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Health care shadowboxing

Posted on Friday, July 24, 2009 by J. Robert Gough       Email This Story E-mail This Story

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by Flynn

So the National Teleprompter held a primetime press conference to rescue the latest $1 trillion+ "emergency, absolutely vital" legislative proposal; health care reform.  With a self-imposed deadline of the end of July, Obama is trying to get Congress to transform one-seventh of the economy in a matter of weeks. Congress spends more time than that naming federal buildings.  

Here are the only two things you needed to know before the press conference:

1. Virtually every current participant in the health care system SUPPORTS the overhaul: the American Medical Association, American Nurses Association, insurance companies, unions, and drug companies. Sheesh, even Wal-Mart supports it. (Of course, patients seem less impressed.) If everyone who gets money from the current system supports an "overhaul" of that system, at the end of the day, how much "reform" is there, really. 

2. The Democrat National Committee is running ads against democrats to get them to support the bill. 

Most of the debate is over a so-called "public option", urged by supporters as a necessary way to inject competition into health care. There are more than 1,300 different companies offering health insurance. My math suggests that's a lot of existing competition. 

Somehow I think UPS faces more intense competition from FedEx, rather than the US Postal Service. If the USPS didn't exist, would anyone credibly suggest we should create a public postal service to ensure competition between UPS and FedEx?  

The other debate is how to pay for all this. (I know government actually knowing how it will pay for something may seem rather quaint these days, but apparently even Chinese communists have limits on how much of our debt they will buy.) It will cost trillions. (Any figure you read right now is bullshit. They've used every budget trick in the book and even then, they've got a $1 trillion + price tag. [One trick they've used: increased payments to doctors-see AMA support above-won't be counted in the budget. Seriously. Sorry, I can't link to this...it's a private subscription news service I get.] No one really knows how much this will cost.)  

But let's assume the Democrats can piece something together with duct-tape and chewing gum. New taxes, surtaxes, benefit caps, individual mandates, etc. Let's assume they can find the requisite trillions. What will actually happen? 

At a certain snapshot in time, every American will have health insurance of some kind. They will be in some kind of system that will provide some percentage of payment for their health care consumption.  

We won't have more doctors. We won't have more nurses, hospitals, drug companies or clinics. We may have more health care coverage, but we won't have more health care.  

At the end of the day, what are we trying to do: expand and improve the health care system itself or simply finding everyone a "payment plan" for the existing system. What we're doing isn't going to improve our health. It is just shadowboxing.  

What if, instead of creating a Rube Goldberg plan to pay for health care, we actually did some simple things to improve our health care. No doubt, there are dozens of drugs that are currently only available with a doctor's prescription. How much could we save-and how much could we improve our actual health-if more of these were moved to "over the counter"? What if we chipped away at the doctor cartel and gave Physicians Assistants and Nurses more authority to make certain low-threshold medical decisions?

Currently, every state regulates health insurance products sold in their state. Along with this regulation often comes a long list of conditions and procedures that have to be covered. Insurance costs vary widely across the country. I live in Virginia, but why can't I buy a health insurance product out of Idaho, which has generally lower premiums-because their legislators don't muck about much with insurance mandates?  

Health care is the one sector of the economy where adults are treated like children. Set us free.

 

 

analytical1
Posts: 1
Comment
Why Fast Shodow Boxing and Ducking?
Reply #2 on : Sun July 26, 2009, 10:42:54
It's because they need to work fast before transparency discloses them for what they really are. Not one proposal for health care reform so fare even comes close to addressing the root of the problem which is costs and pricing in health care.

Even Mr. Obama says that the cost of healthcare can do to the country what happened to GM.

Why is the President so reluctant to address true causes other than with lip service? It’s the same old thing in Washington. It's the return on investment of campaign finances and purchasing of access. This is big money for the politicians so they protect their money trees at all cost.

Why do you think some of the most welcome early visitors to the white house after the election were health care industry executives? Certainly it is easy to discover why they were so welcome. The health care industry invested billions over the years in campaign finances. It's business as usual, the purchase of access and loyalty.

What are the health care lobbyists getting in return? Misplaced super loyalty to sustain the windfall profits that will put the US at an impossible to recover competitive disadvantage in the world.

Is their any loyalty left for our Senator and Representative to spread back to the country? Apparently not much. Their silence on the sham health care reform proposals speaks for itself.

They are obviously waiting to see how far they will be pressured to go before they commit to anything. But from the rest of the bought and paid for leadership we get sham proposals that do nothing to address the problem: costs and pricing.

According to Princeton Professor Uwe Reinhardt, an expert in health care economics, with flat economic growth ahead, healthcare can’t go marching on as if nothing has happened.

It is now 18 percent of GDP and projected to be 40 percent by 2050.Every credible expert states flatly that this is unsustainable.

What are the consequences? Health care executives, hospitals, insurance companies, drug companies and fee for service providers will continue to get incredibly rich from the health care reform. For the rest of us who knows?

Our Senator and Representative appear willing to sell the country down the tubes to maintain their sacred money trees.

The cost of health care will displace money away from every other productive growth initiative from the educatation of children which will place the US further behind in global competitiveness.

There are far better models from which we could take some lessons. Europe has a lot more physicians and hospitalizations per capita and takes more medicine. But our prices are much, much higher for the same things.

Why do we rate so low in the world? Maybe it has something to do the money tree and with secret earmarks our Senator and our Representative can deliver to their most important constituents.

Our Senator and our Representative should dress up like Santas Clause every year when they deliver the special pricing schedules to their favorite local hospitals. But beyond the local hospitals they also allow insurance companies to pay 50 diferent prices. They pay every hospital a different price. They pay the same hospital a number of different prices.

Could any of us taxpayers who are saddled with this cost/price calamity actually take a look at this cost/pricing structure? No. It is secret. It’s proprietary.

Why really can’t hospitals post their fees relative to medicare? My God that would be transparency and would disclose the profiteering gifts of our Senator and our Representative.

Even Mr. Shumer said that the insurance industry profits are windfall level mindblowing. Notice any reaction to that from our Senator and our Representative?

This healthcare crisis is so serious that it reaches the level of war. At that level a loyalty to their favored money trees amounts to a virtually treasonous abandonment of the responsibility to protect the country in a time of crisis. Bottom-line Congress is without doubt an accessory to mismanagement and profiteering that will almost certainly destroy the country.

By their silence so far, our Senator and our Representative have shown where their true loyalties lie. Irregardless of how this sickening deal making in Congress comes out, our Senator and our Respresentative should be punished for the cowardly turncoats they are at the polls next time around.
Fowler
Posts: 1
Comment
Yike...setting Bob free...
Reply #1 on : Fri July 24, 2009, 12:39:33
to practice medicine on himself...

Very bad idea.
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