Community | August 07, 2008 | 78 comments

82% of Americans think healthcare needs a major overhaul

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August 7, 2008, New York, NY—Americans are dissatisfied with the U.S. health care system and 82 percent think it should be fundamentally changed or completely rebuilt, according to a new survey released today by The Commonwealth Fund. Also today, The Commonwealth Fund Commission on A High Performance Health System released a report outlining what an ideally organized U.S. health care system would look like, and detailing strategies that could create that organized, efficient health care system while simultaneously improving care and cutting costs.

The survey of more than 1,000 adults was conducted by Harris Interactive in May 2008; and the vast majority of those surveyed – nine out of ten -- felt it was important that the two leading presidential candidates propose reform plans that would improve health care quality, ensure that all Americans can afford health care and insurance, and decrease the number of uninsured. One in three adults report their doctors ordered a test that had already been done or recommended unnecessary treatment or care in the past two years. Adults across all income groups reported experiencing inefficient care. And, eight in ten adults across income groups supported efforts to improve the health system's performance with respect to access, quality and cost.

"It is clear that our health care system isn't giving Americans the health care they need and deserve," said Commonwealth Fund President Karen Davis. "The disorganization and inefficiency are affecting Americans in their everyday lives, and it's obvious that people are looking for reform. With the upcoming election, there is great opportunity for our leaders to hear what the American people are saying they want from a health care system, and to respond with meaningful proposals."

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It just sucks that America is becoming more of a dictatorship than a democracy.
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78 comments // 82% of Americans think healthcare needs a major overhaul

  • soleil10
    • 0
      soleil10  
    • In today's global market the concept of national healthcare by politicians who have never run a business or carry a payroll will probably end up in a huge bureaucracy where the consumers will be trapped at the mercy of multi- nationals. Only a universal healthcare approach will work.

      Today, consumers need to be global in their thinking.

      Why buy prescription insurance when you can get your medecine at 60% off american prices in Canada, England, India etc....

      One should use an American doctor for the prescrition and shop outside of the US.

      Multi nationals use cheap foreign labor and sell at high prices to US consumers.
      US consumers should act the same way.

      Why not have surgery outside of the country for a third of the price.

      You can be sure the price would then go down in the USA quickly. Politicians will blow it

      In addition why should we be responsible for someone else self inflicted diseases, like STDs, obesity, etc...

      The whole scenario of national healthcare as we hear it without these components is doomed from the beginning

      All it will do is get someone elected on false promises.

      It is a blank check with no accountability

    • 3 years ago
  • diode
    • 0
      diode  
    • i love how people love and hate the government. the government somehow is now convenient because they need to tell health care companies how to do their jobs. don't interfere in our lives, but you need to go interfere with these companies because i don't like how it's affecting me.

    • 3 years ago
  • philbangs
    • 0
      philbangs  
    • The US spends twice as much as any other country on health care and our quality of care is rated 29th in the world. Maybe we can learn something from other countries.

    • 3 years ago
  • AntiFacistCanuck
  • agitator
    • 0
      agitator  
    • 82% of americans are morons! They polled 1000 people? Wow, what a stagering number. The poll asked if 1000 thousand people thought the healthcare system should be changed. It did not ask if you would like your local IRS office to double as your insurance provider. Socialst freaks always want the government to babysit them all the way through life. Stand on your own. And this is coming from a guy who made $32K last year not some millionaire on drugs.

    • 3 years ago
  • gmmay
    • 0
      gmmay  
    • People need to stop deluding themselves about other countries. There is no free healthcare.

      What makes you think you're not going to pay for healthcare under one plan, 10 plans, the government, or free market capitalism? If the government runs it, your taxes are going to go through the roof. Forget your foolish talk of cutting military spending to pay for this. Check out government expenditures on Medicare and Medicaid to see just how much taxpayer money it takes for those programs. Then imagine full healthcare/insureance provided by the government for this country of almost 300 million. It will make our defense budget seem like a drop in the bucket.

      I don't want to pay for your healthcare. It's that simple. I don't want to see Americans get the type of abominable care the military gets, because THAT'S what they will get if the government gets to do it.

      Astronomically high taxes and worse care, you guys are awesome!

