05 September 2006

American children and access to health care

I find this just appalling. I am certain that I am not the only one how finds the idea of 8.3 million children without health insurance a disgrace for the country with the highest per capita spend on health care in the world.

I thought as far back as 1992 that best means to break American resistance to a single payer health care system (aka "socialised medicine") might be to introduce a system for all children under the age of 18 (or perhaps 25 if in full time education).

Having lived under both the US and British systems I reckon I have a bit of insight. The American system is undoubtedly superior (or at least it was 13 years ago!) but only for those with access to adequate insurance. The British system is undoubtedly flawed but its basic premise of free at point of access care with universal provision was, when I first experienced it, and remains a revelation to someone who grew up in an insurance based system. Attending a doctor's surgery or going to hospital without having to filling in forms, produce insurance cards et al is a delightful experience.

In the thirteen years I have lived here I have had, on more than one occasion, required either minor surgery or hospitalisation. Yes, I have had to wait three months for the removal of a cyst from my eye. It was neither painful nor threatening to my life or my vision so it was no great inconvenience.

I have also, due to rather debilitating depression, required hospitalisation and ongoing mental health care. This has been exemplary and I suspect at least equal to, if not superior to, what I would have had access to in America even with fairly good insurance coverage. The care as included: hospitalisation in a small, dedicated mental health unit (care was good but the food was extremely unhealthy and unappetising) as well as continuing care outside of hospital with a community unit where I had a dedicated nurse as a care coordinator and access to cognitive therapy - all at no cost.

In any case something has to change in America and soon!

No comments: