More

Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors
Dr. Cindy Haines

Dr. Cindy Haines

GET UPDATES FROM Dr. Cindy Haines

Health Care Reform, the Government, and You

Posted: 04/24/11 05:37 PM ET

I would describe myself as a political. As in a-political.

I am an American, love my country, religiously pay my taxes, and do my part at the voting booth at election time.

But when it comes right down to it, I feel totally powerless when it comes to where the government is guiding this country. And that includes the state of our health care system. I am turned off by the bickering between parties and individuals, and the lack of productivity drains my energy. It all leaves me feeling exhausted and depleted. And I know I am far from alone.

So as the great health care reform debates continue to swirl, I watch with a somewhat detached fascination.

Then I turn my energies to what I know I can do. This is where I pull out the Serenity Prayer as a call to action for myself. You know how it goes: Knowing what I can control (and taking action) and what I can't control (and letting it go).

My co-author of "The New Prescription: How to Get the Best Health Care in a Broken System", Eric Metcalf, and I wrote our book to fill a void. There are volumes of titles out there about what the major players in health care can and should be doing to rein in costs, improve health outcomes, and provide better coverage to greater numbers of Americans.

These major players are hospitals, health care administrators, health care professionals, third party payers, and, of course, the government.

But what we weren't seeing is possibly the most crucial player of all: the consumer of health care. In other words, the patient. In other words, you, me and everyone we love.

A recent piece in the New York Times online by Mark Bittman nicely and persuasively summed up our thinking. He writes that diseases that are largely caused by our lifestyles cost more than 14 percent of our gross domestic product (GDP). Out of a GDP of about $15 trillion -- give or take a few billion -- that's about $2 trillion. We could be saving hundreds of billions of dollars annually if fewer of us had hugely expensive but largely preventable chronic diseases like diabetes and heart disease.

Bittman doesn't go into this, but we could also save massive amounts of health care dollars by using health treatments more rationally. As in:

• Using expensive surgeries only for the people who they'll really benefit.
• Discarding treatments that aren't proven to work.
• Finding a rational way to approach end-of-life issues. According to 60 Minutes, health care costs in the last two months of life added up to more than $50 billion on Medicare's tab in a recent year.

So as the major players who made the major news debated, argued, and attacked, a great opportunity was missed, with the greatest players sitting on the sidelines--probably overwhelmed and feeling powerless, like me.

Individual Americans, not America as a whole or its government, need to get to work in order to slash our individual and collective health care costs.

What does that mean? It means we let go of what we cannot control (eg, what happens on a global or government scale) and focus on what we can control. Our individual financial and health security, as well as our nation's, will be determined in large part by the food and drink we choose to put in our mouths and by whether we spend our spare time sitting down or moving around.

I start here; won't you join me?

The New Prescription: How to Get the Best Health Care in a Broken System by Dr. Cynthia D. Haines, M.D. (Dr. Cindy Haines) and Eric Metcalf, M.P.H. is a book about getting what you really want: better health on your own terms. More medical care doesn't mean better health. Dr. Haines and Metcalf reveal some of the most egregious problems with a medical system gone awry, opening readers' eyes to how to better navigate the changes underway. Using solid research, insiders' insights, and patient anecdotes, they offer cost-effective and potentially life-saving ways to get more out of health care while using less of it.

 
 
 

Follow Dr. Cindy Haines on Twitter: www.twitter.com/@drcindyhaines

 
 
