It’s the day after Christmas and
our life can now settle back into more normal concerns. Gray skies, chillier
than usual, high only 58 degrees. Wah! We Arizonans are really spoiled when we
complain about highs only in the upper 50’s, while most of the country
is freezing or shoveling ass-deep snow. I remember what that daily shoveling
was like in my lake-effect-snow life south of Buffalo. I’d rather be
complaining about fifty degrees than battling the snow monsters.
I’ve been looking for something to
write about in this blog and came up with socialized medicine. I must confess I’m
not very well-informed on the subject. I know it’s one of the sticking points
that separate most Republicans from most Democrats, an offshoot of the states’
rights versus federal control. It seems, though, that we’re much closer to
socialized medicine that we were only a few decades ago. We now have Medicare, Medicaid
and the Affordable Care Act. The question about universal medical care involves
the financing. Who’d be paying for it? Employers and individuals or the federal
government? Bernie Sanders had quite a few voters who agreed with his plan.
Somewhere recently, I saw an estimate of what a totally socialized medicine
would cost, a little over three trillion dollars a year. Whew! That a bunch of
money. But wouldn’t that cost come down if the federal government regulated
what doctors, hospitals, and pharmaceutical companies could charge? Canada
seems to have a system that works. How are they able to maintain reasonable
medical costs? I may be a dumb-head about the issue, but I’m amazed and
appalled at the exorbitance of our present medical costs, especially that of
the pharmaceuticals. I can also see that we’d have fewer students wanting to
become doctors and surgeons if their fees were regulated to levels they
considered unacceptable. So, did the quality of medical care come down to
unacceptable levels in Canada? I’m betting they didn’t, but I’d have to talk to
a Canadian to see what he/she thought. In any case, something needs to be done
about universal medical care one way of the other. I’m hoping for the other.
Another thought about our needs—our rapidly
failing infrastructure. When are we going to do something about our highways, bridges,
power grids, rail systems, airports, and all the rest of our infrastructure? According
to Fortune Magazine, we’d need about four trillion over the next ten years to
fix it all. Even now, instead of spending the five billion Trump wants for his
wall, why not instead fix at least some of our infrastructure needs?
Both of these subjects probably reveal
my fiscal naiveté. I never got very good grades in economics classes. I still don’t
understand national costs and national debts. Where does money originate and when
we need some, from whom are we borrowing it?
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