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In socialized systems the government owns, operates, and provides every aspect of the health care services. This is a bit like the US Veteran's Administration Health System. The hospitals are an investment of the VA, the doctors are paid by the VA, all the medicine is provided by the VA, etc. 


A Single Payer System is a system where the PAYMENTS are controlled by a payer, but the hospitals, doctors and other services providers are not owned or directly controlled by the payer. This is like the MEDICARE system in the US. Independent doctors, hospitals and others control and provide services, but are paid by Medicare. Most doctors and most patients are pretty happy, pleased and content with Medicare.



Health Reform Bill- a view from Kansas City- by Sharon Lee

How is it that real truth becomes so easily twisted and believed by real people who hear with twisted ears? On a daily basis the integrity of the US is sullied, muddied by a person who seems to be without a moral core, who appears to lie as effortlessly as he breaths. My specific concern is the current lack of compassion and selfishness that is permeating our culture.

Artist- Geri Centonze

Let me tell you about a patient I will call Toni. Toni was in my office, worried about a lump in her breast. I examined her and knew immediately the lump which felt like a bit of concrete was likely a breast cancer. But, Toni who was 52 years old did not have insurance. For Toni, there was no possibility of surgery, no possibility of radiation or chemotherapy. As a Family Doctor working in a clinic for the poor, I was not able to help her. Even a mammogram to provide “proof” she was facing a cancer diagnosis cost too much for her.  


Her only hope was to rely on the kindness of and charity from doctors and hospitals. After more than three months of calling many doctors and hospitals to beg for her care, I finally found a team willing to provide these services “just this once.” Toni finally got her surgery and then lost her maid job at a local hotel. Destitute, she was allowed State Medicaid coverage temporarily to cover the hospital’s losses for her surgery. She got six months of chemotherapy and when she felt better, Toni went back to work. Immediately she lost her Medicaid and thus her follow-up medication that was meant to prevent metastases. Although she stretched the medicine by taking it less often than prescribed, she finally ran out. Later she returned to the clinic with a lump in the other breast.


This is one story leading me to believe the US needs universal health care. I think the best option for providing this is to expand "Medicare for All".





Trump "Care" 
The American Health Care Act of 2017 (HR 1628) was a relatively brief 122 page document listing cut after cut* for many middle and low-income workers, older people and disabled people. Now we should all be alert and work towards fixing what is still a flawed system.
The Affordable Care Act was a good start, but was gutted by some of the forced changes (ie Supreme Court tinkering) after passage and had some unaddressed issues. The result is some irrational gaps in coverage.
For example - people with incomes below the federal poverty level (FPL) cannot receive any federal support for health care in those states that failed to expand Medicaid. The Act provides subsidies for those at 101% of FPL, but anticipated Medicaid would cover those under. Since the supremes cut out the requirement for Medicaid expansion and some states stubornly went with misguided ideology, those people at 99% have no subsidies and thus no coverage.  [Ex. --- KS is estimated to have LOST $1.9 Billion by not expanding Medicaid which has resulted in community hospital closings, not to mention the human costs of those who died or were otherwise harmed.] SLeeMD



Click here for a Channel 41 interview with Dr. Lee about Trump "Care"


Q: What will happen if ACA "ObamaCare" is dismantled? A: People will die. Here are the stats-

"The Trump, Ryan and McConnell plan will hurt millions and the concept is indeed a most unjust and inhumane health care proposal. It is page after page of one cut after another that is good only for those who are already well off who get tax breaks and is very harmful to working and low-income people. It creates havoc in healthcare. Living with the Affordable Care Act for the "forseeable future" is a better thing for most Americans. I am truly hoping the Senate does a better job for us."  SLeeMD


Paul Ryan has said:

Atlas Shrugged (Ayn Rand fiction) is one of three books he re-reads, gives as gifts and requires as reading for his interns. 


