Generally speaking the quality of health care in a nation follows from the wealth of the nation. The economy of the United States is the largest in the world. When you divide the economy by the number of people (per capita GDP) we still fare well, generally in the top five depending on who you measure and who’s doing the measuring.
If you have money we have about the best health care system in the world. But if you don’t have the money, not so much. Measures of health of the population are not so rosy for us. Something like forty or so countries out of about two hundred, some much poorer than we have lower infant mortality rates, longer life expectancies, and a better overall quality of life. Most of western Europe, Asian countries such as Japan and South Korea, even Cuba out rank us in these health care measures.
Within the United States, Arkansas fairs poorly in these measures with a relatively high infant mortality rate (14th among the 50 states) and shorter life expectancy (7th shortest). The Patient Protection and Affordable Care Act colloquially referred to as Obamacare should help advance Arkansas’ standing in the United States and our standing in the world.
The reality is that we are a poor state, ranking very near the bottom in median income. That translates to a larger than average fraction of the population without sufficient health care. To bring better health care to those without, Arkansas has chosen to expand our Medicaid rolls as part of Obamacare. The lion’s share of this will be born of federal dollars. One hundred per cent of the cost of Medicaid expansion will be covered by federal dollars for the first seven years, and ninety percent thereafter.
This will add close to a quarter of a million Arkansawyers to the rolls of the insured, and should help to lower our infant mortality rate and extend life expectancy. In the long run this will also help lower the cost of insurance for those already insured. How so you ask? Read on.
The cost of health insurance to an individual is dependent on what the insurer has to pay the medical community, doctors and hospitals. Both law and ethics require the medical community to treat both the insured and the uninsured. To recover the cost of taking care of the uninsured, doctors and hospitals charge the insured a rate that keeps them in business. Here is an important point: The more insured the fewer uninsured. The fewer uninsured, the lower will be the premiums for the insured.
An additional cost savings of better health care for the less fortunate is the fact that those with insurance tend to get better primary and preventive care. It is ever so much cheaper to provide an inexpensive diuretic to lower blood pressure than to treat a heart attack or stroke.
In the grand scheme of things it is cheaper for the haves to help out the have nots, unless you are willing to turn a blind eye on the sick, to literally block them from the emergency room door.
“…the moral test of government is how that government treats those who are in the dawn of life, the children; those who are in the twilight of life, the elderly; those who are in the shadows of life; the sick, the needy and the handicapped. ” Hubert H. Humphrey