TAILIEUCHUNG - MYTHS AND MEMES ABOUT SINGLE-PAYER HEALTH INSURANCE IN THE UNITED STATES: A REBUTTAL TO CONSERVATIVE CLAIMS

One of the key characteristics of agriculture is the inherent production risks facing producers from adverse weather, pests, and diseases. These risks have been used to justify government intervention in the form of disaster assistance payments, emergency loans, livestock feed assistance programs, crop insurance, and other subsidized assistance schemes. Yet, while government intervention to provide assistance has been widely supported in the United States, the form of assistance has been much debated. Since 1980, the principal form of crop loss assistance in the United States has been provided through the Federal Crop Insurance Program. The Federal Crop Insurance Act of 1980 was intended to replace disaster programs with a subsidized insurance program farmers could depend on in the. | The Politics of Policy MYTHS AND MEMES ABOUT SINGLE-PAYER HEALTH INSURANCE IN THE UNITED STATES A REBUTTAL TO CONSERVATIVE CLAIMS John P. Geyman Recent years have seen the rapid growth of private think tanks within the neoconservative movement that conduct policy research biased to their own agenda. This article provides an evidence-based rebuttal to a 2002 report by one such think tank the Dallas-based National Center for Policy Analysis NCPA which was intended to discredit 20 alleged myths about single-payer national health insurance as a policy option for the United States. Eleven myths are rebutted under eight categories access cost containment quality efficiency single-payer as solution control of drug prices ability to compete abroad the business case and public support for a single-payer system. Six memes self-replicating ideas that are promulgated without regard to their merits are identified in the NCPA report. Myths and memes should have no place in the national debate now underway over the future of a failing health care system and need to be recognized as such and countered by experience and unbiased evidence. As one-seventh of the nation s economy the . health care system is enormous and complex so that consideration of reform of its many problems is a daunting challenge at best. It is all the more difficult when ideologies without facts are used to frame the debate over reform alternatives but that is exactly what is happening today in the fog of battle over the future of . health care. Although incremental market-based strategies have failed for more than 25 years to contain costs and improve access to health care they are still being promoted to address the increasing unaffordability of health care in a failing system. Powerful stakeholders in the medical marketplace are distorting the issues with phony policy research International Journal of Health Services Volume 35 Number 1 Pages 63-90 2005 2005 Baywood Publishing Co. Inc. 63 64 Geyman in

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