 The division of the world into "makers" and "takers" summarizes Ayn Rand's philosophy and these very words are used often by Paul Ryan.

More on this selfish view of the world...


Opposite of the Golden Rule: "Treat others as you would want them to treat you"- kindness. More like the Trump Rule: "Ignore the needs of others and focus on what is best for your self." SLeeMD


Ayn Rand's Selfish Rule- Individual Self-Interest Above All Else


Many of those who espouse Ayn Rand's philosophy have missed that the world is very different from what she experienced that formed her views. She came to the US from Russia on a Visitor Visa in 1926. As a non-observant Russian Jew, she felt more at home- safer in the US and never returned to Russia. She overstayed her tourist visa but evaded deportation and in 1929 she married an American with subsequent granting of a permanent visa. She became a US citizen in 1931.

Ayn Rand had a number of controversial political stances-  She supported abortion rights, the rights of colonialists "civilized men" to take land and control political decisions for others, and opposed the draft and war.

Ayn Rand's philosophy has been summarized as "rational self-interest as an overarching moral principle". It is antithetical to the beliefs of most of the worlds religions that the overarching moral goal is to "do unto others as you would have them do unto you" - the golden rule.

"Don’t try to be your brother’s keeper or to force him to be yours."

Yet the "happiest" people in the world live in Norway where they have completely socialized their educational, health care and other societal supports. No one worries about when they will eat, where they will live, how their children will get by in school or how they will pay for their families medical catastrophes. Relieved of these concerns through high individual taxes (without a lot of loopholes), they are freer and happier to pursue their lives. There is a level below which none will descend and all have the opportunity to rise.





Health insurance has been around for more than two hundred years. Here are some current facts to consider:

 We most often cannot predict what health issues may befall any individual's and health care costs can cause severe financial strain and even ruin, groups coming together to share the risks and cover each other against devastating financial losses. The idea is to pool money so everyone pays in a portion (usually based on risks) and takes out those resources needed. SLeeMD  [See the Economic Data below] 


Economic Data on Health Costs 2016-2017



Here are some economic facts about health costs and insurance today-


Per capita costs-


Health care comprises a vast network of doctors and nurses, technicians, medical device manufacturers, pharmaceutical makers, hospitals and in-home services, educational institutions, financial arrangements (insurers), and, above all, patients--along with numerous others. It is a complex, sophisticated, and dynamic set of interactions that consumes more than $3 trillion of the Nation's resources and represents about one-fifth of the economy.


$3,000,000,000,000 (trillion) costs/325,000,000 (million) individuals living in the US = $10,345.

which is the annual costs of health care in the US per capita. (325 million individuals live in the US.)


  • If you are paying more than $10,345 each year or more than $862 each month you are helping support someone else; if you are paying less, someone is supporting you. SL  


Health insurance companies are not going broke-


The Standard noted in 2016:

“In 2008,…the combined annual profits of America's ten largest health insurance companies were $8 billion. Under Obamacare, the ten largest health insurers' annual profits have risen to $15 billion.


The Economist reported:

share prices of America's five biggest health insurers—UnitedHealthcare, Aetna, Humana, Cigna and Anthem—have all roughly tripled” over the first five years of the ACA.

(With Annual administrative costs and profits averaging 18% of the revenue per enrollee.)


In addition to rising profits for shareholders, the administrative costs continue to soar- the top five insurers each paid their CEO’s $10-15 million (equivalent to covering up to 8,100 individuals). *


  • For every dollar an insured enrollee pays for their coverage, an average of 18 cents goes to profit/administrative costs rather than medical care. Compare this to Medicare administrative costs (no profit) at about 2 cents. SLeeMD



*Cigna CEO David Cordani: $17.3 million

Aetna CEO Mark Bertolini: $17.3 million

UnitedHealth CEO Stephen Hemsley: $14.5 million

Anthem CEO Joseph Swedish: $13.6 million

Humana CEO Bruce Broussard: $10.3 million