Free Republic
Browse · Search
News/Activism
Topics · Post Article

Skip to comments.

How American Health Care Killed My Father
The Atlantic ^ | September 2009 | David Goldhill

Posted on 08/12/2009 10:46:26 AM PDT by Lorianne

click here to read article


Navigation: use the links below to view more comments.
first previous 1-2021-4041-6061-77 next last
To: Lorianne
"Perhaps the greatest problem posed by our health-insurance-driven regime is the sense it creates that someone else is actually paying for most of our health care—and that the costs of new benefits can also be borne by someone else. Unfortunately, there is no one else.

[L]et’s imagine confiscating all the profits of all the famously greedy health-insurance companies. That would pay for four days of health care for all Americans. Let’s add in the profits of the 10 biggest rapacious U.S. drug companies. Another 7 days. Indeed, confiscating all the profits of all American companies, in every industry, wouldn’t cover even five months of our health-care expenses.

Somebody else always seems to be paying for at least part of our health care. But that’s just an illusion."

21 posted on 08/12/2009 11:29:49 AM PDT by Albion Wilde ("A cultural problem cannot be solved with a political solution." -- Selwyn Duke)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Lorianne

My daughter was prescribed an antibiotic yesterday, two pills a day, for 10 days. The insurance company refused to pay for more than six pills in 22 days...


22 posted on 08/12/2009 11:33:13 AM PDT by ican'tbelieveit (Join FreeRepublic's Folding@Home team (Team# 36120), KW:Folding)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Lorianne

I think Goldhill nailed it.

For years I’ve been screeching to anyone who can bear to listen how the doctor’s office is the only business I patronize that asks me for payment BEFORE I get the product or service and CAN’T OR WON’T TELL ME HOW MUCH THE PRODUCT OR SERVICE COSTS. They’ll tell me my co-pay ( and get that wrong half the time ), but I cannot find out how much an office visit costs.


23 posted on 08/12/2009 11:35:46 AM PDT by swain_forkbeard (Rationality may not be sufficient, but it is necessary.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: dirtboy

Catastophic coverage and MSAs. I’m with you.

Of course, while that’s fine for working stiffs like me, what to do for those who can’t even feed themselves, no less buy insurance and save against illness?


24 posted on 08/12/2009 11:39:12 AM PDT by swain_forkbeard (Rationality may not be sufficient, but it is necessary.)
[ Post Reply | Private Reply | To 9 | View Replies]

To: Lorianne
Sorry, I didn't get much further than the first five graphs.

The hospital his father died in has an obvious problem -- so rail against that hospital, not against the system.

As someone who's been caregiver to two family members in their final days, and who now has a sibling undergoing chemo for a rare form of lukemia -- a treatment, due to age, that most likely won't be covered under the health care bill -- all I can say is that every patient needs an advocate. If the conditions, the service, the sanitary conditions in a hospital or by hospice at-home services are sub-standard, make a stink! Do something! Spend some money to get the patient out of sub-standard conditions. But, of all things, don't sit back on your heels and watch someone die, then bemoan the situation you did nothing to fight when it would have mattered.

The idea the government can improve on any of these sub-standard situations is ludicrous. Just go and sit in any inner-city clinic that services Medicare and Medicaid patients for hours on end, and get a clue -- this is what government-run health care will get you, and once implemented, advocacy of family or friends will be unheard and ignored by the bureaucrats.

One more thought -- read the House health care bill. The emphasis, over and over again, is on cost and efficiency, not quality. And this is only the framework from which the actual nuts and bolts of national health care will be written, in private, by a non-elected commission making life and death decisions for us all.

25 posted on 08/12/2009 11:39:12 AM PDT by browardchad
[ Post Reply | Private Reply | To 1 | View Replies]

To: swain_forkbeard
Of course, while that’s fine for working stiffs like me, what to do for those who can’t even feed themselves, no less buy insurance and save against illness?

The article proposes some kind of government funding for their MSAs and insurance purchases. And it's a tricky areas. First of all, regarding the cost to taxpayers - it's already happening through Medicaid, so that would be a wash. But taxpayer funding for MSAs will probably make food stamp fraud look tame by comparison - all that government money sitting in millions of personal MSA accounts is gonna draw the vultures. So it's definitely an Achilles heel to such an approach.

But despite such weaknesses, it still has the most potential IMO. Medicare and Medicaid are already rife with fraud as it is.

26 posted on 08/12/2009 11:43:41 AM PDT by dirtboy
[ Post Reply | Private Reply | To 24 | View Replies]

To: browardchad

“The hospital his father died in has an obvious problem — so rail against that hospital, not against the system.”

Maybe the point of his treatise is NOT to rail at all, but to improve a less-than-perfect system.

Surely you agree there’s room for improvement?


27 posted on 08/12/2009 11:43:49 AM PDT by swain_forkbeard (Rationality may not be sufficient, but it is necessary.)
[ Post Reply | Private Reply | To 25 | View Replies]

To: DustyMoment
Actually, the flaws are due to government involvement and regulations on both the providers of healthcare and on the insurance companies. Our government has created the problem and now wants total control so they can fix it.

Let insurance companies offer any package of coverage that the purchaser wants.

Let insurance companies offer insurance across state lines.

Limit tort liabilities and attorney fees. Must go before a panel of experts. Get ‘emotional’ juries out of the equation.

Reduce government regulations of healthcare. The majority of the cost increases in helathcare have been due to regulatory compliance that offer no value to the delivery of healthcare.

