The best thing that we, as future healthcare practitioners, can do is independently evaluate healthcare research reports, present them to each other in an objective manner, and refrain from offering our subjective opinions about what we need to fix the system. It is our obligation to critique the system together through a collective discussion of mutual exchange of the various reports that no one person can investigate alone. It is rather ignorant to say that X will fix the system. Rather, because it is not the responsibility of you and I to fix the system at present, drawing such conclusions is a conversation killer.
With that said, here is a little bit of history I read in A Call to Action, concerning the beginning of employee paid healthcare as we know it today. Pre-WWII, health insurance was non-existant. During the war, as is always the case, the US sent millions of its laborers to the frontlines, and America faced a massive labor shortage. In an attempt to control wages from sky rocketing, the government initiated a wage freeze on all employers. In response to this freeze, employers began offering competitive benefits to entice employees to work for them, the company with the greatest employee benefits recieved the most amount of employees in the labor shortage. Makes sense, right? When employee paid healthcare was introduced during this period, the US government viewed it favorably, subsidized the employers who offered healthcare benefits, and thus began the modern employee paid healthcare system.
I will add that in Sicko, Michael Moore made it clear that he was for universal healthcare and his evidence was based on a rather limited number of cases involving access within the US, systems external to the US, corruption within the insurance industry, and patient satisfaction overall. I found his movie compelling, but wanting for a more rigorous and scientific approach to assessing managed healthcare.
I would be interested in knowing whether USC does, in fact, partake in relocating uninsured patients to skid row hospital on a regular basis and under what premises. Anyone read about this?