Posting in Government
No more frantic Googling, no more whole days away from work, no more long waits, and no more unnecessary Emergency Room visits, or scary receptionists.
If I had my druthers I would support a single payer health system.
But if I did want to argue against single payer, I would not focus on imagined horror stories from Canada and England, where the majority of people are quite happy with single payer systems.
His idea is deceptively simple. Hello Health gives you all the online connection to your doctor you could ever want.
But you pay for that, about $35 per month. And if you actually need to see the doctor, you pay more, $100 for a basic visit, twice that if you need serious time. And no, it's not covered by insurance. It's a version of "concierge medicine," where the doctor is paid to keep you well, not just treat you when you're sick.
As Parkinson told the Boston Globe recently, “No more frantic Googling, no more whole days away from work, no more long waits, and no more unnecessary Emergency Room visits, or scary receptionists.’’
Maybe. Personally I have more faith in Google to make available the health information I need than in the ability of Parkinson or his fellow physicians to aggregate it.
But his concepts are true innovation, not just technologically but in terms of the business model. And they are in line with what reformers call the "medical home" concept, in which technology is used to improve the productivity of both doctors and nurses and patients are in charge of their own care.
Encouraging this innovation is what America is all about, I would argue. Let's see what our entrepreneurs can do with a streamlined payment system before we toss that opportunity away and hand the money to government.
That's what I would say if I were against single payer, anyway. Pity health reform opponents have so little imagination, or faith in entrepreneurship.
Jun 22, 2009
I like that comment. Avoid those stories....they can't possibly happen here. I have a lot of personal experience in this area. A lot of my family is in Italy and my sister is a physician. Is there a reason why she diagnoses their issues over the phone and can't get their physicians to comprehend the true root causes of their problems ? To find a decent competant physician they have to drive to a major city. Long delays do exist. I have an uncle that died from heart failure only three years after a bypass where here he would of lived a lot longer. My next door neighbor was fishing in Canada and his finger got infected when he accidently hooked it. The emergency room in the local hospital told him everyone was out to lunch and to wait. He came back into the states and they told him he was hours away from losing his finger. I like the other post saying that Clinton had a surplus. Is that way the national debt under his administration went from $2.77 trillion to $5.77 trillion ? The free markey system is not failing us. It is the government that is over-regulating and mettling into it that is killing it. Lenders were forced to give housing to people who could not afford it and then the housing crisis came. According to the Congressional Budget Office 23-30 million Americans will lose their curreny insurance under Obama's plan so we will not gain anything. We will still have millions of uninsured. Obama's plan will be costly and it will be abused. You will suffer longer delays and the government will intrude on your health decisions that should be between you and your physician. If you need costly care the government will look at the numbers and will play the odds and deny you needed care.....never mind that there are countless stories out there of people who beat the odds and came back from their illnesses. There will be rationing. We already have cost-shifting to support people that cannot pay. This will only worsen it. I'm sorry but if you don't have a job or are a productive member of society you cannot expect to live the counrty-club lifestyle. I, as a taxpayer, am getting sick of being burdened and it is difficult enough to support your family these days. Most "poor" people are quite capable of being self-sustaining but they choose not to. This administration rewards laziness and promotes becoming reliant on the government thus giving government officials more power. There are some things that can be done to streamline healthcare and make it more affordable. We need tort reform. We need to bring the power of competition more into the mix. Free Market Enterprise has always worked. Name one industry where there are only a handful of players where costs are not out-of-line. Don't believe these journalists out there that keep towing the Democrats line that corporate greed is the root of our problems. It is the government and THEIR greed.
