Observations About the 2022 Mid-Term Elections
As a person who majored in political science and has been engaged actively in public
One of my biggest frustrations with the national health care debate is the casual and sloppy way those who discuss health care routinely confuse “insurance coverage” with “access.” The implication is that if there is universal, affordable coverage, those with coverage will automatically have appropriate access to health care.
As Dr. Marc Siegel points out in the April 17 op-ed section of The Wall street Journal, entitled “When Doctors Opt out,” coverage does not equal access. There are a number of reasons, some of which he points out in the article:
One of the risks of creating a system of universal, affordable coverage without addressing primary care supply shortages is that we end up with either of two bad outcomes:
That is why I strongly believe that we need to address the demand and physician quality and supply issues concurrently with, or preferably prior to, the time we create a system of universal, affordable insurance.
Unfortunately, the cases of people who are denied care or go bankrupt because they are uninsured grab more headlines than the people who cannot get care because of inadequate provider reimbursement or inadequate supplies of physicians. Therefore, I am concerned that our elected officials will congratulate themselves for creating a system of universal coverage, which will diminish access and quality of care in the process.