Corruption and Obamacare

I still don't see any evidence that Obamacare will reduce health care premiums for ordinary Americans. These cost controls were promised as the prime reason for Obamacare back when Barack Obama first ran for president. At Huffpo, Wendell Potter explains some of the reasons that healthcare premiums continue to skyrocket. It's a story permeated with corruption, involving the malfeasance of both Democrats and Republicans. Here's the introduction to Potter's article, "Why Americans Pay So Much for Health Care: Friends in High Places (Just Not Your Friends)":

If you wonder why we spend more money on health care than any other country but have some of the worst health outcomes, you need look no further than the halls of Congress to it figure out. And you need look no further back than the recent "fiscal cliff" drama for compelling proof of how decisions are often made, not based on protecting the public's interest and bringing costs down but on protecting the profits of pharmaceutical companies, insurance firms and other special interests that grease the palms of our elected officials.

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World’s best healthcare?

In his article at Common Dreams, Oregon doctor Samuel Metz destroys the notion that the United States has the world's best health care system.

Senate Minority Leader Mitch McConnell says, "We do start with the notion, however, that we have the best health care in the world." If McConnell had diabetes, he might pause. American diabetics suffer twice as many foot amputations as diabetics in Europe because they cannot afford care to prevent foot infections from turning deadly. House Speaker John Boehner says we have "the best health care delivery system in the world." But there are 35 other countries in which a pregnant woman and her baby have a better chance of surviving the pregnancy. The United States leads the industrialized world in deaths preventable with timely care. There are 15 other nations providing every citizen with lifesaving treatments denied to many unfortunate Americans.

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How doctors contribute to the high cost of health care

At Better Medicine, Negoba points out how doctors contribute to the high cost of health care. Even though some doctors make high salaries (some specialists making extremely high salaries), the salaries are not the biggest part of the problem.

A doctor can be just as valuable as a controller of loss as a source of profit. In either case, the amount of money flow a doctor controls is easily 5-10 times the amount he or she makes in salary. Many larger systems with interests both at the office and hospital level will take losses on salary to retain a physician whose orders then net a profit in orders.

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A few thoughts on Obamacare – more questions than answers.

I often wonder why the Republicans chose the name "Obamacare" in their attempts to ridicule Barack Obama's "Patient Protection and Affordable Care Act." After all, the first half, "Obama," merely gives credit to the person who orchestrated the passage of the legislation and "care" is a benign word, even a pleasant word. Maybe they liked it better than the "Make the Rich Pay for Poor Children's Medical Treatment Act." Or maybe they thought that people hate "Obama" so much that just by saying his name it will make them angry. The bottom line is that it seems to be a lot like the phrase "Yankee Doodle," originally meant as an insult, but adopted and even embraced by the target of the taunt. Now that the new law has mostly survived, what does it mean for real-life Americans? There are many articles, like this one, that point out some things and make a few predictions, but no one seems to know the answers to two basic questions that are on my mind. What kind of insurance will ordinary Americans be able to purchase with regard to A) Quality of Care and B) Cost of Care? I'm not convinced that the new act has meaningful price controls on premiums or that the quality of care will be well-regulated. In fact, I will predict that the insurance companies will essentially take the following position: "Sure, you can have all of those new bells and whistles demanded by the Act, but you're going to need to pay for it." Here are some of those bells and whistles. And then the American public will likely not be witness to the intense behind-the-scenes lobbying that will result in 20% premium increases every year. I hope not, but I'm not optimistic. [More . . . ]

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