Wednesday, October 28, 2009

The Health Care Debate From Another Perspective

When I was growing up in Central Texas I cannot remember us having health insurance. Companies only offered such benefits to the corporate leadership and unfortunately my dad, having very little education and less ambition, never made it to the corner office or any other for that matter. So when we kids got sick going to the doctor came right out of the monthly budget. Needless to say, we didn't go very often. As a comparison, my grandson has been to the doctor more in his first 9 months than I did in my first nine years. Thankfully both of us were blessed with good health or he would have been much more. The key difference is funding of these visits. My son-in-law has good insurance for his family so it costs them a reasonable co-pay for each visit. The insurance covers the balance. Any visit to the doctor for me or my siblings would have probably had to be paid out in installments.

Before you think I am going to break out in the "I walked 10 miles in the snow to school" song that is not the purpose of the above. It is to illustrate the progress we have made over the years in providing for preventative care and upgrading the health care of our citizens. This has been paid for by the American consumer and their employers. It is a relatively recent phenomenon that the government got involved in such matters. Also, I am not saying that people that cannot afford insurance should suffer and not get medical attention because they pay for the services. We as a society have decided to evolve past those days and commit to taking care of those that truly need the services.

The problem is that medical costs have skyrocketed at an alarming rate. Doctors are ordering more and more tests, CATSCANs or MRIs when an x-ray would be sufficient. A recent one night hospital stay cost over $20,000! Of course the amount the hospital, doctors, etc received was much less because of my insurance. The poor person without insurance would be faced with a bill well beyond his means to pay. These write-offs put the hospitals at risk and add to the burden that taxpayers or stockholders must bear.

So here are a few suggestions that would help our health care system become a little more viable:

1. Shift the burden for health care back to the individual, not the taxpayer. The first line on reducing the cost of health care is to get and stay healthy. All of the advances in medicine have not made us healthier. We can fix the problems that could have been prevented by leading a healthy lifestyle.

2. Do not reward hypochondria. It used to be a rare occasion to find such a person. Now you can't throw a rock without hitting one. Doctors know who they are. We should not have to subsidize this behavior.

3. Tort reform related to medical malpractice. Outrageous jury awards have resulted in the defensive medicine being practiced today. These additional unnecessary tests burden our health care system and drive up the costs for all of us. Limits on jury awards will send those bottom-feeding ambulance chasers somewhere else.

4. Make people pay for their health care. The insurance system has insulated us from the real cost of the care we receive because most of us pay $25 for a doctor visit and never think about it later. If we had to write that check for $125 for that office visit it would make a bigger impression on us. The system has done us a disservice and we have lost track of the true cost.

Unfortunately none of these will be considered by those maggot politicians in Washington. They are convinced that government is the answer. Not because of concern for us; because of concern for their power.

2 comments:

Emily said...

Actually, we don't even have to pay a copay for Dan's pedi visits...well visits or sick visits. We pay copays for all our stuff, though. Another thing that has happened to cover children is state-run insurance programs(pretty sure Texas has one).

Getting people to get and stay healthy...good luck with that. That's supposed to be the biggest role of my job as a nurse, but I spend the majority of my time caring for those with uncontrolled, chronic diseases. I think you'd have to do something dramatic to get it to happen...pay people cash not to eat fast food or per mile of exercise or something.

Not just hypochondria but drug-seeking. The problem is that a bunch of lawsuits came about over pain not being treated, and now we have to take the patient at their word for what their pain is and keep giving them stronger and stronger drugs. We get people staying in the hospital much longer due to complications from pain medications that they probably didn't need to begin with. Healthcare workers definitely have to cover their asses with unnecessary treatments/tests. It's a vicious cycle.

I told Ian he's in the wrong area of law while I was reading these case studies: http://www.nso.com/case-studies/casestudy-article/244.jsp . That one I linked is really ridiculous. They didn't even do an autopsy to see what the cause of death was, so I don't see why they even got any money. Some of the cases are legitimate but some are just flabberghasting.

I don't think making people pay for doctor's visits would make much of a difference. I think it would go on the credit card like everything else and be forgotten. My generation spends way beyond their means, keeps racking up debt, and just gets buried under it. I don't think it would make an impression. I mean, I think EOBs are sent out for that reason..to show the true cost, but how many people actually pay attention to those?

Rob said...

I watch the EOBs like a hawk. Our HDHP/HSA is designed to have you meet your large deductible before they start paying so that you will monitor the costs. Your mother burns through her $2,500 in about 3 or 4 months but not me. Up until my trip to the hospital in July I had only spent a little over $1,000. I have caught several providers overcharging our share of the costs and never offer a refund. Of course you know I get it! :) I always buy generic drugs if possible and instruct the doctors of such preference. My company self insures on the health plan and if I can get a generic for $28 versus $250 for the name brand it saves them money. Most people don't even realize the total cost of some of these drugs!