Tuesday, February 17, 2009

Time For A Real Health Care Program

Let's talk about health care. Now there is a conversation stopper, at least in Congress. Seems no one wants to seriously approach the issue for fear of being attacked by lobbyists and the health care industry. And there is the problem. Health care has become an industry not a healing profession.

I was raised in a hospital. My father was a director of the laboratories at a local medical center and a microbiologist and hematologist. I spent much of my formative years hanging out at the lab and the hospital and seeing the work that was done there.

At that time, in the bucolic past, hospitals were concerned with healing not making money. Oh sure, they had administrators who made sure they didn't go broke, but most hospitals were supported by non-profits like denominations or charitable foundations. They concerned themselves with doing the work.

Somewhere along the way, that all changed and hospitals became big business. Now they are no longer owned or supported by the churches or charities but by large health services firms who still hide behind the charity name but in reality are in it for the bucks.

What that leaves is a big gaping hole into which millions and millions of Americans are falling, there they become, "the uninsured"! 14,000 a day are losing their insurance and that is bad news for all of us.

It's time Congress moves beyond the stimulus package and gets on with the real reform of the health care system we have in our country. It is so badly broken that we are receiving the kind of care you would expect in a third world country in many cases. We pay more for health care than almost any other developed country and get less for our money. Why? The elephant in the room is "profit".

Insurance companies spend millions to deny coverage to maximize profits. Hospitals spend millions building luxury rooms and fancy lobbies to impress the wealthy who can afford the best and latest treatment and the poor are relegated to overcrowded ER's where they often wait until they die from life threatening complications. It's all about money. If you have it, you can have good health care and if not, too bad.

It's high time our health care system got back to providing health care and got out of the business of generating profits for investors. There are better things for people to invest in.

How about this? We set up a National Health Insurance Fund. Everyone is eligible and they can either join it , the payments for this are taken out of taxes and or payrolls just like payroll tax. If they opt out, they can buy their own health insurance and deal with a private company.

All hospitals and doctors are required to accept the NHIF insurance and the government pays the going rates for care. Meanwhile, rich folk can see whatever expensive specialist they want and stay in whatever spa/hospital they want at their own expense, but those institutions will not receive any government money or tax breaks.

To facilitate the transition, the government will have to hire lots of people who will be put out of work when the private health insurance companies get out of the business.

It works for Medicare, for the Veterans Administration and for every other civilized country, why not ours. Meanwhile businesses, freed from having to provide health care can become competitive in the world market again and unions can stop having to spend funds managing health care programs thus lowering their dues. Everybody wins, but the middle men making big bucks off the poor health of Americans. I weep for them, but only a little.

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