I think that's a pretty broad statement that is hard to back up. There are numerous stories of people dying due to lack of care in the US. Here is an article that gives a pretty good summary:
http://www.texasobse...the-safety-net/
Well, the link is a bunch of anecdotes as well, including one link to another article (italic bold emphasis in both quotes are mine):
"Among those consequences are the
deaths of the poor. As Howard Brody, director of the Institute for the Medical Humanities, has shown, 9,000 Texans per year
will die needlessly as a result of our failure to expand Medicaid. However, because dying patients are often too sick, exhausted and wracked with pain to protest, UTMB and states like Texas aren’t forced to reckon with the consequences of their policy decisions."
The link in the article takes you to another article on the same site titled "
Rick Perry’s Refusal to Expand Texas’ Medicaid Program Could Result In Thousands of Deaths."
Now, there are a lot of things to wonder about in the first statement. It may not be popular to talk about it, and Republicans often accuse Democrats of embracing this, but how many of those people would die no matter what is done? I am sure that it is more than the same sort of group taken from group of ensured people with money and no insurance problems. Although I wonder how many deaths will happen as a result of Obama Care and now tens of millions of people without policies.
Also, how much hype is in that article, using its anecdotes as a basis? I mistrust it because of the certainty versus the possibility expressed in the second article. Not that there is much doubt that it will have an impact, but again, they are playing loosely with some nice round numbers to scare some people.
I am not in favor of Death Boards or anything like that and I think it is decent to treat people that are dying in the best manner possible. Sometimes that best manner possible isn't as much as most people would like. Personally, I would prefer to contribute in some fashion to a charity (I help personally in other ways other than the sick and dying, we all have our niches, as it should be - not one size fits all) rather than have the population at large decide where my money goes in an impersonal and really uncontrolled manner, but if it's going to go somewhere, I'd rather it be spent wisely. That's not happening now, and pumping more money at the problem isn't going to resolve it at this point - it's going to sink us all.
But let's consider some of this "best manner possible." Doctors make a butt load of money overall. Probably those that help the poor much less than those who treat the richer people who have some money and better (even have) insurance. Unfortunately, it's the richer doctors who end up making the biggest policy. There's a lot of different scales, but many of those doctors retire from practice and end up working for various companies in the medical profession and make even more money. And who can blame them? The AMA has such a tight squeeze on what kind of legislation is passed related to who can do what as a doctor, mingled in with the insurance regulations and everything else, that doctoring has been taken beyond the guy who used to see my grandmother at her house and really know her and care about her health, to a get-them-through-the-door-as-quick-as-we-can so we can charge the living crap our of the majority of the patient's insurance companies to cover costs and make a money. And who can blame them for wanting to make money? Hell, they have such a large amount of debt to pay off from years of usually very expensive school.
My point related to the "dying poor" is that the doctors themselves have great responsibility for the mess in which the medical industry finds itself in the States.
As far as the poor getting better medical care in the States - I didn't say the situation was great, just that the poor there get better medical attention than they do here. And I stand by my statement on that (see my comments below as well related to the state of health care for the poor here).
There was a point in the article that people were having to take two hour drives to get to the hospital for treatments. What do you think a poor person here has to do when they go to the hospital for something serious? Instead of being driven in the car by a relative, they are helped on a bus or a train, often smashed in amongst groups of passengers. They wait as much as a day to get treated. They are shuttled around from one hospital to another and they do eventually get treated, but I don't think they are treated overall as well, although I admit things like cancer may be different here (I'm not really sure, don't know anyone who's gone through a threatening terminal illness).
The article mentions that the US requirement is that hospitals must stabilize a patient. I'm betting that many more times than not, the hospital treats emergencies, rather losing a little bit of money (relatively, and not counting profit i.e., [markup]) than being sued. Longer term treatments seem to be where the biggest problem is, like cancer. And any treatment that does happen is charged on the person who can't afford it, no doubt.
As I said, not great, with a whole lot of room for improvement - somehow. As agreed on, not Obama Care.
Also, your anecdote about the public hospitals, while I'm sure is 100% true, is still just an anecdote. I have personal, first-hand experience of public hospitals here and while the facilities may be somewhat worn, the care was excellent. Likewise, I know several people who work in public hospitals within Capital Federal and their experiences are nothing like you describe.
I don't know where you live, and what hospitals you go to, but they vary WILDLY in different parts of the city and Gran Buenos Aires. There's a great public hospital in Recoleta, for example. I know a guy who lives out in Ramos Mejía and swears by the hospital out there. Of course, he's never had anything terribly serious (no strokes, heart attacks, etc, though he broke a bone a couple of years ago, don't remember which one).
Many of the worst hospitals are easier accessible by the poor here. And maybe a lot of my experience is based on the Paraguayan perspective here. Upper and middle class Argentinos and foreigners, I believe, get better treatment than the poor do. I've seen a whole lot of prejudice (which in some of its extremes is downright racism) against Paraguayans here - I've been the direct witness of more than one situation involving my family and heard about quite a few more. Again, anecdotes, but what else do we have to really go on other than our experience, when we've had it?
In every case that I know of, when someone goes to a public hospital, they've had to buy their medications and treatments that they didn't get at the hospital during their stay. One of my wife's sister-in-laws has a two-year old girl that is under-sized. She spent weeks upon weeks going to different hospitals, seeing different doctors, having all kinds of tests done, and all the prescriptions given were bought by her. The girl was never hospitalized. Maybe the good ones, like the one in Recoleta, have pharmacies available where prescriptions can be filled. Again with the Paraguayan perspective, many of the Paraguayans who come here are indeed quite ignorant and maybe they were not taking advantage of something they could be taking advantage of. In fact, many of them don't realize they can get treated for free at first - it sure as hell ain't that way in Paraguay (I've got a couple of absolute horror stories about the most fundamental ignorance possible, like when a family watches one of their own die slowly in their own shack without trying more than a witch doctor - I swear).
In Texas (where I lived for about 30 years of my life) things are a bit cheaper, probably even medical care. I've lived among the poor, in the 5th ward in Houston. There are many free and cheap clinics available, at least throughout Houston. The people I knew there got better medical treatment than the people I know who are poor here.
Do the poor get good enough treatment in the States - no way. Do they get better than they get here, on the whole? In my opinion absolutely.
Also in my opinion, nationalized health care isn't the way to go either. I believe there are ways to bring the level of health costs down to a fraction of what it is now, making it more affordable for everyone, and even making Medicaid able to support those who truly can't pay for themselves - leaving enough room for those who use it to really be taken care of when necessary. The problem is, it will never happen because as the US slides into more and more economic problems the very people who hold power over how the system is run will not change it - they will hold on to their power to the last drop...and beyond, I'm sure.
And BTW - why don't we call back the majority of the troops from around the world and stop paying out so much money to everyone to blackmail them into this or that scheme and use some of that money (and pay our debts and bank the rest!!!) to help the poor receive better health care? I could live with that.