I generally don't write to this site, but the ideas Steven Hill discusses in his book are too important for us Americans to ignore.
Since the days after World War II, when the US showed Europeans a peaceful way forward, I think we've increasingly lost our way.
We've become embroiled in one fortune-squandering war after another, from Vietnam to Iraq and Afghanistan, and we're on track to get bogged down in even more such destructive wars in the very near future.
In contrast to Europe, we've outsourced millions of our good-paying, productive manufacturing jobs to China, India, and elsewhere around the world, and now millions of hard-working Americans are left to scrape by with minimum wage, non-union jobs at Wal-Mart, McDonalds and countless other such enterprises, often working two and three jobs just to get by.
Since Reagan and Bush, we've deregulated just about everything that was running well in our country, and imposed instead what its advocates adoringly call "self'regulation" - of the financial markets, the banks, the brokerages, the oil corporations, and yes, of the drilling operations in the Gulf of Mexico, coupled of course with regulatory capture, i.e. the takeover, by the regulated industries themselves, of our formerly functioning regulatory institutions such as the S.E.C. (for Wall Street) and the M.M.S. (for the Gulf oil drillers).
I'm surprised to read in some of these reviews comments carping about sensible European regulations as "overbearing", but praising our deregulation as the trademark of "dynamic free markets" of a "free people" - that after Main Street has just been wiped out by greedy, essentially unregulated Wall Street, and the entire Eastern Gulf of Mexico has become an oil disaster zone thanks to greedy and essentially unregulated oil executives.
Let me just add one perspective here that the readers of these pages may not be aware of, regarding health care in Europe, which has been mentioned by several reviewers, because this does go to the core of Steven Hill's theses, and is a good indicator for how a society values its people.
As a US citizen, and a medical doctor living in Germany, one of the many European countries where health care is universally available for its residents at affordable rates, I might have some perspectives you haven't yet run across.
What I find most astounding about our US health care system is not only how many people don't have coverage (some 46 million, and going up). But rather, how fragile and precarious health care coverage is for so many people who think they are well insured.
How does our US health care system compare? Let's go through some important points in the universal health care system in Germany, which I'm very familiar with, having worked in this system for some 17 years:
Here in Germany you are mandated to have standard comprehensive health insurance: your employer pays half the monthly family premium, you pay the other half,
*you don't get rejected because of any previous condition,
*you don't pay more or less working for a large or small business,
*you don't pay more or less if you are male or female, black or white, German or foreign born, gay or straight,
*the rates don't go up if someone in the small (or large) business gets sick,
*health insurance is not a consideration when changing jobs or careers because you take the policy with you,
*you don't lose your policy if you get sick, if you become unemployed, or even if your employer goes out of business,
*you won't be billed for "out of network" services in hospitals or elsewhere - these services are part of your coverage, no matter which hospital or team of doctors treats you,
*you don't have annual, lifetime, disease-related, or disease-recurrence caps,
*you won't be billed at 20%, 30% or more for expensive medications ("price-tiered" pharmaceuticals), because there is no "tiering", legally approved pharmaceuticals are fully covered when you need them, even if they're very expensive,
*nor will you ever go bankrupt due to unpaid and unaffordable medical bills piling up, - that simply doesn't happen - you enjoy completely comprehensive coverage.
*Also, forget expensive copays ($48.00/year max. for doctor visits @ $12.00 per quarter, a few dollars per prescription, a minimal meals expense during a hospital stay.
*Forget too the denials, the constant slog of endless 0800 calls (yours and your doctor's) to your insurance company for requests for coverage or adjustments, wasting huge amounts of people's time, energy, and productive capacity every business day - this doesn't happen in Germany, because this is a comprehensive coverage system (which is an important reason why it's so efficient).
I might add that Germany is a democratic country with a freely elected government; its residents are free people - this is not "Russia". In fact, this is the country with long stretches of Autobahn without speed limits, right? (Here, it's your responsibility to drive safely, and most do.) People here freely change jobs, careers, and locations without regard for health insurance, and live free of the fear of going bankrupt or losing their homes or life's savings if they were to get seriously ill, because their comprehensive insurance protects them from that!
Germany and its residents are not going broke paying for this, either. On the contrary, this fair, efficiently run health care system costs roughly a third less per person than the US system - that's right, about 1/3 less per capita - despite (or because?) everyone is on board and receiving comprehensive health care.
That figure doesn't come from rationing, long waits to see a doctor, or long waiting lists to get an operation, either - that doesn't happen here. What that figure does reflect, however, is just how much waste, duplication, and gouging of consumers must be taking place in the US health care system every day.
My point in describing the German health care system is not to encourage you all to move to Germany, but to prove to you, that for one-third less money than you currently already spend, you should be getting comprehensive, universal health care, like every resident of Germany does (yes, including all immigrants!). But you're not, and if the health care reform law should be repealed or overturned by Tea Party Republicans, or ruled "unconstitutional" by the Roberts Supreme Court, tens of millions of Americans won't have access to universal healthcare in the future, either.
Isn't it time to face up to our national challenges as adults, and finally join the peoples of the 17 (seventeen!) other advanced democracies (not "Russia", but, yes indeed, Germany, Switzerland, the Netherlands, Norway, Australia, Japan, S. Korea, Taiwan, etc.!) around the world, who already enjoy the benefits of universal, comprehensive, and affordable health care? Isn't it also time for us to start taking effective steps to ween our economy from the Oil Age? And isn't it also time to institute strong financial reforms to keep Wall Street greed from destroying the our, and the world's, entire economy yet again in the coming years?
Inform yourself, read Steven Hill's book, discuss it with friends in livingroom get-togethers, in classes, forums, and seminars. Get these facts, ideas, and models for moving our country forward out to your friends and neighbors. Let's learn the lessons from the disasters we've just experienced, and let's help get our country moving forward again. The choices are ours to make.
Dr. med. Frederick B. Lacey Jr.
Frankfurt am Main, Germany