privatisation

This legislation moves us further in the direction of the commodification of health care... It requires people to purchase health insurance. It takes public dollars to subsidize the purchase of that private insurance. It not only forces people to purchase this private product, but uses public dollars and gives them directly to these corporations. In return, there are no caps on premiums. Insurance companies can continue to raise premiums. We estimate that because they are required to cover people with pre-existing conditions, although we will see if this happens, they will argue that they will have to raise premiums.

We are still a nation full of health care hostages... We live in fear of losing our health care. Millions of people have lost their health care. We fear bankruptcy. The inability to pay medical bills is the No. 1 cause of bankruptcy. We fear not being able to afford medications. Millions of people skip medications. They skip these medications to the detriment of their health. We are not free. And we won’t be free until health care is a human right, until health care is not tied to a job, because we still have an employment-based system, and until health care has nothing to do with immigration status. We don’t care if you are documented or undocumented. It should not matter what your health care status is, if you have a disease or you don’t. It should not matter how much money you have or don’t, because many of our programs are based on income eligibility rules. Until we abolish the private, for-profit health insurance industry in this county we are not free. Until we take the profit motive out of health care we cannot live in the way we want to live. This legislation doesn’t do any of that. It doesn’t change those basic facts of our health care system.

Relation between privatisation and adult male mortality rates in post-communist countries, 1992–94

The transition from communism to capitalism in Europe and central Asia during the early to mid-1990s has had devastating consequences for health: UNICEF attributes more than 3 million premature deaths to transition; the UN Development Programme estimates over 10 million missing men because of system change; and more than 15 years after these transitions began, only a little over half of the ex-communist countries have regained their pre-transition life-expectancy levels...

Our study has shown that mass privatisation programmes were associated with a short-term increase in mortality rates in working-aged men. Furthermore, increased unemployment rates during this time were strongly associated with mortality in countries of the former Soviet Union.

Our results accord with other data... Overall, countries that pursued mass privatisation in the early to mid-1990s had sharp drops in life expectancy; in those that did not, life expectancy dipped modestly, but then steadily improved. Unemployment rates followed a similar trend: increases were pronounced in countries that privatised rapidly but much more modest in countries that privatised more slowly. Four of the five worst countries, in terms of life expectancy, had implemented mass privatisation, whereas only one of the five best performers had done so.