HEALTH CARE REFORM
Public plan needed to replace one we have
Peter Nelson ("Where battle line is drawn on health care," June 23) misses the point. His claim that a public plan will sink health care reform ignores the de facto one already in place. That plan is this:
• Don't get sick.
• If you break rule No. 1, go to the emergency room -- somebody or a combination of somebodies will pick up the bill.
Nelson is not alone. Many analysts -- regardless of viewpoint -- seem to fall into the same trap: looking at only part of the problem.
Few, including Nelson, would claim that all is well; rising costs, decreasing coverage, increasing ranks of the uninsured, etc., add up to a large-scale issue that cannot be solved piecemeal.
It might be helpful to the discussion -- and ultimately, to the range of possible solutions -- if we started by acknowledging the entire cost of the entire system.
For starters, Nelson should tell us how taking a public plan off the table addresses employers' skyrocketing health care plan costs, the growing ranks of un- and underinsured people, and the increasing burden on hospitals to provide for uninsured patients.
Surely, the Center of the American Experiment is capable of thinking the whole issue through.