The Most Outrageous U.S. Lies About Global Healthcare

As the U.S. Congress this summer holds its first serious health-care reform debate since the Clinton era, the resulting public furor has featured increasingly overheated claims about everything from so-called "death panels" to the supposed prowess of America's homegrown medicine. Many of the most wildly inaccurate statements have been directed abroad -- sometimes at the United States' closest allies, such as Britain and Canada, and often at the best health-care systems in the world.

BY ANNIE LOWREY, MICHAEL WILKERSON | AUGUST 18, 2009

NO HEALTH CARE FOR HAWKING OR KENNEDY

Jim Watson/AFP/Getty Images

The lie: Stephen Hawking (who has Lou Gehrig's disease) and U.S. Sen. Edward Kennedy (who has brain cancer) would not receive treatment in Britain, which has a government-run health-care system.

The liars: An editorial in Investor's Business Daily on July 31 claimed: "People such as scientist Stephen Hawking wouldn't have a chance in the U.K., where the National Health Service [NHS] would say the life of this brilliant man, because of his physical handicaps, is essentially worthless."

U.S. Sen. Chuck Grassley of Iowa -- the senior-most Republican on the Senate Finance Committee, which must approve health-care bills -- said Aug. 5 during a radio interview with Iowa City's KCJJ, "Ted Kennedy -- with a brain tumor, being 77 years old as opposed to being 37 years old -- if he were in England, would not be treated for his disease because ... when you get to be 77, your life is considered less valuable under those systems."

The debunking: In both cases, this is nonsense.

Hawking, who is British, receives intensive treatment for his degenerative motor neuron disease at a local Cambridge hospital. Upon hearing the rumors of his non-treatment, the prizewinning theoretical physicist told The Guardian, "I wouldn't be here today if it were not for the NHS. I have received a large amount of high-quality treatment without which I would not have survived."

In Kennedy's case, it is true that Britain assesses the cost-effectiveness of procedures and medicines before deciding whether to prescribe them. And the NHS does deny some procedures and drugs based on considerations such as the severity of a patient's sickness, the cost of treatment, and the quality of life afforded. But doctors and NHS officials have stressed that Britons with Kennedy's condition, regardless of age, would receive aggressive treatment, including surgery, radiation therapy, and chemotherapy.

The chief executive of Britain's National Institute for Health and Clinical Excellence (NICE), which determines the rationing system, told The Guardian, "It is neither true nor is it anything you could extrapolate from anything we've ever recommended" that Kennedy would be denied treatment by the NHS.

Thus far, neither Kennedy nor Grassley have commented since Grassley's initial remark.

 SUBJECTS:
 

Annie Lowrey is an assistant editor of Foreign Policy. Michael Wilkerson is a researcher at Foreign Policy.

Facebook|Twitter|Reddit

MARK J

7:07 AM ET

August 19, 2009

Thank you for discussing this

Thank you for discussing this with some sense of rational thought. But, the bigger question: Will anyone that believes these lies actually read this? I can't shake the feeling it is doomed.

 

PAULS

1:17 AM ET

August 20, 2009

I think it's interesting to

I think it's interesting to see in wiki how many countries have universal health care compared to the ones that dont.

 

JERLEV

9:34 AM ET

August 19, 2009

Stephen Hawking has not received a Nobel prize

I liked this article. However there is a small inaccuracy. Although Stephen Hawking is undoubtedly a great physicist, he has not received a Nobel Prize, at least not yet.

 

ANNIE LOWREY

10:07 AM ET

August 19, 2009

Ah -- yes, it seems he's won

Ah -- yes, it seems he's won everything but! Thanks!

 

MS

12:33 PM ET

August 19, 2009

Good article, small inaccuracy...

I want to clarify that Canada does not have a "single payer" system, which the article describes as one in which the government pays the medical bills and hospitals and doctors are private.

Hospitals and doctors in Canada are not private but are owned by and have their salaries paid for by the government. Private hospitals/clinics do exist but they are not funded by the government; the legislation concerning these private services varies from province to province

For example, in British Columbia doctors that work in private clinics that charge patients for medical services already covered by the public health system have to opt out of “medicare” (the name for Canada’s health care system) entirely. The legislation was established in the hopes that it would keep private health clinics at bay which it may have but of course does not deal with the issue of waiting times (which is what drives most Canadian’s to these private clinics in the first place.)

