Archives For medicare

2014-05-30_09-29-20Shinseki reiterated other steps he’s taken, including putting the leadership at the Phoenix facility on leave and ordering a “nationwide audit of all other major VA health care facilities to ensure understanding of, and compliance with, our appointment policy.”

Some question whether removing Shinseki would address the core problems at the VA or simply serve as a distraction for now.”Is him resigning going to get us to the bottom of the problem? Is it going to help us find out what’s really going on?,” asked House Speaker John Boehner, the chamber’s top Republican, adding that his answer so far was “no.”

SOURCE: Shinseki initiating removal of senior leaders at Phoenix VA – CNN.com.

I don’t know about you but it seems I have been hearing the above type problems with the VA almost all of my life. It was pleasantly surprising to see that the top House Republican saying firing another head of that agency won’t fix the problem. If fact it would probably just delay the fixes more.

I’m just a simple guy but it seems that the solution to this problem is pretty logical. Why not just put veterans into the Medicare system? I have been on Medicare for about three years now and have never had to wait more than one month to see any specialist. The article above talks about 115 day waits in the Phoenix VA hospital!  Another fundamental question seems to be why does the VA need their own hospitals? Why can’t they go to the same hospitals as the rest of us.  If PTSD or other specialists are needed I’m sure they could be hired from the existing VA or trained by the private sector.

I’m pretty sure my conservative friends would jump on this solution as WRONG. Maybe we are reversing roles here. I say let the private sector take care of our veterans the same way as they take care of us seniors.  One thing that would be nice to carry over from the VA is for Medicare to be able to negotiate drug prices. VA can presently do that while Medicare can’t. That alone would save us billions in healthcare costs.

Eventually, probably not in my life time, all our health care will be folded into a single payer system as much of the rest of the world has already done. But until that time it just seems to make sense to once and for all get rid of these perpetual problems with VA hospitals. Our young men and women who have been traumatized by their war experiences deserve it. But then again this solution just seems to be common sense and logical so I doubt that those folks in Washington will even consider it…..

Medicaid Expansion 2023

Anyone who has read some of my posts know that I am an advocate for universal single-payer healthcare.  After all, it is very efficient and cost containing system used in much of the rest of the world.  Many of our citizens in the U.S. including this one are currently on a single payer system known as Medicare. After being on it for two years now I can attest that I have found it to be much better than the private insurance mode I fought with for so many years prior. Other citizens also on a single-payer system are those on Medicaid and with military healthcare systems. This makes up about 40% of the current population. The other 60% are on various employer or private systems or no insurance at all.

But to those so adamantly against Obamacare, which ended up not even be close to single-payer all of these systems are to be eliminated. Just why they believe that I really don’t know. They say those systems are socialist but why is that a bad thing?  Most of the rest of the world, at least those who no longer have the mammoth healthcare runaway costs implemented single payer systems years ago and statistically most in those countries actually live longer than we do.

When the pollsters show that 52% of the people are against Obamacare what they don’t show is that there is a significant number of those people who are like me and don’t really like Obamacare because it doesn’t go far enough. There are also a large portion in the polls who readily admit that they actually know practically nothing about Obamacare and are only parroting what their favorite talking-head has told them. They are against it because their party is against it.  So much for free-thinkers among the GOP! :)  Because Obamacare is such a piecemeal piece of legislation it will have to be pretty greatly changed in the future in order to be cost-effective.

Getting back to the original thoughts for this post, it seems if we are patient enough that we will eventually get to a single payer system. With all us baby boomers retiring and so many others at the other end of the spectrum becoming eligible for Medicaid the population that is in these two systems will continue to grow.  and then of course with our incessant increases in military spending that system will also expand. We might eventually work our way into a single payer system via the back door.

Wouldn’t that be something?

LOL Moment….

September 30, 2013

Medicare CardJust a quick note to say I just watched a video of a town hall meeting opposing Obamacare. There was an elderly lady who ranted on and on about it. She was totally convinced that if we allow it to be implemented that it would certainly cause the downfall of the entire country.  She finished with the following statement. “I realize that Obamacare does not directly affect me but I just want to make sure that we keep the government out of my Medicare!!”

They didn’t show if anyone had bothered to tell her that Medicare is a single payer system run exclusively by the government. Of course this just goes to show how so many on the radical right and particularly Fox News have distorted the reality of the Affordable Care Act.

I also reviewed some of the things that happened in 1965 when Medicare was enacted.  It is amazing to see the similarities with today. Most Republicans were, like today, adamantly against that too.

SurgeonA central reason U.S. health care spending is so high is because hospitals and doctors charge more for their services and there’s little transparency about why. There is no uniformity to the system, in which public and private insurers have separate, unrelated contracts with hospitals and doctors. The result is a tangled, confusing and largely secretive collection of forces driving health care prices higher and higher.

This isn’t possible in many other countries either because governments set prices for health care services or broker negotiations between coalitions of insurers and providers. Known as “all-payer rate setting,” insurers in these systems band together to negotiate as groups. In contrast, U.S. insurers closely guard the secrecy of their contracted prices with health care providers and negotiate individually. This is why a hospital hosting five patients for knee replacements might get paid five different amounts for the surgeries.

Source: Why Our Health Care Lets Prices Run Wild | TIME.com.

There seems to be so many possible solutions to reigning in our ever-increasing healthcare costs if only those in congress would be brave enough to actually try a few. Instead they seem intent on just complaining about the situation. That’s easy, solving it is where the work begins and I am convinced that those yahoos inside the beltway are just too lazy to do the work to actually affect the problem.

After putting in quite a bit of study in this area I have come to believe that the above quote gets to the heart of the problem.  Like everything else in life if something is totally unregulated and uncontrolled it tends to move to an extreme.  I will admit that there are many doctors who are the exception to this statement but overall doctor’s pay is out of control.  When they believe that they are justified in charging me thousands of dollars for an hour of their time they need to be taught otherwise.

The way that hospitals set their rates is simply insanity. It has nothing to do with the actual cost of the service but more to do with getting the most possible. I love the quote above that “the result is a tangled, confusing and largely secretive collection of forces driving health care prices higher and higher”. As long as all of these price setting schemes are held behind closed doors our costs will inevitably grow higher and higher.  Why can’t we understand that simple fact.

Even a simple solution such as allowing Social Security to bargain for lower drug prices has been deemed not allowed by many of the so-called leaders in our government. Until we can finally realize that at some level of regulation is necessary in order to contain our healthcare dollars we will continue to complain about costs but fail to do any real action to contain them. The rest of the world discovered these solutions years ago, when will we ever catch up with them?

But I’m just a simple guy so what do I know…..