(Health Care - as the rest of the world views us)
On January 29, 1956, NBC Radio, as part of their "New World" series ran a debate on the state of Healthcare in the world and asked the BBC to participate with their take on it. Representing all the interested parties were Aneurin Bevan, Member of Parliament and Labor Party Secretary for Health, Dr. Walter Elliot, Member of Parliament, E. A. Van Steenwyck, spokesman for Blue Cross and Milton Friedman, economist.
Right away, Bevan and Friedman jump into it. Friedman has a condescending tone that drives Bevan right up the wall and clearly there is no willingness on the U.S. to even consider a National Health plan.
Aneurin Bevan: “If you rely upon financial anxieties to keep people away, or to use your own words, ‘not to overuse the scarce services”, such anxieties do not exist for the rich. So they will have access to the services first of all. Is that equitable?
Milton Friedman : “Mister Bevan, I think you are confusing two very different problems. One, is the problem of the general distribution of income among people, which arises with the respect to food, clothes, housing and everything else. Medical care is a minor item . . .
Bevan: “A minor item??
Friedman: “Medical care accounts in your country as well as mine for no more than five percent of the total expenditure on consumption. It accounts in your country as in mine for less than the cost of tobacco plus alcohol”.
Walter Eliot: “Now wait a minute – I’m holding myself in with the greatest of difficulty. I was a doctor. I was on the gate. I compiled these waiting lists, and I can assure you that in a good many cases, people who urgently needed treatment weren’t getting it because there wasn’t a hospital accommodation there. Now, one of our difficulties was this very expansion of hospital accommodation. Do you think in America you can look after this enormously increased hospital accommodation which will admittedly be necessary . . .
Friedman: “We don’t rely on donations to run our hospitals. About 90 percent of all the money spent by our voluntary hospitals comes from patients.”
It more or less slides downhill from there. Needless to say, there is no compromise to be had in this debate, but it's interesting to hear just how enmeshed, even in 1956, the lobbies of big Insurance, Big Pharma and the AMA were with the question of Health for the U.S.