 

YYZ

11:59 PM ET

August 19, 2009

Canada correction continued

Further to MS's comment, Canadian hospitals are not 'private', but nor are they for-profit. They are owned and run by local health authorities (at least in the province of Ontario) which are government appointed organizations. The hospitals are run and managed locally on a non-profit basis. The government of each province runs its own insurance scheme which pays the bills.

Also as MS states, doctors are only required to opt out if they are providing services privately that the government system covers. If a doctor wishes to provide elective services (dermatology, plastic surgery spring to mind) they can do so privately and still provide other services which the government does fund. My mother was attacked by a dog a few years ago and had one of Canada's best plastic surgeons repair the damage, covered by our system. Had she gone to that same guy for a facelift, she'd have paid for it. It's a good system and it works very well. Of course there are flaws, but the system works.

 

MIKESOJA

12:41 PM ET

August 19, 2009

NHS refused Hawking care

You won't find it in the blogs pushing the Hawking "lie", but nevertheless, the NHS did refuse to provide the care that Hawking thought he deserved back in 1985. He was only able to keep out of the nursing home by raising private donations. From an online bio:

After the tracheostomy, Stephen would need round-the-clock nursing. The best the National Health Service could offer was seven hours’ nursing help a week in the Hawkings’ home, plus two hours’ help with bathing. They would have to pay for private nursing. The advance from the book would not last long, and there was absolutely no certainty about its eventual success. To Jane there seemed little long-term hope. How were they to survive if he could never work again? There were few possibilities. She would willingly have left her own career and devoted herself full-time to looking after her husband, but she was not a qualified nurse, and in any case, who would then provide for the family? The alternative was the dreaded thought of Stephen in a nursing home, unable to work, slipping into gradual decline and eventual death. “There were days when I felt sometimes I could not go on because I didn’t know how to cope,” Jane has said of that period.

It was obvious they would have to find financial support from somewhere. Jane wrote letter after letter to charitable organizations around the world and called upon the help of family friends in approaching institutions that might be interested in assisting them. Help arrived from an American foundation aware of Hawking’s work and international reputation, which agreed to pay £50,000 a year toward the costs of nursing. Shortly afterward several other charitable organizations on both sides of the Atlantic followed suit with smaller donations. Jane feels bitter about the whole affair. She resents the fact that, after paying a lifetime of contributions to the National Health Service, they were offered such meager help when the need arose. She is very aware that if her husband had been an unknown physics teacher he would now be living out his final days in a residential home. “Think of the waste of talent,” she has said of the situation.

-- http://www.scribd.com/doc/7235793/A-Life-in-Science-Second-Edition-by-Stephen-Hawking

 

MRJOANOFARC

1:55 AM ET

August 20, 2009

"They would have to pay for private nursing."

The situation would have been the same had he been in the U.S.-- a private nurse costs money. And in Mr. Hawkings' case, I can't imagine how much his nursing bills would've accumulated in the United States in 1985, let alone today.

 

MACGYVER

10:02 AM ET

August 20, 2009

Canadians don't flock to the US for care? really?

The auto industry might have collapsed, but atleast Detroit hospitals will stay in business, what with all those Canuck's coming across the border for healthcare....

From the Detroit Free Press 8/20
http://www.freep.com/article/20090820/BUSINESS06/908200420/?imw=Y

"Hospitals in border cities, including Detroit, are forging lucrative arrangements with Canadian health agencies to provide care not widely available across the border.

Agreements between Detroit hospitals and the Ontario Ministry of Health and Long-Term Care for heart, imaging tests, bariatric and other services provide access to some services not immediately available in the province, said ministry spokesman David Jensen.

The agreements show how a country with a national care system -- a proposal not part of the health care changes under discussion in Congress -- copes with demand for care with U.S. partnerships, rather than building new facilities.

Michael Vujovich, 61, of Windsor was taken to Detroit's Henry Ford Hospital for an angioplasty procedure after he went to a Windsor hospital in April. Vujovich said the U.S. backup doesn't show a gap in Canada's system, but shows how it works.

"I go to the hospital in Windsor and two hours later, I'm done having angioplasty in Detroit," he said. His $38,000 bill was covered by the Ontario health ministry.

