The Most Expensive Health Care System in the World

America has the best health care system in the world, said Bob Dole and the other executioners of health care reform. Once upon a time that claim was true. Now what America has is the most expensive health care system in the world, in spite of the fact that it leaves one-third of its citizens un- or under-insured and ranks 17th of the 24 industrialized nations in life expectancy.

The major reason for the high expense and poor performance is that we are moving rapidly toward an unholy combination of government and corporate health care management. That trend is well documented by Robert Sherrill in the January 9/16 issue of The Nation. Sherrill draws together 11 recent books and articles on drug companies, insurers, hospitals, and doctors. He shows a system that views patients as consumers to be manipulated, health workers as costs to be minimized, and taxpayer support as gold to be mined.

Here are just a few of Sherrill's startling statistics:

- The top executives of the the nation's four largest hospital chains earned a combined one-year total of $14 million, while they were firing housekeepers and nurses and working the remaining nurses 80 hours a week, so as to pay only one set of benefits for the equivalent of two workers. These hospitals rent "temp" nurses, when patient loads rise. The temps may be unqualified, but they don't get benefits and can be laid off quickly.

- Four corporations own seven out of ten of the nation's for-profit psychiatric beds. They treat only insured patients. The treatments take, with remarkable regularity, 28 days -- the cut-off for most employee insurance policies. Some of the major investors in these psychiatric hospitals are insurance companies.

- Private hospitals close emergency rooms to keep out uninsured patients. Meanwhile at public emergency rooms like that of the Los Angeles County Hospital, the average wait is three hours, and 40 percent of the patients are uninsured.