Sunday, December 2, 2012

Out with the Old, Middle Men that is!

Our healthcare system has been breaking for years and two things can be pointed to as the cause.  One is inevitable greed of most human beings and the other is, or was the advent of the middle man or insurance industry.
Without rehashing all since I have to believe anyone reading this knows what has happened over the last few decades or certainly this past one let me say it is not an easy problem to fix.
However we have started on the road toward a great fix with the “Affordable Care Act” (ACA) also known by many in the conservative camp in a demeaning way as ‘Obamacare.’
Many doctors are now saying they will not take on new customers as a result of the ACA pointing out that they will not be paid for their increased service to mankind for those unable to pay a fair price.
I agree with the doctors although not in the manner they think.
The cause of the decrease in income for the medical community is not the ACA nor the willingness of patients to pay but in fact the ever growing community of middle men also known as the insurance industry and their friends in that conservative camp.
Logic would tell us that if we had a life threatening illness the first person we should contact would be a doctor well versed in the illness and not an accountant well versed in how to maximize profits.
Clearly one of those two will suggest how to treat the illness and the other will quietly figure out whether or not your life is that important to his corporation’s bottom line.
So I would suggest that the best outcome for two of the three parties involved in the above scenario, that’s a 67% majority of interested parties, would be to rid ourselves of the medically uninvolved entity, the insurance industry.
Sadly the greed part of the initial paragraph might then kick in and doctors being human and possibly still carrying large medical school bills would seek to order many unnecessary tests in order to pad their bills.
I am not saying all would do it but the door would be open and some would surely enter, and after that the door might become a flood gate.
So the next step would be to have a watchdog enter the arena but not one with just profits as its goal.
That entity could and should be the United States Government.
Oh my God, did this liberal bastard just suggest socialized medicine?
You are damned right I did,
We have allowed the greedy right wing to usurp words and turn them into ugly things shunned by humanity instead of embracing them for far too long!
We already have socialism in many facets of our lives and we, all of us, including the right wing not only rely on it but thrive because of it and demand it!
Things such as our military, our nation-wide system of highways, our fire departments, the National Guard and our various police forces around the country come to mind.  Should we get rid of these socialistic bastions of awful expenditures as well?
Of course not, it would be idiotic.
So why do we draw the line there?
Well simply put it’s because those things are needed by the right wing and conservatives but they would rather not pay for health care for the majority of Americans.  Many of the dissenting group are quite well off and can pay for those things themselves as needed.
They extrapolate the NIMBY (not in my back yard) to be NFMBP, not from my back pocket!
Greed once again rears its ugly head.
The government could be a fair negotiator in talks with the pharmaceutical industry for lowering drug pricing while still keeping an eye on quality drugs.
The government could continue to be a watchdog over the excesses of the medical community while still allowing a fair income.
And the government could do this and more while not demanding ever increasing profits for its board of directors or shareholders who will then demand lower taxes on that profit!
And speaking of healthcare and insurance we come to the problem of an ever increasing and aging population.
How can we best take care of our elderly?
Read on please.

1 comment:

Bruce Resch said...

A twitter friend, Missus Powell sent comments to the blog but sent it to me on Twitter so I now cut and paste them here.

"I did read the posts but got sidetracked, sorry. You are so right and especially re many without computers to compare plans.
The Greatest Generation folks being strongly independent don't ask for help so much. So they have the hardest time of all.
And the insurance plans & non-plans as I call them along with scams, are laden with confusing new language even insurance folks go, "HUH?"
Then add the almost complete but not yet decisions/non-decisions in Repub States only adds to the confusion right now! and it takes forever to get answers, if you are able to get them at all! That is overwhelming for many of us!
Best advice I've heard is to start early if you plan to retire soon. And if you're of the Great Gen there are Social Workers in a lot of communities who will help!!!
I prefer Social Workers who are not affiliated with a company but work for the elderly via government or non-profit Doctor's offices are also overwhelmed with all the changes so even your good Dr. wanting to help is a bit time consuming since they deal with many! Missouri is sending so many forms with ever changing things in even qualifications that it's been almost a 2 year un-won battle for my 90 year old mom.
It's like "Do not pass go - Do not collect $20!" Crazy stuff!!!

Thank you Missus Powell - I feel for you!
Best of luck and keep smiling!