Canada eyed in the health care debate

Dany Mercado, a leukemia patient from Kitchener, Ontario, is cancer-free after getting a bone marrow transplant at the Barbara Ann Karmanos Cancer Institute in Detroit.

Told by Canadian doctors in 2007 he couldn't have the procedure there, Mercado's family and doctor appealed to Ontario health officials, who agreed to let him have the transplant in Detroit in January 2008.

The Karmanos Institute is one of several Detroit health facilities that care for Canadians needing services not widely available in Canada.

Canada, for example, has waiting times for bariatric procedures to combat obesity that can stretch to more than five years, according to a June report in the Canadian Journal of Surgery.

As a result, the Ontario Ministry of Health and Long-Term Care in April designated 13 U.S. hospitals, including five in Michigan and one more with a tentative designation, to perform bariatric surgery for Canadians.

The article continues...
http://www.freep.com/article/20090820/BUSINESS06/908200420/?imw=Y

 

SHANEFM

12:38 PM ET

August 20, 2009

Did even read the article you copied and pasted?

Did even read the article you copied and pasted? Well, I did and in the beginning it talks about the gentlemen from Canada that went to the U.S. for his angioplasty procedure. And Michael Vujovich, the Canadian, stated this in the article you 'copied and pasted':

Vujovich said the U.S. backup doesn't show a gap in Canada's system, but shows how it works.
"I go to the hospital in Windsor and two hours later, I'm done having angioplasty in Detroit," he said. His $38,000 bill was covered by the Ontario health ministry.

Next time you want to come off intelligent by copying and pasting stuff...how about you at least read the article.

 

MACGYVER

10:11 PM ET

August 20, 2009

It's a good DetroitFreePress article - the whole article

Shanefm - Such anger - sheesh. I did read the article, the whole article, and referenced that it was from the Detroit Free Press, and provided the link to the article. Twice. You should slow down and read the entire comment and article I copied and posted (and referenced) before jumping up and down in a blind, infantile rage.

The point I took away from the article was that 1) Canada's system relies on the US for overflow capacity and 2) the Canadian system needs the US for treatments that ARE NOT AVAILABLE IN MAJOR METROPOLITAN AREAS IN CANADA. I thought this article fit in quite well as another view to the FP premise that there are not a fair amount of Canadians using US health care.

The DFP article continued...AND I QUOTE....."This is efficient," he said. "At least in Canada, you don't worry about going broke to pay for health care. You do here."

Pat Somers, vice president of operations at Windsor's Hotel-Dieu Grace Hospital, one of the hospitals that sends patients to Henry Ford, said the issue of finding ways to pay for and prioritize care requests is not in only Windsor.

"The ministries are quite aware of" waits for care in Sarnia and Hamilton, she said. "That's why we are investing in a wait list strategy" to best determine how to prioritize cases for people who need hip and knee replacements, cataract surgery and treatment for cancer, for example."

END QUOTE.

Also note the Canadian tradeoff - you "won't go broke" in the Canadian system, but beware the wait list. At least they have a strategy - send them to the US!

 

JOHN FRUM

11:19 AM ET

August 20, 2009

A kernel of truth

There's a piece on Fox News this morning titled "The Lighter Side: What Do Republicans Really Want?", by "political comedian" Scott Blakeman. There may be no more accurate--and deadly serious--synopsis of the Republican position.

http://teamwashington.blogs.foxnews.com/2009/08/20/the-lighter-side-what-do-republicans-really-want/

Isn’t it just hilarious that they would avoid reducing the cost of health care and would prevent millions from receiving needed medical treatment, for purely political reasons?

 

JONJON

11:24 AM ET

August 20, 2009

The Most Outrageous U.S. Lies About Global Healthcare

If the congress is so excited about pushing this health reform let them try it for 5 years and show the rest of us that is working. Put up or shut up are my thoughts. In addition I have first hand knowledge of socialized health care from Canada, since I live on a border state and have family living in Canada. Without insulting the Canadian system, I find it that the people wait in line for everything! Further the fact the Canadian hospitals across the border DO NOT HAVE any of the equipment that the poorest hospitals state side all have. Further things are so bad in Canada with the way the hospital staff, doctors, nurses etc; a large majority work state side and NOT in Canada, this is fact, not all the BS presently being reported. So let Congress use whatever system they wish to implement on themselves for 5 years and if it works then the rest of us should consider it.

