Free Republic
Browse · Search
News/Activism
Topics · Post Article

Skip to comments.

A conservative case for universal coverage
http://www.washingtonexaminer.com ^ | january 17, 2014 | avik roy

Posted on 01/17/2014 3:43:32 PM PST by lowbridge

Switzerland and Singapore achieve universal coverage while spending a fraction of what we spend, and they ensure broad access to high-quality doctors and the latest technology.

Switzerland has a system of universal, subsidized private insurance exchanges that look much like Paul Ryan'sMedicare-reform plan and Obamacare's exchanges. Unlike Obamacare, however, the Swiss exchanges actually work. In Switzerland, there are no public options or government insurers like Medicare or Medicaid. Everyone is in the private system. The poor get a premium support subsidy that covers the cost of their premium; as one moves up the income ladder, the size of the subsidy decreases. Wealthy and upper-middle-class Swiss get no subsidy at all.

The Swiss system is no libertarian utopia; its exchanges contain some of the unattractive features of Obamacare, like an individual mandate and excessively broad benefit requirements. Nonetheless, as a percentage of GDP, Swiss public spending on health coverage is 60 percent lower than America's. If we had the Swiss system, we wouldn't have a budget deficit and we'd have no single-payer health entitlements like Medicare and Medicaid.

From a fiscal standpoint, Singapore is far better than even Switzerland. Singapore’s public spending on health care as a fraction of GDP is 86 percent lower than America’s. That’s because every Singaporean has a health savings account, which is used to pay for non-catastrophic medical expenses. Singaporeans pay a payroll tax, which is then redirected into the HSA in a manner similar to our Social Security system. But unlike Social Security, the Singaporean HSA is controlled by the individual and supplemented with a government-sponsored catastrophic coverage plan.

The bottom line is that Singapore and Switzerland spend far less on health care than we do and yet achieve all of the things that Americans value about their own system: choice, technology and physician access. 

(Excerpt) Read more at washingtonexaminer.com ...


TOPICS: Culture/Society; News/Current Events
KEYWORDS: biggovernment; healthcare
Navigation: use the links below to view more comments.
first 1-5051-68 next last
AVIK ROY is a senior fellow at the Manhattan Institute and a former health policy adviser to Mitt Romney
1 posted on 01/17/2014 3:43:32 PM PST by lowbridge
[ Post Reply | Private Reply | View Replies]

To: lowbridge

Statism (eg universal healthcare) and conservatism are mutually incompatible.


2 posted on 01/17/2014 3:45:16 PM PST by BenLurkin (This is not a statement of fact. It is either opinion or satire; or both.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge

There is not conservative case for government control of our lives. Period!


3 posted on 01/17/2014 3:46:20 PM PST by mort56
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge
"at a fraction of what we spend"

For a fraction of the population, too. Funny how that works.

4 posted on 01/17/2014 3:47:49 PM PST by Wyrd bi ful ard (Gone Galt, 11/07/12----No king but Christ! Don't tread on me!)
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge
its exchanges contain some of the unattractive features of Obamacare, like an individual mandate and excessively broad benefit requirements.

And that right there shows there is NO conservative case. There is NO liberty or self-determination if the gubment dictates what I must buy. How did we end up with so damn many progs in the party?

5 posted on 01/17/2014 3:48:25 PM PST by Drill Thrawl (The Gubment Has No Legitimacy. It needs to be Removed!)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Drill Thrawl
How did we end up with so damn many progs in the party?

Too many pragmatists and not enough ideologues.

6 posted on 01/17/2014 3:50:38 PM PST by kosciusko51 (Enough of "Who is John Galt?" Who is Patrick Henry?)
[ Post Reply | Private Reply | To 5 | View Replies]

To: lowbridge

Yeah, but Switzerland doesn’t have people running all through their borders and becoming a citizen is difficult, like Japan.


7 posted on 01/17/2014 3:51:38 PM PST by Irenic (The pencil sharpener and Elmer's glue is put away-- we've lost the red wheelbarrow)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Irenic

They also don’t advertise free gubmint cheese for non-citizens outside their borders.


8 posted on 01/17/2014 3:54:06 PM PST by TurboZamboni (Marx smelled bad and lived with his parents .)
[ Post Reply | Private Reply | To 7 | View Replies]

To: lowbridge

This is all predicated on a mound of Horse $hit. This idiot forgets that Singapore and Switzerland are homogenous societies with fewer residents than most bus stops. Hardly a thing he says is convertible to a continental hegemony of 300+ millions.

