health Care Reform - The Case Against Obama Care

Health Care Reform - health Care Reform - The Case Against Obama Care

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Candidate Obama promised to bring a "change you can believe in" to Washington politics and the way government has been doing business for decades. These main two selling points brought him into the White House. One year later, fair-minded liberals as well as conservatives would admit he failed in whether one miserably.

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Health Care Reform

Failure to ensue on a promise would give any President a bad grade; but in failing to bring convert into Washington politics, and hence get his health care agenda passed in the middle of a democratically well controlled House and Senate, President Obama displayed an inexcusable performance, one that in a competitive, behalf maximizing corporation would have cost him his job by now. The imagine his failure is so profound has to do with his luck of understanding of the key components of the question at hand. The luck of understanding of these fundamental components at this time of economic uncertainty, begs the need to query Mr. Obama's inexperience in governing, as well as his inability to identify the issues at hand towards choosing on a policy of performance and bringing send sensible arguments that habitancy can believe in.

With regards to healthcare reform, the issues Americans are faced with go beyond covering the uninsured and bringing shame to insurance companies. de facto the above have to be dealt with but the health care issue is not a poor man's prerogative. Every family, from poor to middle class is faced with exorbitant health insurance costs while at the same time incremental health benefits have not kept up with technological progress, hence have not been realized. It is not unusual for a middle class house to be paying one third of its wage on health insurance only to be asked to also pay co-pays, coinsurance costs, etc. At the same time, it is clear that the existing reimbursement theory has stifled technological innovation in treatment and diseases like cancer, Hiv, etc., are still around after decades of expenditures in study and venture in human capital. Relative speaking, when it comes to health care the Us is the most technologically developed nation, but nationally, we have been production baby steps in terms of dealing with serious illnesses.

So what is the way out of this mess or the best way to fix "the problem" in health care? For one thing we have to accept the fact that this is a "universal" issue and not an issue just for the poor and uninsured. Not accepting this as the main question and trying to fix the issue by pouring dollars indiscriminately -over one trillion of government debt, is not only unwise but rather irresponsible as well. One has to identify the big cost components that conduce to this question and deal with all of them. The big components are:

1. Medicare & Medicaid
2. Reimbursement and inpatient responsibility
3. Consumer cost and incentives for good utilization of health resources
4. Uninsured

Medicare reform is considerable in order to supply incentives for doctors to treat patients according to good treatment protocols. A physician who refuses to take a Medicare inpatient because of poor reimbursement is in fact raising the cost for that inpatient when he becomes too ill and seeks care in the accident room. A secondary ensue is that doctors are getting out of the field that has not in case,granted a satisfying work of practicing treatment for the patient. Fewer doctors means less care which in term means poorer health outcomes therefore higher costs. It is a vicious circle that can only be stopped with sensible reform. The same goes for Medicaid. Poor administration and reimbursement induces gigantic inefficiencies and skyrocketing costs. In the end, it is the inpatient that suffers and who in tern adds to ever rising costs and more inefficiencies.

One way to fix Medicare is to continue the existing privatization that allows underground clubs to compete and the inpatient to bear some of the responsibility. Our study has shown that the doughnut hole may de facto be a black hole that induces patients to switch or avoid therapy altogether, which in tern produces poor outcomes and hence higher costs. However, if the model is revised the inpatient can still bear some of the financial responsibility and hence use the theory wiser, but he is not faced with such a catastrophe to be production unwise treatment decisions.

The uninsured pool is made of two cohorts. The poor and the...not so poor who are willing, or forced to game the system. The two uninsured groups are:

1. Uninsured because of poverty, and
2. Uninsured because the proposed legislation would allow one to game the theory by avoiding (high cost) insurance and only paying for it on the way to the hospital

Instead of forcing habitancy to buy insurance (by imposing a penalty which silly adequate is less than the cost of insurance), incentives should be in case,granted to induce wise and parsimonious utilization of resources. habitancy are not criminals and should not be treated as such by imposing severe fees/penalties to induce them to a unavoidable behavior; in general, habitancy act wisely and will all the time seek behavior that seems fair for the benefit received. health accounts that are set aside to use in time of need should not be "use it or lose it" types; after all, who wants to set aside thousands of dollars per year, on top of insurance premiums, just to cover an accident that may never occur? I know of many habitancy who think this is insane and counterproductive.

The proposed legislation approved by Congress is basically dead and members of Congress, be it republicans or democrats, have been disassociating themselves from it. The truth of the matter is, these proposals were concocted behind complete doors, with brides and kickbacks and no one can trust them. For a bi-partisan proposal and a convert habitancy can believe in, the existing proposals should be thrown out and new ones should begin from scratch.

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