I want you opinions on how to solve the healthcare problem(s) in the U.S.?
I woefully sorry that I voted for Bush. This healthcare idea of his is a nightmare waiting to happen. What is this about Masscheusetts having to require everyone to have health ins? That does not sound good either. I don't think we need the government to oversee the healthcare problem either. For seniors medicare is good but is woefully inadquate and us that still work can only hope that we have a high dollar job that pays for more than half the premium for a decent health plan. And those in lower incomes can only pray that they don't get sick or if they do that it will be something they can just "tough" out. I am fortunate to live in Dallas. At least Dallas has the Parkland System which treats low income and no income patients. Needless to say that system is carries a terrible overload on it's resources. Folks I know there is a better way we as ordinary citizens need to put our heads together & come up with a solution and stop looking for the government to do it.
Answer:
Start by nationalizing all the insurance companies and combining the resources to place at the disposal of the director of HUD.
The government has created the problem. Medicare and other government funded health care create programs where health care services can be consumed at no cost to the consumer. The predictable result is that cost have skyrocketed as the cost of these programs is shifted to those who actually pay for the services consumed, Insurance companies and the people who have these private policies are paying for all the "free" services.
If the trend is not reversed soon no one will be able to afford health care and we all will be forced into a government rationed health care program. Where bureaucrats will decide who will get care and what level of care is appropriate.
The answer is way too complex for this forum. Here's a hint, though. The American system is back-loaded. There's little profit in developing medicine that prevents people from getting sick. That's why it's far easier to get one $1,000 MRI on a few hours notice, than it is to get a thousand $1 vaccines. We can't make healthcare cheaper, but we can sure make it better for most people without spending anything extra, simply by re-allocating the money that's already devoted to the system.
Solve the healthcare problem is complex and arcane task because of federal and state laws conflict with adminstration of benefits. First, Single Universal electrornic healthcare system with uniform coding, docementation requirements from goverment payors, indiviuals, private insurance. Second, the employer based insurance system creates job lock for certian workers because they only stay on the job for insurance. Third, a objective look into why a poor country can spend 1/10 the cost on healthcare, but live as long as Americans. Finally, its gotta be pure freemarket, or Single Goverment payer system cant have it both ways. We already have healthcare for all just how paying the bill is the problem, and rubic of clincally effective procedures at the lowest cost should be the goal.
These examples are what sucks up cost
MRI scans are waste most types, triple bypass surgies did not improve outcome according to most studies in Scottland. Brand Name drugs that 5 times more in cost, but are not clincally better than generics. Healthcare costs will not come down till society accepts there body only designed to last 75 to 80 years.
Problem is that American healthcare is too expensive for middle income Americans. We can preform virtual miracles, but we don't have an affordable way to provide preventative care or give a kid stiches. We require overtrain specialists who pay extreme amounts for degrees and insurance to do the most mundane procedures. The patient has no expertise, so they really have no ability to manage risk. This means that the doctor takes on a significant amount of risk and is more than willing to burn the patient or insurance companies money to cover his legal butt. Insurance companies can either intervene making them look bad or they can boost prices.
We need a system where the patient bears more of the financial risk and doctors benefiting financially are not the ones recommending procedures. We also need low cost preventative medicine and simple procedures. I would suggest subsudized local clinics which would provide cost efficient basic services free of charge. That coupled with catastrophic insurance programs which are provided my age and health. Therefore, young people can get affordable health care while those with higher health risks pay substancially more. Most people will first see free doctors and before being referred to a specialist if required.
Clinics required to work on fixed funding depending on local population and demographics would require a higher level of efficiency than the current system. Much like the public school system, local politicians would have an invested interest in efficiency. Further more liablity would be moved from the doctors to the government clinics.
Most of suburbia would stick with there private doctors, just as most of suburbia sends their kids to private schools. They will bear most of the costs if they choose to do it that way, but there will always be the option of free clinics. Emergency surgeries would remain the domain of private hospitals. Medicare would remain in place, but will be reduced to catastrophic cases for those old or disabled.
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Answer:
Start by nationalizing all the insurance companies and combining the resources to place at the disposal of the director of HUD.
The government has created the problem. Medicare and other government funded health care create programs where health care services can be consumed at no cost to the consumer. The predictable result is that cost have skyrocketed as the cost of these programs is shifted to those who actually pay for the services consumed, Insurance companies and the people who have these private policies are paying for all the "free" services.
If the trend is not reversed soon no one will be able to afford health care and we all will be forced into a government rationed health care program. Where bureaucrats will decide who will get care and what level of care is appropriate.
The answer is way too complex for this forum. Here's a hint, though. The American system is back-loaded. There's little profit in developing medicine that prevents people from getting sick. That's why it's far easier to get one $1,000 MRI on a few hours notice, than it is to get a thousand $1 vaccines. We can't make healthcare cheaper, but we can sure make it better for most people without spending anything extra, simply by re-allocating the money that's already devoted to the system.
Solve the healthcare problem is complex and arcane task because of federal and state laws conflict with adminstration of benefits. First, Single Universal electrornic healthcare system with uniform coding, docementation requirements from goverment payors, indiviuals, private insurance. Second, the employer based insurance system creates job lock for certian workers because they only stay on the job for insurance. Third, a objective look into why a poor country can spend 1/10 the cost on healthcare, but live as long as Americans. Finally, its gotta be pure freemarket, or Single Goverment payer system cant have it both ways. We already have healthcare for all just how paying the bill is the problem, and rubic of clincally effective procedures at the lowest cost should be the goal.
These examples are what sucks up cost
MRI scans are waste most types, triple bypass surgies did not improve outcome according to most studies in Scottland. Brand Name drugs that 5 times more in cost, but are not clincally better than generics. Healthcare costs will not come down till society accepts there body only designed to last 75 to 80 years.
Problem is that American healthcare is too expensive for middle income Americans. We can preform virtual miracles, but we don't have an affordable way to provide preventative care or give a kid stiches. We require overtrain specialists who pay extreme amounts for degrees and insurance to do the most mundane procedures. The patient has no expertise, so they really have no ability to manage risk. This means that the doctor takes on a significant amount of risk and is more than willing to burn the patient or insurance companies money to cover his legal butt. Insurance companies can either intervene making them look bad or they can boost prices.
We need a system where the patient bears more of the financial risk and doctors benefiting financially are not the ones recommending procedures. We also need low cost preventative medicine and simple procedures. I would suggest subsudized local clinics which would provide cost efficient basic services free of charge. That coupled with catastrophic insurance programs which are provided my age and health. Therefore, young people can get affordable health care while those with higher health risks pay substancially more. Most people will first see free doctors and before being referred to a specialist if required.
Clinics required to work on fixed funding depending on local population and demographics would require a higher level of efficiency than the current system. Much like the public school system, local politicians would have an invested interest in efficiency. Further more liablity would be moved from the doctors to the government clinics.
Most of suburbia would stick with there private doctors, just as most of suburbia sends their kids to private schools. They will bear most of the costs if they choose to do it that way, but there will always be the option of free clinics. Emergency surgeries would remain the domain of private hospitals. Medicare would remain in place, but will be reduced to catastrophic cases for those old or disabled.
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