    • 3 years ago
  • Marilynn_Murray
  • TexasPatriot67
    • 0
      TexasPatriot67  
    • The only way your going to fix healthcare is take the profit out of it and then you will be left with another socialized bloated government program with people wanting more

    • 3 years ago
  • Bovey
    • 0
      Bovey  
    • TexasPatriot67:

      Take the profit out of health INSURANCE, not healthcare. The doctors that go to school for years, and the nurses that work 18 hour days deserve to make good money, and the better ones should be able to make more. The problem currently is that we are funneling billions of dollars to the health INSURANCE providers, who are nothing but middle men between doctor and patient, and not providing any benefit to either party.

    • 3 years ago
  • wislogger
    • 0
      wislogger  
    • Most people I know that complain that they cant afford heath insurance are spending way to much money on other shit they cant afford. Its all about priorities. If you cant afford health insurance try getting a job that provides coverage. Its not that expensive most people pay more for a car payment then it would cost them to buy basic heath insurance for themselves. When did people get the idea that they were entitled to having the tax payer provide them with heath care.

    • 3 years ago
  • stopnoise
    • 0
      stopnoise  
    • Insurance! Who is more smart than the Insurance Companies? A place were you pay and pay and pay and you are as good as your next day payment. No wonder they can afford so much advertise in prime time TV as they make the American people look like...well a cave man or a reptile. They are also the ones paying to destroy the peace on our weekends by sponsoring banners flying noisy aircrafts in my neighborhood. What a sweet way to show how we are so...

    • 3 years ago
  • Robroy1
  • CaptB
    • 0
      CaptB  
    • No winning here.

      HMO's dictate care because in the 80's the physicians took advantage of the system and made a lot of money. Now physicians are rewarded for not ordering tests.

      Our country pours a lot of money into saving infants that would not otherwise be viable (under 26 weeks) and the elderly in ICU (over 90 years of age). This is very controversial to say that any life is not valuable though. There has to come a time when a stage 4 cancer should not be treated. Just palliative care.
      So we need to think more of economic concerns than with our hearts. I work in the socialized medicine realm of the military health care arena.

      I think we need a universal health care so that all people in this nation should be able to have access to health care. Otherwise, our emergency rooms will continue to be saturated with non-emergent cases.

    • 3 years ago
  • Marilynn_Murray
    • 0
      Marilynn_Murray  
    • We pay almost twice as much for health care as anyone else. We are way down in something like #37 in health care? Because we have the for profit insurance companies taking about one third of our health care dollars. This is STUPID!

    • 3 years ago
  • Wessagusset_Oracle
  • stopnoise
  • bluestranger
    • 0
      bluestranger  
    • With all of the economic crisis and the bankruptcy filings, I've noticed there aren't any insurance companies or HMOs going out of business. Yet we see new cancer clinics, therapy centers, and corporate hospital expansions quiet frequently. Does anyone know how this can be? Surely these entities wouldn't take advantage of the very people that they are supposedly taking care of.

    • 3 years ago
  • crob80227
    • 0
      crob80227  
    • Isn't "idealized" or "perfect" insurance ultimately just single-payer by another name?

      If everyone has a insurance policy, makes a monthly payment based on income, and then recieves ALL the healthcare they need and never have to pay out-of-pocket expenses (like $25,000 out-of-pocket because their insurance didn't cover all of a particular life saving surgery) --- then isn't that just single payer by another name?

      Unless you're arguing that only a small percentage of citizens (based on income) are entitled to comphrehensive healthcare services and the rest must be denied (or must bankrupt themselves for the privilidge of not dying) so that the rich may prosper.

      Is "healthcare" truly finite?

      That's like trying to argue that police protection is finite and must be "rationed out" by forcing people to buy private public safety plans. Public safety (or the general welfare, as the Founding Fathers called it) would be rationed out by income level. Hardly in keeping with the concept of "All men are created equal...."

      Again, health (like public safety or national security) is a concept and not a thing. Free market forces have no effect on "health" because there is no choice.

      People cannot choose what illnesses they will or will not get, nor can they choose the exact time or place they will get these illnesses.

      Neither do the doctors have any choice. They cannot (for emergencies) choose who they will treat.

      If a whino gets hit by a car and requires $250,000 of life saving surgery --- neither the unconscious whino nor the hospital have any choices about anything. They (the doctors) must save the whinos life and they must perform a set number of specific procedures in order to achieve that result.

