ThePackLeader Wrote:
> This is the issue: We currently have THE BEST
> Health Care in the World, there is no question
I suspect with bleeding edge medicine that will affect 0.2% of the population, we are the best. OTOH, for everyday issues, we're in the lead pack but not way ahead of it.
> about it. However, we do have lapses and issues
> with our Health Insurance Coverage. The ultimate
> goal is to reform the Health Insurance Coverage to
> the point where it costs less, and more people are
> covered, but at the same time we MUST keep the
> same quality of Health Care that we currently
> have.
Only a grand compromise that pisses everyone off will succeed.
Insurance companies must be made to cap premium increases, and must be made to find a way to insure the chronically ill.
We have to cap punitive damages. This will piss off lawyers. While lawsuits and insurance premiums are only 0.5% of medical costs, defensive medicine probably amounts to much more. It will also (politically) bring conservatives on board and if lawyers are not given a slap, they will emerge as even more powerful.
Doctors have to 'give up the bad eggs' and allow data on past lawsuits, past state discipline, etc., to become public knowledge, and then *drive the bad ones out of treating patients.* I've read something like 5% of doctors get 50% of the discipline from the state.
Doctors also have to accept they can't just order more tests for little or no medical reason, get more money, and get the same results. (If we have tort reform this reduces the excuse doctors current use for over-testing.) For more on this read:
http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande
Basically McAllen, TX, ends up spending 3x as much on health care per person as El Paso, TX, but there are few if any differences in outcomes (and demographics are similar).
Patients have to accept they aren't going to see The Doctor every time they have a hangnail.