Critical: What We Can Do About the Health Crisis

The U.S. is “the only industrialized nation that does not guarantee necessary health care to all of its citizens,” and as former senator Daschle observes, “Skeptics say we can’t afford to cover everyone; the truth is that we can’t afford not to” because U.S. economic competitiveness is being impeded by the large uninsured population and fast-rising health costs. Daschle’s book delineates the weaknesses of previous attempts at national health coverage, outlines the complex economic factors and medical issues affecting coverage and sets forth plans for change. Daschle proposes creating a Federal Health Board, similar to the Federal Reserve System, whose structure, functions and enforcement capability would be “largely insulated from the politics and passion of the moment,” in addition to a merging of employers’ plans, Medicaid and Medicare with an expanded FEHBP (Federal Employee Health Benefits Program) that would cover everyone. “There is no more important issue facing our country,” Daschle asserts, “than reform of our health-care system,” and the book’s “health-care horror stories” bring this immediacy home. (Feb. 19)