Originally posted by karajorma
That's not an isolated incident. It's an example of the kind of money-driven attitude that results in the system being a shambles. It's incidents like that. Incidents where HMO's insist on substandard care for their patients because they don't want to pay for operations and things like that which make the healthcare system a shambles. The fact that you might end up with a large bill for calling an ambulance means that people are going to hesitate to call one. Or even go into hospital at all even when they have a very serious condition.
What dragged America down is not the quality of it's care for the people who can afford it. That's top-notch obviously. It was the substandard care for the 40 Million Americans who can't afford it. The biggest irony of all is that despite their poor showing Americans actually spend the largest percentage of GDP on health of any country in the world.
You just
had to bring HMO's into this, didn't you.
THAT is a shambles. That is the single worst mistake ever made in the history of health care in this country. HMO's exist for the sole purpose of making someone else profit off the suffering of others. Having some pencil pusher deem whether or not I can get treatment for anything? Bull****. That's why I'm not with one. I know better. It doesn't take a rocket scientist to know HMO's are a complete and utter ripoff for the consumer. A failure? Depends on your definintion. For improving healthcare, yes. For making the investors rich, not by a long shot. It succeeded admirably at that.
I worked at an HMO for a few weeks back in 1997 taking calls. We were having to explain to senior citizens why their rates were doubling and, in cases where a generic equivalent was available for a prescription drug, if they chose the brand name they would have to pay their co-pay in addition to the price difference between the two. For certain heart medications this amounted to several hundred dollars.
This HMO's motto was: "Because we care".
Again, we're back to getting-what-you-pay-for. Financially it costs less to be a member of an HMO, but oh...you pay dearly for it. Medical insurance is more, but again there are red tape issues to be dealt with. Paying out-of-pocket is probably the hardest.
Trying to convince the 'top-notch' that they are responsible for paying the health care costs of the lower income brackets is simply not going to happen. They love that money and will not give it up without a fight. Could they afford it? Sure. But it's theirs to decide on.
Solution?
1. Doctors have the ultimate authority on what care will be provided in the best interest of the patient.
2. Find a way to pay for this that doesn't increase taxes (maybe investments using all that's collected from Social Security).
3. Incentives to people wanting to go for medical degrees in college. Go for a med degree, get your tuition paid for in full. Great recruitment tactic.
4. Job waiting for them when they get out, as an employee of the government.
5. Remove medical care for illegal immigrants, other than emergency care required to return them to their country of origin.
6. Price caps on prescription drugs. I think Canada does this (please correct me if I'm wrong).
7. Caps on malpractice awards.
8. The number of times a physician has been sued for malpractice cannot be used to increase their insurance fees, only the number of times they've lost said suits.
what do you think?