“the shooting came at a time when health care seemed to be experiencing a bit of a surge in importance among Americans after the election. The share of registered voters who named it as the most important issue facing the country in YouGov/The Economist tracking polls had gradually declined from around 10 to around 7 percent throughout 2024, and even fewer, 4 percent, said it was the top issue specifically in determining their vote in the election. But after the election, that number has gone back up to between 8 and 11 percent.
A YouGov poll last week also found that more Americans, 49 percent, had an unfavorable view of the American health care system than the 42 percent who had a favorable one. Other polling suggests that Americans are as unhappy as they ever have been in recent years with the current state of health care. And while many Americans pointed fingers at the opposing party for the problems they see, more than 6 in 10 overall agreed that pharmaceutical and health insurance companies, as well as corporate executives like Thompson, were to blame for problems in the American health care system.
The U.S. remains unique among its peer nations in relying on a for-profit health insurance system and, as Mangione’s own writings alluded to, many Americans have expressed rage at a system that can deny coverage for people’s medical treatments while making shareholders and CEOs very rich. Despite decades of presidents trying to ensure universal access to health insurance, about 8 percent of Americans remained uninsured as of last year, and a higher percentage, about a quarter of American adults, said they or a family member had struggled to afford health care over the past year, whether they were insured or not.
By and large, Americans are unhappy with the costs of care and often find their insurance difficult to use. The share who rated the quality of health care in this country as “excellent” or “good” was just 44 percent in Gallup’s annual health and health care survey, conducted Nov. 6-20, its lowest point since 2001, when Gallup began asking the question. Even fewer, 28 percent, said the same about health care coverage — i.e., what insurance programs do — the lowest it has been since 2008″
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“A growing share of Americans in Gallup’s surveys seem to want the government to take action to improve health care access: 62 percent said it was the federal government’s responsibility to ensure all Americans have health care, the highest it’s been since 2007. Republicans are the least likely to agree with this sentiment — 32 percent said so, compared to 90 percent of Democrats and 65 percent of independents — but those numbers have increased by around 20 percentage points among all three groups over the past decade or so.
Perhaps surprisingly, YouGov polling found that around two in three Americans are at least somewhat satisfied with their health insurance plans — but that topline figure doesn’t capture a lot of nuance. For example, 89 percent of those with Medicaid were satisfied with their health coverage, compared to 75 percent who are covered by an employer-sponsored plan. Unsurprisingly, those who had had an insurance claim denied were also more likely to be dissatisfied with their coverage.
And despite many being mostly satisfied with the plans they have, a high number of Americans still experience problems using them. KFF, a nonprofit health policy research organization, found in a survey last year that 58 percent said that they had at least some trouble using their insurance in the previous year — including issues like denied claims or difficulty accessing in-network providers — and nearly half of whom said their biggest problem was not resolved to their satisfaction. Overall, 18 percent of Americans with health insurance had experienced a denied claim, and those were more common among people with private or employer-sponsored insurance. Around a quarter of those who’d had a claim denied suffered serious consequences, like a decline in health or not receiving recommended medical care.”
A main point to having private versions of Medicare ran by for-profit health insurance companies as an alternative option to Traditional Medicare is to save the taxpayer money by taking advantage of efficiencies gained in private competition and private flexibility while also
“There is a more realistic move Kennedy could take to address his concern about vaccine side effects: He could resuscitate the National Vaccine Program Office, which monitored vaccine safety with particular rigor but was shuttered under the first Trump presidency.”
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“The US began fluoridating drinking water in 1945. An estimated 209 million Americans now drink tap water that contains added fluoride. The intervention is considered a historic public health win: It dramatically reduces tooth decay in children and also reduces tooth loss in adults.”
“Political polarization shapes how people interpret risk and who they trust and listen to, which shapes what health services they access and what behaviors they partake in or don’t. This dynamic was a big reason Covid death rates so dramatically diverged between Republicans and Democrats: Party affiliation determined people’s willingness to get vaccinated, wear masks, social distance, and take other preventive measures, says Oberlander. Republicans were less likely to take these measures, and more likely to die of Covid as a consequence.”
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“Although left-wing Americans were more likely to take Covid’s risks seriously, Van Bavel notes Republicans outpaced Democrats on Ebola fears throughout the 2014 outbreak, during Barack Obama’s presidency. “It’s not that Democrats in America have a unique capacity to be attuned to the science and the risks of epidemics and pandemics,” he says; it’s that polarized people on the left and the right distrust the other party’s ability to handle any health threat.
Polarization is also creeping into our relationships with health care providers. A recent survey by communications firm Edelman found people feared the politicization of medical science as much as they feared the cost of medical care; 41 percent of respondents aged 18 to 34 said they wouldn’t trust medical advice from a provider who had a different political persuasion than they did, or would stop seeing them entirely.”
“Lutnick is right that autism diagnoses have risen substantially. If not childhood vaccinations, what accounts for this increase? First, greater awareness means that many people with autism spectrum disorder who in the past would have been missed by clinicians are now being identified. However, a 2020 review article in Molecular Psychiatry reports that changes in diagnostic criteria “has been accompanied by a 20-fold increase in the reported prevalence of ASD over the last 30 years, reaching a current prevalence of more than 2% in the United States.” This contributes to the likelihood of over-diagnosis and a shift toward autism diagnoses in place of other mental health conditions.”
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“the liability system was unable to properly balance the public benefits of vaccines against their private harms. The result of this imbalance was killing off vaccine innovation and production. So Congress a year later chose to change the liability system with respect to vaccines in 1986 with the adoption of the National Childhood Vaccine Injury Act (NCVIA) of 1986 established the National Vaccine Injury Compensation Program (VICP), which provides compensation to people who are injured by certain vaccines.
And the benefits of vaccines are enormous. A 2024 Centers for Disease Control and Prevention review finds that “among children born during 1994–2023, routine childhood vaccinations will have prevented approximately 508 million cases of illness, 32 million hospitalizations, and 1,129,000 deaths, resulting in direct savings of $540 billion and societal savings of $2.7 trillion.””