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October 14, 2007 at 18:12:59

Paying for health care is not rocket science!

by Jack Lohman     Page 1 of 2 page(s)

www.opednews.com

 
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By Jack E. Lohman 

Where are our heads?

It never ceases to amaze me, the amount of energy that can go into a project just to avoid doing the right thing, and reforming health care is at the top of that list.

The best, simplest, least costly, most effective thing we could do is expand what has been working so well for 50 years, Medicare. You get sick, you get care, and the caregiver gets paid. Guaranteed. Nothing could be simpler. Simple is inexpensive and simple doesn't break, while complexity is very costly to administer.

Churchill had it right when he said "Americans will always do the right thing, but only after everything else has failed."

Can you imagine having no police department, with everybody required to hire their own private security firm? Or their own private fire department contractor? With the private entities getting paid on the basis of how many tickets they wrote or fires they extinguished? And all roads leading to your driveway are privately owned and accessible only via a myriad of tolls?

Ridiculous all.

Some things are best handled by the government, and establishing one nationwide pool of patients is in the best interest of the country. Medicare is not perfect, but it is far better than the 1500 insurance companies we have, and their 15,000 variations on insurance plans. Isn't one plan enough, where all people get all necessary care? Or are people expected to know ahead of time what type of care they should insure against?

Worse are all of the unnecessary expenses insurers add to both the hospital and clinic side -- like extra billing clerks -- and on the insurer's side, like their costs for marketing, sales commissions, actuarial and cherry-picking, gatekeeping, high executive and CEO salaries and bonuses, and ever-increasing shareholder profits. Even their lobbying and campaign contributions are paid for by the patient. 

None of these costs are imposed on Medicare.

And, no, Medicare isn't socialized medicine. It uses the same private hospitals and doctors as everyone else, though it eliminates the above middleman insurance bureaucracy that unnecessarily consumes 31% of the costs. For the same amount of dollars we are spending to care for 85% of the public today, we could provide first-class care to 100% of the people. And we could do it without wait times, rationing, healthcare bankruptcies, or losses of homes or retirement savings because of catastrophic illnesses. Canada spends 10% of GDP compared to our 16% -- which is projected to rise to 20% by 2015 -- yet they cover 100% of patients compared to our 85%. Why can't we?

In the end, Medicare-for-all should be paid by the taxpayers and not businesses. Businesses currently add their healthcare costs to their product prices and the public reimburses them at the cash register. In the meantime they can't compete with products made in countries that do not burden employers with health care, so they logically outsource their jobs to those same countries. All while the US economy goes down in flames.

Does this system make any sense at all? No sensible businessman would design our healthcare system in this manner, yet many of them have been sucked into supporting the insurance company proposals. If not the status quo, then though health savings accounts that will ultimately come back to bite them.

But the proposed "simple" eliminates the insurance industry, and they are paying hefty campaign contributions to politicians to stay in the loop.

Congress members receive $100 million per year from the industry just to keep the system inefficient and costly, and state politicians reap another $1.4 million. Without these political bribes our politicians would have fixed this problem long ago.

Can we get politicians to care?

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Lohman is a retired business owner and is author of "Politicians - Owned and Operated by Corporate America" (www.MoneyedPoliticians.com) and author of http://MoneyedPoliticians.net

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9 comments

I live in the heart of America, and am haunted by the saying:
"Evil succeeds because good men do nothing." by Edmund Burke.

Albert Einstein had another way of saying it:
"The world is a dangerous place, not because of those who do evil, but because of those who look on and do nothing."

So I do what I can.

Edward Ulysses CateI live in the heart of America, and am haunted by the saying:
"Evil succeeds because good men do nothing." by Edmund Burke.

Albert Einstein had another way of saying it:
"The world is a dangerous place, not because of those who do evil, but because of those who look on and do nothing."

So I do what I can.

