We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
The general popularity of widespread preventive care rests on the shaky presumption that such medical services head off more serious medical conditions, save lives, and reduce healthcare costs. A lengthy literature actually challenges each of those premises; at least when recommended preventive care services are not limited to a shorter list of medical interventions and targeted to the most appropriate types of patients likely to benefit from them. But the broader political argument often is that “cost” should not be a disincentive to greater demand for such presumably necessary services, particularly when society as a whole is supposed to benefit in the long run from better population health.
It seems to me they've got the whole thing backwards. The highest costs come from the final years of life, so they want the old folks to kick the bucket as quickly and efficiently as possible. They would prefer to spend money on preventative medicine for the young and healthy, because they are of working and taxpaying age, and apt to grow richer.
I agree that preventative medicine is mostly a crock, as is 'comparative effectiveness', and the notion that computerizing everything will save money, and is driving my doctor batty.
I thought medicine was about healing the sick and injured, and caring for the ill and helpless, not for having more physicals for the young and healthy. Imitating Britain's NHS would seem to be either utter stupidity or absolute insanity. Take your pick.
The Elephant's Child