The level of industry opposition is a measure of its import…

By Jack E. Lohman

Current Political Reality

I am not now and never have been a supporter of ObamaCare and preferred it killed. It is a terrible bill that, if we are lucky, will cause great political turnover in 2014.

Repeal it, but then replace it with what it should have been in the first place; single-payer. That they delayed parts of it is an indication that might just happen.

They say things have to get worse before they get better, and in an underhanded way ObamaCare has made it much worse. What used to be 31% administrative waste will now increase to 40% with all of the additional IRS (BS!!!) personnel needed to operate the new insurance-slanted system.

Yes 50% of the people want it killed, because 65% of the people support Medicare-for-all. And good business people will support it too, because it will bring more jobs.

So valuable and effective (for the public) was the single payer option that Sen. Max Baucus and his corrupt cronies refused even to put it on the table for discussion. They knew it would pass hands down, and that’s the last thing their insurance industry bribers wanted (and their $125M in campaign bribes ensured). So Congress (and Obama) rolled over to the industry that will continue ripping off the public. This year; a 7% increase. And Baucus (smartly) decided to retire.

Importantly, anything the insurance companies get is bad for the public. This industry should be eliminated from health care, not expanded as they did. They are leaches… profiteers. They are as obsolete as phone booths; just a wasteful and unneeded middleman. It’s like giving the pizza delivery guy a chauffeur.

This is about political money. Always has been and always will be. The insurance industry has contributed millions of dollars to politicians in the past and will continue sending money in the future…

… that is,  IF they are left in the loop. Politicians care not about the past contributions, but do greatly care about the future’s hundreds of millions of dollars that will most assuredly be given. Eliminating insurance from the loop will stop the cash bribes.

That’s why single payer was never put on the table: Medicare cannot contribute to campaigns, only private industry can!

This country … our politicians … our esteemed national Board of Directors that we trust so implicitly … must quit trying to satisfy ANYBODY other than the needs of this nation!  Fixing the economy starts with healthcare, and if we don’t fix that correctly, the rest of the fixes will fail. But we mainly need to fix our corrupt political system!


What is Medicare-for-all?

It’s what we’ve been calling a “single-payer system.”  That single payer is the taxpayer, as opposed to the 1500 insurance payers and millions of businesses across the nation (which the taxpayers fund as well).

Some people call it “socialized medicine,” but 100% of the doctors and hospitals are private. Only about 3.5% is government overhead.

Very simply, with Medicare, you get sick, you get care, and the caregiver gets paid. It’s just paid for with taxpayer dollars rather than employer premiums which are passed to consumers at the cash register. It is part of our national infrastructure (as are fire and police protection).

And if you want cosmetic or other non-essential care not covered by the system, you can buy it directly, the old-fashioned free-market way, with cash dollars. On the outside! Otherwise all essential care is provided. Nobody is without, and nobody dies because they have had to forgo doctor appointments.

But we pay with taxes rather than at the cash register, and we pay 20% less than we are paying today.

Sounds simple, why the big fight?

Because there are billions of dollars in insurance industry profits at stake, and they have bought off the politicians to ensure that those profits remain. Over $125 million dollars in campaign contributions passed hands last year from insurance, pharmaceutical and hospital interests to the politicians calling the shots. The industry doesn’t want to lose profits in the future, but worse, your politicians also don’t want to lose the contributions in future years.

That your politician is taking money (bribes) from industry to tweak the laws so money transfers from your wallet to theirs is another issue the voters must soon resolve. With campaign reform we’d not be fighting this issue today; the politicians would already have fixed it.

But I don’t want to change doctors

You don’t have to. You use the same doctors and hospitals that you use today. They just send their bills to Medicare (or the state system) instead of the private insurer. We use the same Medicare payment system that has existed for 45 years. Nothing new is added, except patients. No new government departments, as ObamaCare requires. (Many!!! Like the IRS!!!)

How will this be paid for?

Through our national infrastructure (taxes) rather than the myriad of ways we pay today. There is no simpler or more efficient way. Part of what makes it cheaper is that it’s a pool of 330 million people rather than a pool of 100 or 1000 (depending on the size of your company), or one, if you pay your own or are uninsured. Another reason is that it eliminates the inefficient insurance make-work system, which drains 31% of your dollars. And it pays when services are provided; not months in advance and on speculation. That eliminates the “float.”

