Healthcare and the market

I've mentioned the US debates about health insurance before. But it is graphs like this that are worth studying closely to get a quick handle on why universal healthcare is such a no-brainer to the rest of the developed world (a.k.a. "the den of socialism").
Notice that the much maligned NHS in the UK spends about 40% of what the US does per person and yet the UK has a higher average life-expectancy by more than a year. Portugal spends less than 30% of the US level and also has a higher life-expectancy. The country with the greatest longevity, Japan, spends about 35% per person of what the US spends. And this massive US spending is not just absolute, but also relative to GDP. The other salient feature of this graph is noting that the only industrialised nation without universal health care is the US.

Of course, there is not a simple correlation between health system and life expectancy. Also important are genetic and environmental factors (including diet). But it is at least worth pausing for thought and wondering whether the US system is really generating the quality of health care that is often claimed for it. Might not the introduction of market forces actually distort the system by giving doctors falsely inflated motives for unnecessary treatment? And by giving insurers incentive to deny treatment, or to deny cover to those already sick (who often need it most)?

This is not simply another cheap shot at US politics, but a way of raising a larger and more important issue. Namely, that there are parts of life where market forces distort healthy relationships. Introducing the logic of the market to situations requiring trust and gift doesn't improve efficiency; instead, it can often critically undermine the trust and generosity on which the relationship is built. To pick a somewhat facetious example, should we charge our daughter for each nappy that we change? Should breast milk operate on a user-pays system?

Nonetheless, the dominant expression of contemporary capitalism has an imperialist tendency based on the assumption that market logic ought to be extended to more and more spheres of life. Private ownership for profit is treated as though it is the most desirable kind of human sociality. This is not a recipe for good healthcare, and it is not a recipe for a healthy society.

UPDATE: Here are two very good contributions to the healthcare debate.
• The simplest explanation of health care reform you will read, giving a very readable summary of the logic behind the proposed reforms.
• Catch 22 for opponents of health care reform, or why a government option is neither a takeover nor a sneaky takeover (and why even if it were this wouldn't be a terrible thing). Note: the government option has been taken off the table, but this post is still worth reading to know why that was a bad move.