The Universal Healthcare Debate: Examining Wait Times and Accountability

The discussion surrounding universal healthcare often highlights wait times for medical care as a significant concern. However, it’s important to consider that similar delays exist in the United States, primarily due to the extensive waiting periods linked to prior authorizations, which are frequently denied—reportedly 99% of the time.

In systems with universal healthcare, it is the government that typically oversees these prior authorizations. In contrast, private healthcare relies on insurance companies to determine which treatments are approved. This has led to care waitlists that can stretch on for years. A stark illustration of this issue can be found in the Veterans Affairs system, which has faced criticism for its long wait times, sometimes referred to as “death lists” for individuals waiting for essential treatments.

When it comes to private insurance, the scenario can be equally concerning. Physicians may feel compelled to refuse treatment requests, but they often find themselves in a bind, as the cost of care can be prohibitively high for patients who would need to cover it out of pocket.

So, how can we potentially improve this situation? One intriguing consideration involves the accountability of healthcare providers. Given that phone calls to insurance companies are recorded, could it be possible to hold nurses and doctors responsible in wrongful death lawsuits when they deny necessary prior authorizations? This brings us to another point of contention: the scope of practice for physicians. If a patient were unhappy with their treatment, could they pursue legal action against a doctor for practicing outside of their specialty in situations that are not emergent?

These questions were sparked by a captivating video from the New York Times that delves into the complexities of pre-authorizations and their impact on patient care.

As we continue this vital conversation about healthcare systems, it’s essential to weigh pros and cons, considering both universal and private healthcare options. The ultimate goal is to ensure that every patient receives timely and appropriate medical attention without undue obstacles.

For a deeper understanding of this issue, watch the insightful commentary from the NY Times video here.