      This situation is unheard of in any other true free market situation (like selling cell phones). Virgin Mobile is not "required" to give be phones nor are consumer "required" to buy them.

      Trying to apply the free market to healthcare simply doesn't work because there is no choice.

    • 3 years ago
  • AliciaJC
    • 0
      AliciaJC  
    • I have no insurance right now as a student, my mother is a low income student going back to school as well, so right now im down with any option to get me coverage at this point.

    • 3 years ago
  • Gephoria
  • clayjj05
  • Bovey
  • Ricky84
    • 0
      Ricky84  
    • I think the single greatest deterrent to affordable healthcare in this nation is the US government. Their nitpicking and regulations drives affects healthcare practitioners across the board. Rampant government oversight insures that no one can provide a service without spending a considerable amount of time and money on administration costs and procedural understanding.

      Universal healthcare is not the solution either. Healthcare is a finite commodity, when you ration it out equally among the populace everyone suffers. I’d rather let the rich pay for a ridiculously pricey policy (that they’ll probably never use to its full benefit) while educating the middle class on how and where to find affordable healthcare. Case in point my PPO costs almost a third as much as the group HMO from my employer. If Americans would actually spend some time to research their options the percentage of those unsatisfied with healthcare would dramatically drop.

      There is another thing to consider before you jump on the universal healthcare bandwagon. How many governments with a form of universal healthcare spend as much money as the US does? How many of those countries spend a trillion dollars on overseas military spending a year and of those countries how many want to expand the military as McCain and Obama plan on doing? Is there a single country with universal healthcare that has such a fiscally irresponsible legislative branch?

      The 110th congress is mad. For every bill the house proposed to cut spending they proposed 21 to increase spending.

      The senate is even worse. Their ratio for increase bills to decrease bills is 29.8

      Simply put if you want affordable healthcare do your homework or reform the government. Most importantly stop voting for politicians who do not recognize the elephant in the room.

    • 3 years ago
  • onechance
  • Ricky84
  • AliciaJC
  • crob80227
    • 0
      crob80227  
    • Ricky84:

      "I think the single greatest deterrent to affordable healthcare in this nation is the US government. Their nitpicking and regulations drives affects healthcare practitioners across the board. Rampant government oversight insures that no one can provide a service without spending a considerable amount of time and money on administration costs and procedural understanding."

      Is there a specific example of this over-regulation? What are doctors required to do now, by federal mandate, that would be an example of unnecessary regulation?

      "If Americans would actually spend some time to research their options the percentage of those unsatisfied with healthcare would dramatically drop."

      It seems as though the real problem isn't a "perfect" insurance plan that people are unaware of -- it's that these plans either a) don't exist or b) the citizen can't afford it.

      Is there really a insurance plan that is both affordable AND perfectly protects citizens from financial hardship no matter what illness they come down with?

      It seems as though the problem is you can have only one of the other: you can find a cheap insurance plan that covers nothing or a plan that covers almost everything but osts more in premiums than you make a year.

    • 3 years ago
  • Ricky84
    • 0
      Ricky84  
    • Ricky84:

      “Is there a specific example of this over-regulation? What are doctors required to do now, by federal mandate, that would be an example of unnecessary regulation?”

      Crob I fear the day you enter politics because rhetoric is the last thing Americans need. What I mean by that is, why aren’t you countering my opinion with something of substance? Where is YOUR study showing that government regulation has a positive effect upon the health care industry? That’s right there is none because everyone knows the benefits of government regulation in the medical industry is overshadowed by the cost of such regulation.

      Here is an excerpt from a CATO study into health care regulation.

      “Students of regulation have known for decades that the burden of regulation on the U.S. economy is sizable, with the latest figures suggesting this cost may approach $1 trillion in 2004. Surprisingly, given that the health industry is often viewed as among the most heavily regulated sectors of the U.S. economy, previous estimates generally have ignored the cost of regulating health care services.

      Using a “top-down” approach, one can arrive at a “back-of-the-envelope” estimate that health services regulation imposes an annual cost of $256 billion per year (with a range of $28 billion to $657 billion), suggesting that health services regulations could increase estimates of overall regulatory costs by more than 25 percent.

