I am a ten-year survivor of two kinds of cancer. I am alive because I had health insurance which permitted me to obtain excellent medical care. But if the Clinton "universal," government-mandated health care plan had been enacted in the 1990s, the odds are great that I would now be dead. If the Obama health care plan is enacted, no matter how prettied-up and carefully-worded it may be, then the nation will pay dearly and people like me will die prematurely.
Because I have spent so much time in clinics and waiting rooms and medical facilities, I know that Canadians who can afford to are coming to the United States for medical care, especially for cancer. Many Canadian medical facilities are outmoded; tests are often delayed; treatments are often denied. With cancer, delay can mean the difference between arresting a colony of mutagenic cells in time or having to deal with incurable metastasized cancer. Time is of the essence; so the affluent and the wealthy come here, where health care is not rationed.
The chemotherapy drugs which saved my life in 2007 were not available in Canada. The death rate from colorectal cancer in Canada is 25 per cent higher than in the United States. The reason for the discrepancy is that Canada has "universal," government-run health care, and the United States does not.
Is our health care system "broken?" Hardly. We have the best medical centers, the best equipment, and the best diagnostic testing that money can buy. Top-notch doctors come here from India, Pakistan, Nigeria, the Philippines, and other countries. The United States is the world leader in medical innovation:
"Ultimately, lost or constrained innovation impacts public health. Access to new drugs, for instance, is far superior for American consumers than European ones. For cancer patients, access to new drugs is crucial: a report by the Swedish Karolinska Institute, published in the Annals of Oncology, found that "The United States has been the country of first launch for close to half of the oncology drugs brought to the market in the past 11 years." The authors of the report observe that "Nearly half of the observed improvement in the 2–year cancer survival rate between 1992 and 2000 at 50 US cancer centers could be attributed to the use of new cancer drugs," evidence that America's embrace of new medicines translates into saved human lives.
"The evidence is unmistakable: Europe's pharmaceutical industry is in the midst of a long and steady decline, and Europe's bio–tech industry is lagging significantly behind its American counterpart. What is also clear—but far more controversial—is that by adopting certain aspects of the American R&D system, Europeans could regain their innovative and competitive edge."
Science Pioneer Cautions Europe on Declining Medical Innovation
"But one argument against universal health insurance isn't so easy to dismiss: the argument about innovation and the cutting edge of medical care. . . . In a universal coverage system, the government would seek to limit spending by forcing down payments to doctors and pharmaceutical companies, while scrutinizing treatments for cost-effectiveness. This, in turn, would lead to both less innovation and less access to the innovation that already exists. And the public would end up losing out, because, as Tyler Cowen wrote last year in The New York Times, 'the American health care system, high expenditures and all, is driving innovation for the entire world.'"
The New Republic, Creative Destruction.
Is our health care system "unfair?" Of course it is. "Life is unfair" - - President John F. Kennedy. But the Canadian health care system is also unfair -- more so, because it denies health care to some of those persons who pay the taxes to subsidize the system. Is it selfish to say that those with more money should be able to buy better health care? Of course it is -- but self-interest is the best measure of value in a free society and because of the money paid and contributed by so many of us self-interested types, American health care is better for everyone.
Do I wish that every child in America had access to quality health care? Of course I do. But not at the cost of damaging or destroying the system we have now. Most children have health insurance of some kind now. Our health care system has an exemplary record of treating children who have cancer. In the year I was born, childhood cancer was fatal within five years in more than 95 per cent of the cases; the survival rate now exceeds 75 percent!
"Childhood cancers showed some of the largest improvements in cancer survival during the past 20 years, with an absolute survival rate increase of 20 percent in boys and 13 percent in girls. The current five-year survival rate of over 75 percent confirms substantial progress made since the early 1960s, when childhood cancers were nearly always fatal." National Cancer Institute, "Annual Report to the Nation Finds Cancer Incidence and Death Rates on the Decline: Survival Rates Show Significant Improvement."
"Universal," government-run health care will inevitably condemn some of those children to early death.
"Universal," government-run health care will inevitably condemn many adults like me to early death.
In both cases, the question is not "whether," but "who."
It is likely that cancer will eventually kill me. Because cancer treatment is physically punishing and has long-lasting side effects, both physical and emotional, the day may come when I decide that I have had enough. But that should be my choice; I should not be left to die because medical care is rationed. I am not a "victim" of cancer; I am a cancer survivor who doesn't want to become a victim of bureaucracy.
This is my testimony. Thank you for reading.