View Full Version : Which form of Universal Health care is superior?
ComradeNihil
31st March 2010, 23:15
Single payer or public taxed?
RedSonRising
1st April 2010, 02:44
Those are two of the main players that come to mind when considering models for health-care, but remember that the point of a socialist economic/political system is for the decision-making process to be in the control of those running the workplace and those affected in the respective community. Whether the funds and policies concerning health care are run by effective representatives in a more centralized fashion, autonomous municipally-run communities, or worker-run market-driven hospital cooperatives (not to mention all that lies in between), the best system is one that is responsible to the people. People forget that models of proletarian democracy can take many different structural forms, and I'm sure many people have thought "ugh" to themselves at at least one of the options I mentioned, but the point is that single-payer/publicly funded models are useless if they aren't run by the working masses; as long as that principle is in place, the efficiency of the model is the only other consequence to the specific choice. Therefore, the answer depends on the region, and the particular politics and material conditions that surround the processes taking place. Did you have a specific country (or hypothetical political scenario) in mind?
binary01
1st April 2010, 09:50
I would have to agree with RedSonRising in asking what kind of society you are talking about. In a communist/anarchist society worker-run hospitals similar to the kind that sprang up in the Spanish revolution in 1936 would be ideal. Robert Alexander says in his study of the revolution,
In rural areas local doctors would usually join the village collective and provided their services like any other worker. Where local doctors were not available, "arrangements were made by the collectives for treatment of their members by hospitals in nearby localities. In a few cases, collectives themselves build hospitals; in many they acquired equipment and other things needed by their local physicians." For example, the Monzon comercal (district) federation of collectives in Aragon established maintained a hospital in Binefar, the Casa de Salud Durruti. By April 1937 it had 40 beds, in sections which included general medicine, prophylaxis and gynaecology. It saw about 25 outpatients a day and was open to anyone in the 32 villages of the comarca. [The Anarchists in the Spanish Civil War, vol. 1, p. 331 and pp. 366-7]
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