      A far more accurate “bottom-up” approach suggests that the total cost of health services regulation exceeds $339.2 billion. This figure takes into account regulation of health facilities, health professionals, health insurance, drugs and medical devices, and the medical tort system, including the costs of defensive medicine. Moreover, this approach allows for a calculation of some important tangible benefits of regulation. Yet even after subtracting $170.1 billion in benefits, the net burden of health services regulation is considerable, amounting to $169.1 billion annually. In other words, the costs of health services regulation outweigh benefits by two-to-one and cost the average household over $1,500 per year.

      The high cost of health services regulation is responsible for more than seven million Americans lacking health insurance, or one in six of the average daily uninsured. Moreover, 4,000 more Americans die every year from costs associated with health services regulation (22,000) than from lack of health insurance (18,000). The annual net cost of health services regulation dwarfs other costs imposed by government intervention in the health care sector. This cost exceeds annual consumer expenditures on gasoline and oil in the United States and is twice the size of the annual output of the motion picture and sound recording industries.

      Finding ways to reduce or eliminate this excess cost should be an urgent priority for policymakers. It would appear from this preliminary assessment that medical tort reform offers the most promising target for regulatory cost savings, followed by FDA reform, selected access-oriented health insurance regulations (e.g., mandated health benefits), and quality-oriented health facilities regulations (e.g., accreditation and licensure).”

      You can find the full report here. Warning it is a PDF

      http://www.cato.org/pubs/pas/pa527.pdf

      more below

    • 3 years ago
  • Ricky84
    • 0
      Ricky84  
    • Ricky84:

      You’re right though; there is no such thing as a perfect healthcare plan. Perfection rarely applies to reality, especially when you consider humanity.

      “Is there really a insurance plan that is both affordable AND perfectly protects citizens from financial hardship no matter what illness they come down with?”

      Once again no. The best healthcare plan you can have is modeled for a healthy individual. Furthermore there is not a single plan in the world that can mitigate the cost of a illness without adversely effecting providers of that service. The only distinction that can be made between healthcare plans is who pays for it. As an individual I take responsibility for my health and therefore I am not asking anyone to pay for my shortcomings.

      Now I know what your response to that last paragraph is going to be so let me go ahead and answer you question. What do we do for all the people who come down with an unfortunate illness that’s not covered by their insurance policy? That’s a good question and I’m not so arrogant that I could truthfully propose a single solution.

      I do think there are a lot of different ways you could confront this problem. I know when I was a victim of a violent crime my medical costs were covered by a state collection pool called Victims Compensation. By that system state revenues paid immediate benefits to my doctors while obligating my attacker to replenish the pool through his wages. Maybe a similar system could be structured to help pay for important medical procedures with the cost falling back to the patient instead of a third party?

    • 3 years ago
  • Ricky84
    • 0
      Ricky84  
    • Ricky84:

      @Alicia

      I think our best bet is to pass a law that provides tax benefits to anyone that wants health insurance not just employers that provide group policies. Give your money to the hospitals and doctors who want to do business and CUT OUT THE MIDDLE MAN. PPO’s also spell out in plain English what they cover and what they do not cover. It’s a much better system then a group HMO.

      Most importantly people need to take responsibility for their health and wellbeing. Eat right, and exercise on a weekly basis.

    • 3 years ago
  • stopnoise
    • 0
      stopnoise  
    • Ricky84:

      Hey Ricky, Your video is very important! -Could you post it as an unique subject. That way it won't be stacked over this. Just a suggestion. You can give a title as:

      An alert to the American People

      Get it now or you will regret it later

    • 3 years ago
  • Ricky84
  • AliciaJC
    • 0
      AliciaJC  
    • Ricky84:

      @ Ricky84's healthcare solution

      What about people too poor to benefit from tax benefits, and what sort of tax benefits are you talking about? I grew up poor and didnt understand what the big deal about taxes were until I came to college. I didnt know that after a certain income people had to pay the government money when filing taxes; nobody around made enough to pay the government back. Im just curious as to how tax benefits are supposed to help these kinds of people.

      I agree that healthy eating is crucial for health, but in any poor areas access to quality, cheap healthy food is difficult in many poor areas, also evidenced by my childhood and current living situation. How should we address this issue?

    • 3 years ago
  • Ricky84
    • 0
      Ricky84  
    • Ricky84:

      Everyone pays taxes so I think any tax break would be beneficial to the poor or anyone for that matter. A deduction, exemption or a tax credit weighted against the expenditure of health care insurance would do much more then any government run program. So if you restrict the government’s ability to tax for welfare initiatives and allow those individuals to spend that money in the market then they’ll get much more out of that money than any redistribution plan.