Eliminate unions in helathcare settings.

28 posted on 08/12/2009 11:44:07 AM PDT by dirtymac (Now is the time for all good men to come to the aid of their country. Calling all Son's of Liberty)
[ Post Reply | Private Reply | To 5 | View Replies]

To: ican'tbelieveit

so... what is your point?


29 posted on 08/12/2009 11:45:19 AM PDT by VaRepublican (I would propagate taglines but I don't know how.)
[ Post Reply | Private Reply | To 22 | View Replies]

To: montanajoe

You are completely misinformed


30 posted on 08/12/2009 11:45:32 AM PDT by dirtymac (Now is the time for all good men to come to the aid of their country. Calling all Son's of Liberty)
[ Post Reply | Private Reply | To 6 | View Replies]

To: parsifal

Self ping

parsy


31 posted on 08/12/2009 11:45:35 AM PDT by parsifal ("Where am I? How did I end up in this hospital room? What is my name?" Anonymous)
[ Post Reply | Private Reply | To 22 | View Replies]

To: swain_forkbeard
Maybe the point of his treatise is NOT to rail at all, but to improve a less-than-perfect system.

Surely you agree there’s room for improvement?

Of course there's room for improvement -- but total control of health care by the federal government is most definitely not the answer.

My underlying point is that I've seen and heard complaints about the system from too many folks who really were totally univolved in an elderly parent's health care. I think, in many ways, the railing against the sytem, whether valid or not, is a way to exiate guilt for not giving a damn until it's too late.

32 posted on 08/12/2009 11:53:48 AM PDT by browardchad
[ Post Reply | Private Reply | To 27 | View Replies]

To: Labyrinthos
"single-payor plan"

My GP is thinking strongly of dumping insured patients alltogether and just going to a pay-as-you-go.

She keeps two people on staff in her office just to deal with insurance and the gov't. She's also sick of charging $300 to look in a kid's ear, when the real cost is $75, and that's what she gets reimbursed for by the same entities.

Can't say as I blame her. Looking forward to it, actually.

33 posted on 08/12/2009 11:55:39 AM PDT by wbill
[ Post Reply | Private Reply | To 18 | View Replies]

To: VaRepublican

I agree. I don’t want to live anywhere else than the USofA


34 posted on 08/12/2009 11:56:26 AM PDT by Retired Greyhound
[ Post Reply | Private Reply | To 19 | View Replies]

To: Kozak

For later.


35 posted on 08/12/2009 12:04:29 PM PDT by Lurker (The avalanche has begun. The pebbles no longer have a vote.)
[ Post Reply | Private Reply | To 14 | View Replies]

To: dirtymac

I agree with everything you said. Even WITH the flaws in our current system, it STILL beats the h$ll out of ANY socialized medical plan ANYWHERE!!!

I don’t know what part of the country you are in, I’m in Texas and there was an interesting report on the radio a few days ago. The report suggested that Texas could well end up providing a model for healthcare REFORM because, apparently, we passed tort reform a few yars ago and put a cap on malpractice lawsuit limits. As a result, Texas has become a Mecca of sorts for doctors who are flooding into the state from other states. Not bragging, just an FYI.


36 posted on 08/12/2009 12:05:59 PM PDT by DustyMoment (FloriDUH - proud inventors of pregnant/hanging chads and judicide!!)
[ Post Reply | Private Reply | To 28 | View Replies]

To: Retired Greyhound

Through the Navy I’ve seen a little of the world and lord knows If I never see europe again it’ll be ok. I know lots of folks love overseas but I am not one of them.


37 posted on 08/12/2009 12:06:55 PM PDT by VaRepublican (I would propagate taglines but I don't know how.)
[ Post Reply | Private Reply | To 34 | View Replies]

To: Retired Greyhound
“I miss the pre-insurance days when we went to the Dr. and then paid him.”

That's what I grew up with and what we need to return to!

Eliminate all insurance.

Health care isn't a right, it's a privilege to be paid for by the recipient!!!

38 posted on 08/12/2009 12:12:31 PM PDT by dalereed
[ Post Reply | Private Reply | To 2 | View Replies]

To: Lorianne
"Our system of health-care law and regulation has so distorted the functioning of the market that it’s impossible to measure the social costs and benefits of maintaining hospitals’ prominence. And again, the distortions caused by a reluctance to pay directly for health care—in this case, emergency medicine for the poor—are in large part to blame."

So he's saying, if I understand him, that having a free-market for most of us, and for governments to directly pay hospitals for care of the indigent -- fraud and the costs of fraud containment notwithstanding -- would be cheaper and better for most of our society.

39 posted on 08/12/2009 12:13:20 PM PDT by Albion Wilde ("A cultural problem cannot be solved with a political solution." -- Selwyn Duke)
[ Post Reply | Private Reply | To 1 | View Replies]

To: browardchad

“...but total control of health care by the federal government is most definitely not the answer.”

We are in complete agreement there.

“My underlying point is that I’ve seen and heard complaints about the system from too many folks who really were totally univolved in an elderly parent’s health care.”

I agree that constructive criticism is more likely to come from someone who has been involved.


40 posted on 08/12/2009 12:23:23 PM PDT by swain_forkbeard (Rationality may not be sufficient, but it is necessary.)
[ Post Reply | Private Reply | To 32 | View Replies]


Navigation: use the links below to view more comments.
first previous 1-2021-4041-6061-77 next last

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
News/Activism
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson