Is it a grim irony of the free market globalization that American employees have to now seek uninsured healthcare in low-cost overseas facilities? Or is it just a smarter individual choice that an employee has as his/her right to make in regards to health?
Could be either way actually, as a recent New York Times article shows, which throws light on the recent trends in a healthcare-world going "flat"--to borrow Friedman's term. But in both, it appears like, the employees are the losers.
Costs and responsibilities:
"Of all the forms of inequality, injustice in health care is the most shocking and inhumane"-- Martin Luther King, Jr.
Healthcare is not just unfree in the United States, the policies around it are actually anti-people in many ways as well. As a result, the system has deprived 42.6 million people in the US from having basic insurance.
The World Health Report (WHO, Geneva, 2000) specifies three main features of a good healthcare system: Good health, responsiveness, and fairness in financing. And in most cases, costs drive the healthcare responsiveness.
As a result, the UN study among 191 countries indicates that the United States has by far the most expensive health care system in the world, based on health expenditures per capita (per person), and on total expenditures as a percentage of gross domestic product. The US spends on an average more than $4,200 per capita on health care which is twice the OECD and way more than the next most expensive country (Switzerland, $2,700).
Likewise, in terms of access, a study entitled "Health Care in the US: Facts and the Choices", has found that the US is the only country in the developed world, except for South Africa, that does not provide health care for all its citizens.
Choices of Free Market:
The hugely exaggerated "free market" is a misnomer. Indeed, markets are meant not to be free, neither as in a free beer, nor as in freedom. Monopoly is a logical consequence of capitalism and healthcare sector can not remain unaffected by this feature.
But what is worse, are the choices that the monopolists provide: "Either you are with us, or you are with our debtors". Not just Nike thrives on its sweatshops, today the big pharma and medical industry aim at the world market for high profit margins as well.
India is surely a low-cost option for many American employees. But whether it is an effective option is still under consideration. Sure, the costs have come down for the American consumers, but owing to foreign money transaction, the costs have gone up quite high on an average, in local currency so much that it has been affecting the people back there. India, for example, used to have a stable and free healthcare system as part of its welfare economy, with all major hospitals in the country arising out of excellent state-funded medical university campuses. With the globalization process, today an average Indian national has nowhere to go, since the privatization of hospitals wooing foreign clients have left almost no option.
Creation of health haves and have-nots:
Even if we ignore the local plights of developing economies, will all Americans go overseas for treatments? The answer is no. In fact, when it comes to "quality of medical response", US ranks as number one in the world. In other words, if an American affords the best insurance package, he/she does not need to even change counties, let alone countries.
In effect, the current healthcare system in the US then, creates the following conditions:
1. A class society within the US among those who have no insurance and those who have.
2. An environment of differing access to healthcare depending on the cost status. Crudely it means, the richer one is, the better service there is. This is only logical since America has the most expensive and least accessible healthcare system.
3. Forces those with poor insurance or no insurance to seek healthcare support overseas. That is, it forces people to let go of their rights as American citizens to access the 'best healthcare quality' services.
4. Fosters further divides between the rich and the poor in developing economies like India where privatization of hospitals benefits those who carry in foreign currency of higher exchange value or only those within India who can match such bids.
What it says to the American employees?
All forms of research show that we need to understand why and under what conditions do most employees seek overseas benefits. The solution does not lie merely in preventing the person to travel abroad. Indeed, this could be violating the individual rights of the employee to make such a decision in his/her life's favor. Instead, the root cause needs to be addressed, and that is to say, the healthcare system of the US, akin to a white elephant, needs complete overhaul. It needs to be made universally accessible, almost free, and highly democratized for all citizens of this country for it to be even called a healthcare system. So far, it acts merely as a "healthfare" system.
Time has come to ask the slightly different question: Its not what people can do for their own healthcare, its what the healthcare system must be made to do for the people.
The New York Times article follows:
Union Disrupts Plan to Send Ailing Workers to India for Cheaper Medical Care
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