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Monday, June 13, 2011

"American-style" is an epithet for British When it comes to Health Care Reform

American conservatives, who willing accept the idea that private industry should be able to make a profit from sick people, is not an admired quality around the world.  In fact, “American-style” health care is on a par with other profanities.

So what do people around the world, in this case Britain, really think of the morally unethical business of profiting from the sick and frail?

LATimes: Reporting from London— Two years ago, Britons were outraged when U.S. politicians like Sarah Palin, in the debate over healthcare reform, turned this country's National Health Service into a public whipping boy, denouncing it as "evil," "Orwellian" and generally the enemy of everything good and true. Britain is now embroiled in a proposed shake-up of the NHS. And the phrase on everyone's lips is "American-style," which may not be as catchy as the "death panels" that Palin attributed to socialized medicine but which, over here, inspires pretty much the same kind of terror.

Ask a Briton to describe "American-style" healthcare, and you'll hear a catalog of horrors that include grossly expensive and unnecessary medical procedures and a privatized system that favors the rich. For a people accustomed to free healthcare for all, regardless of income, the fact that millions of their cousins across the Atlantic have no insurance and can't afford decent treatment is a farce as well as a tragedy. So frightening is the Yankee example that any British politician who values his job has to explicitly disavow it as a possible outcome. Twice.

"We will not be selling off the NHS, we will not be moving towards an insurance scheme, we will not introduce an American-style private system," Prime Minister David Cameron emphatically told a group of healthcare workers in a nationally televised address last week. In case they didn't hear it the first time, Cameron repeated the dreaded "A"-word in a list of five guarantees he offered the British people at the end of his speech.

"If you're worried that we're going to sell off the NHS or create some American-style private system, we will not do that," he said. The current Conservative Party-led coalition, which has embarked on the most radical public spending cuts in a generation, has promised not to take a penny from the health service.

To each other, Britons love to complain about the NHS, retailing gruesome tales of substandard care, of long waiting lists for simple operations like hip replacements, of snotty surgeons and naughty nurses. But when Americans began citing the NHS as the epitome of socialized medicine gone wrong, people here bristled. Fear that Britain is becoming more like the U.S. extends beyond healthcare. "American-style" is also the epithet of choice to describe the direction of Britain's higher-education system. 

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