The taxpayers pay? Isn’t that bad?

The taxpayers already are paying, but in a very roundabout and highly inefficient and more costly way. We now spend 17,5% of GDP on health care, compared to other country’s 10%.

At the very least we pay when employers add their health costs to the price of their product and we reimburse them at the cash register. But we also pay when their $40,000 executive packages are written off their taxes, and when uninsured people show up at ERs and the costs are shifted to everybody else, and when bankruptcies and foreclosure costs are passed on to the public, and so forth. We are all — 100% of us — paying horrendously for a very inefficient system, but one that is very profitable to the insurance industry. (And the politicians, incidentally.)

But isn’t that “socialized medicine?”

Not really, but it is socialized insurance if you have to give it a name. Yes, pure capitalism is preferred for non-essential consumer products, but essential life-saving services (medical, fire, police) should be made available to all, bypassing the whims and greed of for-profit CEOs and their shareholders. The new system would be operated by 95% private hospital and clinic contractors.

What’s wrong with the current method of using insurance companies?

A lot. It adds significant and unnecessary inefficiency, virtually all wasted dollars. Insurance company premiums include their medical expenditures, which we all know and respect. But then they must add their administrative costs (billing personnel, which can be cut but not eliminated) and overhead:

* High CEO salaries and bonuses and stock options
* High shareholder profits
* Broker commissions
* Marketing and advertising costs
* Actuarial costs (cherry picking)
* Denial of care costs (nurse gatekeepers and attorneys)
* Rescission costs (canceling policies retroactively)
* Political costs (lobbying and campaign contributions)

All of which are in the private system, none of which are in Medicare.  Importantly, Medicare-for-all changes only who writes the checks, not how patient care is provided.

And incidentally, isn’t it nice to know that your politicians are getting a piece of every healthcare dollar — today and in the future — under the current privatized system?

Does Medicare-for-all increase my costs?

Not the way it is currently designed, but in any case you’d pay for it differently. You’ll be paying through taxes rather than all of the ways outlined above. But some people object because the wealthy will pay more, the middle incomers less, and low-wagers nothing. That’s our progressive tax system which high income folks hate.

So how does it better serve the public?

Actually, for the same amount of dollars we are spending today (17,5% of GDP) we would provide first-class Cheney-care to 100% of our population. Including those in BadgerCare, SCHIP, Medicaid, and those who are uninsured and under-insured.

How can it be the same cost (or less) if it does more?

We’d re-direct the savings on waste (the 31%) to covering the new people added to the system. But be aware that there are also inefficiencies with Medicare that need to be addressed, like malpractice reform, overuse, abuse and fraud. However, these same inefficiencies exist in the private system as well, and usually to a greater degree because they rarely result in jail time.

What is Medicare Advantage

Medicare patients have the option to either keep the traditional Medicare or join a “private” version of Medicare, called “Advantage.” But ironically, the private plan costs taxpayers 17% more, so there is no real “advantage.” So much for private being more efficient than public, eh?

But there are sometimes additional services covered, and some advantage patients like that. But my mother dropped her Advantage plan because it didn’t cover some things she needed. You know, that “denial of care” issue.

You can make your own decisions after reviewing these stories:

— States Look to Rein In Private Medicare Plans

Private Medicare Plans’ Cost Questioned

Medicare Audits Show Problems in Private Plans

What’s the difference between Medicare-for-all and a public option?

Medicare-for-all is funded by the national infrastructure (taxes) rather than by the patient (either directly or through the employer). Or at least that’s what we think now, but the public option is still not available. And when it is it likely will be weakened by the insurance industry – so that it does not truly compete – by making it applicable only to low-income people and not to employers and people who truly want to opt in.

The “public option” is a political posture, not real reform. And it’s interesting that politicians who otherwise like “choice,” don’t want to give this choice when it truly competes with the moneyed industry that help fund their campaigns.

So what’s this “trigger” thing?

It’s giving the insurance industry “one more chance.” Like, if we extend this current mish-mash by three years and you don’t fix it, THEN we’ll get tough and implement a public option (LOL). It’s a political way of letting the public think congress is doing something when they’ve just extended the rip-off another three years.