Medicare For Health Care

According to Wikipedia, the biggest problem of Medicare is its "vulnerability to fraud. "  The real problem is that the entire circle of healthcare delivery is fraud at the top, not at the lower levels.  The same Major Holders in each large healthcare company control the pricing of services, from malpractice insurance, personal health insurance,  major drug companies,  major hospitals, major drug wholesalers,  and even life-flight servers.  Why else would it cost $12,250 for a 45 mile flight?  Why else would it cost $2440 for three compresses  and a tetnus shot?  We already have a single-payer system, explained in a commentary at GreatRedDragon.com.

by Edward Ulysses Cate (0 articles, 0 quicklinks, 0 diaries, 221 comments) on Monday, October 15, 2007 at 3:08:48 PM
 


10 year Navy veteran,former Federal employee with various agencies,
Gallaher10 year Navy veteran,former Federal employee with various agencies,

Fraud is a big business opportunity

Yes, you heard me right. Fraud is big business opportunity. If you know of any fraud please please e-mail me. If you find a good case of fraud it is better than hitting the Loto. I'll even split the winnings if your info is good.

by Gallaher (2 articles, 0 quicklinks, 3 diaries, 762 comments) on Monday, October 15, 2007 at 3:52:22 PM
 


Editor of Common Sense Political Thought, mostly Republican (but not always), mostly conservative (but again, not always), always interesting.
Dana PicoEditor of Common Sense Political Thought, mostly Republican (but not always), mostly conservative (but again, not always), always interesting.

Except, of course, that Medicare payments are low and slow

One reason that medical care is so expensive is that private pay patients are subsidizing Medicare and Medicaid patients, because the government does not pay enough.

It started back in the eighties with "diagnostic related groups," classifications of illnesses and treatments for which the government set a flat rate to pay, regardless of what the treatment actually cost.  Medicaid tends to be worse than Medicare, but the fact is that a lot of doctors simply won't accept Medicare and (more likely) Medicaid patients, because the pay is low. 

 

by Dana Pico (7 articles, 0 quicklinks, 4 diaries, 164 comments) on Monday, October 15, 2007 at 3:27:29 PM
 


Conservative prolife anti-death penalty tree hugger. Believe that less government is good government, government cannot solve anyone's personal problems, the government taking money from one group of people and giving it to another group of people is a crime, and that people should take responsibility for their own lives.
Mad JayhawkConservative prolife anti-death penalty tree hugger. Believe that less government is good government, government cannot solve anyone's personal problems, the government taking money from one group of people and giving it to another group of people is a crime, and that people should take responsibility for their own lives.

Local clinics

Some politician during a campaign one time mentioned that the government should set up wellness and urgentcare clinics in neighborhoods.  People could use these for basic healthcare tests and evaluations and for minor 'emergencies'.   This would provide basic care for the minor problems we all have and give us basic checkups that are necessary to assure a sense of well being.   It would be for every US citizen.  Free.   I thought it was a decent idea even though I pretty much oppose government getting into the health care business because they can't run our schools right, our regulatory agencies right, or anything else right either.  Government run health care should send shivers down everyone's spine.  Canada does not have the answer either despite what people say.  Citizens there have the US system as a safety net when they cannot get the quality and timely care they need (neonatal problems in British Columbia for just one example).

Inside a Wal-Mart would be ideal place for a community healthcare center because they are nearly in every community.   Maybe the government could contract with Wal-Mart to provide the service.  A fleet of equipped vans could go to the disabled as needed.  Supplies and services could be bought and distributed by Wal-Mart's purchasing department (the best in the world) on a cost+plus arrangement saving tons of money on huge purchases.

 My spousal unit had surgery recently.  A 3 hour outpatient operation that cost $18,000.  The hospital charged $7,000 for incidentals.  Somebody has to pay all that because we did not.  Whether we all do through taxes or through insurance, it tells me something is seriously broken and needs to be fixed.  I did not see that many BMWs in the hospital staff's parking lot. 

