Tuesday, April 14, 2009

Why Our Current Healthcare System Sucks

Okay Matt..you have forced me to respond. First of all if your doctor tells you that you have a cold and offers you antibiotics, don’t take them. A cold is caused by a virus and antibiotics won’t do a thing for you. It’s the overuse and misuse of antibiotics that has produced these “super bugs” like MRSA that have become resistant to the usual antibiotic treatments. The 5th leading cause of death in our country is hospital-acquired infections..many of them caused by these multi-drug resistant bacteria that are very difficult to treat!!

Books can be and have been written about why our health-care system is in a crisis, I’m going to attempt to list just some of the issues that I know about and understand. I’m not guaranteeing that all of these statements are 100 % correct, yes I found most of them on the Internet, but I did try to do my research and I can provide references and resources if you need them.

Costs are out of control:
*Health care spending is 4.3 times the amount spent on national defense.
*Although nearly 46 million Americans are uninsured (including 8.7 million children ) the US spends more on health care than other industrialized nations, and those countries provide health insurance to all their citizens.
*Premium costs are rising 3 times faster than wages or inflation.
*Every 30 seconds someone files for “medical bankruptcy”. ¾ of those filings are people with health insurance.
*As costs increase, employers that offer health coverage are finding it harder to compete with companies in countries that have universal coverage and employers in America that don’t offer benefits. Health insurance expenses are the fastest growing cost component for employers.
*National surveys show that the primary reason people are uninsured is the high cost of health insurance coverage.

But Insurance and Drug companies are profiting:
*Profits for drug companies are almost 20% compared with 6.3 % for all Fortune 500 Companies.
*Health insurance company profits have increased 1,084 % in five years.
*There are 4 times as many health care lobbyists in Washington as there are members of Congress.

Our System is wasteful and inefficient.
*Administrative costs account for 31 % of our health care expenditures, the average overheard for U.S private health insurers is 11.7 percent, compared to less than 3 % for public plans like Medicare.
*Most of our current system of storing and recording healthcare data is out of date and results in medical errors that cause thousands of deaths and injuries to patients every year. In his 2005 State of the Union address President Bush included “a call for improved information technology to prevent medical error and needless costs”. Since the VA implemented a bar-coding system they have seen a drastic reduction in medication errors. The system needs to be implemented in all U.S. hospitals.
*Providing preventative and primary care to everyone is less expensive than treating illnesses that result from not having those services.

With our Current System of Profit Over People are we healthier???
* The infant mortality rate for the U.S. is now higher than for many other industrialized countries. For example infant mortality rate for Detroit is 15.5 compared to El Salvador’s rate of 9.7 (shameful, isn’t it?)
*Canadians live 3 years longer on average than we do.
* Study in the Journal of the AMA found that older Americans are significantly less healthy than their British counterparts-we have more diabetes, heart attacks, strokes, lung disease and cancer. The study found that people in the top income and education level in our country have similar rates of heart disease and diabetes as the poorest and least educated Brit.
*18,000 people die each year because they are uninsured.
*The CDC reports that chronic conditions account for 75% of healthcare expenditures and that many of these conditions could be prevented and managed with primary care and intervention.
*When uninsured and underinsured people in our country cannot get the medical care they need, particularly primary care, they get very sick or die from manifestations of chronic conditions, complications, or untreated acute disease. Much of the costs of their treatment is at our expense….Note to Matt: There is no such thing as FREE care, someone always pays….WE pay.

Okay, so I’m going to get off of my soap box now. If any one still wants to debate me about why our healthcare system needs fixing, don’t bother..I’ve made my points. Just one last fact to add:
90 % of Americans believe the American health care system needs fundamental changes or needs to be totally rebuilt and 2/3 of Americans believe the federal government should guarantee universal health care for all citizens.

19 comments:

Cindy said...

Sorry for such a long post but Matt and Sean forced me to it.

rac said...

Nice post Cindy.

A question for the Right. How many of your parents have taken advantage of Medicare and do you yourself plan on utilizing this form of socialized medicine?

Dave said...

As long as the left pays for it, you can have it. Just don't ask my great grand kids to pay for it, as it is now being proposed. America as it stands today has the best health care system in the world. It's not perfect, but it is damn sure better than in any socialist, communist or third world country. The Canadians may be healthier, but it's not because of their health care system. They stand in line waiting for rationed medical treatment. Likewise in just about every other country in the world. Cindy, why hasn't BHO released his medical records or put them on-line? Yet he wants mine stored electronically, for any two-bit hacker to break into? Can't you see the bigger picture here? Total government control of your life. I've experienced govt health care first hand. Trust me; you do not want the federal government to be your doctor. The federal government is not your friend. You may advocate a socialist agenda, but it really kind of makes me feel sick.

Cindy said...

I found statistics that said in a 2003 study that the median wait time for elective surgeries in Canada was a little more than 3 weeks, diagnostics tests took about three with basically no wait time for emergency surgeries. A 2001 study found that 32 percent of Americans waited more than a month for elective surgery and 5 % waited more than 4 months. That does not include the millions who don't seek any kind of care because they lack health care coverage..if you can't afford to go to the doctor, you don't have to wait for treatment.