To what extent will this affect businesses and American jobs?

Certainly extending care to 100% of our population is valuable, the humane thing to do. But the positive effects on the business climate and economy are rather significant. Health care represents 15% of wages, and eliminating or reducing that cost would allow companies to better compete with foreign product and keep jobs in the US rather than outsourcing them.

For example, more Big Three autos are currently made in Canada than in the US because employers there spend $800 per employee per year versus $6500 here. Thus GM is closing plants in the US and opening them in Canada, and that’s just one company out of the thousands outsourcing. Medicare-for-all would be this country’s wisest bailout ever, for 100% of businesses and not just the bankers.

Taiwan adopted Medicare for 100% of their citizens and are running with an unemployment level of 5.9%.

What’s stopping us from fixing the system?

We have a basic problem with political corruption, and here it’s a matter of who can send the most money to the politicians that write the rules. In this case the insurance industry has clobbered the non-insurance businesses. Unfortunately, the insurers are also part of the business coalitions (chambers of commerce et al), and they seem to have pulled the wool over their member’s heads as well.

But the bigger problem is political corruption. While we re-elected new congressional leadership we did not replace the special interests that corrupt them and the insurance industry is now controlling the new politicians just as they did the old. Nothing will change until we get solid campaign finance reform, and that will not only fuel good health reform but also curtail government spending and taxes.

What are some other ways we can make our system more efficient?

Most certainly Medicare-for-all will reduce the burden on emergency rooms if people now have their own physician, but we should open more rapid-clinics in shopping centers and mega-stores, initiate medical malpractice courts, and reinstitute the Certificate of Need program in the states to control over-building and excessive purchases. But as well, we must move lower level medical care – like treating colds and minor stitches – to credentialed nurse practitioners, physician assistants, and pharmacists.

Would Medicare-for-all fairly compensate healthcare providers?

Yes, Medicare sets the level of reimbursement for each test, but it is fair. And if it weren’t fair or my doctor was losing money on me, he wouldn’t be bugging me to come in for my yearly checkup (as he does). In fact he wouldn’t be accepting Medicare at all, because he has that option.

The fees are based on reasonable salaries, technology costs and overhead. They don’t overpay, though with our current system over-billing can occur (in both the public and private systems). But if doctors were losing money, over-billing would not occur! You cannot make up losses with volume; you can only go further into the hole.

But won’t physicians lose money on Medicare-for-all?

No, they’ll no longer have to provide charity care and absorb bankruptcy losses, all of which are currently cost-shifted to private insurance premiums. Their high charges to the privates are to offset charity-care losses, not Medicare losses (because there are none). That doesn’t mean to say that Medicare rates could not stand increasing, which they can. But right now getting the known waste out of the system is the most prudent place to start.

How do physicians feel about a single-payer Medicare-for-all system?

A single-payer system is supported by 59% of our physicians, a greater number of nurses, and 65% of the public. Only those currently gaming the system oppose fixing it.

Yes, there are some physicians who don’t take Medicare patients now because they’ve grown their practices and don’t have to settle for “fair.” The privates often overpay, sometimes tremendously, but those high-profit days are coming to an end. These physicians will join Medicare when it is the only system available, and they’ll survive quite well.

Will Medicare-for-all bankrupt us?

No, but the current system will.  In their quest to satisfy the pharmaceutical industry, politicians passed in 2003 a Medicare bill that gives the industry $780 billion over the next decade, all while preventing Medicare from negotiating for lower drug prices. The VA system saves 50% on drugs, but Medicare is not allowed to negotiate. These same politicians are now claiming “Medicare is going broke.”

Yes, the most efficient drug distribution system is — get this — drug stores!  And at a fraction of the cost!!!  The doctor would write a prescription, the patient would pay a deductible, and the drug store would bill Medicare the balance. Nothing could be simpler. Nothing could be more cost-efficient. But no “drug plan” is needed, and no insurance industry is needed to fund it.

But what about overall costs?

Multiple studies have been run by non-profit organizations on the efficiency of Medicare-for-all (for example see the “Medicare for All (Single-Payer) Reform Would Be Major Stimulus for Economy with 2.6 Million New Jobs, $317 Billion in Business Revenue, $100 Billion in Wages.” And I suspect even the Lewin group has looked at it, but now being a subsidiary of UnitedHealth would make it difficult to publish the results.

