raised in Canada, gives us in the United States a preview of what government health care is all about: the waiting.
His recent Wall Street Journal piece is titled Canada’s ObamaCare Precedent: Governments always ration care by making you wait. That can be deadly.
He tells this story: “But Canadians wait for practically any procedure or diagnostic test or specialist consultation in the public system. The problems were brought home when a relative had difficulty walking. He was in chronic pain. His doctor suggested a referral to a neurologist; an MRI would need to be done, then possibly a referral to another specialist. The wait would have stretched to roughly a year. If surgery was needed, the wait would be months more. Not wanting to stay confined to his house, he had the surgery done in the U.S., at the Mayo Clinic, and paid for it himself.”
An Ontario woman with a 40-pound liquid-filled tumor in her abdomen was within weeks of death when an American surgeon — working in Michigan — removed the tumor.
“Ironically, as the U.S. is on the verge of rushing toward government health care, Canada is reforming its system in the opposite direction.” In 2005, the Canadian Supreme Court “struck down key laws in Quebec that established a government monopoly of health services.” Private-sector health care is growing in Canada, with 50,000 patients per year seeing private doctors in British Columbia. The United Kingdom and Sweden have initiated reforms, moving away from total government control.
Dr. Gratzer asks “Why are [Americans] rushing into a system of government-dominated health care when the very countries that have experienced it for so long are backing away?”