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View Diary: An oft-ignored lesson of 2012: The case for appeasing the base (145 comments)

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  •  TRPC, I'd rather have seen Medicare-For-All, (0+ / 0-)

    in lieu of the ACA, but I truly hope that you're right that the ACA will evolve into a "fine" health care system.  :-)


    “If a dog won’t come to you after having looked you in the face, you should go home and examine your conscience.” -- Woodrow Wilson

    by musiccitymollie on Sun Jan 27, 2013 at 06:14:35 PM PST

    [ Parent ]

    •  I have hope. (1+ / 0-)
      Recommended by:

      Mostly because ObamaCare suggests more coherence will come to a system with so many moving parts, so many individual players each maximizing its own slice of the pie, that it has not been possible to grab ahold of the pressure points for change.

      In a population of some 306 million or so people, we have 50 million uninsured, meaning more than 15% of us will to a certainty enter the health care system at some point. Ways to provide care targeted to their needs also offers hope for us all. Amazing - in my experience - how quickly lessons can be learned by example.

      Specifically, I like the changes already in place, the Patient's Bill of rights and particularly coverage for pre-existing conditions and ending lifetime dollar limits on hospital care.

      Going forward: (1) Emphasis on preventive care and "public health" programs for a broader range of the public. That alone is a significant societal value. Saying the poor and the uninsured have access to health care because they can get into to an ER is ignorant, callous and mean-spirited. (And refusing to fund parts of Medicare is vicious public policy.)

      (2) Encouraging primary care physicians and health professionals like nurses and physicians assistants for the same reasons. Yes, now some physicians have been turning to "concierge practices" and opting out of treating Medicare patients. I put this largely to pique, to being wedded to a very lucrative system, to resistance to the kind of change that other businesses have been incented to undergo. This is mostly a generational problem; time will wound these heels.

      (3) Funding community health centers. More clinics are desperately needed throughout urban and rural areas. They allow many forms of care at far lower cost than big central hospitals with large atriums and overcrowded ERs.

      (4) Attention to reducing huge and growing administrative costs and "overheads." Simplification of systems will help everyone from patient to providers.

      Bottom line: Making health care more available and more affordable. None of this was going to happen by itself under the current system.

      Yes, I have hope.

      2014 IS COMING. Build up the Senate. Win back the House : 17 seats. Plus!

      by TRPChicago on Sun Jan 27, 2013 at 07:36:23 PM PST

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