On Fri, 9/18/09, Lance Christie wrote:

This Letter to the People has 395 words in its body, less the salutation and signature.

3018 Old City Park Road Moab, Utah 84532 September 18, 2009

Editor, Moab Times-Independent

For the people who have been scared into thinking the current health insurance reform proposals before Congress will lead to government take-over of health care, reducing quality and availability, here's a few facts:

65% of all health care costs in the U.S. are now paid by federal or state government health insurance systems: Medicare, Medicaid, Veteran's Administration, Department of Defense for the armed forces and dependents, and the Children's Health Insurance Program. The average administrative overhead cost for these government single-payer programs is 3.5% of each health dollar spent. The average administrative overhead cost for the 1,200-odd private health insurance carriers selling policies in the USA is 21%; the state of Maine found the average for health insurance carriers doing business in that state was 27% in 2005.

Customer satisfaction surveys find Americans receiving medical care paid for by these government single-payer health insurance systems are more satisfied on average with access to and coverage of medical care than privately-insured customers. Surveys in 22 industrialized nations with national health insurance systems, none of which allow for-profit health insurance companies to operate, also show higher levels of citizen satisfaction with their health care than U.S. private-insured people report. The average overhead costs of these non-profit national health insurance systems worldwide run between 0.5 (Japan) and 4 (France) percent.

A 2009 survey of over 2,100 practicing physicians by Mt. Sinai medical center found that, on average, physicians found dealing with government single-payer insurance entities preferable to dealing with private insurance companies. Physicians do not like the lower rates of reimbursement involved from the largest government programs, particularly Medicaid, but they suffer less time, expense and hassle to get reimbursement from government insurors than private ones. This probably explains why 63% of these practicing physicians favored a public option health insurance plan be available in the U.S., and another 10% advocated the U.S. go to a single-payer government health insurance plan like Canada's.

The Center for Rural Affairs at the University of Nebraska's study found a non-profit public health insurance plan's premiums would be 16-30% lower than private U.S. health insurance plans. The Center found that a non-profit public health insurance system could produce 41% savings in U.S. health care costs with probable increases in service quality and availability. We need improvement: the U.S. ranked 34th among nations in 2007 in health care outcomes per healthcare dollar spent.

Sincerely, Richard Lance Christie, Moab