      Take for instance the taxes levied against wealthy hospitals for uncompensated health-care. The Cato study I provided had this to say about the matter,

      “All told, these access related
      facilities regulations as a group cost
      $11.8 billion but provide benefits of only
      $3.8 billion. Hospital uncompensated care
      pools (net cost $5.2 billion) and EMTALA
      (net cost $2.3 billion) account for the lion’s
      share of this net cost.”

      So even when the government taxes everyone so that a few may receive much needed care, the care they receive is much less then the revenues generated. You can also compound that cost by the inflationary effect it has upon the price of hospital care. So not only does it negatively effect everyone, it especially effects the poor who have less money, and usually no insurance to pay for hospital bills.

      This is why I shake my head at Americans who demand for the holy grail of the welfare mentality, universal healthcare. First off there is nothing universal about such a concept. Each system throughout the world varies greatly and shares a common truth. In every country that has universal healthcare a percentage of the population (if allowed) supplements their health insurance with private plans.

      More importantly the most successful “universal health care” systems employ free market mechanics to drive down the cost of such care. So as I said before the real reason why health care is so expensive in America is not because we rely on a market driven system, its because of incessant government regulation. I base this assertion also upon the fact that the average annual rise of health care in America differs from the cost of countries with universal health care by only a single digit, or an average of 6% in the Us and 5% abroad.

    • 3 years ago
  • crob80227
    • 0
      crob80227  
    • I think Obama would do well if he re-framed the entire issue and explained to people that free market capitalism works really, really well on some things (like making better cells phones) and is totally useless on other things that aren't actual products.

      Corn, oil, iPods, beer -- all these things thrive and improve under free market capitalism because they are all a) actual physical items and b) are all choices people can make. Now it doesn't have to be necessarily be a physical item, it can be a service. But the key requirement is that it has to be optional in order for free-market forces to really have any effect.

      Health isn't a tangible thing and it really isn't optional. A stroke or a heart attack isn't really a "consumer product" in any meaningful sense of the word and it isn't a choice. That is to say, you can't splurge at Christmas and buy a blood clot. Having a crush injury because you got hit by a drunk driver isn't really a consumer choice.

      Same with public safety. Safety isn't an actual "thing" that can be sold and it isn't a choice. Police stations can't really compete to improve the product of "safety" in any meaningful sense of the word. Getting mugged or shot isn't really a choice.

      Obama needs to shift the thinking and reframe it so that people stop viewing "healthcare" as a tangible product that can enjoy the same benefits of free market capitalism that cell phones do.

      It just doesn't work that way.

    • 3 years ago
  • Ricky84
    • 0
      Ricky84  
    • crob80227:

      Crob I completely disagree with your free market analogy. For one Americans with personal insurance are not on equal footing with those who have employer provided insurance policies. The latter receives numerous tax breaks for providing a government mandated blanket policy. As a result Americans spend more (despite the tax breaks) for a policy that, in most cases, includes coverage for things they do not need while neglecting to cover operations they do need.

      If you want a real world example of a free market system all you have to do is look at a PPO. PPO’s have less restrictions, more options, flexible plans (which means they can be dirt cheap if you’re young and healthy) are no nonsense policies (since they’re generated by hospitals and doctors not salesmen looking to make a buck). All of this is done without tax breaks, yet you would have us believe that “free markets” are the problem.

      I say employer based insurance policies are a government funded monopoly just like big oil or coal.

    • 3 years ago
  • cadsuch
    • 0
      cadsuch  
    • How do you get people demanding and getting universal healthcare, when 60,000,000 people voted for a baby killer in the last election? Where are all these efficient and intelligent people? The group in power will just mention married gays and abortion on demand and black presidential candidates with no experience, (every 20 minutes, 24/7 till the first tuesday in Novenber) and we'll just come undone again!

      How come our healthcare system is set up where there is no competition? That's not the way they designed the free entrprise, capitalist model, is it?

    • 3 years ago
  • crob80227
    • 0
      crob80227  
    • cadsuch:

      Competition? How exactly would hospitals "compete" with each other since illness (like a stroke or heart attack) can't be planned out to occur near the hospital of your choice?

