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Visit Mike of the North's column >>

MIKE OF THE NORTH

Just another guy trying to make his way.
Articles Posted: 25  Links Seeded: 8
Member Since: 12/2008  Last Seen: 5/15/2012

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Health Insurance, Obama's Fix Not A Fix At All.

Wed Jun 24, 2009 3:41 AM EDT
health
By Mike of the North
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The premise that a national health insurance option is flawed at the most basic level and quite simply unrealistic. For starters, simply changing who pays the bills, either a private health insurance company or the federal government, does not alter the cost of services. If company A wants to be cheaper than company B, they've got to do things differently. That is either doing things more efficiently (which the government has NEVER done) or cutting costs else where, either in the quantity or quality of services provided, or simply dictating what a service is worth. The latter of which, is a dangerous road to travel. To cut expenses and reduce costs, if it cant be done in the area of efficiency (and i don't think the government can) you've HAVE to cut quality, or quantity. I once heard in a sales pitch that you can have quality, quantity or value in any transaction but you can only pick two, you can't have all three. So where is it going to be? A cut in services? Shortcuts on quality? Most likely not, neither the right or left would allow it, but then it stands to reason if all other elements remain the same, so would the cost.

I don't have health insurance. the anual costs of my doctor visits cost me less than a couple weeks pay.There in lies the problem with our current system. Health insurance was never originally designed to pay for such trivial things like routine maintenence but we use it to pay for evrey routine check up, and every little illness.Imagine how much your car insurance would be if it covered every routine expense of owning your car. Insurance, for anything else you buy it for, is designed to help cover what MIGHT happen, not what WILL happen, like ear infections and strep throat. When I lived in AZ I carried health insurance for hopitalization only which cost me about a third of a regular plan and I paid for my routine visits out of pocket. Now in MN, I can't even get a 'hospital' only plan because insurance plans by law have minimum requirements for what they have to cover. However, in the last six years including annual check ups, I have paid about $1200 in total healthcare expenses. I would have paid that in premiums in only 4 months.

Its also widely known that people on public healthplans often pick the most convienient and most expensive fors of doctor visits... the ER, for routine visits shifting the burden of the cost to the rest of us. A typical visit to my regular doctor costs me just under $200, I can expect to pay three times that for an ER visit. Now we have these things called 'Minute Clinics' locally where I can get a quick diagnosis for ear infection or strep throat for half the cost of a regular visit.

I have no problems helping those who cannot help themselves but the idea that healthcare costs can be lowered without changing the fundamental way we use it is quite honestly unreasonable. I don't claim to be an expert on this but I can't seem to make it make sense and even the congressional Democrats are saying it's too expensive as the White House has it planned.

I don't think any rational person doubts that healthcare needs reform, but government healthcare is not the answer.

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  • Public Discussion (15)
PenniD

You are so right, it is not the answer. The government can't even run itself without a massive deficit! Every place I have ever lived have free clinics and hospitals. They do take some serious time to get through, and the waiting can be forever, but they are free.

I favor some sort of national health insurance policy that is purchased by individuals based on income.

  • 1 vote
Reply#1 - Wed Jun 24, 2009 8:12 AM EDT
Joe Bpsplk

I favor some sort of national health insurance policy that is purchased by individuals based on income.

Obama talked about that very thing. At this point I think most Americans agree on the need for affordable health care. Ideologically speaking, Republicans might state that they don't want affordable national health care, but practically speaking, they do.

  • 2 votes
#1.1 - Thu Jun 25, 2009 10:33 AM EDT
Reply
George From Illinois

Very good points Mike. I would like to add one thing. That being the costs of general supplies and drugs given in the hospitals. When they can charge you $8.00 for one tylenol, or $4.00 for one teaspoon of laxative for example, you know there are costs that can be reduced. Its a no-brainer. A $40.00 disposable bed pan that costs $2.00 to make is going a bit too far. We all pay for these crazy expenses. have reviewed several of my mothers latest bills from a 3 day stay in the hospital for a minor procedure. The total bill was $55,000. Of that, $15,000 was for supplies and drugs used during her stay. When I confronted the billing department about some of the items that to me were out of this world crazy, they told me not to worry because my mother had Medicare/Medicade and she would not have to pay for anything. Thats not the point I said, how can you charge that much money for simple items that I can go to any drugstore and buy for one tenth of the cost? They simply looked at me like I was nuts. Again the only answer they came up with was not to worry because we were not paying for it.

The point is, that if there is going to be a place to start in the reform of health care we need to start with this issue. THere are many areas of waste, overcharging, and pure theft within the current system.

  • 2 votes
Reply#2 - Wed Jun 24, 2009 8:33 AM EDT
vol fan in chatt, tn

I do agree with the fraud and waste statements. But part of the costs are due to people who abuse the system most of whom have no insurance - the cost to cover them has to be covered somehow. An example: a few weeks ago there was a story about 9 people who visited the same ER over a period of 6 years 2700 times. They had no insurance, they didn't pay anything, and it cost that one hospital over 3 million dollars. Guess who helps pay that cost? Everybody else! Simply ridiculous.

