Let's Respect others and discussion, not shouting and disruption.
'What's in it'? or 'shouting and disruption', which one is the reason of slow-down ?
The runaway premium similar to the peak fuel price last year and left so many folks in despair insists on staying the course with the attitude 'unchanged', clearly this trend could bankrupt individual, business, and government. Now the government subsequently is tasked with these two main assignments, first, to address premium inflation, second, to expand coverage to all in urgent need.
In order to cover all and not to add to the deficit, the public option can not set the same rates of private market, rather, it needs to have the function to keep it in check in terms of inflation, too. Unfortunately, this 'unavoidable' direction is aggressively being accused by the runaway premium, citing government 'take-over'.
Under the circumstances the energy bill to determine human future and the other major issues are presently piled up, who wants to waste time making enemies ?, which also does not benefit the forthcoming election.
On the other hand, to make things worse, critics say the savings from the proposed public option is not enough to meet the revenue goal. Furthermore, on another hand, some say 'hands off'. Where do these No tax, No saving and the like intend to force this reform to go ? The conclusion by 'just-say-no' is no doubt. Ironically, the Deficit-sensitive groups have a distinctive common ground, they all have a Deficit-driven background out of question.
Of all choices, the best thing would be savings through efficiency. Considering the wasteful structure, the highest premium in the world (Costing over twice as much as every other county), and the most expensive part of medicare, with the prevention / wellness program in place, an American style innovation, an 'outcome'-based payment founded upon IT system may be enough to save more than 50 billions per year (500 / decade), both 'improving quality' and removing the unnecessary procedures (as pay is dependent on patient's outcome). Young folks and advocates need to explain the notion of a pay for outcome agreement to the elderly misled by the disinformation.
Unlike private market, this public option includes large-scale investments, these large investments still does not get the fair score, instead seem to become a source of acute conflict, even so, this common sense-based program needs to develop further as early detection goes beyond monetary value.
In short, with the heartbreaking tears in mind (Nearly 11 Million Cancer Patients Without Health Insurance), private market also needs change and should join together to complete this reform , as promised, if not, the runaway premium only has itself to blame. Job-based coverage (indirect payment), mandate code, and ample capital might be favorable to the private market. And It can be said that fair competition starts with fair market value.
Over time, supposedly, the public plan will concentrate more on basic, primary cares, and the private insurers will provide their clients with differentiated services.
Thank You !
1. No systematic, expansive Prevention & Wellness Program.
According to the scoring of CBO on the prevention & wellness program, all fitness centers around the world should close down immediately and all media have to end
reporting health tips about prevention. Rather, all of the excellent health systems seem to have one feature in common, a expansive, systematic preventative program
requiring immense investments.
I think a prevention system works as a 'levee' built against flood by the government, similarly, it also needs non-profit investments from the government 'on a large scale'.
This might offer us one clue of why all of the free states have public insurance policy in place.
Surprisingly enough, the system today is designed around treating patients once they become sick. As far as I'm concerned, the congress affected by the special interests
has turned down the budget request for prevention program in Medicare & Medicaid, which are the most expensive parts of the health program. Let's imagine the astronomical
costs and invaluable lives following the levee breach.
2. A pay for each service / volume compensation, & No E-Medical Record.
As much as 30 percent of all health-care spending in the U.S.-some $700 billion a year- may be wasted on tests and treatments that do not improve the health of the
recipients, and this 700 billion dollars a year can cover a lot of uninsured people, in return, it could lessen the tragic, prohibitive ER cares.
Medical errors ( No e-Medical Record ) & lawsuits, more profits motive, and indirect payments from employers etc would account for it.
Supposedly,'a pay for each service / volume' compensation seems to leave the medical institutes unequipped with the essential IT system. To understand its importance, If
we imagine the cost difference between the previous and current system in financial institutes, the magnitude of cost-savings and the mess in health care system can
be easily explained.
3. Premium Inflation.
This last spring, due to the demand decrease, the peak fuel price came down below $40 per barrel, though, the
'Similar' insurance premiums keep on rising, accordingly the inaction could bankrupt family, business, and
government 'BEYOND this recession', as all across the spectrum agree.
Insurance premiums have nothing to do with the law of demand & supply and the free / fair market concept.
Basically, as demand diminishes, the price tends to reflect it, nonetheless, the insurers that formed a cartel through
consolidation have replenished the loss by exercising inhumane malpractices involving denying, capping, cherry-picking, rationing, rapid
premium increase and the like. And this runaway premium ended up in the collapse of middle
class ranging ' from finance to mental health', alongside the peak fuel price and fast-growing mortgage rate, as all of
us know. Thereby they could be cited as an objective for anti-trust or anti-corruption. If the public plan sets the same rate of the insurers, it will be another headache.
Ironically, the Deficit-sensitive groups have a distinctive common ground, they all have a Deficit-driven background out of
question. Therefore, I'd say they have nothing to say about deficit unless they are free from the sponsors.
And the spoiled menu,'Takeover and Rationing Cliche' is still marching for bankruptcy, as opposed to its motto.
4.'Work or Break' health system with no brake or safety system.
Just like marriage, economy also undergoes up and down, however, economic downturn is not reflected in the employment-based system.
The rising mental stress or illness & 'keep eating habit', which are the epicenter of a number of different diseases,might be traced
to this insecure system and exorbitant premiums.
Can you name something the "Govertment" runs now, or in the past that works? Last I can think of was the WPA. Look at the Post Office - You want them to run your health system? If they were to take all the graft, greed, coruption, thieft etc. out of the current system then you would not need more money to take care of the system. Unfortunately the Politicans are crooks - all of 'em. The words go togother. Sad part is Americans think it is OK. They expect a little thieft from the government - That is what I heard the Vice-President SAY. Ergo, no Sniveling!
if that big eared black doof would keep off the TV spouting all his propoganda, that would be just fine.
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