Originally posted by: dmcowen674
7-11-2005
Universal Health Care Push Being Revived
A push for universal health coverage is being rekindled in some states by the soaring cost of health care and the lack of political support in Washington for federal changes.
Advocates of a single-payer system ? where the government would collect taxes and cover everyone, similar to programs in Canada and across Europe ? have introduced bills in at least 18 state legislatures.
Across the nation, the number of uninsured is 45 million and rising, and 16 million lack enough insurance to cover all their medical bills.
Companies are raising employee fees for health care, increasing co-payments and decreasing benefits.
"There's no other solution out there," said David Pavlick "The system we have now is immoral."
Not since Oregon in 2002 has a state voted on a single-payer health system. Voters there soundly rejected it, as did Californians in 1994.
Both times,
the proposals came under fierce assault from the medical, insurance and pharmaceutical industries.
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Of course the medical, insurance and pharmaceutical industries oppose Universal Healthcare because their insane profit at the expense of human life would get knocked down.
Reading that makes it sound like it's "big business" screwing the employee again. In the case of health insurance that couldn't be farther from the truth. As an employer I want my employees to be covered in case of an emergency.
The business I manage has about 30 employees. For the last two years the only claim made against our health insurance was an employee's wife having a baby. One year we had exactly ZERO claims. In other words, our insurance company collected a stupid-expensive premium from us and paid out exactly $0 in claims. Did our insurance go down as a result of us not filing any claims? No. It went up 20%. And then 20% more the next year. The insurance co got approx $100k in premiums over that time period and our employees collected about $3500 in benefits. WTF kind of shlt is that?
In order to remain profitable (re: Stay In Business) you have to accept the fact that there is a finite amount of money that can be dedicated to expenses beyond salary, rent, electric and other costs related to keeping your doors open. All the rest of our expenses remain more or less the same. It's health insurance that is killing us so it's health insurance that has to be trimmed.
Now... why are the premiums going up so fast? I have a few ideas.
1. Mandated employer coverage. Once insurance became mandatory there was no reason for insurers to be competitive AND there was no reason to structure coverage packages in an effort to WIN NEW BUSINESS. It simply became a hold-up job.
2. Insurance providers make no demands of health care providers to keep costs down. And under the current system health care providers have to run up costs and perform unnecessary tests because...
3. There are no tort restrictions for malpractice suits. People can (and do) sue for just about anything. And since there is no reasonable definition of what malpractice is and there is no reasonable cap on damage awards...
4. Malpractice insurance claims are going through the roof. And this causes providers to have to increase fees and costs of supplies to the patients. And this brings us back to #2 and the circle starts all over again.
And it's not just private enterprise that is suffering under this system. Medicaid is causing huge financial burdens to state governments all over the country for exactly the same reasons.
Obviously this is an overly simplistic model. There are a million other factors involved here as well. One example is that somewhere around 1/3 of your average medical bill is there to cover the cost of dealing with insurance companies. This is evident in the growing number of "cash only" practices where the same proceedures and examinations can be 25-50% less expensive than in practices that accept insurance.
The solutions to these problems seem simple enough. Put a cap on punitive damages awarded in malpractice suits. Ban lawyers from charging on a contingincy basis in medical suits. Basically, bring all the variables in the expense side back under control and remove the lottery like atmosphere that comes with a lawsuit.
Remove restrictions on employers and insurers. One problem we have is that we have to buy insurance from insurers in our state. We're not allowed to shop around for an less expensive insurer somewhere else in the coutnry. If they aren't licensed in our state they can't sell in our state.
These are three simple things that would make a world of difference to me as an employer in regards to my ability to provide my employees with proper coverage. Now if only we could elect people with the balls to stand up to the insurers and lawyers to enact some of these things.