Wednesday, September 30, 2009

The Common Goal

In Canada, when someone decides to have a baby, it's a often a complex decision. Aside from the various social factors that have to be considered, the big question always comes up: "Can we afford it?" Food, diapers, child care, clothing, college - all those things add up fast. But, luckily, one thing we never have to wonder or worry about is the actual up-front cost of pregnancy and childbirth.

If I had been living in Maine four years ago, here's roughly what it would have cost me to have my son: $1400 for pre-natal appointments, $6200 for the birth itself, another $2400 for a 2 day hospital stay, $600 for ultrasounds, and $250 for a post-natal check-up. The total is $10,850, and that's for a run-of-the-mill pregnancy. Any mother or baby complications or health issues make that number skyrocket.

Arrangements can usually be made to pay the bill over time, and the average cost of a monthly post-partum hospital bill is $800. Imagine that. On top of stress, pain, discomfort, sleep deprivation, and the sometimes staggering everyday cost of this new human in your house, you're also faced with an extra $800 bill every month.

Health care is absurdly expensive in the United States, and childbirth is only one example. If you have a broken ankle, it's going to cost you, from the doctor's treatment, to the X-ray, to the cast. If you need stitches, that's going to cost you. Even if you go see a doctor and there turns out to be nothing wrong, that's going to cost you, too. If you go to the emergency room without health insurance, they can (and often will) refuse to treat you.

Living in Nova Scotia, it's hard for us to wrap our heads around paying for health care. This isn't to say we take advantage of our system (for the most part), only that we can't imagine a world where anyone is sick because they can't afford to make themselves well. That's not the kind of people we are around here. We have fundraising benefits to help those who have fallen on hard times, and often put ourselves out, if only temporarily and on a small scale, for the sake of someone else.

So, is that the root of the U.S. health care crisis? That American citizens are so selfish they'd see their neighbors suffer before giving up an ounce of personal comfort and security? Or, are they so fearful of government control that they're willing to settle for health industry corruption for the sake of avoiding some perceived socialism?

I'm don't subscribe to Michael Moore's politics in most cases, and I usually disagree with his method of delivery, but his movie "SICKO" is one of the most compelling films I've ever seen. It examines health care models in Canada, France, Mexico, and other countries, and compares them to the United States. It shows us milling in and out of doctor's offices and emergency rooms without paying a cent. It shows the French enjoying their paid, mandatory 8-week illness recuperation time. And between the personal accounts of poverty causing death and bankruptcy due to sickness in the U.S., there was a noticeable tone and attitude among American taxpayers throughout the movie: they want and need things to change.

That's why I am annoyed at the opposition to President Obama's proposed health care plan. The same people who crave change are preventing it for reasons that, quite frankly, are petty and just plain not good enough.

Sure, maybe it's a good idea for health care to be regulated on a state level. Maybe a government run, tax-exempt system would damage the private sector irreparably. There are probably dozens of provisions in the proposed Bill which need to be tweaked and even a few that have to be completely re-written.

The point is, for the first time in a very long time, someone in power is trying to put in place a system which would help the most unfortunate Americans and avoid negatively impacting the others. Obama is not perfect, but his intentions are clear - health care for all, so as to eliminate the current, long-standing crisis. And what does he get for his efforts? Resistance from Conservatives at every turn, bad press, and even heckling in an open session of Congress.

It's time for Americans to forget about partisan politics for long enough to look at the big picture. Representatives from both sides of the aisle are capable of putting a system in place that will truly help people, and it's about time they get their acts together and do it, with Obama leading the way. No one should be sick just because they're broke.

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