On Sunday the United States finally joined the ranks of civilized nations by passing a commitment to look after everyone's health care needs.
Of course, some marked this as the beginning of a Soviet-style, Canadian, socialist, commie health care system. Some threatened to derail it. And radio hate-host Rush Limbaugh threatened to leave the American health care system if this is passed and go to Costa Rica. Does he know that Costa Rica has a government medical system like communist Kanada's?
Amusement aside, the legislation benefits millions of people as well as the economy because universal health care is not just smart and fair social policy -- it is also smart economic policy.
A kickstart to the economy
For instance, workers in Canada, Europe or Japan who lost their jobs lost income. But, until now, unemployed American workers face financial ruin if sickness strikes them or their families because they lack health care coverage. Bridge coverage has been available but unaffordable for anyone but the wealthy. Worse yet, if a major illness was diagnosed during unemployment, a worker became unemployable, bringing about a life sentence of poverty.
The catastrophes disappear under these reforms. Consumer spending, which ground to a halt in the United States, can increase as people realize they don't have to set aside huge amounts to pay for a catastrophic illness, do without necessities to pay medical bills or go bankrupt because of an appendectomy.
That's good news for Canada and other countries that rely somewhat on a successful U.S.
It's also good news for America's economy in the long run because Washington now has oversight over doctors and insurance companies for the first time ever. This means that the second health-care issue -- cost -- can finally be addressed. America's biggest competitive advantage is the gouging by health-care monopolies which over-charge because they can.
Aim high America
Cost-cutting, down to Canadian and European levels, should be the next target. The Americans spend 16% of their GDP on their health care, covering only half the population adequately, compared with the Canadian system which covers everyone for 10% of GDP. Then there's the 3% of GDP involving U.S. litigation to cover medical bills which will now diminish because most are covered.
Gouging is obvious. The health insurance lobby makes more profits in the U.S. than Canada pays out in health care benefits for 34 million people. The pharma industry lobbied for laws that made volume discounts illegal which is why Americans pay up to twice as much for U.S. drugs than do Canadians or Europeans or Japanese. Americans pay too much for doctors, tests and hospital beds.
Republicans may pick off a few seats in the fall over this, but this is legislation that will concretely benefit millions -- including their own rank and file as well as the economy -- and last. As Obama's advisor David Axelrod said. "This issue only worked well for the Republican Party if it failed to pass. They wanted to run against a caricature of it rather than the real bill. Now let them tell a child with a pre-existing condition `we don't think you can should be covered'," he said in an interview.
Finally, Washington did something right.
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Research your local hospitals and approach healthcare insurance companies in your area. What will you find?
1. Hospitals over-bill for services delivered; often accepting as payment only about 20% to 30% of what it bills. Do you accept your hospital to be like a bazaar in the Mid-East? Hospitals need to adopt a "billing code of conduct" with no more cost-shifting and other shenanigans.
2. Do hospitals have a Quality Improvement and Utilization Review committees? What's their monitoring criteria? What have they found? How does their data compare to national averages?
3. From your insurance companies, (or state health commissioner's office) what are COSTS and OUTCOMES among various healthcare providers in your regions for different illnesses? How does the data compare to regional and national averages?
4. What are above groups doing to monitor and correct the widely reported high incidence of over-treatment, under-treatment and inappropriate-treatment?
5. What are hospitals / community doing to end non-emergency visits to the ER?
6. What's the community doing to reduce high cost of end-of-life care?
Wake-up and take-over our country at grass-roots. Politicians will not do it for us.
This is not a Left or Right issue.
LOWERS CAPITAL
Will elected leaders at the federal, state and local level and appointed leaders in private institutions use this opportunity to put healthcare on the right path? Or will healthcare be driven by greed and avarice on the part of those who society considers as its respected leaders?
Savings can come from:
1. Preventive care by individuals and community - stop smoking, weight reduction.
2. Maintenance care for chronic illness whose management is 70% of cost.
3. End the 40% of cost for over-treatment and in-appropriate treatment.
4. End use of hospitals' ER for non-emergency care, instead of primary care providers.
5. Reduce by half the 30% overhead cost of corporations (Insurers and Providers).
Savings come from us working together. Less than half the healthcare dollar is spent on delivering medical care. In Northeast states Medicare cost per enrolee is twice that in Midwest. Bringing costs down reduces Medicaid, which is paid by local taxes which all complain. Bringing costs down reduces premiums making businesses more competitive.
Washington has done its work. Can we-citizens play our part? Local Chamber of Commerce and AARP can play a leading role to reduce the community's healhcare costs.
(Your newspaper can use this information for their editorial)
or fined until jail
that is what was needed to "FIX" healthcare?
eventually you'll end up in JAIL if you don't have a JOB!
i think that is forced servitude if you are POOR
True patriotism isn't waving a flag to go to war, it's pulling together. Health insurers, big Phama need to pull for our recovery. Wall Streeters need a reminder, too.