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The First Debate in Maryland Senate Race between Zeese, Steele and Cardin

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Health Care PDF  | Print |  E-mail
Thursday, 26 October 2006
The state of health care in the United States is a disgrace. For tens of millions of Americans, it is a struggle between life, health, and money. The Zeese campaign supports national health care with a single-payer plan that replaces the for-profit, private health-insurance industry. This approach is supported by the following groups: Physicians for a National Health Program (PNHP); the American Nurses Association; the U.S. Labor Party; the California Nurses Association; the National Association of Social Workers; the Associations of Physicians Assistants; the National Association of Midwives, among others.

It is long past time to make health care available to all. The United States is the only industrialized country that does not provide universal health care. We could achieve health care for all Americans without financial barriers, and for less money than the current system.

The United States spends far more on health care per person than any other country in the world, but ranks only 37th in the overall quality of health care it provides, according to the World Health Organization. Again, the U.S. is the only industrialized country that does not provide universal health care.

A national health-care plan increases the freedom of every individual by giving consumers control over their health care choices, rather than the for-profit private health-insurance industry deciding what doctor or health facility a consumer can use. The bureaucracy of private health insurance accounts for 25% of the cost of health care, representing hundreds of billions of dollars in waste. Indeed, the typical doctor’s office spends 42% of their overhead on trying to get paid from health-insurance companies. In addition to saving hundreds of billions in bureaucracy, a single payer system allows administrators to catch more of the $150 billion in annual billing fraud that occurs today. I support an efficient publicly financed single-payer system, which carries numerous benefits:

  • Businesses are relieved of the burden of health care – an uncontrollable cost that threatens business and makes hiring employees risky. The cost of health care makes it almost impossible for U.S. businesses to compete with countries that have a national health-care plan.

  • Workers benefit because they have the freedom to change jobs, return to school, or take care of their families without worrying about losing their health care.

  • Single payer ensures comprehensive benefits throughout an individual's life.

  • Physicians benefit because administrative bureaucracy is reduced, every patient encounter is covered, patients visit their doctors more often and quality care is rewarded.

  • Malpractice is greatly reduced because patients with poor medical outcomes are provided with health care. If single payer is combined with no-fault insurance (that included damages), the malpractice problem disappears while ensuring that patients’ needs will be met and litigation reduced. Vigilant oversight of malpractice insurance and of doctors involved in repeated malpractice would further reduce the malpractice insurance burden on medicine. Malpractice will not be needed to enforce quality care as single payer can create positive incentives as consumers would not choose their doctors based on their health-insurance company or cost, but rather on the quality of service.


Providing universal health care can only be accomplished through a single-payer system: no country ever achieved universal coverage with private health insurance. President Harry Truman proposed universal health care in 1948 but was rebuffed by Congress. The time to act is now and to do so with urgency.

For more information see: Health Care for All 

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