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Single-payer best for health care

By Judith Gordon  Posted by Dustin Moore (about the submitter)     Permalink
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We almost had a catastrophe in our health care system.

A mandated 10 percent reduction in Medicare reimbursements was averted Tuesday when Congress overrode President Bush's veto of a bill that would protect doctors from the cut.

But the reduction was instigated by a flawed calculation designed to reduce Medicare spending that Congress has refused to fix and still must address by the next scheduled cut in January 2010.

Any drastic reduction in Medicare reimbursements will limit people's access to physicians, which would cause a disaster in our health care system.

The proposed reduced reimbursements would have barely covered rising expenses in staff, utilities and malpractice insurance.

Since Medicare fees are the basis for all other insurance carriers, many physicians would have opted out of the Medicare system by either going to a fee-for-service structure (pay when you are seen and get reimbursed by your insurance company) or by getting out of medicine altogether.

If there are fewer doctors available to see patients, the doctors who remain will end up with bigger patient workloads, causing longer wait times and greater travel distances to see a doctor.

More than 50 percent of our nation's doctors work in small practices of one to five physicians, which has created a sense of having community health-care providers.

This community access to physicians to address our health care needs is what was threatened by the proposed Medicare cuts.

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The immediate crisis has been resolved, but the overall problem of future access to physicians has not.

In today's environment, doctors have no input into fee reimbursements, insurance authorizations for care, or quality-care measures.

These are all dictated by non-medically trained, bottom-line entities that have frustrated physicians and kept them from providing the type of health care to patients that they swore to provide under the Hippocratic Oath: First, do no harm.

We must address the financing of our entire health care system, which is the root of political debate nationally on this issue.

A possible solution here in Pennsylvania could be the proposed Family and Business Health Security Act (HB 1660 and SB 300), which endorses a publicly funded, privately provided health care system.

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This comprehensive (everything) universal (everyone) single-payer proposal calls for higher quality, comprehensive health care for patients with a 25 percent savings on administrative insurance costs.

Currently, non-Medicare carriers have a 30-percent overhead in administering their health care plans. Medicare's overhead is 3 percent.

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