      Health isn't a commodity that can be regulated by the laws of the free market, just like "safety" can't really be regulated that way.

      Capitalistic competition works great at making better cell phones -- but is pretty useless when it comes to non-tangible / non-choice items such as "health" and "safety."

      Hospitals can't hold firesales on chemotherapy just before Christmas because cancer isn't really something that is really optional and driven by market forces.

    • 3 years ago
  • CarolynGillis
  • CarolynGillis
  • J_Jammer
  • CarolynGillis
  • J_Jammer
  • CarolynGillis
  • J_Jammer
  • J_Jammer
    • 0
      J_Jammer [removed]  
    • Image
    • CarolynGillis:

      Here you go:

      Even without laundry service, French health care comes at a high cost. There are questions about how long France can sustain it. The health system ran a nearly $9 billion deficit last year. The government of President Nicolas Sarkozy has since proposed that people should pay more of the cost for their own care.

    • 3 years ago
  • diode
    • 0
      diode  
    • CarolynGillis:

      its going to cost more in the US due to the fact that we generally have the best of the best. i mean, we have hospitals, single hospitals, with more CT and MRI machines, than some countries. most people don't realize that. and that these machines cost tens of millions of dollars.

    • 3 years ago
  • onechance
  • J_Jammer
  • CarolynGillis
    • 0
      CarolynGillis  
    • onechance:

      Yes we do have some great doctors and some great facilities. That is not the question. We have the potential to have a great system that works for everyone for the same price as we are paying to these Insurance Companies. It is not the people who work in these industries who are at fault. It is the top CEO's who are driving it and the Bush and Co. who are making it a breeze for them to bleed us dry. We are all trying to make best out of a faulty and corrupt system.

    • 3 years ago
  • crob80227
    • 0
      crob80227  
    • Imagine if cops had to work under "private insurance" schemes like doctors do?

      "You're only covered for 7 days of rape investigation and any DNA tests that need to be run will have to be out-of-pocket expenses payable in advance. If you want us to investigate your rape case beyond 7 days you'll have to pay us $10,000 per month with a 3 month minimum due and payable upfront on day 8. Let me have your credit card number and we'll begin the investigation."

      Sounds like bullshit, right?

      "Also, your particular plan doen't cover 911 calls so you be recieving a bill for $500 for that call. If we need to testify in court in regards to your case your plan will reimburse you up to 50 percent of our expenses at the end of the fiscal year, but understand those court related testimony expenses will be payable in advance by you prior to any legal proceedings otherwise we will refuse to testify. If you fail to pay all outstanding debts owed to this police preceinct you wages will be garnished."

      People can clearly and rationally see that using the "free market" system to regulate crime is utterly ridiculous, inefficent and counter-productive on every possible level. THAT they can see. But when you point out that exactly 100 percent how our healthcare is being managed they can't see how that's a problem.

      If the doctor says, "You're dying of a tumor. If we operate now we can save your life. If we don't you'll die within months. Possibly weeks. The surgery will cost $175,000 without insurance or $65,000 with insurance."

      You explain that you don't have $65,000 in cash or sitting in a Swiss bank account.

      The doctor shrugs and says, "Then die. The choice is yours."

      Ah, but is "not wanting to die" from an illness you were powerless to prevent really a free-market choice identical to buying an Ipod???

      Most normal Americans can see how the "free market" model really doesn't apply to illnesses and healthcare in general.

      The ones that can't? Voting for McCain.

    • 3 years ago
  • J_Jammer
  • J_Jammer
    • 0
      J_Jammer [removed]  
    • Government does health care they better pull the money from another program and not raise taxes. They get more than enough money to do everything they need to do. And if push comes to shove remove the IRS and place a standard Tax on everything and take out the excessive stealing from the paychecks.

    • 3 years ago
  • Marilynn_Murray
  • Marilynn_Murray
    • 0
      Marilynn_Murray  
    • What will be covered with HR 676?
      All medically necessary care would be funded through the single payer, including doctor visits, hospital care, prescriptions, mental health services, nursing home care, rehab, home care, eye care and dental care. We also advocate a sharp increase in public health funding.

