The fundamental role of the health care industry is being fought over.
The republicans think it is all about making money.
The Democrats think it is about providing health care.
The present situation is unsustainable. As the number of people who cannot afford health care rises, the economic viability of the industry shrinks. Economic realities of the present system are pushing new doctors toward specialty practices, and away from rural medicine, general/family practice, and geriatrics.
Conservatives want to lock in this failing trajectory, but America needs a radical change in that trajectory.
Consider what a free market NFL would be like: the big, wealthy market teams buy up the best talent. The smaller markets become uncompetitive, unprofitable, and drop out. As the size of the leagues shrink, so does interest in the sport – and profitability for the larger markets. In the end, the entire league fails.
At a micro level, measuring success in dollars is fine. But at a macro level, success must be measured in contribution to society, or the society fails.
Read the Article at HuffingtonPost
- Gingrich Wanted To ‘Sustain The Good Parts’ Of Health Reform In 2010 (thinkprogress.org)
- What happens if republicans repeal ‘Obamacare’ ? (examiner.com)
- Trahant: GOP Congress Threatens Indian Health Care (indiancountrytodaymedianetwork.com)
The economics of medicine and health care are leading it toward failure from the perspective of the average consumer/patient. Rural medicine was only the first victim.
The high cost of a medical education all too often leaves more debt than a general practice could reasonably pay off, driving doctors to more lucrative specialties.
The present system is no longer viable. Rural medicine, general practice, family practice, geriatrics, whole areas of medicine are in decline due to the present financial structure.
Slowing the growth of health insurance premiums was only the first step in health care reform.
- We need to cut down on defensive medicine.
- We need to find ways to bring down the cost of malpractice insurance.
- We need to get politics out of the doctor’s office.
- We need to get the church out of the doctor’s office.
- We need to get drug salesmen out of the doctor’s office – there are better ways to disseminate new drug information, ways that do not manipulate what doctors prescribe.
- We need standardized electronic medical records – and very simple, intuitive ways to generate, maintain, distribute, and use them.
The GOP plan to privatize Medicare does none of that. Their
voucher subsidy price support plan literally and figuratively passes the buck and doubles down on the very system that is failing.
We may have to redesign how we handle malpractice cases where punitive damages are currently awarded. There seems to be a number of situations where monetary penalties are not working, possibly because it is too easy to pass the cost on to others.
- Primary care providers are needed to support health reform (kevinmd.com)
- Medscape/WebMD Poll: How Much Are Doctors Paid? (webmd.com)
- The future of your health care (money.cnn.com)
- You: How patients can help doctors practice better, less costly medicine (washingtonpost.com)
A BILLAN ACT To repeal the job-killing health care law and health care-related provisions in the Health Care and Education Reconciliation Act of 2010.Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,SECTION 1. SHORT TITLE.This Act may be cited as the ``Repealing the Job-Killing Health Care Law Act''.SEC. 2. REPEAL OF THE JOB-KILLING HEALTH CARE LAW AND HEALTH CARE- RELATED PROVISIONS IN THE HEALTH CARE AND EDUCATION RECONCILIATION ACT OF 2010.(a) Job-Killing Health Care Law.--Effective as of the enactment of Public Law 111-148, such Act is repealed, and the provisions of law amended or repealed by such Act are restored or revived as if such Act had not been enacted. (b) Health Care-Related Provisions in the Health Care and Education Reconciliation Act of 2010.--Effective as of the enactment of the Health Care and Education Reconciliation Act of 2010 (Public Law 111- 152), title I and subtitle B of title II of such Act are repealed, and the provisions of law amended or repealed by such title or subtitle, respectively, are restored or revived as if such title and subtitle had not been enacted. all>SEC. 3. BUDGETARY EFFECTS OF THIS ACT. The budgetary effects of this Act, for the purpose of complying with the Statutory Pay-As-You-Go Act of 2010, shall be determined by reference to the latest statement titled ``Budgetary Effects of PAYGO Legislation'' for this Act, submitted for printing in the Congressional Record by the Chairman of the Committee on the Budget of the House of Representatives, as long as such statement has been submitted prior to the vote on passage of this Act. Passed the House of Representatives January 19, 2011. Attest: Clerk. 112th CONGRESS 1st Session H. R. 2 _______________________________________________________________________ AN ACT To repeal the job-killing health care law and health care-related provisions in the Health Care and Education Reconciliation Act of 2010.
This has got to be one of the most childish pieces of legislation I have ever seen. The title alone is antagonistically pejorative. It lacks the usual preamble of reasons and justifications, especially for legislation this far-reaching.
Most importantly, it lacks any sign of concern for, or even awareness of, the consequences of implementing this bill as a law. A responsible bill would have analyzed the portions of the law it seeks to repeal and provided instructions on how to unwind them.
I wonder where they got the idea that they could make a law retroactive?
In short, nobody did their homework, or due diligence, on this one.
The very low quality of work on this bill clearly indicates that it is a deeply partisan message, and was never approached as serious legislation or work in support of the people’s business.
There are not yet I have not yet seen any corresponding Senate bills online.
- “Congress Tackles Health Care Law Repeal, 1099s” and related posts (taxgirl.com)
- Jim Worth: An Unhealthy Debate: Again (huffingtonpost.com)
- “CBO’s Preliminary Analysis of HR 2, the Repealing the Job-Killing Health Care Law Act” and related posts (cboblog.cbo.gov)
Here is the list of incompetents responsible for this embarrassingly irresponsible piece of legislation:
As usual, people are asking the wrong questions.
Given the increasing cost of a medical education and the resulting debt carried by graduates, and given the growing disparity between compensation for specialists and general practitioners, there is a fundamental divergence between the free-market health care system and the needs of patients.
The first question to ask is:
What is the purpose of the health care industry in America: the exercise of free-market principles or maintaining and improving the health of the American people?
More simply put:
What is in the best interests of the country: the health and productivity of the American people, or the economic theory that has produced a system that is failing Americans by the millions and failing more every year?
Is health care a right, a privilege, or a necessity?
The third question:
What is more important: the needs, rights, and expectations of the patient, or the religious beliefs of health care workers?
Lost in the reform debate are the efforts of religious zealots to inject their beliefs into patient care. Overshadowed by the battle between reproductive rights vs dominionism is the Bush-era “conscience clause“ rule that allows health care workers to put their religious beliefs ahead of the medical needs of patients, undermining health care delivery and the doctor-patient relationship – without which the American health care system falls apart.
- Poll finds Americans undecided on healthcare repeal (thehill.com)
- Republicans erred with health care reform repeal vote (sfgate.com)
Sharron Angle’s pronouncement shows a curious lack of understanding of the subject. I attribute this to too many talking points and too few white papers.
During the 2008 election, McCain put forth a reform plan tat failed to show basic understanding of the concept of insurance, the complexities of health care, sound business practices, and human nature. In short, it could not have worked.
Nevertheless, republicans have clung to those ideas ever since – including Sharron Angle.
The insurance companies created the problems that necessitated reforms. They had things the way they wanted them, and it would be insane to think they would make meaningful changes on their own. Especially changes that favored consumers.
She makes about as much sense as a first down in the fifth inning.
Read the Article at HuffingtonPost