A hospitalist looks at socialized medicine

Erik DeLue, a hospitalist who blogs, recently had a paid 4 day visit to St. Petersburg, Russia with his wife, an art historian. Since Obamacare had recently been passed, he decided to take a quick look at state sponsored health care.

"As if vodka were a truth serum, I got an earful of reality about Russian health care. If you need basic care, and by that I do mean very basic care, everyone has access. If your health care needs are more complicated, be prepared to wait a long time or be willing to pay much more money out of pocket than most can afford.

The other option is to find healthcare in another country—again, an option available to only a select few. But Russia is an extreme example of socialized medicine gone bad, and the demise of its health care system has more to do with the country’s political history than it does with the basic tenets and structures of socialized care.

As this was an international conference, I had a chance to speak to people from many different countries, including Germany, France and England. Most of these Western Europeans were generally happy with their health care system, but all complained of longer wait times and difficulties with getting subspecialty care, at least when compared to how our current American system works. They also noted that those with money were able to move ahead in the line, hardly a surprise no matter which the nation or particular political system."

For the rest of the story, see it here.

DeLue seems to believe we are moving to the idea that health care is a right, and if that is so, we need to determine how to ration it.  Did anyone hear that during the months of debate?

Most Europeans and even most Americans don't realize that all Americans have health care, they don't all necessarily have health insurance. In fact, if they don't have insurance, they may actually get to spend more time in the hospital healing and not be sent home according to a pay formula, as I learned when my friend's son who was unemployed had an appendectomy.

 I'm really puzzled when I read that if people only had insurance they wouldn't be struggling with obesity. As if there were no fat, middle-class, well-employed white people. It's peer pressure, not insurance, that keeps people trim, exercising and eating right.