You illustrate the point well, Medicare does drive costs. That's the main contributor to the high cost of care in this country. This half-in/half-out approach screws those in the middle, the ones not qualifying for Medicare/Medicaid and the indigent. Health care reform started with a single-payer option but Obama insisted Obamacare be "bi-partisan" (it didn't end up being that so what did he gain?) so single-payer was dropped when that was actually the most efficient alternative on the table. Privatizing health care was never on the table from either side, they both need the old folks vote so don't hold your breath on that one. Ironically, a market based solution to the obesity problem you brought up would likely be much more effective than any government attempt to regulate or educate the problem away. Having your obesity come out of your checking account every month would go further towards changing behavior than any PSA.<quoted text> There is where I have a problem. I think everyone should pay for themselves and no one else. Do you think they are going to take the tax off my property bill that funds the state and county hospital? how about it? or is that where the illegal criminals and the rest of the indigents are going to go.
And then this: I don't want to pay for fat people.
A recent decision by the AMA may have a dangerous ripple effect.
Last week, the House of Delegates of the American Medical Association (AMA) voted to classify obesity as a disease. While the AMA has no legal authority, as one of largest organizations for conventional medicine, it has tremendous sway over public policy makers, insurance companies, and the public.
One of the main reasons doctors have been reluctant to prescribe obesity drugs is that obesity drugs are currently not covered by Medicare, and most insurance companies take their coverage cues from Medicare. Since the AMA has such sway with the government, its classification of obesity as a disease may well end up influencing what Medicare will cover (which also benefits the AMA, since they establish the billing codes in line with what Medicare will cover). Labeling obesity as a disease gives doctors a much larger market base for their lucrative obesity treatments: one-third of Americans are obese, meaning there is a potential market of 104 million people.
The problem, of course, is that obesity is a lifestyle condition, not a disease in and of itself. Studies show that most medical schools fail to supply even a meager 25 hours of instruction in diet and nutrition, so doctors will inevitably turn to the treatments they know best: drugs and surgery.
Good thing the doctors are going to push up the cost of so called 'health care for the masses ay?
Anyway, good post.