Besides he is a Manhattan Institute Leftist so he can be dismissed out of hand.


9 posted on 01/17/2014 3:54:08 PM PST by Jim from C-Town (The government is rarely benevolent, often malevolent and never benign!)
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge

The government doesn’t subsidize anything. We, the taxpayers, do. Once again, I would be required to not only pay for my own health care but a bunch of other peoples. I’m tired of paying for other peoples free stuff.


10 posted on 01/17/2014 3:55:59 PM PST by beandog (All Aboard the Choo Choo Train to Crazy Town)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Wyrd bið ful aræd

Not only do Switzerland and Singapore have only a fraction of our population, they don’t have millions of illegal aliens draining the budget (federal and state/local), along with the crime they bring.

Also their combined defense budgets are, as we say in Yiddish, only “bupkis” (chump change, pennies) as compared to that of the US and OUR WORLDWIDE RESPONSIBLITIES.

You just cannot compare the US to these pipsqueak countries regarding healthcare policies or much of any other national policies.

If it weren’t for the US, there would be no Switzerland or Singapore. Maybe a Swissdeutchland and a Peoples Republic of Singapore instead.

It is like the French people who complain that US visitors don’t speak French (I do, un peu), to which we reply. “Maybe, but thanks to us, you still do”.

There is a difference.


11 posted on 01/17/2014 3:57:42 PM PST by MadMax, the Grinning Reaper
[ Post Reply | Private Reply | To 4 | View Replies]

To: lowbridge

There is NO conservative argument for it


12 posted on 01/17/2014 3:58:04 PM PST by GeronL (Extra Large Cheesy Over-Stuffed Hobbit)
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge

I’m going to guess that a smaller percentage of their populations are on the taxpayer dole than the USA.


13 posted on 01/17/2014 4:00:56 PM PST by umgud (2A can't survive dem majorities)
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge

Switzerland, home to new world order’s Bank of International Settlements.


14 posted on 01/17/2014 4:01:29 PM PST by PieterCasparzen (We have to fix things ourselves)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Irenic
Swiss Border "fences," & require no expenditures:
15 posted on 01/17/2014 4:02:05 PM PST by 4Liberty (Mr President 'If you Like your college transcripts...can we see them?')
[ Post Reply | Private Reply | To 7 | View Replies]

To: Drill Thrawl
And that right there shows there is NO conservative case. There is NO liberty or self-determination if the gubment dictates what I must buy. How did we end up with so damn many progs in the party?

Exactly. Unless I have the freedom to obtain or decline coverage, to pay cash or do without medical treatment, then I am not free. Secondly, despite the execrable John Roberts, the Constitution gives no auhtority whatsoever to the Federal government to interfere with my private medical choices.

16 posted on 01/17/2014 4:04:54 PM PST by Paine in the Neck (Socialism consumes everything)
[ Post Reply | Private Reply | To 5 | View Replies]

To: GeronL

Precisely. Whenever someone touts a “conservative case” for a leftist cause, that someone is himself a liberal, often trying to pass himself off as “conservative”.


17 posted on 01/17/2014 4:08:03 PM PST by Olog-hai
[ Post Reply | Private Reply | To 12 | View Replies]

To: lowbridge

Lost me at the word mandate


18 posted on 01/17/2014 4:10:01 PM PST by Darren McCarty (Abortion - legalized murder for convenience)
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge
The US is not Switzerland or Singapore. The holes in this author's arguments are big enough for some small planets to fit through, and the first rule of thumb when deciding what's best for health care is to ask a combination of patients, and those who provide the care, for real, not policy wonks. The real world accuracy of these types of policy advisors is akin to the accuracy of global warming modeling.
19 posted on 01/17/2014 4:10:37 PM PST by pieceofthepuzzle
[ Post Reply | Private Reply | To 1 | View Replies]

To: GeronL
There is NO conservative argument for it

Sure there is — if you take conservative to mean keeping things the same.
The government wants to keep off the constraints of the Constitution that it's thrown off.

20 posted on 01/17/2014 4:14:09 PM PST by OneWingedShark (Q: Why am I here? A: To do Justly, to love mercy, and to walk humbly with my God.)
[ Post Reply | Private Reply | To 12 | View Replies]

To: lowbridge

Switzerland and Singapore can fit in some U.S. counties.

