Madam Speaker, I rise today on behalf of my constituents who continue to receive inadequate health coverage in our broken health care system. With the recent release of Michael Moore's documentary, ``Sicko,'' attention is being brought to…
Madam Speaker, I rise today on behalf of my constituents who continue to receive inadequate health coverage in our broken health care system. With the recent release of Michael Moore's documentary, ``Sicko,'' attention is being brought to the many problems perpetuated by our health care system, especially those that result from a desire on the part of insurers to maximize their profits. The movie strikes a chord with my constituents who know that, in a Nation in which over 45 million citizens are uninsured, even those with health insurance are at risk for not getting the health care they need. Although those who support the status quo have been quick to criticize the movie, its popularity in my district underscores its resonance with my constituents who are dissatisfied with a system that has failed them over and over again and who are demanding comprehensive change.
I am deeply troubled by recent comments from health insurance companies and their defenders arguing that wait times under universal health care systems are disproportionately longer than those in our private health system. Such comments gloss over the realities faced by my constituents, who continue to call and write my office frustrated that pre-existing conditions, pre-approval, and prohibitive costs have made long wait-times commonplace for them. Recent statistics from the Institution of Healthcare Improvement reveal that Americans nationwide are waiting an average of 70 days to see a provider. In many circumstances, people who are initially diagnosed with cancer are waiting over a month. Is this the best we can do for our citizens in the richest, most prosperous nation in the world?
When we compare ourselves to nations with national health care, the statistics paint a much different picture than the critics would like us to believe. According to a recent article in Business Week (``The Doctor Will See You--In Three Months''--July 9, 2007), ``both data and anecdotes show that the American people are already waiting as long or longer than patients living with universal health-care systems.'' In addition, a Commonwealth Fund study that compared the U.S. health-care system to five industrialized countries with national health coverage showed that waiting times were worse in the U.S. than in all of the other countries but one. Only 47 percent of U.S. patients can get a same or next-day appointment for a basic medical problem, and 26 percent of U.S. adults have gone to an emergency room in the past 2 years because they couldn't get in to see their regular doctor when needed.
As long as Congress ignores this issue, our constituents will continue to wait for medical care that should be provided to them expeditiously. It is disappointing that this problem has been left on the backbumer for so long, and I hope that this reinvigorated health- care discussion will allow us as Members to seize the opportunity to do what is right for our constituents. I strongly urge Members to read the attached Business Week article and a recent column by Paul Krugman that describe the health-care waiting game that so many of our constituents face on a regular basis.
[From Business Week, July 9, 2007]
The Doctor Will See You--In Three Months
(By Catherine Arnst)
The health-care reform debate is in full roar with the
arrival of Michael Moore's documentary Sicko, which compares
the U.S. system unfavorably with single-payer systems around
the world. Critics of the film are quick to trot out a common
defense of the American way: For all its problems, they say,
U.S. patients at least don't have to endure the endless waits
for medical care endemic to government-run systems. The
lobbying group America's Health Insurance Plans spells it out
in a rebuttal to Sicko: ``The American people do not support
a government takeover of the entire health-care system
because they know that means long waits for rationed care.''
In reality, both data and anecdotes show that the American
people are already waiting as long or longer than patients
living with universal health-care systems. Take Susan M., a
54-year-old human resources executive in New York City. She
faithfully makes an appointment for a mammogram every April,
knowing the wait will be at least six weeks. She went in for
her routine screening at the end of May, then had another
because the first wasn't clear. That second X-ray showed an
abnormality, and the doctor wanted to perform a needle
biopsy, an outpatient procedure. His first available date:
mid-August. ``I completely freaked out,'' Susan says. ``I
couldn't imagine spending the summer with this hanging over
my head.'' After many calls to five different facilities, she
found a clinic that agreed to read her existing mammograms on
June 25 and promised to schedule a follow-up MRI and biopsy
if needed within 10 days. A full month had passed since the
first suspicious X-rays. Ultimately, she was told the
abnormality was nothing to worry about, but she should have
another mammogram in six months. Taking no chances, she made
an appointment on the spot. ``The system is clearly broken,''
she laments.
It's not just broken for breast exams. If you find a
suspicious-looking mole and want to see a dermatologist, you
can expect an average wait of 38 days in the U.S., and up to
73 days if you live in Boston, according to researchers at
the University of California at San Francisco who studied the
matter. Got a knee injury? A 2004 survey by medical
recruitment firm Merritt, Hawkins & Associates found the
average time needed to see an orthopedic surgeon ranges from
8 days in Atlanta to 43 days in Los Angeles. Nationwide, the
average is 17 days. ``Waiting is definitely a problem in the
U.S., especially for basic care,'' says Karen Davis,
president of the nonprofit Commonwealth Fund, which studies
health-care policy.
All this time spent ``queuing,'' as other nations call it,
stems from too much demand and too little supply. Only one-
third of U.S. doctors are general practitioners, compared
with half in most European countries. On top of that, only
40% of U.S. doctors have arrangements for after-hours care,
vs. 75% in the rest of the industrialized world.
Consequently, some 26% of U.S. adults in one survey went to
an emergency room in the past two years because they couldn't
get in to see their regular doctor, a significantly higher
rate than in other countries.
There is no systemized collection of data on wait times in
the U.S. That makes it difficult to draw comparisons with
countries that have national health systems, where wait times
are not only tracked but made public. However, a 2005 survey
by the Commonwealth Fund of sick adults in six nations found
that only 47% of U.S. patients could get a same- or next-day
appointment for a medical problem, worse than every other
country except Canada.
The Commonwealth survey did find that U.S. patients had the
second-shortest wait times if they wished to see a specialist
or have nonemergency surgery, such as a hip replacement or
cataract operation (Germany, which has national health care,
came in first on both measures). But Gerard F. Anderson, a
health policy expert at Johns Hopkins University, says
doctors in countries where there are lengthy queues for
elective surgeries put at-risk patients on the list long
before their need is critical. ``Their wait might be
uncomfortable, but it makes very little clinical
difference,'' he says.
The Commonwealth study did find one area where the U.S. was
first by a wide margin: 51% of sick Americans surveyed did
not visit a doctor, get a needed test, or fill a prescription
within the past two years because of cost. No other country
came close.
Few solutions have been proposed for lengthy waits in the
U.S., in part, say policy experts, because the problem is
rarely acknowledged. But the market is beginning to address
the issue with the rise of walk-in medical clinics. Hundreds
have sprung up in CVS, Wal-Mart, Pathmark, and other stores--
so many that the American Medical Assn. just adopted a
resolution urging state and federal agencies to investigate
such clinics as a conflict of interest if housed in stores
with pharmacies. These retail clinics promise rapid care for
minor medical problems, usually getting patients in and out
in 30 minutes. The slogan for CVS's Minute Clinics says it
all: ``You're sick. We're quick.''
How the U.S. Stacks Up: Able To Get Appointment Same or Next Day for
Medical Problem
Percent New Zealand..........................................................81 Germany..............................................................63 Britain..............................................................61 Australia............................................................56