Monday, August 19, 2013

Reform Rant

Want to fix the ACA? Harry Reid admitted recently that the long term goal should be a Medicare for all, single payor system. If we had done so back in 2008, I believe the backlash would have been no worse and we would have a system worth fighting to preserve.

I've included a study (click here to view PDF) analyzing the economic impact of a universal Medicare program. It is based on HR 676—the Expanded and Improved Medicare for All Act—a bill introduced by Rep. John Conyers Jr. (D-Mich.). The bill has been proposed for 11 straight years. The bill is a mess. It gets involved on the provider side too much and, for that reason, would never pass—not should we want it. Reform can be accomplished solely on the payor side. Payment reform will drive provider reform without draconian and “socialistic” re-engineering providers (e.g., the bill would convert all providers to nonprofits—as if that status makes the provider less susceptible to greed?).

According to the study, the expansion of Medicare would save the U.S. healthcare system $592 billion in 2014 alone. The main savings would come from slashing "administrative waste" (profit) in the private health insurance industry and by using the government’s bargaining power to obtain cheaper pharmaceuticals. Over the next decade, the study said savings could reach $1.8 trillion.
Under HR 676, a single-payer system would be financed through several factors: increasing the personal income tax on the top 5 percent of income earners, instituting a progressive tax on payroll and self-employment, taxing capital gains and other unearned income, instituting a 0.5 percent tax on stock trades and other "progressive tax" financing efforts, according to the study.

Single-payer healthcare bills have generally been opposed by Congress. According to a recent polling data, a majority of physicians now support a single-payer system.

1 comment:

  1. Friends all nice post I also share with you something. Make your treatment theatrical. Make your customer feel as if they have been listened to, been taken seriously, and then had lots of effort made on them to create a cure. This will ensure any available placebo effect is maximised. People will feel better about themselves if you make the effort. We know that the more dramatic the intervention, the greater any placebo effect will be. So, spend at least an hour with your customer, asking lots of detailed questions, just like a homeopath. Use arcane terms and be thoroughly paternalistic, just like an old-fashioned doctor. Wear a white coat and have a brass plaque outside your spick and span clinic – just like a chiropractor. Get an impressive Harley Street address. Use equipment with dials and flashing lights. Take x-rays. Put certificates on your wall and, if you are doing well, have attractive receptionists. Give the impression you are creating your cure just for this patient. They are special. Make them feel so.
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