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Healthcare Ownership: BushWorld's Delusion to Curb Healthcare Costs

 

by Terry B. Brauer

 

OpEdNews.com

 

Medical malpractice liability tort reform is one of President Bush's favorite vehicles for controlling healthcare costs. It won't. The President has known or should have known that this is a red herring for at least two years. Nevertheless, he invariably trumpets the theme at every campaign stop and it will become part of his healthcare ownership pitch, which also includes health savings accounts, during the GOP Convention. Part of the duties of this ownership will be to parrot disinformation supported by distorted and massaged data courtesy of healthcare special interests. Another part of healthcare ownership will be to voluntarily abdicate legal remedies. Part of his sell will include convincing healthcare consumers that they are on a level playing field with HMOs, physicians, hospitals, and pharmaceutical companies. The theme and the strategy are delusional.  

 

Insurance cost escalation for malpractice liability, property, and auto stem from the same source --- poor returns on insurers' market investments, mismanagement, and greed. Healthcare providers should purge their ranks of incompetent and impaired offenders (like the physician recently dropped by Vice President Cheney for narcotics addiction), use technology to reduce medical errors, and train staff to be more diligent in the care of patients. More Americans are killed and injured annually because of medical malpractice and negligence than were killed and injured during our entire decade in Vietnam. Federal and state medical liability caps establish disincentives to quality care.

President Bush frequently excites his audiences at campaign stops with talk of 'frivolous lawsuits' and 'junk lawsuits'. There is nothing junk about patients dying of West Nile Virus while undergoing dialysis or frivolous about a physician who rationalizes repairing a healthy artery while leaving the defective artery unattended by explaining that the patient has an 'unusual anatomy'.  

 

As we learned in the aftermath of the Iraq invasion, empirical evidence for taking action or making pronouncements is on this President's list of non-essentials.   

 

If President Bush is serious about wanting to drive down healthcare costs, he should cull the list of his major campaign contributors from the healthcare industry and compare it to the list of Medicare and Medicaid contractors. Many of the matches have collectively paid $billions in fines and penalties to settle civil and criminal fraud claims. Maybe he could use his influence to convince them to stop cheating taxpayers and driving up healthcare expenses for all of us.

And then pigs will fly and horses will talk.  

Terry B. Brauer has been a healthcare management and public policy consultant for 25 years. He is the CEO of HealthCare Initiatives, Inc., a national healthcare consulting firm. HCI's in-depth analysis of the Bush-Cheney, Kerry-Edwards, and single payer universal healthcare proposals is available @ http://www.healthcare-consulting.com/2004ElectionVotersGuide.html

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