How about health Savings Accounts (HSAs)?

“HSAs coupled with high-deductible health plans increase cost-consciousness among enrollees, but have little effect on overall health care costs.” The Bell Policy Center

A RAND Corp. study demonstrated that when hypertensive patients had to pay part of the bill, they had a 10% higher death rate. Certainly if people die earlier we will reduce our health care costs, but that sounds too much like a Philip Morris study I once read.

Even partial payment by the patient can be counter-productive, like co-pays, which usually cost more than they save. It was shown in a Kaiser Family Foundation study that mothers in low-income families will too often forego their blood pressure medicine to put food on the table, and then they have a stroke or heart attack or, worse, die. This sounds neither compassionate nor conservative.

Yes, for the young and indestructible they can increase personal savings, as they allow people to opt out of contributing to the healthcare system of the nation. But don’t get sick and then seek a real policy, as it likely won’t be available to you.

But I don’t want the government standing between me and the doctor!

That doesn’t happen with Medicare today, or we wouldn’t have 59% physician support. But it does happen when it affects CEO salaries and bonuses and shareholder profits, and the CEOs do indeed intervene and deny care. Even after you’ve paid your premiums. Remember the 17-year-old California girl who died because she was denied a kidney transplant, even after multiple doctor pleadings? That was Cigna, not Medicare.

More importantly, that was Cigna CEOs, not Medicare politicians.

What will happen if we don’t pass Medicare-for-all?

Nobody is looking at where we’ll be in ten years if we don’t fix the system. Corporations like Kohl’s, QuadMed and Motorola have already started to provide their own self-funded on-premises medical services. That means the for-profit CEOs will eventually be calling the shots rather than your doctor. Some will be very good and some very bad.

Some employers have formed co-operative health care systems where for-profit CEOs are again calling the shots over your doctor. If the CEO doesn’t believe in contraceptives or stem cell research, well, tough.

This is not a pretty picture. Doctors will hate it, nurses will hate it, hospitals will hate it, and eventually even the employers and the insurance industry will hate it.

But worse than all of that, employers will still pick up the tab, though it has been reduced but is still there (remember the 15% of wages?).

But, but… Medicare is not “free market!”

Thankfully it’s not. Indeed there are free market types who don’t want the government involved in anything. It is socialized medicine, don’cha know? And the insurance industry loves it, and even funds the Tea Party protests.

But these are the same guys who supported the capitalistic, free market banking and credit industry and are now accepting a government bailout. You know, socialized banking for losses but privatized banking for profits. That is – and read this carefully – shareholders reaping the profits and taxpayers getting stuck with the losses.

What about competition in health care?

Importantly, there is no such thing as a free market in health care. Never has been and never will be. Rarely will patients or parents send their children to the cheapest doctor or hospital. They will always be viewed as cutting corners to keep costs down, and the reverse will occur as patients and parents seek the best in care (the most expensive) and drive costs up rather than down.

Profits have a place in non-essential consumer products, but not in essential life-saving humanitarian services.

Besides, if insurers ever have to cut costs to compete, you can be sure that they won’t reduce executive salaries and profits. They’ll cut payments for tests and services, thus affecting incomes for doctors and nurses.

But look at Canada

Of course we can point to the wait times in the Canadian system, and that looks bad for single-payer systems. And the insurance industry loves to inflate their weaknesses to scare the people in the US, and the industry is fighting fixes in Canada just as they are in the US.

But that’s Canada and not the United States. Canada’s problem is that they spend only 10% of GDP compared to our 16.5%. If they increased their health care spending by just 10%, to 11% of GDP, they’d not have wait times either.

Alternatively they could eliminate 1/6th of their population from the system, as we do here, and they’d not have wait times either.

Most Canadians want more of their taxes spent on health care, but the insurance interests in Canada are lobbying parliament to reduce spending even further to force patients into their more profitable privatized system.

But even still, 86% of Canadians prefer their system to ours!

The US insurance industry has been spewing pure garbage about the Canadian and UK systems. Those systems are clearly not perfect, but they are very acceptable to their people. Here are a number of articles that will support those contentions.

