Medicare for All: A Cure for Healthcare Injustice

Abdul El-Sayed
Feb 10, 2019 - 9:56

Reflecting on the pestilence of injustice in our healthcare system, Dr. Martin Luther King Jr. remarked in 1966 that “of all the forms in inequality, injustice in healthcare is the most shocking and inhumane.” That remains true today. The numbers tell a staggering story: Black women are more than three times as likely to die during childbirth than white women. Their babies are

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3 Replies to “Medicare for All: A Cure for Healthcare Injustice”

  1. Healthcare is my jam :D. While I appreciate Dr. El-Sayed’s approach, it’s fundamentally flawed. Like his sentence “Under Medicare for All, the government effectively works as our insurance company”, government is ill-equipped to handle manage an individual’s health (it’s ultimately the individual’s responsibility) and insurance is not care. Insurance companies exist for one reason: to make a profit. Period.
    I’ve been working the last 3 years to get the word out that to solve our healthcare finance issue, we must ask the correct question: how do we put money into people’s pockets so that they can buy their care directly from those providing it? It’s my firm belief that by tapping into the 3.4 trillion dollar boondoggle bank account of US health expenditures, we’ll unleash an economic tsunami that will decrease income inequality (after all, how will business recruit and retain black folks when we don’t have to stay their for ‘health benefits’?) and wealth inequality (with an influx of cash, we can invest in land, businesses, entrepreneurship and more.)
    I’m in private practice and I post my fees. If I was forced to operate under a Medicare-for-all system, I, a psychiatrist, wouldn’t be able to afford to keep my doors open. I welcome thoughts and comments. – Brian (www.DrBrianDixon.com)

  2. Dr Dixon – thanks for your note. Appreciate your contribution.
    Four points per rebuttal:
    1) private markets, while they may be fine for (mostly) elective services, don’t work for catastrophic, emergent, or inpatient coverage. The costs are just too high.
    2) most structural inequities are driven by pre-clinical settings, things like air and water quality, walkability, access to healthy foods, etc. these are beyond the market, and M4A puts government skin in the game on solving them.
    3) m4A doesn’t abolish cash practices like yours, it just makes them attainable for people who aren’t rich enough to afford them.
    4) choice is a myth in healthcare when we need it most.
    Thanks again for your thoughtful comments

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