Only a Romney adviser could have written this tripe.


21 posted on 01/17/2014 4:18:40 PM PST by VanDeKoik
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge

Switzerland has 8M people.

Singapore has 5.312M people.

End of argument.


22 posted on 01/17/2014 4:20:22 PM PST by Signalman
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge
Switzerland has ghetto thugs mumbling about them "gimme muh bennies" and attacking the The Man?

Didn't think so. Swiss population makes white rice look dark.

23 posted on 01/17/2014 4:24:18 PM PST by Extremely Extreme Extremist (15 years of FReeping! Congratulations EEE!!)
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge

EVERY CANADIAN I MEET GETS QUIZZED ON HIS LIKE/DISLIKE OF HIS STATE SPONSORED HEALTHCARE....FIRST THEY EXPLAIN THEY LOVE IT AS THEY SWOOOON ABOUT IT THEN I PROVIDE THE STATS RE AVAILABILITY AND ‘WAIT FOR SERVICE’ CANADA VS US.
FINALLY I ASK THEM ....HOW MUCH MONEY THEY’D HAVE IN THEIR POCKETS HAD THEY NOT BEEN BRUTALLY TAXED EVERY YEAR FOR WHAT THEY GET...TO MAN THEY HAVE NO IDEA HOW MUCH THEIR ‘CARE’ IS REALLY COSTING THEM...SORT OF SHEEEPLY IF U AKS ME...


24 posted on 01/17/2014 4:26:28 PM PST by jimsin
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge

I’m against universal coverage. I’m for choosing my own damn coverage.


25 posted on 01/17/2014 4:26:29 PM PST by rpl
[ Post Reply | Private Reply | To 1 | View Replies]

To: beandog

“The government doesn’t subsidize anything. We, the taxpayers, do. Once again, I would be required to not only pay for my own health care but a bunch of other peoples. I’m tired of paying for other peoples free stuff.”

I don’t know the answer to this. I didn’t like the system before obamacare and I like it less with obamacare.

However we were covering the poor the young and the elderly before obamacare. That’s probably half of our population. I think the system did need reform... Just not the way it was done. As far a covering illegals is concerned, that’s a separate problem. They shouldn’t be here anyway, and their native country should be billed for their coverage and any handouts they get from the taxpayer.

You might say that they wouldn’t pay, but if they trade with us or get foreign aid, we can make them pay... Just deduct it from what we pay them.

I have been on a government health plan since I turned 65 (medicare plus VA), and although I have retirement insurance through the company I worked for all my life, the company insurance is as intrusive as medicare.

The bottom line is that we are not going to let people who are in this country die because of no insurance and I don’t think we should. That’s just a reality. We are, regardless of what obama thinks, a Christian nation.


26 posted on 01/17/2014 4:26:54 PM PST by babygene ( .)
[ Post Reply | Private Reply | To 10 | View Replies]

To: lowbridge

What are the populations of those countries?
How many hoodrats and illegal aliens do they have to take care of?
Does either country have rampant anchor babies which suck them dry?
Do they every special interest group under the sun, trying to change their way of life?
Is either country the ‘go to’ country when sh!t hits the fan?
Does either country pretty much protect the rest of the world as the US does?
Do the people of either country know any other way? Thereby, not know what its like to be free to do what you want as long as you don’t hurt anyone else?


27 posted on 01/17/2014 4:26:57 PM PST by qaz123
[ Post Reply | Private Reply | To 1 | View Replies]

To: Extremely Extreme Extremist
Not many ghetto thugs, true, but not a homogenous population, either.

Wikipedia:

Switzerland is atypical in its successful political integration of a multiethnic and multilingual populace, and is often cited as a model for new efforts at creating unification, as in the European Union's frequent invocation of the Swiss Confederate model.[9] Because the various populations of Switzerland share language, ethnicity, and religion not with each other but with the major European powers between whom Switzerland during the modern history of Europe found itself positioned, a policy of domestic plurality in conjunction with international neutrality became a matter of self-preservation.[10] Consequently, the Swiss elites during the period of the formation of nation states throughout Europe did not attempt to impose a national language or a nationalism based on ethnicity, instead pushing for the creation of a civic nation grounded in democratic ideology, common political institutions, and shared political ritual

28 posted on 01/17/2014 4:29:36 PM PST by steve86 (Some things aren't really true but you wouldn't be half surprised if they were.)
[ Post Reply | Private Reply | To 23 | View Replies]

To: jimsin

What strikes me about the National Healthcare Program in Canada is that those who support it most strongly are the ones who have never used it.


