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Now, to see the weakness of the American system, consider the past two weeks and the debacle of the health-care debate. Clearly the U.S. health-care system is on an unsustainable path. If current trends continue -- and there is no indication that they won't -- health care will consume 40 percent of the national economy by 2050. The problem is that this is a slow and steady decline, producing no crisis. As a result, we seem incapable of grappling with it seriously.
It's not as if the problems aren't apparent to everyone, whatever your political persuasion. Costs are rising so fast that every day more than 10,000 Americans lose their insurance coverage. In 1993, 61 percent of small businesses provided health insurance for their employees. Now only 38 percent do. Larger firms face greater health-care costs. Yet, Americans do worse on almost every health measure than most advanced industrial countries, which spend about half as much on health care per person and have proportionately more elderly people.
Meanwhile, the political debate is unreal, with conservatives suggesting that President Obama is endorsing euthanasia and murder boards, and turning America into Russia. (I guess they haven't noticed that Russia isn't communist anymore.) The lack of serious discussion is tragic, because the Democrats' proposals leave much to be desired. They include only a few, vague measures to rein in costs ...
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