Leaving health matters in the hands of for profit insurance companies, all with different forms, formularies and coverages is an administrative nightmare. The overhead costs of such a system have become prohibitive. The sooner we can take the profit out of health care, the sooner we can reduce our per capita expenditures. It's time to look at the examples other free countries (that often spend half of what we spend for medical care) provide. By most qualitative measures, Americans are not getting better health care than that provided by many other countries, we are just getting more expensive care. The medical field is heading on the same path that our financial community headed and the result, during the next few years, will be just as devastating to the economy unless some prudent steps are taken. If a single payer system is not in the cards, we at least need some standardization of forms, coverages and payments to providers. Only the government can get that done. joeljh
When I was young America was the world?s wealthiest nation And then the free market let us down. People made dumb mistakes, the financial sector relied on the principle that "It will be alright later." and then it proved that things wouldn't be alright later. President Obama wants every American citizen to be required to buy a health insurance policy. He compares it to the requirement that motorists purchase auto insurance. But while driving is a privilege, life and the pursuit of happiness is a right! And yet, with the current thing, people can die on manageable things because they can't afford insurance to offset the massive bills. What? Poor people don't have a right to life too? I'll be honest when I say that this is a great step in the right direction. The fact that we'd save millions, if not billions, doesn't really seem to be coming into play with you does it? The fact that the United States spends the most per capita on healthcare should mean we're the healthiest nation, right? Wrong. We're paying more, getting the same. Is that what you call 'free market working'? It is instructive that during the time when America enjoyed great wealth the Federal Government expressed no concern for the plight of the uninsured! Also, if you would get your head out of your own ass, you would realize that what you say isn't true. We enjoyed a surplus in the Clinton Administration... and he wanted everyone insured. Can't do anything if the Congress won't let you, though. Also, I guess you haven't been paying attention to the pushes for all children to be insured. Where in the Constitution or Bill of Rights is the Federal Governments authority to require the purchase of a health insurance policy as a condition of having been born? Where is freedom when government has the power to tell you how to spend after tax dollars? What distinguishes disposable income from taxes? Where in the constitution does it say that gays can't marry? Where does it have any ruling on abortions? Also, there is something that you don't seem to understand. The government is there to ensure that the people have life, liberty and the pursuit of happiness. They are there to ensure that the people can continue to enjoy those three. Can you enjoy life if you're one the 46 million and end up getting a manageable condition but can't pay for it? Can you? Oh, and one last fact. $682,892,421,146 dollars have been spent in Iraq so far. Are you sure that doesn't have something to do with the problem? Maybe the two tax cuts in the middle of a war has something to do with it.
ACCORDING TO THE FEDERAL GOVERNMENT TOO MUCH OF AMERICA?S GDP IS SPENT ON HEALTH CARE. BUT THE FEDERAL GOVERNMENT CREATED THE PROBLEM: Decades ago the government passed ?pay or play? tax incentives that encouraged employers to provide employees with health insurance. And America was hooked on health care the way junkies get hooked on smack. The dealer gave free samples until the client was hooked. When I was young America was the world?s wealthiest nation. And employer provided health insurance paid 100% of medical costs. Because it was free it was abused. Mom took children to the emergency room for a rash and to the doctor for a small cut. Demand was artificially high. Cost shifting provided for the uninsured. Patients with good insurance policies and wealthy patients with no insurance policies received inflated invoices to cover the costs of those who could not pay. Health care providers and hospitals robbed from the rich to provide health care for the poor. It is instructive that during the time when America enjoyed great wealth the Federal Government expressed no concern for the plight of the uninsured! But over time manufacturing jobs moved overseas and were replaced with lower paying service economy jobs. Consequently, employers offered health insurance with less coverage and higher deductibles and co-pays. Were factory jobs lost because America could not compete with manufacturers in countries where government paid for health care? Regardless, American leaders would not raise tariffs to level the playing field and signed GATT and NAFTA into law! And America?s leaders permitted millions of ?illegal? aliens to cross the border to do work American?s would not do. Our schools educated their children, our State governments gave them drivers licenses, our banks granted them mortgages and our hospitals provided them health care. BOGUS SOLUTION Now that America is the worlds biggest debtor nation the Federal Government has decided the plight of the uninsured is unconscionable and universal coverage is a moral imperative. But this is not about the 46 million uninsured. It is about assuring health insurance companies? market share and health care professionals expected incomes and lifestyles. The health system in America has been based on a larger and more affluent generation of young policy holders offsetting the health cost of middle aged and seniors. This formula is being upset by the WWII baby boomers generation approaching retirement and the global recession. President Obama wants every American citizen to be required to buy a health insurance policy. He compares it to the requirement that motorists purchase auto insurance. But while driving is a privilege, life and the pursuit of happiness is a right! Where in the Constitution or Bill of Rights is the Federal Governments authority to require the purchase of a health insurance policy as a condition of having been born? Where is freedom when government has the power to tell you how to spend after tax dollars? What distinguishes disposable income from taxes? As for the proposal that the IRS be charged with fining citizens who do not purchase a health insurance policy, since the federal government just prints more paper money to pay debt why is taxation or the IRS even necessary. Just shutdown the IRS and transfer its budget to indigent care! FREE MARKET IS THE SOLUTION Is providing health care an enumerated power or responsibility of the Federal Government? The Federal Government lacks any authority to preach fiscal responsibility. It has exhibited none in my lifetime and has reduced the wealthiest nation on the planet to world?s biggest debtor nation. But Ma and Pa citizen have had to balance a checkbook their entire lives. The solution is to return control of health care spending to them. Pass a law making it illegal for an employer to offer health insurance as an employee benefit. End wage stagnation and give employees raises instead. Doing away with group health insurance and forcing insurance providers to compete for individual business will permit cost conscious Ma and Pa to shop for the best deal, like they do auto insurance. Then the free market will bring costs under control!