But more important than that…

We are not proposing a Canadian or UK system. We are proposing an American Medicare system that is properly funded to replace all of our inefficient private and public systems. But we’ll let the hot-shot conservatives opt out if they want. Pay the extra 31% and go private.

U.S. Medicare isn’t perfect and it surely needs fixes, but it is far easier to fix one system than the current mish-mash of 1500 private plans, and each of those with 5-10 different contracts covering or not covering whatever.

How about opening insurance competition across state lines?

The idea of opening it up to cross-border competition between these 1500 private insurers is a ploy from an industry that knows full well that if competition were to force their medical payments down the losers would be the healthcare providers and not CEO salaries and shareholder profits, all of which will remain a drain on the system.

That adds massive administrative costs to doctors and hospitals who already have enough trouble satisfying the 450 insurers in Wisconsin, and it opens the system to even more fraud and overuse. The insurance industry should be eliminated, not protected.

Besides, the unnecessary and wasteful billing will not be removed by adding more insurers, it will be increased. The unnecessary costs in the current system are generated by the free-market insurance bureaucracy, which wastes 31% of health care costs. Those are not going away with cross-border sales.

But worse, insurers would move their headquarters to the state with the least consumer protections and all other state regulators would be without legal control, which of course the industry would love.

How will all of this affect quality

For those with pricey policies, it’ll neither go up nor down. And you are paying dearly for that privilege. For those uninsured or under-insured there is only one direction. It will improve.

America’s higher health care costs have not provided a higher level of care. The single-payer systems in Canada and elsewhere have produced longer life expectancy and lower infant mortality rates than ours, mainly because of the patient’s easier access to proper care. Our costs are twice those of other nations, on a per-capita basis, yet the World Health Organization has us listed as 37th in the world in overall efficiency and effectiveness.

We can do better, and the nation’s economy demands that we do. In this time of need we cannot keep throwing healthcare dollars down the tube.

Well, what’s this “Medical Tourism” all about?

That’s the outsourcing of medical care to other countries. If a procedure costs $100,000 here and $20,000 in India, the patient may be given the option to share in the savings — IF, that is, they are willing to risk foreign travel and picking up diseases on the flight back to the states when their immune system is down. Or dealing with a medical malpractice system 5000 miles away. Or worse, a Mumbai-style takeover of the hospital while you are there. But what the hell, nobody said life was easy.

It is what it is…

No health care system is free. Some are funded directly and some indirectly. Some are funded through premiums, wages, cost shifting, tax subsidies, bankruptcy costs and higher priced products. Others are paid for with taxes, which is the most efficient for all concerned. But the insurance CEOs like things just as they are, so the politicians have acquiesced (for a price).

Top priority: If we could keep the moneyed interests from bribing our politicians, we’d fix health care overnight! But for the moment we can’t, so we must fight the bought-and-paid-for misconceptions.

26 Responses to Medicare-for-all

  1. Even Medicare requires a 20% copay for some procedures, and doesn’t offer a free annual physical exam. I thought that they wanted to keep costs down! Finding out what’s wrong early keeps treatment costs down; hence, everyone should have a free annual check-up.

    Republicans are already in the process of gutting Medicare. The Medicare Advantage programs are heavily favored in government propaganda over traditional Medicare, and they are nothing less than private insurance. It’s the stealth privatization of Medicare. And they give doctors better payments for Advantage patients than they do for traditional Medicare.

    Trying to get pricing information out of doctors is like puilling teeth and the Medicare service codes are top secret. You can’t find them anywhere on the web which is ridiculous. Everyone should have access to that information.

    My doctor recently recommended a colonoscopy for which there’s a 20% copay. Damned if I want to pay $2000. if it’s a $10,000. procedure, but try to find out what the “accepted Medicare payment” is. The whole system is ridiculous. Don’t wish Medicare in its present form on anyone. Obama needs to get rid of Medicare Advantage and give traditional Medicare patients all the advantages of the Advantage program like a free annual physical.

  2. As a Medicare patient you can choose between a 20% co-pay and carrying side insurance which is called Gap. Mine costs $300 per quarter and is worth it. But you are right, sometimes co-pays are counter-productive.

