The neuro test was yesterday, and it sure was everything it was cracked up to be. So right now I’m thinking about politics, trying to distract myself from what my grade is going to be.

It’s actually too bad that I’m stuck here in medical school when one of the most important elections in several decades is going on. I can’t do anything to help persuade people to vote (what I consider to be) the right way. And after the election, when, as I expect, everything will be thrown into the courts and some unscrupulous people (probably Democrats, based on previous experience) will try to steal the election, I won’t be able to protest or anything. If it gets really serious, I’ll have to ignore classes for a while. Let’s pray it doesn’t go that far.

There are dozens of reasons why I think John Kerry as president would be disastrous for our country. I’ll try to post about a different one every day for a while.

We’ll start with healthcare. In a nutshell, the Democrats argue that there are 40+ million uninsured people in the country, that the cost of healthcare and insurance is rising, and that the government needs to respond to this by providing for everyone’s needs.

Rebuttal: 1) The 40 million figure is an inflation. I don’t have time to link to evidence, but if you really want to know you can Google. That figure is reached by counting every person who has been out of insurance for a few weeks or months during the year: everyone who switched jobs, started a new job, anything that caused them to be technically uninsured for any period of time. That figure includes millions of young people who don’t want insurance right now. For a healthy young college graduate, there are lots of things more worth spending money on. And finally, that figure includes many immigrants – legal or otherwise. So when you subtract out all of those, the number of people who want health insurance and can’t afford it is probably closer to 10 million or less.

2) **This is not the government’s responsibility.** **If the government gets its hands on healthcare, the quality of care for everyone will deteriorate.** First, constitutionally. There is absolutely nothing in the Constitution that suggests that it is the federal government’s responsibility to provide healthcare, or even access to healthcare, for the general population. That is an area of individual responsibility. People are too willing to believe that the government is their father, to provide for their every need.

Second, practically. A healthcare system run or funded by the government would be disastrous. Look at the VA. That is everyone’s example of a nightmare system. The buildings are old and run down, the staff are unmotivated, and you can wait forever before you get an appointment. The more the government is involved, the worse the care becomes. Look at Canada, Britain, France. The tax burden in those countries is high, you have to wait weeks or months before being seen for even urgent problems, and if you want a service that’s not covered under the government plan, there’s nowhere for you to go. The rich Canadians can escape down here if they want good care. Where will we escape to? Mexico? The fact is, the healthcare system as we know it is rotten. Expanding coverage is not the solution.

Here is my list of possible actions: 1) The Health Savings Accounts, as championed by President Bush. This would allow people to have money for healthcare costs apart from their jobs, so the account can move with them as they move between jobs. The money could be passed on to heirs, so it wouldn’t be wasted. This would give people some understanding of the costs of the care they chose to demand, so that doctors and patients would both be motivated to undertake only necessary tests and procedures. 2) Make insurance companies much less important. As it is now, insurance companies take a 40% profit, doctors get underpaid, and patients get scammed. The insurers are dictating what tests can be done, what procedures can be done, what drugs can be prescribed, etc etc. They are controlling both doctors and patients, and that is wrong. The doctor and patient should be the ones making the decisions, not some faceless, untrained bureaucrat, who will never be held accountable for their actions. The reason insurers have this power is because everyone expects insurance to come with their jobs, so employers have to buy insurance from these megacompanies. If people instead expected to be more responsible for themselves, we wouldn’t be so dependent on the insurance companies.

There’s more, and I can always “expand in my next speech,” if anyone wants to discuss this. Tomorrow, why no sane person should want a trial lawyer near the White House.