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You don't have to be a multi-millionaire to get good health care in the U.S. What you need is to be employed at a job that has health benefits and that pays enough so that you can cover the deductable. Most insurance plans have an annual maximum of a couple of thousand dollars, so if you have a "reasonable" job, you have access to the best health care anywhere.

The problem with American health coverage is that below a certain point you fall out of the insurance system, and into the state supported system which is not nearly as good and which varies widely from state to state. Some states have excellent coverage for everybody, while others offer essentially nothing.

Note also that one of the ways the debate is distorted in the American political debate is by saying "X million people don't have health insurance," which is misleading because the numbers typically don't account for the people covered by the state plans. For example, hardly anybody has health insurance in Europe--because the state covers them.

Please be careful about filtering the distortions that come in partisan political debate from the real issue, which is that poor people have inadequate coverage.

And I think the whole point of this Britain versus American health article is that after they account for all of the factors they can think of, Americans still have worse health. It's not a matter of health coverage differences, it's a question of "what is going on here in our model?"

by asdf on Thu May 4th, 2006 at 08:42:15 AM EST
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