Dave, I see it first hand all the time, people DO get denied care, they get sicker than they were before seeking care and they don't get the services they need because they can not pay for them.

It's a sad reality that our system is set up to make money off of sick people rather than keeping people well. And you don't want your great grand kids to pay for it??? Don't you find it appalling the average life expectancy for our own children is going to less than our own???? Why wouldn't you want them to have a health care system that will contribute towards them living longer and healthier lives?? I have grand kids, Dave, their parents don't have health insurance and sometimes they don't go to the doctor when I think they should...and forget about them even seeing a dentist for regular check ups.

And BYW Dave, a RAND study found that the VA "outperforms all other sectors of American health care across the spectrum of 294 measures of quality in disease prevention and treatment".

so much for me staying off my soap box.

Cindy said...

Dave, most hospitals, including mine already use computerized hospital records and accessing any medical information that is not necessary for a patient's treatment is grounds for immediate termination. And I can't believe that you would expect Obama to release his medical records. Your medical record is a very private thing and there are many regulations (HIPPA, for one) to protect it. Is yours so interesting Dave that some hacker would want to get into it???

rac said...

So Dave, if the federal government is not your friend does that mean they are your enemy?

Anonymous said...

Cindy, do you know anyone in Canada? I do, I have family there and they think the health care there sucks. Yeah, it is cheaper, and sometimes free, but my father died of cancer when he could have been saved by a simple procedure that he could have paid for in the US. My sister had to wait 10 months to get a pediatrician when her baby was born. And my uncle came across the border into Washington to have his hernia repaired because he would have had to wait 4 months.

Anonymous said...

Doctors aren't happy because they are forced by their liability insurance companies to perform needless tests to prevent wrongful lawsuits. The lawyers are the winners here.

Dave said...

So..our government, being our good friend, wants access to and control over every aspect of our lives, wants to tax us into hopeless submission, drive our nation into bankruptcy, increase unprecedented amounts of debt and thereby inflation, and turn a functioning republic into a socialist, welfare state.. and I'm supposed to be happy about that?

rac said...

So you would consider yourself an enemy of the State? Just wondering.

rac said...

I would also add Dave, that of all the folks on this blog, you are the only one who recieves a government pension... for life.

Doug said...

The lawyers are the winners in Canada?
Sounds a lot like here.
And why do we have to compare anything to how they do things in Canada? Jesus they can't even take something as beautifully simple as a game of football without dicking it all up.

Anonymous said...

The neurologists I deal with in my industry say that Medicare and Medicaid reimbursements are being cut, so they either skip a test procedure or carry over the cost to the patient. Imagine having a head injury, or having a stroke and have the hospital tell a doctor that they cannot perform a digital analysis on your EEG because the hospital wont be reimbursed for the procedure.

Doug said...

If they're a Medicaire provider they'll do it or they won't be a Medicaire provider anymore.
That's their choice. And that is a choice a number of doctors are making.

Anonymous said...

I live in Prescott up in the sticks of Arizona, we don't have a "county" hospital, just a privately owned hospital. This hospital is required to treat anyone and everyone. Those with insurance and those without insurance. If you don't have insurance, they give you an application for ACCESS to get state coverage. If you make too much money to qualify, they figure you can buy yourself insurance. Now this hospital has to treat anyone, and everyone that comes in including illegal aliens and undocumented workers. These people most of the time can't pay, so of course the hospital eats it. They are not supposed to get ACCESS because they are not legal residences of Arizona. In turn, we pay it.

Anonymous said...

Now I never had insurance before I got the job that I have now. It costs my employer about $500-$600 a month for me to have decent coverage. That is huge! But, if I were to just put that money into a Health Savings Account, and paid cash for services I suspect that I would come out even in the long run. Or even ahead. Of course the coverage I have is very good and is a group plan which factors in the cost of the whole company who at anytime could hire someone pregnant or has cancer or what have you. Out of curiosity, I got a quote for an individual policy (not a group plan) I was only quoted about $230 a month for the same coverage I have now. Now, I know that is still a lot of money for some people, but sometimes I think some people would rather have a new plasma TV or a big dually truck than think about buying insurance when their employer doesn't provide it. I guess what I am getting at, is although all American's should have access to quality health care, it isn't a constitutional right to have free coverage offered by the government.

Cindy said...

I certainly would not suggest that we should copy Canada's system or anyone else's. Surely we can figure out how to deliver the best care, for the lowest price at the highest quality for every American. And BTY, I love my job and the not-for-profit health system (we own 4 hospitals) I have worked for the past 30 years. Everyday I witness hard working, caring individuals who truly do their best to provide good care to the people in our community.

Ric Larson said...

My brother-in-law (a dentist), and my sister-in –law (a pharmacist) both live just south of the Canadian border near Niagara Falls. ¼ of my brother-in-laws patients are Canadian, because they can’t get into see dentist in Canada when they have an impacted tooth. My sister-in-law fills a lot of scripts for Canadian patients leaving NY hospitals. Now why would Canadians travel south to NY for medical care? Maybe, just maybe, because our system is the best around right now?

Ric Larson said...

Oh, and the Canadians are willing to pay out of pocket for their medical care in the US, even though Canada has Socialized Medicine. Free medicine.