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