29 posted on 01/17/2014 4:32:14 PM PST by okie01 (The Mainstream Media -- IGNORANCE ON PARADE)
[ Post Reply | Private Reply | To 24 | View Replies]

To: babygene

I am tired of paying for other peoples stuff. Their health care, their food, their housing, their education and everything else they want for nothing. If we are a christian nation, let the churches and various other charities pay for it. I’m done.


30 posted on 01/17/2014 4:34:05 PM PST by beandog (All Aboard the Choo Choo Train to Crazy Town)
[ Post Reply | Private Reply | To 26 | View Replies]

To: lowbridge

Why are commie ideas being posted here? I didn’t see your barf alert so I am worried about you.


31 posted on 01/17/2014 4:45:56 PM PST by impimp
[ Post Reply | Private Reply | To 1 | View Replies]

To: beandog

“I am tired of paying for other peoples stuff.”

I’m tired of it too. Like I said, I don’t know the answer...

Churches used to do it. The truly needy should be helped by the truly charitable...


32 posted on 01/17/2014 4:51:45 PM PST by babygene ( .)
[ Post Reply | Private Reply | To 30 | View Replies]

To: Jim from C-Town

“This is all predicated on a mound of Horse $hit. This idiot forgets that Singapore and Switzerland are homogenous societies with fewer residents than most bus stops. Hardly a thing he says is convertible to a continental hegemony of 300+ millions.”

Singapore is not that homogenous a society. Malays/Chinese/Indians/Western Expats

Not to mention the religious divide between Muslims and everyone else

Your point is still valid in other ways though for example, the cost of medical insurance in Singapore is more expensive if you are not a citizen


33 posted on 01/17/2014 5:00:40 PM PST by Fai Mao (Genius at Large)
[ Post Reply | Private Reply | To 9 | View Replies]

To: babygene

What ever happened to “pro-choice”?

Or does the government dictate what is pro choice?


34 posted on 01/17/2014 5:02:28 PM PST by EQAndyBuzz ("The GOP fights its own base with far more vigor than it employs in fighting the Dims.")
[ Post Reply | Private Reply | To 32 | View Replies]

To: lowbridge; mlizzy; Arthur McGowan; mc5cents; RichInOC; Prince of Space; JoeFromSidney; ...
+

Freep-mail me to get on or off my pro-life and Catholic List:

Add me / Remove me

Please ping me to note-worthy Pro-Life or Catholic threads, or other threads of general interest.

35 posted on 01/17/2014 5:04:35 PM PST by narses (... unless you eat the flesh of the Son of Man and drink his blood, you do not have life within you.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge

There is no conservative case for socialism. Respect and abide by the constitution.


36 posted on 01/17/2014 5:07:52 PM PST by Jim Robinson (Resistance to tyrants is obedience to God!!)
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge

The health systems of Switzerland and Singapore are partially subsidized by the American consumer. In fact nearly ALL so-called universal systems in the world are subsidized by us. How so? By purchasing pharmaceuticals and medical devices(of which over 60% are developed here) from the US for a fraction over cost then having the American consumer make up the ‘profit’ difference. Wonder why we aren’t allowed to re-import drugs and devices at world prices? If we could, most of the world’s ‘free’ systems would implode due to increasing costs or increasing rationing or both. I doubt other countries want to see the US go to a ‘single-payer’ system unless of course our taxes pay for our system and continue to subsidize their’s.


37 posted on 01/17/2014 5:11:00 PM PST by yadent
[ Post Reply | Private Reply | To 1 | View Replies]

To: BenLurkin
The word "conservative" is as meaningless today as "liberal".

Orwell thought words would just be outlawed and expunged. In fact words (and so thought) are being so larded with contradictory meanings that they are useless. There are socialists in Congress who proudly proclaim their conservationism.

38 posted on 01/17/2014 5:13:30 PM PST by DManA
[ Post Reply | Private Reply | To 2 | View Replies]

To: yadent
and medical devices(of which over 60% are developed here)

Not anymore. The medical device industry is close to dead here thank you FDA and the medical device tax.

