To the Editor:
Re “Looking at Dutch and Swiss Health Systems” (news article, Oct. 30):
It is refreshing to see American policy makers looking outside our borders for a better way to finance health care. But the Swiss and Dutch health systems, attractive as they are, offer no magic bullets for American health reformers.
Yes, the Dutch moved wholesale from employer-based to individual-based health insurance, and yes, they allow insurance companies to compete for business, but the efficiency and lower costs we seek (the per capita cost of health care in the Netherlands is about half of that in the United States) are not the result of free markets or who is paying the insurance bill.
The Dutch have a governing agency, the Agency for Care Insurance, that controls the costs and content of the basic packet of benefits to clients. This kind of oversight is desperately needed here but will be resisted by those who profit from health care. Dutch citizens, patients and caregivers alike, accept agency management of costs and benefits because they believe in the responsibility of citizens to care for each other.
Americans are also a neighborly people, willing to help others in need, but those who wish to derail reform appeal to another cultural value: independence. They ask, do we really want the government deciding on our health care?
Health reformers take note: the battle for health reform will be won or lost by appealing to our hearts, not our heads.
Who are we as Americans? What do we care about? Do we really want to be the only developed nation that selfishly refuses to care for all its citizens?
Raymond De Vries
Ann Arbor, Mich., Oct. 30, 2007
The writer is a member of the bioethics program at the University of Michigan and the author of a book about the health system in the Netherlands.
Note from KBJ: Absolutely not! We want to be the only developed nation that treats its citizens as responsible adults.