Conservative businessmen sound out single payer
Universal healthcare crosses the partisan divide
At HIGPA, surprising consensus sees coverage for everyone coming soon
By Shawn Rhea
Modern Healthcare
October 30, 2007
Liberals and conservatives may be duking it out over the issue of universal healthcare, but more than a few participants at the Health Industry Group Purchasing Association’s 2007 International Expo, held Oct. 22-24 in Palm Desert, Calif., said the outcome of the fight is a foregone conclusion: Like it or not, within the next few years the U.S. is going to have a nationwide, single-payer system.
“In one way or another, we’re going to have universal healthcare, because you can’t have a business where half of the possible customers can’t afford the product,” said Joe Flower during a HIGPA conference breakout session on the future of healthcare.
Flower, a self-dubbed healthcare futurist, consultant and author of several books on the business of healthcare, has written about the potential benefits of a single-payer system. He asserts that universal healthcare could ultimately promote efficiency; improve pricing and quality-of-service transparencies; and reduce administrative costs and health-cost-related bankruptcies.
And if those reasons don’t get the average capitalist excited about universal healthcare, Flower has noted that it could also ease the financial “burden” on big businesses by spreading the cost of healthcare across a wider pool of financial supporters who pay into the system. Also, healthier workers would mean fewer sick days and fewer sick days ultimately mean more profitable businesses.
I, for one, believe the pronouncements that universal healthcare will soon be coming to a household near you are accurate. Not because I’m naive enough to think that healthcare policymakers and politicians alike are finally seeing the moral value in having everyone — taxpayers and businesses alike — pay to ensure each citizen, regardless of income, has access to a basic level of preventive care. But because even conservative, don’t-put-your-government-paws-in-my-wallet types are acknowledging that the goal of universal healthcare can no longer be labeled a kumbaya concept trumpeted only by liberals. It seems the ire of 47 million uninsured Americans — many of them voters — is a powerful enough motivator to sway even the staunchest fiscal conservative toward accepting the idea.
Don’t believe me about conservative give on the issue? Well, let me suggest you talk to former Republican presidential candidate and conservative Pat Buchanan about universal healthcare. Buchanan and Democrat Terry McAuliffe, former chairman of both the Hillary Clinton for President Exploratory Committee and the Democratic National Committee, were the featured guests at the HIGPA conference’s debate-style dinner on Tuesday evening. Between partisan barbs the two political pundits actually agreed on an issue: It was that universal healthcare will soon be a reality in this country.
McAuliffe’s pronouncement during the dinner that universal healthcare is “going to happen, and I don’t care who the (next) president is,” was hardly a surprise to the mostly Republican audience. Buchanan’s response, however, was probably a bit more novel to the expectant crowd. “I agree,” he said. “The question that comes up now is: How are we going to pay for it — especially when Medicare and Medicaid are like Thelma and Louise going over the cliff?”
Exactly how we’re going to pay for universal healthcare is the $110 billion question, the price range mentioned by presidential candidates brave enough to put a price tag on their plans.
If, as HIGPA conference participants suggested, leaders across partisan lines are getting onboard with the idea that universal healthcare will soon be reality, it seems now would be the time for politicians and healthcare lobbyists to take off the gloves and get down to the business of creating a coverage system everyone can live with.
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Comment:
By Don McCanne, MD
What is remarkable about this report is how far the debate on reform has come. This was a meeting of conservative businessmen in the health industry. The debate is no longer over whether we need comprehensive reform; that is now a given. The debate has progressed to considering the financing mechanism, or, as Pat Buchanan said, “How are we going to pay for it?”
The crucial reality check was in the comment by Joe Flower, “you can’t have a business where half of the possible customers can’t afford the product.”
Over half of the nation can no longer afford to purchase reasonably comprehensive private insurance plans, and businesses are finding it increasingly difficult to do so as well. If we expect to control spending and provide health care for everyone, that doesn’t leave much of an option other than single payer national health insurance. It simply makes the best business sense.