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Is the current trajectory of U. What are the other industrialized countries spending on health care and is it even close to these numbers? When we add politics and an election year to the debate, information to help us answer these questions become critical. We need to spend some effort in understanding health care and sorting out how we think about it. Properly armed we can more intelligently determine whether certain health care proposals might solve or worsen some of these problems.
What can be done about the challenges? How can we as individuals contribute to the solutions? But through a variety of programs his plan attempts to deal with a increasing the number of American that are covered by adequate insurance almost 50 million are notand b managing costs in such a manner that quality and our access to health care is not adversely affected.
Republicans seek to achieve these same basic and broad goals, but their approach is proposed as being more market driven than government driven.
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Remember, by the way, that his plan was passed by congress, and begins to seriously kick-in starting in So this is the direction we are currently taking as we attempt to reform health care. Through insurance exchanges and an expansion of Medicaid,the Obama plan dramatically expands the number of Americans that will be covered by health insurance. It will purportedly send money to the states to cover those individuals added to state-based Medicaid programs.
To cover the added costs there were a number of new taxes introduced, one being a 2. The Obama plan also uses concepts such as evidence-based medicine, accountable care organizations, comparative effectiveness research and reduced reimbursement to health care providers doctors and hospitals to control costs.
The insurance mandate covered by points 1 and 2 above is a worthy goal and most industrialized countries outside of the U. It is important to note, however, that there are a number of restrictions for which many Americans would be culturally unprepared. Here is the primary controversial aspect of the Obama plan, the insurance mandate. The U. The problem is that if the Supreme Court should rule against the mandate, it is generally believed that the Obama plan as we know it is doomed.
This is because its major goal of providing health insurance to all would be severely limited if not terminated altogether by such a decision. As you would guess, the taxes covered by point 3 above are rather unpopular with those entities and individuals that have to pay them. As an example, Stryker Corporation, a large medical device company, recently announced at least a 1, employee reduction in part to cover these new fees.
This is being experienced by other medical device companies and pharmaceutical companies as well. The reduction in good paying jobs in these sectors and in the hospital sector may rise as former cost structures will have to be dealt with in order to accommodate the reduced rate of reimbursement to hospitals.
Over the next ten years some estimates put the cost reductions to hospitals and physicians at half a trillion dollars and this will flow directly to and affect the companies that supply hospitals and doctors with the latest medical technologies. None of this is to say that efficiencies will not be realized by these changes or that other jobs will in turn be created but this will represent painful change for a while.
It helps us to understand that health care reform does have an effect both positive and negative. Finally, the Obama plan seeks to change the way medical decisions are made. While clinical and basic research underpins almost everything done in medicine today, doctors are creatures of habit like the rest of us and their training and day-to-day experiences dictate to a great extent how they go about diagnosing and treating our conditions. Enter the concept of evidence-based medicine and comparative effectiveness research.
Both of these seek to develop and utilize data bases from electronic health records and other sources to give better and more timely information and feedback to physicians as to the outcomes and costs of the treatments they are providing.
There is great waste in health care today, estimated at perhaps a third of an over 2 trillion dollar health care spend annually. Imagine the savings that are possible from a reduction in unnecessary test and procedures that do not compare favorably with health care interventions that are better documented as effective.
But to be fair, regardless of their political persuasions, most people who understand health care at all, know that better data for the purposes described above will be crucial to getting health care efficiencies, patient safety and costs headed in the right direction. A brief review of how Republicans and more conservative individuals think about health care reform. I believe they would agree that costs must come under control and that more, not fewer Americans should have access to health care regardless of their ability to pay.
But the main difference is that these folks see market forces and competition as the way to creating the cost reductions and efficiencies we need.
There are a number of ideas with regard to driving more competition among health insurance companies and health care providers doctors and hospitals so that the consumer would begin to drive cost down by the choices we make. This works in many sectors of our economy but this formula has shown that improvements are illusive when applied to health care.
Primarily the problem is that health care choices are difficult even for those who understand it and are connected. First we must understand that the dollars available for health care are not limitless. Any changes that are put in place to provide better insurance coverage and access to care will cost more. And somehow we have to find the revenues to pay for these changes. I believe that we need a revolutionary change in the way we think about health care, its availability, its costs and who pays for it.
And if you think I am about to say we should arbitrarily and drastically reduce spending on health care you would be wrong. Here it is fellow citizens — health care spending needs to be preserved and protected for those who need it. First, we need to convince our politicians that this country needs sustained public education with regard to the value of preventive health strategies.
This should be a top priority and it has worked to reduce the number of U. If prevention were to take hold, it is reasonable to assume that those needing health care for the myriad of life style engendered chronic diseases would decrease dramatically. Millions of Americans are experiencing these diseases far earlier than in decades past and much of this is due to poor life style choices.
This change alone would free up plenty of money to handle the health care costs of those in dire need of treatment, whether due to an acute emergency or chronic condition.
Most of us refuse do something about implementing basic wellness strategies into our daily lives. In short we neglect these things and the result is that we succumb much earlier than necessary to chronic diseases like heart problems, diabetes and high blood pressure.
It is difficult for us to listen to these truths but easy to blame the sick. Maybe they should take better care of themselves! Well, that might be true or maybe they have a genetic condition and they have become among the unfortunate through absolutely no fault of their own. But the point is that you and I can implement personalized preventive disease measures as a way of dramatically improving health care access for others while reducing its costs.
It is far better to be productive by doing something we can control then shifting the blame. There are a huge number of free web sites available that can steer us to a more healthful life style. I am anxious to hear from you and until then — take charge and increase your chances for good health while making sure that health care is there when we need it. Продаю различные авторег аки акки аккаунты accounts соц сетей, почтовики, редиректы, блог сервисов и. In liberty healthfulness eating is not thither constrictive vito.
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