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I don't know that one nation's healthcare is better than anothers, but I agree with JoJo that most people DO get the healthcare they need. We only hear the stories about the ones that don't, because, as Klarina will recognize, it is a rhetorical tool used as an appeal to emotion. We get the same horror stories in the US about Britain's and Canada's systems. Which is why we have American's saying British system SUXORZZ and Brits saying that American's PHAILZ, when it's likely that neither are the case.<!-/Quote-!>
Somebody gets it at least.
When we come right down to the base of this whole issue you will find that it isn't actually healthcare that is the problem here. Its percieved government intervention in the day to day lives of the citizen.
In order to understand the reason for the American distaste for socialised healthcare and the European advocation thereof, one must first place both arguments into an appropriate social context.
In order to do this one should not only look at current economic and sociopolitical factors, but also the history behind them. And in order to do this, we need two examples of the "opposing" systems.
The United Kingdom and the United States are both excellent examples.
So, lets start by analysing a little history.
Firstly, lets look at the UK. The National Health Service (NHS) is, in my opinion, an excellent example of a nationalised healthcare system. Comparatively speaking, it is a world renownd service. As a statement of fact, it is the third largest employer in the world. It provides excellent "front-line" services to every citizen of the United Kingdom at a comparatively small cost to the individual, and manages to meet an excellent minimum standard of care for any first world nation. Whilst it may not boast technologies equally advanced as the privatised US system it does offer excellent specialist care for anything ranging from a broken toe to major neurosurgery.
Being funded almost exclusively by the British taxpayer, however, the budget constraints placed upon the NHS have been known to cause a few problems in the past. Coupled with the known beaurocratic inefficiencies of most government-run organisations, this can seem almost crippling at times, and can have some detrimental effects on the service provided - limited funding when it comes to comparatively rare disorders, for example.
The US, on the other hand, boasts one of the most well equipped healthcare systems in the world, with medical practitioners trained to a level surpassed by only a mere few. These hospitals tend to be very well funded in the form of private contributions and payments, and attract some of the most skilled doctors in the world as a result.
Unfortunately, for all of its advancement and advantages, the system does not provide full coverage of the US population beyond what would be considered basic healthcare. 40 million is the statistic offered in terms of people who have more advanced forms of healthcare cut off from access simply because it is beyond their financial means. Only 87% of the population has access to more than basic healthcare. Or, put another way, one in ten Americans is potentially held back from advanced medical treatment.
As we can see, both of these systems has both advantages and disadvantages. Quality versus coverage/accessibility seems to be the primary comparison. We have one system of high quality with restricted access, and one system with open access, but a lower high-end quality.
All Britons recieve higher quality healthcare. Most Americans recieve the best healthcare in the world.
Both systems are a compromise.
But for the reasons behind the existance for each system we have to place these two methods of administering healthcare into their wider social and historical contexts.
So let's start with the UK.
At the end of the Second World War the UK was essentially bankrupt. The average Briton was living on rations in a country with an infrastructure in tatters and an economy on the verge of collapse and very few real prospects. And this was a situation that, by the time the NHS was created in 1948, they had endured for just short of a decade.
Wider social reasoning for a national healthcare service can be seen by looking back further still. Expanding our view back to the Victorian era we can see issues pertaining to the restrictive access of basic public services - such as healthcare - and the poverty line of the UK's population.
By the end of the war, with the country in tatters, nationalisation of several national services was a necessity in order to maintain them - healthcare, railways, energy.
In essence, nationalisation was the only way forwards to ensure essential services were fully provided to all.
Socialism, for the UK, was a step in the right direction - though we've actually seen moves away from socialism in recent years, with the reprivatisation of both public transport and the utility providers.
But the NHS remains. Possibilities as to why will be examined in full later on.
As for the US - here we have the world's foremost industrial nation. A well-paid, well fed nation with decent public services provided for by the private sector. At the same time that the UK - and much of rebuilding Europe - was seeking out socialism as a means to get back on its feet, the USA was prospering. A proseperous nation and a prosperous people have no need for nationalised services, as long as the private ones continue to provide excellent value for money.
The US has never had need of a national health service in the eyes of its people - until now.
But, as far as I can tell, the US's "fear" of socialism stems from a few key factors.
Firstly, there is the frequently used euphamism of "personal freedom." I am not here to debate the nature of this percieved freedom, or its place within society. What I will say, however, is that this comment alone tells you a great deal about the Americans' self-image.
It is worth noting that democracy is a very mess, very expensive business. Especially when you apply it to a federal form of government in which eash subnational entity is, to a certain degree, an independant nation with certain soverign rights and a functional government acting, in turn, under the supervision of a federal government.
The eventual result of this government within a government is, unquestionably, beaurocracy and inefficiency. In the mind of any voter, thes to concepts manifest themselves in the form of percieved corruption.
In short, people do not trust the government to do their job effectively and with minimal cost to the taxpayer.
These failures in the system, in combination with government intervention in an ever increasingly personal way, would make most Americans apprehensive in regards to further government intervention at the cost to the individual. Especially when it comes to something as personal as how they spend their hard-earned money and matters of healthcare.
The national psyche of the USA, it must also be remembered, has spent the better half of a century developing in opposition to a threatening opponent in which the government exercised total control - a form of dictatorial socialism.
All in all, opposition is to be expected. Having seen their enemy fall due to "sociaist" intervention on a massive scale, they have no wish to see the same happen in their own country.
Nationalised healtcare runs contrary to the American concept of self in development from 1945 onwards.
And, much as the benefits of nationalised healthcare blind the people of the UK (and many other states of the world) to the advantages of privatised healthcare, we find the same occuring when Americans accustomed to a private system view the apparent failures of the socialist mechanisms.
From the American point of view, this does of course beg the question, "Why would they keep such an apparently inefficient, flawed system in place?"
Most Britons ask the same questions of the American system.
Arguments for and against both systems are typically either logically flawed, biased by opinion or based upon unfounded presumptions.
Simply put, the system in place is the result of the needs versus the desires of the populace - not only in the present-day, but tracing back along historical lines within the relative social context.
Britons have the National Health Service because they feel they want it. They feel it is a fair system, open to all and paid for by all. Government control doesn't even factor into it. We want our high quality healthcare service, and we want it for practically peanuts.
Americans do not have a nationalised health service because, in their virw, it is not needed. It would be an additional form of taxation and it would apparently reduce the quality of their service. At present there is considerable political will - with so many Americans unable to afford a decent standard of healthcare provisions - to implement some form of national system.
Those going without see what they could have, and they quite naturally want it. Its the way the market works. And as the current system fails to provide for them, they seek ways to alter the system to work in their favour. I can think of no concept more American than the desire to change their world in order to make it better.
They can either do this by lifting more Americans out of povery by providint more opportunity to progress, making the current system more affordable. Or they can implement a system in which healthcare is paid for by all, and available to all.
For as long as they cannot see the former happening, they
will opt for the latter.
I hope that made a little sense, and I apologise for any typos or logical errors within.