    Yes, Republicans (read “Bush”) were in the process of privatizing Medicare with so-called “Advantage” plans, because they were in the pockets of the insurance industry. These are not a good option to traditional Medicare, which 80% of seniors have selected. It’s not that the doctors receive better payments, its that the insurers do, by about 15%. But you have to respect the power of campaign cash. It works wonders with corrupt politicians.

    Pricing information can be gotten directly from Medicare, and if you’ll give me a day I’ll get you that number.

    Medicare-for-all means exactly that: ALL. Even politicians. So it will be run appropriately.

    And incidentally, get that colonoscopy!!! Finding colon cancer early increases survival rates.

  3. Try this….

    Accept the terms and then enter your state and CPT code for the procedure. It should tell you how much Medicare will pay. Your portion is 20% of that.

    They cannot charge a Medicare patient more than that, but they can charge private insurers or the uninsured anything they want.

  4. Yea, Medicare has problems that must be fixed.

    But Medicare is better than the private systems run by CEOs who deny or manipulate care to increase profits. We must get politicians and private insurers out of the loop.

    I’d subcontract the system to a nonprofit group that has zero ties to the for-profit world and can’t even take contributions from the outside. They can contract with WPS (in Wisconsin) and the other administrators that are set up to pay the bills. I’d require a “floor” of service; a minimum level of care. You know, like not letting someone unnecessarily die.

    If something isn’t covered, let the patient buy it on the outside. That’s the free market system the elites strive for.

    I’d also subcontract the fraud oversight to outside (private) investigators who are paid only on the basis of how much fraud they uncover.

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  6. georgie says:

    We don’t want Obama’s Health care it will raise are medical up every time he wants it to go up we are paying out of are SS $96.50 amonthe for each of us and $3,000 that comes to over $5,000 ayear. and he said middle class wouldn’t get tax raises he get’s you in other ways. Medical -Medicare and Medicad all need fixing just fix them for pet sakes and use the one that really works. We’re tired of giving our money to all these politician and if we pay for all their transportation to and from work it’s time they all pay they own and vaction- Secert serice people and the use of that 200 passenger plane that Nancy Pelosi use to go back and forth they only work 9 days a month so why do they get all the raises and increase in our ss and we get tiny bits oor none wake up folks we shouldn’t be paying for all these rich and weathy Politician they should pay for their own stuff,if they have a great helth plan why can’t the people have the same one and if they won’t be in it why should the people. call your mayors-senator-and the white house or write tell them no and you should read up on the Totalization Agreement it sucks we are being stabbed in the back.Thy also want our Military to be put under united nations army and if they won’t they get court marshalled and put in jail isn’t the great that’s Obama and Hillary Clintons great brain strom idea’s and we will never have any body to protect our america wake up folks even those that reveiw this,he never should of left our borders opened, all these people wouldn’t be taking so much from our children we could of subsidizes our college students instead. well God protect all of us that still believe in old glory and our military and the USA.

  7. georgie says:

    we must get every Sentor-Governor-Mayor-and to that person House speaker to not push this health plan though,it will put us all in debit up to our ears,and how many ear marks or lobbyist will add into this plan . we don’t want people killing babies when a person is further along to see arms and legs and a head that is wrong. as far as black americans i amtired of hearing they need more than any poor person in other race we are suppose to be working togher not having obama old rev’s saying we whites want to kill obama may be since they thoght of it like house speaker thouht it to will get some kook out to try so why don’t he stop these sick rev or paster or prest from even saying just things that is sick maybe they all need to see a doctor. Thes politician have more money than alot of us will ever see and if they keep our taxes down we would possiale get good business back here. If everyone in the USA that have big wages would cut theirs and bonuses go to our deficit we may pull our state out of this rotton place were at, it’s been every Presidents fault but now it’s obama’s fault whether you voted for him or not this taking off on trips all the time instead facing the mess he has made by greed and extravgrance, and try ing make a big name for himself instead of working with all americans instead of one race and one thimg gettingg all kinds of good paying jobs not just government and great education for our children. god bless all and hoping were all in this together no killings no fighting just talk and writing and caaling theres only a few tv station that are telling the truth about what is happening in our government. too much of our money is going to the un and over seas that’s got to stop and why obama let all these people in to take our jobs and money we don’t understand. read mrs obama 1985 thesis princton it tell syou what she is about and really it sounds like she’s blaming the white the ones that put into every system to get the black and others off their butts to get to work and school we’ve never seen so many complain about not getting help from us well we ffl this why way do you have somany children if you can’t afford so stop blaming others for your down falls. good luck god bless and lets pray for our military write to lt olver north if you want more on the un army or find it on the computer. hope this gets read by all God Bless AmericaGod bless our citizenship and get our English for all

