Message from discussion Unversal Health Care FOR IRAQ but NOT FOR the USA?
From: amp_spamf...@yahoo.com (amp_spamfree)
Subject: Re: Unversal Health Care FOR IRAQ but NOT FOR the USA?
Date: 28 Apr 2003 01:19:13 -0700
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karl...@yahoo.com (Karl) wrote in message news:<firstname.lastname@example.org>...
> jep...@shell.ntrnet.net ((null)) wrote in message news:<email@example.com>...
> > In article <911abb80.0304211416.25fc...@posting.google.com>,
> > Karl <karl...@yahoo.com> wrote:
> > >The case for "standards" from someone like the government is clear.
> > >Health care and Health Insurance can get very complicated and many pay
> > >the price. I found this on the Amercican Bankruptcy Institue website:
> > >______________________________
> > >New Study Points to Medical Bills as Bankruptcy Catalyst
> > >Of the more than one million people who filed for bankruptcy in the
> > >United States last year, more than half of them did so at least in
> > >part because they were unable to cope with medical bills or other
> > This is well-known Karl. It is one of the reasons why we have
> > such cost-shifting in hospitals, for example. However, were our
> > medical expenses not twice the average for industrialized
> > nations, it would not be such a serious problem.
> TWICE the average? Seems a bit high, don't you think????
George throws this number out routinely. It isn't correct.
> It's not as much HOW MUCH we spend here in the US it's how we spend
> We have little incentive to be efficient overall.
We? Under reimbursement schemes for inpatient care sapecifically,
there are tremendous incentives for efficiency. Note, much
reimbursement is made on a fixed price basis - any efficiencies result
in increased profit.
> People don't care
> about the cost as long as it's covered.
Payers care about the cost. You argue for UC/SP and then you argue
this. Do you see the contradiction? Better, do you see the inherent
> Individual companies are
> ALWAYS going to focus on their own area and not worry about the big
> picture, as they should.
By companies, are you refereing to employers responsible in part for
insurance premium payment or providers? Under a managed care concept
the incentives for comprehensive and continuous care over ride silo
budget approaches common in Medicare and medicaid systems.
> But I think someone should think about the
> big picture.
The only possible way to incentivise this view is to put the financial
risk on the "big picture". That is the approach taken by many managed