    • 3 years ago
  • eldamon
  • Marilynn_Murray
    • 0
      Marilynn_Murray  
    • Key Features of Single-Payer

      Universal, Comprehensive Coverage
      Only such coverage ensures access, avoids a two-class system, and minimizes expense

      No out-of-pocket payments
      Co-payments and deductibles are barriers to access, administratively unwieldy, and unnecessary for cost containment

      A single insurance plan in each region, administered by a public or quasi-public agency
      A fragmentary payment system that entrusts private firms with administration ensures the waste of billions of dollars on useless paper pushing and profits. Private insurance duplicating public coverage fosters two-class care and drives up costs; such duplication should be prohibited

      Global operating budgets for hospitals, nursing homes, allowed group and staff model HMOs and other providers with separate allocation of capital funds
      Billing on a per-patient basis creates unnecessary administrative complexity and expense. A budget separate from operating expenses will be allowed for capital improvements

      Free Choice of Providers
      Patients should be free to seek care from any licensed health care provider, without financial incentives or penalties

      Public Accountability, Not Corporate Dictates
      The public has an absolute right to democratically set overall health policies and priorities, but medical decisions must be made by patients and providers rather than dictated from afar. Market mechanisms principally empower employers and insurance bureaucrats pursuing narrow financial interests

      Ban on For-Profit Health Care Providers
      Profit seeking inevitably distorts care and diverts resources from patients to investors

      Protection of the rights of health care and insurance workers A single-payer national health program would eliminate the jobs of hundreds of thousands of people who currently perform billing, advertising, eligibility determination, and other superfluous tasks. These workers must be guaranteed retraining and placement in meaningful jobs.

    • 3 years ago
  • onechance
  • huntre
  • MeganMcKenzie
  • clayjj05
  • MeganMcKenzie
    • 0
      MeganMcKenzie  
    • Doctors invest 12 or more years of school beyond high school to obtain an MD. If it weren't for these folks I would not be walking or moving my arms. Their sacrifice is enormous. Some of them make way too much money yet that isn't the norm anymore.

      While Canada and Britain may have problems at least everyone has minimal insurance. Usually a mix of state/federal plans and private work the best. A mixed economy makes more sense than a government that is run by PAC's.

      States have the opportunity to do something about health insurance and most don't. It is a complex answer yet if every USA citizen and if our elected officials were serious about it this would be a healthier nation.

      Of all the developed nations I know that US is like 16 or something in the health of its citizens.

      I know that folks are flying to other countries to pay for their medical treatments as they cannot afford to pay here. Some are dying on the way home from complications because it is dangerous to fly too soon after surgery.

    • 3 years ago
  • allIknowis
    • 0
      allIknowis  
    • MeganMcKenzie:

      I'd for gotten that, there was a story on 60 minutes i think it was, about the huge resort type hospital they're building in Malaysia mostly americans going there, getting all kinds of procedures done cosmetic to knee replacements, a lot of the Dr.s were from India. the Doc's were paid about $70 or $89K a year, about a 100 times their own country's national average. Good care, and every one's happy. It's just such a big big biz, it will be difficult to dismantle it. Like eating an elephant, one bite at a time.

    • 3 years ago
  • J_Jammer
    • 0
      J_Jammer [removed]  
    • MeganMcKenzie:

      And I know of Canadians and British who come to America for care.

      The fact that people go elsewhere is not a testament to anything other than they are going where they can get what they want faster than where they are.

      It just shows no matter where you are people are going to up and go to another place if they can get what it was they want for less. Sometimes it's America, sometimes it's Canada....and sometimes it's somewhere else....but no placed in this world can stand up and state that no one in their country doesn't get up and go somewhere else when it comes to medical treatment.

      Houston has one of the best heart facilities in all the world.....people come here from everywhere for that kind of specialty...

      Insurance sucks, though. That cannot be argued.

    • 3 years ago
  • clayjj05
  • Becky6378
  • Saladin
    • 0
      Saladin  
    • clayjj05:

      90% of all bankruptcies in this country come from people who cannot afford their medical bills.

      And if you were just going for a checkup, it shouldn;t cost you anything to go see a doctor.

    • 3 years ago
  • clayjj05
  • Marilynn_Murray
    • 0
      Marilynn_Murray  
    • Physicians for a National Health Program is a non-profit research and education organization of 15,000 physicians, medical students and health professionals who support single-payer national health insurance.