 

ITZAC

3:06 PM ET

August 20, 2009

You betcha

I bet you can see Russia from your front porch, too.

We do often wait in line for things. It can take up to four hours to see a GP on some days. They close the waiting room and the doctor stays until everyone already there is seen. If the wait time will be especially long, I'll often ask for an estimate and come back a little while before then. If I'm not there when they call my name, I'm typically the next one served when I get back. Emergency or higher priority cases get to go first. It's really not that big a deal.

The alternative, however, would be horrendously more expensive. If I wanted to be able to walk in and see a doctor within 5 minutes any time I needed antibiotics for a throat infection, that would mean one would have to be waiting around in his office with nothing better to do, and getting paid in the mean time. Since his time is worth so much more than mine, it only makes sense for me to wait, rather than paying him to.

 

HAL-9000

12:39 PM ET

August 20, 2009

Selective analysis of other countries and their systems...

The fact the USA shells out so much per capita for health care vis-a-vis other countries for sub-par results indicates to me the problem is in the industry itself, not in who is paying for it.

Why do we look at Britain's NHS as a model (to scorn or emulate) while not looking at their trial-law system? If you want to see a disturbing discrepancy between the United States and the rest of the developed world, check out tort law, lawsuits per-capita, lawyers-per-capita, malpractice insurance rates, all of it.

Yet no one does, especially our Democratic friends in Washington who basically are in a permanent "69" repose with their trial lawyer buddies.

 

ROBBIE.JOHNSON

1:53 PM ET

August 20, 2009

Thanks for your article. Just a quick note on the German system.

Germany is not Single payer in the exact sense you defined it . The Hospitals can be private, but there are state hospitals as well.

In addition, and most importantly, the government doesn't pay. It is Krankenkassen, which are rather large, heavily regulated insurance co-ops who pay and do the regulating of costs. You must have insurance through a Kasse to live here. Private insurance also exists, but one has to be above a certain income bracket to leave the Krankenkassen system and purchase it.

In addition the insurance laws and rules in Germany vary between each of the 16 states and free cities that make up the Republic.

 

SHANEFM

3:17 PM ET

August 20, 2009

Why can't we turn Healthcare into American Ideology?

And what I mean by that title is for the very reason we have American pizza and American football-not soccer or rugby. The way we have Taco Bells emulating Mexican food. Or even Ravioli (Can you tell I'm hungry? lol)
That's what America is all about. We observe how others counrties do it and make it our own. We take what works, sprinkle a few drops of American ideology and "vois la"...it's inserted into American way of life forever.
Why can't we do that with Healthcare?? While I'm not comparing Healthcare to that of pizza, football or Taco Bell (still hungry) and I understand the complexity of Healthcare reform...it still bothers me that we can’t move ahead with the mindset that we’re known for.

Case in point: Russia went to outerspace first, BUT WE WENT TO THE MOON!

 

GALLAXIAN

4:46 PM ET

August 20, 2009

A Very One-Sided Accounting

How about the whoppers being told by Obama and the Dems?

The president has repeatedly promised that no one who is happy with their current employer-sponsored health insurance need change. This is patently false, for it is not only possible but probable that many employers will prefer to dump their employees into the public plan if it should prove less expensive than their current coverage. Individuals employed by such firms would thereby lose their current insurance, quite likely without any say in the matter.

Whopper number two is that the Democratic bills will control costs and improve our country's financial position. The non-partisan CBO says the bills it has scored will not control health care costs and are not paid for, hence they will substantially worsen the deficit and thusadd to the national debt.

And how about the suggestion that there is no principled opposition to the Dem bills? Opponents are all written off as idiots or in the pay of "special interests". Seems to me that the supporters of the reforms, with their coordinated t-shirts and signs, look more like astroturf. And, BTW, aren't the pharmaceutical and insurance trade groups paying for ads supporting the Obama reform plans - why yes, yes they are.

