Fredrick Hoffman taught that Black people,
in the absence of slavery,
were so physically and intellectually inferior to whites that if they were simply deprived of healthcare the entire race would die out in a few generations.
Denying healthcare to Black people, he said, would solve the “race problem” in America.
Southern politicians quoted Hoffman at length,
he was invited to speak before Congress,
and was hailed as a pioneer in the field of
“scientific racism.”
Race Traits was one of the most influential books of its era.
By the 1920s, the insurance company he was a vice president of was moving from life insurance into the health insurance field,
which brought an added incentive to lobby hard against any sort of a national healthcare plan.
Which brings us to the second reason America has no national healthcare system: -- profits.
“Dollar” Bill McGuire, a recent CEO of America’s largest health insurer,
UnitedHealth,
made about $1.5 billion dollars during his time with that company.
To avoid prosecution in 2007 he had to cough up $468 million,
but still walked away a billionaire.
Stephen J Hemsley, his successor,
made off with around half a billion.
And that’s just one of multiple giant insurance companies feeding at the trough of your healthcare needs.
Much of that money,
and the pay for the multiple senior executives at that and other insurance companies who make over $1 million a year,
came from saying “No!” to people who file claims for payment of their healthcare costs.
This became so painful for Cigna Vice President #Wendell #Potter that he resigned in disgust
after a teenager he knew was denied payment for a transplant and died.
He then wrote a brilliant book about his experience in the industry:
"Deadly Spin: An Insurance Company Insider Speaks Out on How Corporate PR Is Killing Health Care and Deceiving Americans".
Companies offering such “primary” health insurance simply don’t exist (or are tiny) in almost every other developed country in the world.
Mostly, where they do exist, they serve wealthier people looking for “extras” beyond the national system,
like luxury hospital suites or air ambulances when overseas.
(Switzerland is the outlier with exclusively private insurance,
but it’s subsidized, mandatory, and non-profit.)