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View Diary: Dog bites man. Cantor promises Obamacare repeal vote. (70 comments)

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  •  You need Citations? (0+ / 0-)


    At the root of these problems is the fact that we have a fragmented, highly inefficient system. Employed Americans younger than 65 years of age have job- based insurance, if their employer chose to provide it; the elderly and disabled are covered through Medicare; the poor by Medicaid; military veterans through the Veterans Administration; and American Indians through the Indian Health Service. Persons who do not fall into any of those categories must try to purchase individual coverage in the private market, where it is often prohibitively expensive or unobtainable if they have a pre-existing health condition.

    We keep hammering on this problem: Too damn many buckets to throw people into, and too many damn people who fall between buckets, or not into any bucket at all.

    Owing largely to this fragmentation and inefficiency, a staggering 31 percent of U.S. health care spending goes toward administrative costs, rather than care itself. Inefficiency exists at both the provider and payer level. To care for their patients and get paid for their work, physicians and hospitals must contend with the intricacies of numerous insurance plans—which tests and procedures they cover, which drugs are on their formularies, which providers are in their network. Meanwhile, private health insurance companies divert a considerable share of the premiums they collect toward advertising and marketing, sales teams, underwriters, lobbyists, executive salaries and shareholder profits. The top five private insurers in the United States paid out $12.2 billion in profits to investors in 2009, a year when nearly 3 million Americans lost their health coverage.

    That's not a bug. It's a feature. The suffering and desperation of some make the others all the more anxious to get what they can. It's like a "Reserve Army of the

    Much more:

    Blacks, Poor thrown under the bus

    75 Citations to study

    No we all did not fall from the back of the truck.

    •  lol (0+ / 0-)
      Can I get a citation from somewhere other (1+ / 0-)

      than an editorial site?

      I see what you did there.

      by GoGoGoEverton on Sat May 04, 2013 at 06:09:59 AM PDT

      [ Parent ]

      •  Just click on the links (0+ / 0-)

        You will find many citations.  It's all there for you....
         BTW, why don't you reveal your data sources like Rogoff & Reinhart?

        •  PNHP best place to start (0+ / 0-)

          Peeking through the fog.
          PNHP Research:

          1. Administrative costs consume 31 percent of US health spending, most of it unnecessary.
          (Woolhandler, et al “Costs of Health Administration in the U.S. and Canada,” NEJM 349(8) Sept. 21, 2003)

          2. Medical bills contribute to half of all personal bankruptcies. Three-fourths of those bankrupted had health insurance at the time they got sick or injured.
          1. “Illness and Injury as Contributors to Bankruptcy,” Himmelstein et al, Health Affairs Web Exclusive, February 2, 2005.
          2. “Medical Bankruptcy in the United States, 2007: Results of a National Study,” Himmelstein, D.U., Thorne, D., Warren, E., Woolhandler, S. (2009), Am J Med, 122, 741-746.
          3. “Medical Bankruptcy Fact Sheet,” Himmelstein, D.U., Thorne, D., Warren, E., Woolhandler, S. (2009).
          4. “Medical Bankruptcy Q&A,” Himmelstein, D.U., Thorne, D., Warren, E., Woolhandler, S. (2009).

          3. Taxes already pay for more than 60 percent of US health spending
          Americans pay the highest health care taxes in the world. We pay for national health insurance, but don’t get it.
          (Woolhandler, et al. “Paying for National Health Insurance — And Not Getting It,” Health Affairs 21(4); July / Aug. 2002)

          4. Despite spending far less per capita for health care, Canadians are healthier and have better measures of access to health care than Americans.
          (Lasser et al. “Access to Care, Health Status, and Health Disparities in the United States and Canada: Results of a Cross-National Population-Based Survey,” American Journal of Public Health; July 2006, Vol 96, No. 7)

          Citations!  Obamacare was shrouded in secrecy.  Now that we see it.  It is very ugly.  60/40 and 70/30 insurance is not acceptable and guarantees bankruptcy and bad health.

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