 

LADYMOONSTONE5

11:56 AM ET

September 12, 2009

Wow. Just...wow

How much were you paid to write your comment? If you weren't paid, the Republican party is getting free propaganda distribution and probably owes you some cash.
Your first point is plausible but inaccurate. There is no clause in the proposed reform that requires employers to ditch their current insurance and dump all their employees onto the public option. If the insurance companies had healthy competition, however, they may drop premiums and make existing insurance more affordable. Better to cut your bottom-line profits than be forced into bankruptcy.
As to your second point, when and were was this said? Yes, reform will cost us something. However, the current system is so badly broken that leaving it as it is will cost all of us a lot more. How will health care reform not bring down costs?
Your third point is the one I take the most umbrage to. There is no principled opposition. The "grassroots" organizations that oppose reform have been assembled and funded exclusively by the Republican party. Furthermore, not one Republican dissenter has come up with a single fact-based argument against reform. On top of that, they refuse to even attempt to suggest a better alternative. Leaving it alone is not an option. What do you propose we do?

 

DHMFIC1701

10:48 AM ET

August 21, 2009

Not one-sided at all!

The idea that employer-sponsored health insurance is going out the window because of a public option is ludicrous! Do private universities fail because we have much cheaper public colleges? Are Fed-Ex and UPS going out of business because of the US Postal Service? What a crock. Instead of claiming a public option would kill private insurance, how about letting capitalism work and allow the market to react to worthy competition, like it's supposed to?

Second, everyone is aware what the CBO says about the proposed bills. But the right quickly forgets these are PROPOSED bills, not final. On the other hand, CBO's grim forecasts about the consequences if we do nothing are CERTAIN. The president extended an olive branch across the aisle; perhaps if republicans were more concerned with working to find common ground instead of responding with hitlerized Obama posters and screams of "death panels", a better bipartisan bill would already have been signed.

That's why the suggestion that there's no principled opposition to Dem bills has gained traction. Opponents are written off as idiots because instead of engaging in thoughtful and constructive & democratic discourse, they choose to gang up on members of congress and shout slogans based on lunatic - and debunked - misinterpretations of the proposed bills.

And the opposition movement as a whole is written off as in the pay of special interests BECAUSE IT IS:

-"Conservatives for Patients' Rights" is led by Rick Scott, former CEO of the Columbia/HCA hospitals during a federal Medicare fraud probe in 1997 and recipient of a golden parachute.

- "FreedomWorks" is chaired by Dick Armey, the former Republican majority leader of the House of Representatives from Texas, now a lobbyist.

-"Patients First" and "Patients United" are creations of a larger group called Americans for Prosperity, started by billionaire David Koch (of the Koch Industries oil family) which is one of the country's top donors to conservative, free-market causes.

SO WHERE'S THE GRASSROOTS?? All I see is big names and big business, major stakeholders. Who in their right mind would see this as genuine, principled opposition by ordinary citizens who are concerned?? That's not grassroots, that's about as ASTROTURF as is gets.

 

THEYELLOWDEVIL

12:07 AM ET

September 11, 2009

Government option is not a worthy competitor...

The reason why UPS, FedEx and private universities are not out of business is because people are willing to KNOWINGLY pay higher prices for better service/products. Health care is different because it is not as transparent. Most people do not pay for it out of their pockets; instead, they rely on either the Medicare, Medicaid or their employer private insurance to pay for care. Prices are therefore not as transparent; people do not feel the costs. So (most) Democrats want to step in and have either a new governmental plan or "single payer" option. Probable is, last I checked, both governmental health care systems are near bankruptcy as well as the Postal Service and every other government foray into the market. But it doesn't matter since these agencies can be kept running with government support. So let's say the private insurance was actually transparent and any company could compete nationwide. Private insurance will still be at a disadvantage because the Government can still mandate what is required, on the idea certain medical procedures are patients "rights", even if the company didn't want to cover it or the sponsor did not want to purchase it. It's like playing poker with a dealer who changes the rules on a whim and forces you to hand over 40% of your chips . We need to get away from this idea of employer and government based health insurance system if real reform is needed. It's hard for President Obama to work with Republicans if he had stepped back and let the House and Senate do all the work with no idea what they were drafting. Lastly your point on the opposition being orchestrated by special interest groups MIGHT hold some water, but you cannot point that out and than ignore the bussed in support from ACORN and Union leaders for these Health Care "Reform" bills.