So where does Obamacare fit into all this? Basically, it’s a plan to Swissify America, using regulation and subsidies to ensure universal coverage.
If we were starting from scratch we probably wouldn’t have chosen this route. True “socialized medicine” would undoubtedly cost less, and a straightforward extension of Medicare-type coverage to all Americans would probably be cheaper than a Swiss-style system. That’s why I and others believe that a true public option competing with private insurers is extremely important: otherwise, rising costs could all too easily undermine the whole effort.
But a Swiss-style system of universal coverage would be a vast improvement on what we have now. And we already know that such systems work.
A Roche spokesman said: "Unlike Herceptin, Tarceva has already been licensed in the UK, but has not been given Nice guidance.
"Tarceva is expected to be given Nice guidance in 12 to 18 months time."
He said: "Tarceva can slow the progression of cancer, but cannot stop it. It can increase life expectancy by two months or longer."
1. People deeply distrust government, so it may be smart politics to build a more progressive infrastructure that includes mechanisms for enhancing trust, such as local ownership.
2. In numerous cases around the world, public participation has been found to reduce corruption and waste. When people have decided what to spend money on, they watch to see if it is spent as promised. When the money vanishes, they rebel.
3. Participation in co-ops would increase people's civic skills and their expectations that other major institutions will treat them respectfully.
4. Health decisions involve complex scientific and technical issues--but also irreducible value judgments that cannot be made "scientifically." Co-ops can include deliberative bodies that make value judgments and tradeoffs, accountably and transparently. Moreover, those decisions can be made differently in different parts of the country, thus reducing the intensity of our cultural battles. (Yet co-ops would also be regulated by the federal government to protect rights that Congress deemed essential.)
5. Co-ops could contribute to political pluralism by lobbying in the interests of their members.
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