      HR 676 Resolution Campaign
      Begining in Novmember 2006, PNHP launched a national campaign to seek endorsements for the Conyers/Kucinich US National Health Insurance Act (HR 676). This is improved expanded Medicare.

      http://www.pnhp.org/

      http://www.pnhp.org/resolution/

    • 3 years ago
  • MeganMcKenzie
  • Becky6378
    • 0
      Becky6378  
    • More than 18,000 Americans die each year because they can't afford to see a doctor.
      The only presidential candidate who is proposing a single-payer health care system is Ralph Nader.
      Make your voice be heard! The more publicity Nader gets, the more the corporate politicians will have to focus on the real issues and needs of the American people.
      Vote Nader 2008!
      http://www.votenader.org/issues/single-payer/

    • 3 years ago
  • allIknowis
    • 0
      allIknowis  
    • I agree that something needs to be done drastically, but i'm not crazy about the feds in charge of it. It could (believe it or not) get worse. I've had Canadian friends tell me horror stories of their health care, in spite of what Michael Moore says. But the current system doesn't work for 80 some % of us. It would need to include lawsuit protection for health care providers, and a limit on the $100 of thousands that doctors make, but when you look at their insurance rates and medical school bills, that's not fair either. I don't pretend to know the answer, wish i did.

    • 3 years ago
  • regjoeschmo
    • 0
      regjoeschmo  
    • Allowing a private company to tell a doctor how long to see each patient, and also restrict or demand prices for certain procedures can only cause problems. The main issue with universal healthcare is: how do we do it on a federal level. The answer is WE DONT. Federal government does not have the authority to mandate such things, and not to mention the issues we already have with federal control over many aspects of our lives. Every state has the right to provide healthcare for its residents, and it would also run smoother to localize these efforts.

    • 3 years ago
  • MeganMcKenzie
    • 0
      MeganMcKenzie  
    • Yes, I have read several articles where docs are giving up practicing medicine and going into other professions, real estate, vineyards etc because they are sick of the hassle with insurance companies.

    • 3 years ago
  • MeganMcKenzie
    • 0
      MeganMcKenzie  
    • If our nation has billions to fight a war that most of us agree should never have been fought then why do we not have the money to insure everyone and provide good quality health-care at a reasonable price? It is beyond insane it is criminal.

      Why should health insurance companies run our country instead of our government?

      I have insurance through my employer although I am temporarily medically retired. For my husband and myself I pay nearly $1000.00 a month for this "privilege."

      This year I was told I needed a critical surgery on my cervical/spine area or I would be in a wheel chair as a quadriplegic for the rest of my life. I checked with my insurance company and was told the surgery was covered and approved. My hospital and doctor checked and they were told the surgery approved. The surgery was done (with a good outcome).

      The hospital submitted a bill for $90,000.00 to the insurance and sent me a copy. Yet because of a contract the insurance company has with the hospital the insurance only had to pay around $40,000.00 of the cost an uninsured person would pay. The insurance paid it and sent me a copy. Read on it gets better.

      A few weeks later I received a letter from insurance company stating the insurance company has determined they are not responsible for the bill and that I owe the insurance company $90,000.

      Now the hospital has written me twice asking me to "talk" to my insurance company to get them to pay as agreed.

      My story is no different than countless others who either go bankrupt, die, or live with a debilitating injury.

      Our son, who is 23 and uninsured, fell and had a severe fracture and splitting in his wrist. Fast surgery was the only way to repair his wrist which needed a cage large enough for ten screws to hold the bone together. The hospital told him he would get a charity break since he was uninsured so he went ahead with the surgery. The surgery was $60,000, for one night stay. The "charity" amount? $40,000.00 if paid in 30 days.

      How many of us have an extra $90,000.00 to pay a hospital bill? I work at a therapist for a public agency and my income for a year was much less than this hospital bill.

      Since I have worked all of my life since age 17 and for the last 20 as a public servant (who worked damned hard) I find our health insurance industry a national disgrace.

      One last word. I know I was lucky. I can walk, type, and fight for change.

    • 3 years ago
  • funksoulgurlll
    • 0
      funksoulgurlll  
    • im a grown up now and worrying about this sucks. im more worried about being sick and getting screwed by the providers than the illness itselfff.

    • 3 years ago
  • Saladin
    • 0
      Saladin  
    • The 18% of naysayers all have enormous incomes or are hopped up on drugs.

      Something needed to be done before yesterday, this is a decade overdue.

    • 3 years ago
  • J_Jammer
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