Nimh; I think we're in agreement on goal, and most of the division is being caused by the uncertainty in Obama's plan (ours, not his).
Things we agree on:
Every human should be covered.
No insurance company should be able to dump someone because they're expensive.
The disagreement came mostly from: In my argument; I am assuming that Obama's plan allows for every person to be covered
completely. Conversely; your experience with the Dutch System was that the State version was
incomplete. Were that the case; I would then agree with you that additional safeguards are required on the Private industry. If it isn't; I don't.
I think a chronic illness like the bear cub's is a perfect example of what a Government funded plan is for. I don't much care if that's called socialized medicine or not; I think adequate health care at a reasonable cost belongs in a great society's safety net.
Where we part ways, as usual, is in the individual responsibility and capitalism in general aspects of the situation. I do not believe, not for one fleeting moment, that the government is better able to produce a healthcare system that is better than that of private industry. Hence; as much as I too wish to see everyone covered, I
also want to preserve the competition-advantages that monopolies destroy.
Without getting into all of the specific ways the quality of Health care would be diminished by a Single Payer system:
Competition in general forces industries to be competitive. This may be accomplished by lower prices, higher quality of services, or any number of other factors. Monopolies, on the other hand, have no such incentives. Obviously, the government is not going to let the Medical industry determine the prices government will pay... which means in essence; the government will determine by means of regulation standard fees, facility requirements, etc. ad nauseum. The problem is, like all forms of nationalized industry; you have decisions being made by people who aren't competent to make those decisions, and worse, corrupt decisions that have little or nothing to do with the legitimate considerations at hand. Private industry doesn't pay $200 for a hammer... but government mandated monopolies do.
The obvious results being salary caps that deter the best and the brightest from choosing medicine to apply their genius. Capped payments that deter medical facilities from updating their equipment one iota more than government regulation requires. Every unregulated improvement only serves to lower the bottom line, since the government pays the same regardless (Remember; in a competition based system, that State of the Art-though expensive-improvement can increase the bottom line, as well as the quality of care).
There can be no doubt that the quality of medicine would slide.
The basic problem with government control over industry is and has always been the same. People are competitive. If they can't compete to earn the most, they will compete to do the least. As evil as the former may seem; it's a hell of a lot better than the latter... especially in something as crucial as medicine. We need not turn the entire industry over to the incompetent hands of government to make sure everyone has access to affordable health care. And if we don't have to; we should not.