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View Diary: When Can We Expect Health Care Reform (Whoever Wins)? (369 comments)

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  •  Authorization by profit making orgs cannot succee (2+ / 0-)
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    OLinda, GayHillbilly

    George W. Bush doesn't want you to think of a sick child. Not Graeme Frost. Not Gemma Frost. Not Bethany Wilkerson. Not any of the real children affected.

    He wants you straining your eyes on the fine print of policies, puzzling over the nuances of coverage -- whether you can afford premiums for basic, catastrophic, comprehensive or limited health insurance. Last week on "Real Time With Bill Maher," even Tucker Carlson kind of got it right, saying, "No one child is a metaphor -- he's a kid!" That's the point. They're all kids, each one, one by one. The question is, do you care?

    The actuaries don't. And can't. Health insurance companies make their money by denying care. They maximize profit by authorizing as little care as they can get away with. That's what all those administrative costs -- as high as 30 percent -- and all that paperwork are mostly about. It takes a lot of people to justify denying care.

    It's the opposite of the way the market is supposed to work: Make more money by delivering more product. The health insurance industry makes more money by delivering less product. It maximizes profits by minimizing care.

    Profit-run medicine is not, and cannot be, full care. What is needed is patient- and doctor-run medicine. The State Children's Health Insurance Program (SCHIP) is just that. Our children need care. Our doctors provide it. The government handles the transactions, period. And we pay a lot less and get a lot more, because there are virtually no administrative costs and no profits being taken by outsiders

    Don't think of a sick child, RRI

    While it is certainly true that there are institutional barriers in persuading people that we have a poorly designed health care system, there is both a great deal of evidence that this true, and there is, as noted above, real concern among people who are covered.  That "satisfaction" number is high to be hard. Actual concerted efforts to communicate the ranking of the US health care system among the OECD countries would help enormously.

    SIcko makes this case very well.  And  I was reminded, while thinking about this yesterday how I came to watch the Deadwood seriesl. I don't get HBO, but i do get the New Yorker. And HBO bundled in a copy of the first show.

    I think an effort to widely distribute Sicko would very much help in this communication effort.  Moore will be attacked, of course, but the answer is to watch the documenary. It really makes the central points very clearly.

    •  What's wrong with profit-run medicine? (0+ / 0-)

      Profit-run medicine is not, and cannot be, full care.

      Why not? Nothing in the quote you've provided describes any problems with profit-run medicine.

      I hate this game - talking about the problems of insurance and then pretending like those are the problems of health care. Prohibiting profit driven health care gives you the kind of single-payer system they have in Canada. Allowing profit driven health care gives you the kind of single-payer system they have in France. Which is better? Guess which one was rated best by the World Health Organization?

      •  Denial of care, insurance rescission, bankruptcy (0+ / 0-)

        Actually, by the accounts of every Canadian I know, everyone in Canada loves their health care system. They think we are barbarians for not having one and they always purchase insurance for even short trips to the US because every Canadian can tell you stories of a friend who was injured here who ended up in debt for HUGE amounts of money for some small accident or injury.

        Same with Britian, same with France. I suspect that the insurance companies have hired people to go around the blogosphere to spread, lets face it, lies about the healthcare sstem in many other countries in an attempt to prolong our agony for another decade or two, and its seems to be working. But the healthcare systems in countries that have universal healthcare cost patients NOTHING or close to nothing when they get sick, and they function as well as our does or actually in most cases, MUCH BETTER.

        Plus, they dont KILL people from stress.

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