 

We need to elect a better and more intelligent class of clowns (D or R) who will look into this stuff and try to fix it for us, the American people who own this country.  A good place to start is by ending gerrymanding as we know it, but that is a different issue entirely.

by Mad Jayhawk (1 articles, 0 quicklinks, 1 diaries, 399 comments) on Monday, October 15, 2007 at 5:31:53 PM
 


Lohman is a retired business owner and is author of "Politicians - Owned and Operated by Corporate America" (www.MoneyedPoliticians.com) and author of http://MoneyedPoliticians.net
Jack LohmanLohman is a retired business owner and is author of "Politicians - Owned and Operated by Corporate America" (www.MoneyedPoliticians.com) and author of http://MoneyedPoliticians.net

Medicare-only would be okay

Yes, there IS fraud in the Medicare system, but it is far greater in the private system because the penalties are much lower of even non-existent. That fraud exists both at two levels. At the physician level, ordering too many tests because they are profitable and they own the technology that is used as a cash cow. The only way to prevent this is to prohibit physicians from ordering tests using equipment they have a financial investment in. And fraud exists in nursing homes where patients are sat in front of a TV and then Medicare is billed for a therapy session. 

Medicare *generally* pays just fine, otherwise the for-profits would turn away Medicare patients. But they don't because they do pay just fine. They don't overpay, as I have seen private insurers being billed up to quadruple what Medicare is willing to pay.

So OF COURSE doctors prefer privates where they have the choice.  But if all we had was just Medicare, providers would do just fine. Maybe they'd have to increase some reimbursements, and if they had no privates to cost-shift to, they'd increase them to appropriate levels.

by Jack Lohman (6 articles, 0 quicklinks, 0 diaries, 17 comments) on Monday, October 15, 2007 at 5:45:59 PM
 


Former Lawyer, current Business Consultant,history buff, Christian, father of 2 sons and a supporter of democratic government.
ArchieFormer Lawyer, current Business Consultant,history buff, Christian, father of 2 sons and a supporter of democratic government.

Paying

Are you crazy? Any money put towards protecting peoples' health is money taken away from the GOP's best friend the military industrial complex. The U.S. wouldn't be able to make their quota of people killed every year if you cut back the funds to do so for a foolish reason such as caring for children. Get real for Pete's sake.

by Archie (0 articles, 0 quicklinks, 0 diaries, 1273 comments) on Monday, October 15, 2007 at 11:39:29 PM
 


I am an old teacher who believes that if you are nice to people you make their life and your own much better.
vidiotI am an old teacher who believes that if you are nice to people you make their life and your own much better.

Medicare or market forces---either would be better

    Making medicare the single provider would be better than what we have or if you are one of those folks who are distrusting of gov'ment then we could have true market forces.  By that I mean set a standard for admissions for medical schools and then allow everyone who qualifies to enter.  Don't allow the AMA to artificially set the numbers.  Loosen up the red tape for opening new hospitals, clinics, and labs.  Also either abolish the exemptions that insurance companies have from anti trust laws or allow new insurance companies to enter the market and throw open the door to foreign insurance providers as well.  And of course in this age of globalization, there is simply no excuse to bar foreign companies from selling drugs here nor for that matter from disallowing foreign doctors to hang out their shingle if they can pass the medical exams.  And  any professional organization that tries to set rates and fees should be considered in violation of anti trust laws.

I have heard TV pundits say that these kinds things would be disasterous and would actually cause cost to go actually.  First of all, who would it be disasterous to?  Not consumers.  Second, I have never heard any serious economist say that medicine is exempt from the law of supply and demand.  I have been to other countries where doctors and clinics were plentiful and I was always amazed at how much better the medical treatment was and the cost was lower too.   Socialized medicine or a true medical market would be better than the monopolism that we have now. 

by vidiot (0 articles, 0 quicklinks, 0 diaries, 245 comments) on Tuesday, October 16, 2007 at 2:37:22 PM
 

 

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