  • Comments
  • 11
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Bloggers
Recency  | 
Popularity
iflew
Dyno Remediator
12:39 PM on 04/27/2011
People often think it doesn't work for them
Anesthetician began in the op room quite glorious,
o'er time found it laborious,
For the living were dying even with her trying
to keep them alive instead.
Sedation didn't help to keep them from dying ,
so she took it herself to ease her pain for the dead.
08:31 AM on 04/26/2011
I, like 85% of Americans, am perfectly happy with being responsible for my own health insurance. I know that if I live a certain lifestyle my health care expenses will go up. That being said, I also know that many people want something for "free" and politicians get elected by promising it. When this "free" health care goes into effect, the government will have to take control of a much larger portion of our lives, monitoring and controlling everything we put into our bodies. The president's plan cannot work with over 60% of our society overweight and suffering from the negative health effects that go along with unhealthy eating. People who choose to smoke cigarettes or weed will be locked up for the good of the people. Thomas Jefferson said it best. "The government that can give you everything can also take everything from you"
02:20 PM on 04/26/2011
You are using a slippery slope fallacy when you are talking about what will happen when the government healthcare bill goes into place. Parts of it have already started and you haven't seen the government regulating what kind of food you can eat. People still have free will to do what they want even if it is bad for them such as smoke cigarettes
12:38 AM on 04/26/2011
I will like Obamacare by the year 2014 but the GOP Leaders need to leave the Obamacare (Health Care Reform) alone and let Barack Obama take care of it.
photo
Acemkr6
Trying to keep the left honest!
06:48 PM on 04/25/2011
I sell Health insurance, and since Obama's plan has gone into effect I have seen small group Health plans increase 15%-30% based on the new changes, On some large groups Insurance companies have cut out all commission and now I have to negotiate with the client a fee, on the small group side commissions went from 6% to 3%, I'm still trying to figure out who Obama helped, I'm a middle class guy who just had a large portion of his income cut in half while your premiums have gone through the roof? It's a clear case of a feel good law that hurts everyone! He should have instituted what the Republicans wanted and taken away the insurance companies anti trust status!!! And to pass his law without any torte reform shows what a sham it was!!!
photo
HUFFPOST SUPER USER
AcademicFreedom
Often banned; always factual
04:00 PM on 04/25/2011
One key issue is not with end-of-life decisions, it is with who gets to have the overrides in a government controlled health care future. Just as there are exceptions in the thousands for the applicability of the government's health care legislation, there will be exceptions based on how well connected someone is, or how much money they give to a political party. Nancy will have no problem getting a bypass at 99 in the future; however, I'll be challenged to get one when I'm 69.
photo
HUFFPOST BLOGGER
R.W. Sanders
Numerous questions, too little expertise
03:14 AM on 04/25/2011
I agree that political activism can be supremely frustrating, however I disagree regarding an individual's effectiveness in influencing government. I think an individual with an issue can be very effective, particularly with local government. One problem lies in the abundance of news vehicles that bombard our lives. If one tries to keep up with everything, it is impossible. Instead, find a couple of sources that you like and keep up only with them. This promotes a decent overall view of current events and enables one to vote honestly. Simply voting just for voting's sake is counterproductive. There is a 50% chance of voting against one's own interest. I also think that a society is an entity and must be cared for by the individuals that participate. Otherwise, it atrophies. I hope that you can come to grips with your disassociation with politics, as with the right attitude politics can actually be enjoyable. I enjoyed your article.
photo
alongst
too often denied to speak
12:01 AM on 04/25/2011
Americans do not want to hear the word "No".
As soon as you tell the family that 98 year old Betsy cannot have that cardiac bypass, the lawsuits will start. And continue. Then claims of age/racial/sexual discrimination will start.
This is why we haven't been able to do it yet.
08:34 AM on 04/26/2011
Actually I think that has been addressed. My understanding is that the system will be a lot like military health care, restrictling lawsuits. You will basically not be allowed to sue for inaction on the part of the government. You can't file suit against your supreme leader now can you?
11:39 PM on 04/24/2011
I would like to add one more issue. With an increasing number of people in the U.S. in this country getting tattoos, which can cause Hepatitis C from re-used ink containing the Hepatisic C virus, the cost of healthcare with rise at a faster rate than it has been. If people with AIDS and hepatitis C refuse to become sterile through vasectomies and tubal ligations, then they should get private health care insurance completely on their own and not through our U.S. or State Government.
09:39 PM on 04/24/2011
So what -You- are saying is that the health care system is broken and we are going to bicker about this subject to the end of time or the world population overpowers everybody or everything???