Tuesday, November 13, 2007

AN ARGUMENT FOR UNIVERSAL COVERAGE

One argument against universal health care is that it will stifle innovation and eventually U.S. health care will no longer be the "best in the world." I've made the counter-argument that to my knowledge, no one from Big Pharma has ever won the Nobel Prize for work done at Big Pharma and that the substantial innovations have come from the funding provided by the NIH and the NSF.

Jonathan Cohn works this idea out a little more and is worth reading. Here's an excerpt:

The great breakthroughs in the history of medicine, from the development of the polio vaccine to the identification of cancer-killing agents, did not take place because a for-profit company saw an opportunity and invested heavily in research. They happened because of scientists toiling in academic settings. "The nice thing about people like me in universities is that the great majority are not motivated by profit," says Cynthia Kenyon, a renowned cancer researcher at the University of California at San Francisco. "If we were, we wouldn't be here." And, while the United States may be the world leader in this sort of research, that's probably not--as critics of universal coverage frequently claim--because of our private insurance system. If anything, it's because of the federal government.

The single biggest source of medical research funding, not just in the United States but in the entire world, is the National Institutes of Health (NIH): Last year, it spent more than $28 billion on research, accounting for about one-third of the total dollars spent on medical research and development in this country (and half the money spent at universities). The majority of that money pays for the kind of basic research that might someday unlock cures for killer diseases like Alzheimer's, aids, and cancer. No other country has an institution that matches the NIH in scale. And that is probably the primary explanation for why so many of the intellectual breakthroughs in medical science happen here.

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