  8. Rudy Zarzosa says:

    I know this is going to sound far fetched, but I was in bed awake the other night, and suddenly I got to thinking that the democratic and republican parties are just playing the bad cop, good cop game with everything about health care reform, finance reform etc..already having been decided by the mutual consent of both parties.

    Kind of like one of those reality shows that has already been pre-planned….LOL

  9. If we’re going to really reform health care, we need to do better than just copy what other countries have done. We can use their experience as a “guide”, but we can also do better. What drives our high health care costs is “fee for service” medicine. The more the doctor can do, the more money he or she earns. The insurance industry is into this too since their own income is based on “cost plus” like a defense contractor. So if they can raise premiums by say 20%, they also increase their profits by the same amount. The drug companies also play us for suckers too. They deduct all their US costs off their taxes, then they also deduct the taxes they pay elsewhere off their taxes. Nice deal as they end up paying far less in taxes than what it would appear from their total profits, and their “return on investment” is about four times that of the oil industry. Plus most of their so called “research” is paid for by “Uncle Sam” through government grants to university labs. Plus they pay the FDA for testing their drugs, which makes the FDA far more willing to “pass” drugs that actually have serious side effects. My wife was taking the diabetes drug Avandia and had two heart attacks from it. The drug can still be sold legally “here”, but not in some European countries. So Americans often end up being the “test animals” for the companies’ drugs.

    On my blog “www.muskegonlibertarian.wordpress,com” I clearly state what we should do. First step is to repeal prescription laws for most medical drugs. This deprives doctors of the power to force you to make unnecessary office visits and have unnecessary lab tests just to put $$$ in his pockets and provide employment for others. In my own case this amounts to a “waste” of about $1,000 a year between what I pay and what is paid by my Medicare Advantage carrier. Nor do we need to have every hospital with the latest 21st technology when only a minority of those hospitalized actually need it. The cost is passed on to everyone, but a lot of the use of such technology is done just because it is there, and our screwed up malpractice laws encourage such things. Otherwise our hospital costs would be a fraction of what they are now. Put all of this together and our health care costs would be less than two thirds of what they are now. Perhaps even less if we could cut out all the waste like drug companies copying other company’s product, which is a big portion of the “new drugs” that get patented and sold at inflated prices. We could so tighten up on our patent laws so that a patent would only be issue for a major development. For example, asthma inhalers used to be cheap generics. Then the feds outlawed the use of freon as a propellent. It was easy enough to find another propellent, but that allowed the companies to get nice new patents and thus tripled the price for which they could be sold. Another example of how we get “ripped off” by the crony capitalists running this country, bribing Congress to do whatever they want. There’s a solution for that too. It’s called “demarchy” (the Greeks of Classical Athens used it). Look it up on “Wiki” for further information or visit my blog.

    • You are absolutely correct, but you are attempting to fix the system (that was created with corrupt campaign bribes) with the honesty that should have been used instead.

      Like the drug industry, for example. Vioxx passed the FDA clearing process using a panel of 15 doctors, nine of which were on the company’s payroll and took consulting fees. Why? Because they could, and there are still no laws against this deadly conflict of interest. Because the politicians who write the laws ALSO take cash bribes from the drug companies. It is for this reason (political cash bribes) that the taxpayers FUND the drug research and THEN turn the product over to the drug company to patent, and subsequently to rip off the public with gouging prices. We can thank our corrupt political system for it all, and especially the politicians on the take.

      Add to that the patent process itself, which is a gold mine for the patent attorneys and their corporate benefactors. All of which have enjoyed the benefits of political payola. Our “fee for service” system was a compromise with the AMA, another large campaign contributor.

      You also bring up the point of ALL hospitals buying duplicate equipment, and that has been allowed since the industry successfully lobbied (with cash bribes in hand) our politicians to eliminate the restrictive state-run Certificate of Need program.