Wednesday, July 22, 2009

Health Care: one of the most important issues facing American families, American businesses, and the American government.

Some Key Statistics:

  • Nearly 46 million Americans, or 18 percent of the population under the age of 65, were without health insurance in 2007, the latest government data available.1

  • Nearly 90 million people – about one-third of the population below the age of 65 spent a portion of either 2006 or 2007 without health coverage.3

  • In 2007, 37 million workers were uninsured because not all businesses offer health benefits, not all workers qualify for coverage and many employees cannot afford their share of the health insurance premium even when coverage is at their fingertips.1

  • About 20 percent of the uninsured (vs. three percent of those with coverage) say their usual source of care is the emergency room.2

For more statistics on Health Care visit: http://www.nchc.org/facts/coverage.shtml

Notes

1. DeNavas-Walt, C.B. Proctor, and J. Smith. Income, Poverty, and Health Insurance Coverage in the United States: 2007. U.S. Census Bureau., August 2008.

2. The Henry J. Kaiser Family Foundation. The Uninsured: A Primer, Key Facts About Americans without Health Insurance. October 2006. http://www.kff.org/uninsured/

3. Families USA. Wrong Direction: One Out of Three Americans are Uninsured. September 2007. http://familiesusa.org/assets/pdfs/wrong-direction.pdf

Left of Center

Health Care Reform: An Economic and Moral Issue.

On June 15, 2009, President Obama gave his most extensive remarks to date detailing his vision for health care reform to the American Medical Association in Chicago.

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Health Care is one sixth of the U.S. Economy. The cost of our health care is a threat to our economy, as well as an escalating burden on U.S. families, and businesses, and a real challenge to the federal budget. People should not have to worry and suffer with health care issues in a nation as wealthy as the U.S. Health Care premiums over the last decade have doubled at a rate of 3 times faster than wages, as out of pocket cost for health care continue to soar. Health Care costs have forced many Americans to skip checkups and forego some of the prescriptions they made need. In some cases, a single illness can wipeout a lifetime of savings.

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Doctors are also strained with having to spend a large percentage of time with paperwork and explaining insurance claims, reducing the amount of time to actually care for patients. The current health care system incentivizes doctors to perform more tests and services, even if not necessary, to increase profits. Some doctors also perform extra tests and services to avoid being legally vulnerable. Rewarding the quantity of care rather than the quality of care, has taken the pursuit of medicine from a profession to a business.

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Small business owners struggle as well, having to lay-off valuable workers because health care costs are so high. Over one third of small businesses in recent years had to reduce benefits, and one third of small businesses have dropped workers coverage all together since the early 1990’s. Large companies have suffered as well when it comes to health care. The big part of what lead GM and Chrysler into trouble in recent decades were the huge cost of health care provided for their workers, cost that made them less profitable and less competitive with auto makers around the world.

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Health Care Reform at this point is a necessity. The cost to reform health care will be great, but inaction on Health Care Reform will be more costly, not just in dollars and cents, but in lives and quality of life. President Obama stated, “When it comes to our health care, the status quo is unsustainable. Health Care is the single most important thing we can do for Americans long term physical health”.

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The fear of change in Health Care Reform is that one might lose what works about the U.S. health care system, while trying to fix what does not work. Presidents have called for health care reform for nearly a century. Teddy Roosevelt called for it, Harry Truman called for it, Richard Nixon called for it, Jimmy Carter called for it, and Bill Clinton called for it. While significant individual changes have been made in health care, such as Medicare, Medicaid, and the Children Health Care Insurance Program, effort at comprehensive health care reform that covers everyone and brings down cost, have largely failed. Part of the reason for failure of a comprehensive health care reform is mostly due to doctors, insurance companies, businesses, workers and others, could not agree on the need for reform, or how it should be implemented.

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Fierce opposition has used fear tactics to associate health care reform with socialized medicine and a government takeover of health care, which is not the case.

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Left of Center

How do we permanently bring down cost and make quality, affordable healthcare available to every America?


Millions of Americans are content with their health care coverage and have developed a good relationship and trust with their doctors. With presidents Obama’s proposed Health Care Reform bill, you can keep your doctor if you chose to. If you like your current health care plan, you can keep it. The plan for Health Care Reform is to fix what’s broken and build on what works.

Left of Center

What is Ideal Health Care Reform?

Health Care Reform should:

  • Reduce paperwork for doctors
  • Give Americans the best care att he lowest cost
  • Ease up pressure in businesses
  • Create jobs
  • Increase take home wages
  • Grow the economy

Left of Center

Preliminary Steps to make the U.S. Health Care System work better.

  • Upgrade U.S. medical records by switching from a paper to an electronic system of record keeping.

  • Invest in preventive care to avoid illness and disease

Left of Center

Structural Health Care Reform:

1) Compensation Reform for doctors and hospitals.

Incentivizing Excellence –

  • Bundle payments that pay for the treatment of the overall condition, not individual treatments.
  • Create incentives for physicians to team up
  • Give doctors bonuses for good health outcomes
  • Rethink the cost of a medical education.
  • Reward medical students who choose a career as a primary care physician, who chooses to work in under served areas. (Investment in the National Health Service Core to make medical training more affordable for primary care doctors and nurse practitioner)

2) Improve the quality of medical information making its way to doctors and patients.

Replicate Best Practices-

  • Investment in research to identify the best treatment for a variety of aliments and conditions.
  • Build on the examples of outstanding medicine from other medical institutions.

President Obama pledged to listen to and work with doctors and physicians to pursue Health Care Reform that works for health care professionals.

President Obama also wants to expand the role of a commissions created by a republican congress, The Medicare Payment Advisory Commission, to evaluate how to eliminate waste, reduce cost and improve quality health care.

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Left of Center

How to Provide Affordable Health Care to all Americans

  • Protect what’s working in U.S. health care system
    • Keep your current doctor at less cost
  • Create a Health insurance Exchange
    • A One-Stop-Shop for a health care plan
    • Compare benefits and prices
    • Choose a plan that is best for individuals and their family
    • One of the “Options” needs to be a “Public Option”
      • Present a broader range of choices, and inject competition into the health care market, so that waste is forced out of the system, and keep the insurance companies honest.
  • Provide “Hardship Waiver” for those who still can not afford health care
  • Change the approach of “Pre-Existing Conditions”
  • Health Care Reform that is not a cost that adds to the deficit
  • Health Care reform that is deficit neutral in the next decade

Expanding coverage for all Americans will come at a cost. Making health care affordable for all Americans will cost approximately $1 Trillion over the next decade.

Failing to reform the U.S. Health Care System to reduce cost growth will cost trillions of dollars more in lost economic growth and lower wages.

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Left of Center

Health Care Public Option: Allows for a Public Health Insurance Option or continuation in the Private Sector Insurance.

Give Americans a choice between the system that is run by a fair intermediary, which is the government, to make sure that the insurance companies stop denying people coverage, stop taking insurance away when people get sick, and stop having bureaucrats in private insurance tell doctors what to do.
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Left of Center

Wednesday, July 1, 2009

Coming Soon

Health Care Reform Breakdown

Hybrid Cars out of Detroit?