A recent study has shown that the British are much healthier than we Americans. Across the board and across socio-economic lines, the Brits suffer from fewer diseases and live longerÃƒÂ¢Ã¢â€šÂ¬Ã¢â‚¬?despite smoking as much as we do, drinking more than we do and paying half of what we pay per-person for healthcare.
Even their fat people are healthier, so itÃƒÂ¢Ã¢â€šÂ¬Ã¢â€žÂ¢s not just our weight problem. And itÃƒÂ¢Ã¢â€šÂ¬Ã¢â€žÂ¢s not our larger numbers of racial minorities who generally have worse healthÃƒÂ¢Ã¢â€šÂ¬Ã¢â‚¬?the study only used white people.
The English are simply healthier. And this bears repeating: they pay half of what we pay per-person for healthcare.
We have better doctors. We have better technology. But we pay more for worse health.
The recent study could not isolate any specific cause for our lower level of health but I have a laymanÃƒÂ¢Ã¢â€šÂ¬Ã¢â€žÂ¢s theory: itÃƒÂ¢Ã¢â€šÂ¬Ã¢â€žÂ¢s about access. Our much more expensive system is much harder to access. If you donÃƒÂ¢Ã¢â€šÂ¬Ã¢â€žÂ¢t have health insurance, youÃƒÂ¢Ã¢â€šÂ¬Ã¢â€žÂ¢re probably not going to see the doctor until there is an emergency. And emergencies, in turn, add a lot more cost to the system.
The British, on the other hand, have free access to primary care. Health issues get caught sooner and the British people are healthier for it. Too simple? Probably. But it makes sense. Better access to healthcare=better health.
We can, of course, keep trying to improve our healthcare system by adding new layers of duct tape (and red tape). Or we can step back and recognize that the system we have built is not merely brokenÃƒÂ¢Ã¢â€šÂ¬Ã¢â‚¬?it will never work. Never. What we need is free or at least incredibly affordable primary care for all citizens. That doesnÃƒÂ¢Ã¢â€šÂ¬Ã¢â€žÂ¢t mean we need to socialize medicine, but we need to subsidize primary care.
Until we make going to the doctor an affordable choice, too many Americans will simply wait until a health problem becomes a crisis.
IÃƒÂ¢Ã¢â€šÂ¬Ã¢â€žÂ¢m not recommending a specific method of providing subsidiesÃƒÂ¢Ã¢â€šÂ¬Ã¢â‚¬?that is a post for another day. And IÃƒÂ¢Ã¢â€šÂ¬Ã¢â€žÂ¢m not talking about how we reform the critical care areas of the system. IÃƒÂ¢Ã¢â€šÂ¬Ã¢â€žÂ¢m just advocating making primary care an easily affordable option for all those who want it. IÃƒÂ¢Ã¢â€šÂ¬Ã¢â€žÂ¢m willing to bet weÃƒÂ¢Ã¢â€šÂ¬Ã¢â€žÂ¢d save trillions on healthcare if we caught more health problems earlier. ItÃƒÂ¢Ã¢â€šÂ¬Ã¢â€žÂ¢s an idea whose time has come.