Health Care Reform is the one of the Obama agenda items that seems to be on the list of why so many Democrats were fired in the last election. Republicans now want to take advantage of that now. The question that people ask is, “Why do we need reform?” The simple answer is, “Health care is too expensive.” This then begs the question, “So, what’s wrong with ObamaCare?” To which one reply is, “It rations health care with no guarantee of improvement.” Simple questions with simple responses.
But the true answer is really more complex. It’s too expensive partly because government has made it too expensive. Let me explain with one of many examples.
Way back when, the people thought health care costs were getting out of control. The solution presented by the socialists was to create HMOs. Everyone goes in the pool at the same (or relatively the same based on parameters) cost and HMOs decide what you need to stay alive and you get that treatment. Costs were kept down but the (unintended?) consequence was that now health care became rationed. A triage nurse or administrator decided if you could see a doctor and what kind of doctor (probably a nurse or physician’s assistant) you’d see. The HMO determined what treatment options they’d make available and there could be a waiting list. To lower costs, the government created a method of rationing run by the private sector. It was reminiscent of ration coupons during World War II.
ObamaCare is HMO times infinity. Like any government program, it would cost orders of magnitude more than the politicians say it will and, like social security, welfare, and other programs, will bankrupt the government as entitlements grow out of control.
Now, I won’t tackle the constitutionality of government-controlled health care with its mandates on what you must buy. About 25 states are willing to do that better than I could. I only want to address one issue, the cost of health care.
There are a whole host of reasons why health care is so expensive so I’ll just touch on a few of them. Rather than forcing the citizenry to be shackled to the Federal yolk, these areas are places that government can address if it’s serious about reigning in health care costs.
The cost of medical school and specialized education is significant. Four years of college, four of medical school, residency (where you’re paid enough just to keep you almost from starving), and further education for specialization can leave a doctor a half million dollars or more in debt before he or she can start a practice. It, along with its interest, must be paid back one way or another and that is through the doctor’s salary. It’s not uncommon for a doctor to have to pay tens of thousands per year to pay off education debt. If we want reform, let’s at least make the interest tax deductible and lower what the doctor needs to be paid.
Forget the rent in New York City. The cost of malpractice insurance is too darn high. Why? Because we are a litigious society. If a patient dies because of the operation, that can be malpractice. If the patient dies in spite of the operation, that is not. It is proper to sue if the doctor has done something wrong. It is not proper if you simply don’t like the outcome of a properly-performed procedure. You, your parent or guardian, made an informed decision. If it doesn’t come out as you hoped, that’s unfortunate and, sadly, too many judges don’t have the guts to throw out frivolous lawsuits. We need to take a tighter look at who is suing for what. There should also be caps on things like “pain and suffering” when your nose job doesn’t make you look like a superstar. In short, we need massive tort reform. Let’s hope that Congress has fewer trial lawyers this go-around and can do something here.
Because of the threat of malpractice, doctors are forced to perform CYA tests and procedures. Everyone wants an MRI for a hangnail. People go in to the doctor and demand that they prescribe that new medicine they saw on TV.
There are other reasons, too. Costs to create new drugs, hospital expenses and medical equipment are all factors as well. The net, however, is not to grab control of the industry.
Don’t get me wrong. There are some good provisions buried somewhere deep in the ObamaCare bill. Those should be culled out, debated and, if truly beneficial to the American people and not just to lawyers or other special interests, passed as separate bills once the overall bill is repealed.
There are reasonable things that we can do to get health costs under control. Rationing and socialism are not among them, however. Let’s get rid of this fiasco and debate features we can understand.












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