(Posted 5:00 a.m. EST Monday, January 25, 2010)


When the General Assembly of the United Nations adopted the Universal Declaration of Human Rights in 1948, it did so against the backdrop of a world still reeling in shock and revulsion at the unspeakable crimes against humanity committed by the Nazis before and during World War II.

Indeed, national and international pressure for a global bill of rights had been building throughout the war and reached a crescendo after the Nuremberg trials of top Nazi leaders in 1946.

The United Nations Charter "reaffirmed faith in fundamental human rights, and dignity and worth of the human person" and committed all member states to promote "universal respect for, and observance of, human rights and fundamental freedoms for all without distinction as to race, sex, language or religion."

To that end, Article 25 of the Universal Declaration of Human Rights — to which the United States was one of its principal authors — says:

"Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control."

President Franklin D. Roosevelt had championed a global bill of rights as far back as 1941, when, in his State of the Union address, Roosevelt called for the protection of what he termed the "essential" Four Freedoms: freedom of speech, freedom of conscience, freedom from fear and freedom from want.

Yet more than 60 years after its adoption, the United States remains out of compliance with Article 25 because it is the only industrialized nation on Earth that does not have a system of universal health care for all of its citizens.

And the minority Republicans on Capitol Hill — emboldened by Scott Brown’s victory in last week’s special Senate election in Massachusetts, robbing the majority Democrats of their filibuster-proof 60-vote majority — appear determined to keep it that way.


For months now, the Republicans have been fighting tooth and nail against every single health-care reform bill that’s been proposed by the Democrats, yet they have steadfastly refused to come up with any viable reform proposals of their own.

And when this writer says "viable," I mean proposals that enables the estimated 31 million Americans who cannot afford private health insurance to obtain coverage they can afford.

These 31 million Americans — as well as the estimated 13 million illegal immigrants living in this country — are only one serious illness or accident away from financial ruin because they cannot afford the high cost of private health insurance.

According to a 2006 study by the Kaiser Family Foundation, two-thirds of the uninsured are low-income individuals or from low-income families, making less than 200 percent of the poverty level, or $38,614 for a family of four in 2004.

Over a third of the uninsured (37 percent) are poor, according to the Kaiser study and another 28 percent are near-poor — defined as those with incomes between 100 percent and 199 percent of the poverty level, or between $19,307 and $38,228 in 2004.

Were it not for Medicaid, the Kaiser study notes, "many more of the poor would be uninsured. The near-poor also run a high risk of being uninsured because they are not likely to be eligible for Medicaid."


What impact does not having health insurance have on receiving the kind of adequate medical care that all Americans are entitled to under Article 25 of the Universal Declaration of Human Rights? A very severe impact, according to the Kaiser study, which says that the uninsured are up to three times more likely than those with insurance to report problems receiving needed medical care, even for serious conditions.

Part of the reason many of the uninsured postpone or forgo needed care is because "over 40 percent do not have a regular place to go when they are sick or need medical advice," the study found, "compared to just nine percent of those with coverage.

"About 20 percent of the uninsured — vs. three percent of those with coverage — say their usual source of care is a [hospital] emergency room," the study found. "Anticipating high medical bills, many of the uninsured are not able to follow recommended treatment. Over a third of uninsured adults say they did not fill a drug prescription in the past year and over a third went without a recommended medical test or treatment due to cost."

The Kaiser study also found that insured adults under 65 years of age are at least 50 percent more likely to have had preventive care such as pap smears, mammograms and prostate exams than uninsured adults.


Aside from the risk to one’s health that lack of health insurance poses, there is also the severe financial strain that lack of health insurance can wreak, not only on individuals, but also on the country’s health-care system as a whole.

The Kaiser study found that having health insurance makes a huge difference to a person’s credit worthiness. "Like any bill, when medical bills are not paid or paid off too slowly," the study found,"they are turned over to a collection agency, and a person’s ability to get further credit is significantly limited. Nearly a quarter of the uninsured — 23 percent — report that they were contacted by a collection agency about unpaid medical bills in just the past year [2003]."

More importantly, the cost of caring for the uninsured is costing taxpayers billions of dollars.

In 2004, the Kaiser study found, taxpayers forked over $41 billion to pay for the health-care costs of the uninsured. More than half of all public funds to cover the costs of medical care for the uninsured came from the federal government, with the majority of federal dollars — 70 percent — flowing through Medicare and Medicaid.

Most government dollars to cover the uninsured goes for hospital care, which is paid indirectly to hospitals based partly on the share of care they provide to the uninsured. Health-care costs in direct service programs to the uninsured, such as community health centers and the veterans’ health system, are funded almost completely by taxpayer dollars.

The Kaiser study notes, however, that federal health-care spending "has not kept up with the recent growth in the number of uninsured. Although federal support for community health centers increased by more than 50 percent between 2001 and 2004 — from $430 million to $670 million — these expenditures account for only three percent of total federal spending for [caring for the uninsured]" — even as the number of uninsured Americans increased by 11 percent during the same period.


The bottom line is that if you don’t have health insurance, you have no guarantee of access to adequate health care which Article 25 of the Universal Declaration of Human Rights says you are entitled to — and to which this country is a signatory.

That the Republicans on Capitol Hill have fought against all attempts to enable the uninsured to afford health insurance — while at the same time refusing to come up with any viable health-care reform plan of their own — means that they are violating Americans’ right under international law to universal access to adequate health care.

At the same time, the Republicans’ intransigence is costing taxpayers billions of dollars that would otherwise not be spent if the uninsured had health insurance that they could afford.

That many private insurers continue to exclude hundreds of thousands of Americans from coverage due to pre-existing medical conditions also violates Article 25. Such discrimination is unconscionable and can no longer be tolerated. Outlawing such discrimination is long overdue and absolutely essential for any meaningful health-care reform.

The United States has been out of compliance with international law on health care for more than 60 years. How much longer will this country remain an outlaw state when it comes to universal health care?

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Volume V, Number 7
Copyright 2010, Skeeter Sanders. All rights reserved.



I'm a native of New York City who's called the Green Mountain State of Vermont home since the summer of 1994.

A former print journalist and newspaper editor, I turned to blogging in 2005 to take advantage of the growing power and influence of the Internet and report news and information without the limitations imposed by editors and by economic constraints -- and to offer insights on current events that have often been ignored by the mainstream news media.

Politically, I acknowledge being an independent left-of-center moderate -- socially liberal and economically conservative -- who's not afraid to sharply criticize hard-liners of both the Left and the Right when necessary.

I'm also a radio DJ. I host northern New England's only Smooth Jazz radio show, "The Quiet Storm," which you can listen to LIVE online every Thursday at 12:00 noon EDT/9:00 a.m. PDT/16:00 GMT on WGDR-FM in Plainfield, Vermont.