  • 3 votes
#2.1 - Wed Jun 24, 2009 10:24 AM EDT
Mike of the North

While it seems that $8.00 for one tylenol is a bit much, when is the last time you took your car to a dealer? $10.00 spark plugs and $40.00 air filters aren't much better. The thing is you're paying high overhead costs of a giant spotless shop.

On the other hand, when I pay cash for my doctor visits, I can negotiate the bill just as I would with my mechanic. Often I have saved 25% or more. There's a lot of overhead just in billing for insurance companies. Generally the doctors office has to prep a bill for the insurance companie in the manner the insurance companies wants it done. Then the insurance company has to review it, approve and process payment. All that extra crap costs money too.

Our whole attitude toward health insurance has to change if we're going to lower costs. As it stands now, the average guy graduates college, gets his forst job with bennefits and right away gets married and has kids. He's paid MAYBE a year or two of premiums and wacked his insurance company with a $25,000 bill between prenatal and child birth, not to mention all the doctor visits an infant needs in the first couple years.

Imagine how many people would be having kids if you had to swipe that on a credit card? It's rerally no different, we still need to pay for it.

And yes, we are paying for the people with no insurance but more so we are paying for the people with insurance but don't pay for it ie: govt insurance. With no copays for emergency room visits guess where they take their kids for runny noses... the ER. It costs you and I and the insurance company twice as much but they don't pay the bill and most likely never see it. A national health insurance option is likely to increase this problem, make emergency rooms less accessable and cost us all more than we even pay now.

  • 1 vote
#2.2 - Wed Jun 24, 2009 8:25 PM EDT
Reply
vol fan in chatt, tn

Don't forget to watch the Obama/ ABC infomercial, you'll find out how his plan will save America (and yet cost trillions of dollars??). With no opposing viewpoint, no opposing advocacy ads allowed by ABC. What hypocrisy. The state run media has now commenced.

  • 2 votes
Reply#3 - Wed Jun 24, 2009 10:17 AM EDT
rachs3rdDeleted
vol fan in chatt, tn

Being that freedom of the press and free speech is a right under the first amendment, the white house and abc are violating the constitution aren't they???

They don't care about that. Its all about advancing an agenda...at whatever the cost.

  • 1 vote
#3.2 - Wed Jun 24, 2009 12:49 PM EDT
Joe Bpsplk

With no opposing viewpoint...

Please, I'm blushing! The insurance companies have been spending millions of dollars on lobbyists and on TV, radio and news paper ads that try to convince people that affordable national health insurance is a bad thing.

  • 2 votes
#3.3 - Thu Jun 25, 2009 10:41 AM EDT
chick76

So you're in favor of the Fairness doctrine then?

  • 1 vote
#3.4 - Fri Jun 26, 2009 4:58 PM EDT
Reply
bondibox

The problem with your premise, is that it completely ignores reality. In the real world, Insurance companies have a policy called rescission where they gladly accept your application and take your premiums until you file a claim for a severe illness like cancer. Then they drop your policy because you didn't disclose a case of acne.

So what happens next is you've got seriously ill, uninsured people, going bankrupt and / or going on government bailout programs. Not to mention the loss of productivity that goes along with a sick and uninsured population.

And while it may sound good to use the argument that government has never been able to do anything efficiently, at least they aren't working in collusion with the drug companies!

  • 3 votes
Reply#4 - Wed Jun 24, 2009 11:15 AM EDT
Mike of the North

Unfortunately most of us know a few people who have passed of various long term illnesses. Of those that I know though, not one of them has had to fight their insurance company or had their insurance dropped. I'm not saying it doesn't happen but I doubt it's the epidemic you've made it out to be.

Whether anyone is working with drug companies or not though is kind of a moot point. If you're thinking the gov't will be be able to provide insurance cheaper by not doing so I'd like you to explain how. It won't change the drug companies need to make a profit. Profits that support research as well as pay investors for their investments. The way I can money could be saved in this avenue is when the government dictates what they will pay for drugs... bad idea.

  • 2 votes
#4.1 - Wed Jun 24, 2009 8:03 PM EDT
bondibox

If you're thinking the gov't will be be able to provide insurance cheaper by not doing so I'd like you to explain how.

Look at TRICARE - 9.2 million people are enrolled in that single payer program. You got a problem with TRICARE?

  • 2 votes
#4.2 - Sun Jun 28, 2009 10:10 AM EDT
Reply
tmullins

As a former health care giver, I am sad to see what has become of health care in America. Clearly Profit Care comes ahead of Patient Care. We must have public option, so what if it puts the greedy bastards out of business. www.wisecountyissues.com/?p=62

  • 3 votes
Reply#5 - Thu Jun 25, 2009 10:19 AM EDT
Mike of the North

If you believe in the public option, explain how it will be more cost effective. That's the problem... cost. If you're only going to make those who pay taxes pay for the insurance of those who don't you haven't saved anything. In fact, it'd probably cost more adding an additional element of inneficiency. Maybe I'm missing something, tell me where it will save $$$. That IS the whole reason behind it, isn't it?

  • 2 votes
#5.1 - Thu Jun 25, 2009 10:47 AM EDT
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