A major reason why a sensible health system has been throttled for decades: insurance companies, which thrive best when they deny care; insurance companies, which unlike hospitals, doctors, nurses, and other health workers, contribute nothing of value to national health; insurance companies, which line the pockets of the people's legislators.
Here are some numbers to bear in mind, and inscribe on signs, and pass out on flyers, and send to your friends, doctors, uncertains, Blue Dogs, Black Cats, whatever, during this fall's home stretch:
Total expenditure by private insurance companies, 2007: $680 billion*
Total expenditure on administrative costs + profits, 2007: $95 billion
Percentage of total expenditure spent on administrative costs + profits = 14%.
In other words, one in seven dollars Americans pay insurance companies stays with them.
By contrast, here are 2007 figures for Social Security and Medicare administrative costs:
Social Security = 0.9%
Medicare = 3%*
The people who run these companies may not be "bad people," but their institutional interest is not the public's interest. Not. The. Public's. Interest.
* The $680 billion does not include our co-pays and other out-of-pocket expenses.
** The Right disputes the Medicare figure. But nobody, nobody, claims that Medicare's true administrative costs are anything like 14%.
Update 12:51 pm. I apologize for earlier figures--my haste and sloppiness were to blame. Thanks to Harold Pollack of the University of Chicago for helping to set me straight.