39 posted on 01/17/2014 5:14:56 PM PST by DManA
[ Post Reply | Private Reply | To 37 | View Replies]

To: lowbridge

Eliminate the FDA and get the government completely out of medicine.

Make everyone responsible for their own medical care.

If you can’t afford it, lie down and croak!


40 posted on 01/17/2014 5:15:29 PM PST by dalereed
[ Post Reply | Private Reply | To 1 | View Replies]

To: lowbridge

Switzerland does something right.
My understanding is.

concerning non(or expired) patented drugs.
SW gives a price list to drug companies,
they agree to the entire list,
or do not do business in the country.

no more hospitals dispensing Tylenol
at $36 a pop.


41 posted on 01/17/2014 5:18:59 PM PST by RockyTx
[ Post Reply | Private Reply | To 1 | View Replies]

To: DManA

Still ‘developed’ here, just hidden behind global corporations. Profits are still realized mostly from us, the US.


42 posted on 01/17/2014 5:20:28 PM PST by yadent
[ Post Reply | Private Reply | To 39 | View Replies]

To: lowbridge
Swiss public spending on health coverage is 60 percent lower than America's. If we had the Swiss system, we wouldn't have a budget deficit and we'd have no single-payer health entitlements like Medicare and Medicaid.

What are their policies on end of life care? About half of your lifetime medical expenses are spent in the last year. Add a government "death panel", a refusal to pay "unreasonable" efforts at delaying death (however the insurance company defines unreasonable), or even a society which accepts that life has come to an end and allows old people to die at home with family rather than attached to very expensive machines which go "ping" and you can drop national medical expenses. I don't like the idea of either a government or insurance bureaucrat deciding it is time for me to go, especially if they decide that they could save half by restricting medical care in the last year they could save even more by restricting it in the last five or ten years.

43 posted on 01/17/2014 5:20:32 PM PST by KarlInOhio (Republican amnesty supporters don't care whether their own homes are called mansions or haciendas.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: RockyTx

And where to you think those drug companies obtain their profits? Hint: we in the US are still paying that ‘$36 a pop’. Switzerland profits and we pay for it.....


44 posted on 01/17/2014 5:23:55 PM PST by yadent
[ Post Reply | Private Reply | To 41 | View Replies]

To: RockyTx
no more hospitals dispensing Tylenol at $36 a pop.

Uninsured medical bills are typically paid in the range of 3 to 7 percent and the balance written off. So deals like that are basically a way to subsidize the non-payers.

45 posted on 01/17/2014 5:24:52 PM PST by nascarnation (I'm hiring Jack Palladino to investigate Baraq's golf scores.)
[ Post Reply | Private Reply | To 41 | View Replies]

To: 4Liberty
Swiss Border "fences," & require no expenditures:

You still have pesky illegals singing about climbing every mountain and crossing every border. :-)


46 posted on 01/17/2014 5:25:41 PM PST by KarlInOhio (Republican amnesty supporters don't care whether their own homes are called mansions or haciendas.)
[ Post Reply | Private Reply | To 15 | View Replies]

To: lowbridge

Both of those places

A) Benefit from R&D subsidized from the ability to monopolistically charge for items/pharmaceuticals here.

B) Have a far lower freeloader to productive person ratio.

C) Have a lot few people than here.


47 posted on 01/17/2014 5:38:26 PM PST by Axenolith (Government blows, and that which governs least, blows least...)
[ Post Reply | Private Reply | To 1 | View Replies]

To: okie01

Yea, like welfare in general. The ones who support it but never use it are the elitists who want the serfs using it to not riot and burn their crap down after they got them hooked on a cycle of dependancy in order to bring themselves to power...


48 posted on 01/17/2014 5:42:19 PM PST by Axenolith (Government blows, and that which governs least, blows least...)
[ Post Reply | Private Reply | To 29 | View Replies]

To: MadMax, the Grinning Reaper

Very well stated and 100% correct!


49 posted on 01/17/2014 5:47:27 PM PST by mazz44
[ Post Reply | Private Reply | To 11 | View Replies]

To: nascarnation

nascar.....

health insurance is destroying the middle class
in the US.
something has to give.

or people will vote away their freedom
at the ballot box.


50 posted on 01/17/2014 5:47:30 PM PST by RockyTx
[ Post Reply | Private Reply | To 45 | View Replies]


Navigation: use the links below to view more comments.
first 1-5051-68 next last

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
News/Activism
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson