"Fixing health care"
Posted by: Pismire_Is_A_Dunce
Date: March 02, 2017 08:29AM
In the US, health care costs take roughly 18% of GDP. In the rest of the world, it is 10% or less. And they get better results in almost all cases.
Here's the problem with the claims that anyone can "fix" the US health care system. What they mean is lower the cost and raise the quality.
Lowering the cost is a pie in the sky never gonna happen absolute UNLESS you go to a single payer system. Here's why.
There are 3 entities involved. Providers, (doctors, hospitals, pharma) Insurers, and consumers of health care. In order to lower the cost, one or more of those 3 entities will need to take a financial hit.
Do you think doctors are going to want to take a 25% cut in their wages? Will hospitals gladly give up 25%? Pharma, the industry that has just promised to keep yearly drug increases to no more than 10%, going to cut prices 25%?
Of course not.
How about insurers? They going to take a hit for the team and cut their take by 25%? Never in a million years.
So, who is left? Aha, the CONsumers of health care. (you and me) And this is where the costs of the system are being shifted. Medicare is costing the elderly more and more each year. Companies are increasing deductibles and copays for those covered by plans. Yes, my dooshbags, the shift has been ongoing for years and will continue.
HSA's are just another way to shift more expenses to the worker/consumer of health care, but give you a little tax benefit to make it feel like you at least have some lube when you bend over. Hey lookie, you can save a few dollars in taxes and put some money into this pretax account that you then use to pay for your own health care!!! Aren't those politicians great to us?
So, as you see, there are no solutions to the current profit based, everyone has their hands in the til system.
A single payer system removes the insurers completely, thereby saving a good portion of the overall costs. It also enables the single payer to negotiate better prices with doctors, hospitals, and pharma companies so you can see why those entities don't like that scenario.
The ACA wasn't perfect. In fact, it was originally Mitt Romney's plan in Mass. You remember Mitt, he's a Republican!!!
The Republicans now are kind of stuck. They promised to repeal and replace and with a better plan that lowers costs and raises quality. Neither of which they can deliver using a free market system.