The badly US needs health care reform. There is no doubt about that. The US has by far the highest cost health care in the world. Three to five time more expensive than in most other countries. The quality of US health care ranks about 34th. In other words, the quality is pretty good, but not great. The insurance companies have far too much power over our health care decisions and limit the availability of too many effectively by costly treatments until after months of wasting time on ineffective cheaper treatments.
We need a major health care overhaul that improves patient and doctor control over treatment, reduces costs, makes costs more certain, and improves quality and promptness of effective treatment. We need to get away from a system that is controlled by insurance companies and badly regulated by 50 different states with different rules.
The US also needs to compete in the world economy. Job creating American businesses are at a tremendous competitive disadvantage against foreign companies that do not need to provide healthcare.
We need one consistent national government administered basic health care coverage plan for everyone in all 50 states that takes the cost burden off employers. We need a system that does not penalize creating employment and that does not encourage sending jobs offshore. We need a system that does not put American workers at a disadvantage in the global job market. No plan will perfect.
When you add up all the seniors on Medicare, all the poor people on Medicaid, and all the government employees and retirees, that is about 55 percent of the US population that is already getting government provided socialized medicine.
The large employers and their employees receive very generous health care subsidies that are paid for by all taxpayers.
People who buy individual plans, contract workers, small employers and their employees, in effect subsidize everyone else.
Hospitals must treat people without insurance and people that cannot, or will not, pay. We all have to pay higher health care prices to cover the cost of those who don’t pay.
Those of us who earn a good living and pay a lot of taxes, are already paying for everyone elses’s health care through higher cost insurance, fewer tax breaks, and higher health care costs.
We all really need a universal Medicare for all system, and it would save all of us money.
Yes, most of us will still need to spend hundreds of dollars per month for an additional private Medicare Supplement Insurance to get broader coverage and prompt quality care.
A phased in expansion of Medicare and phase out elimination of all the other government health programs is probably the most realistic approach.
Continuing as we are with existing healthcare financing and programs is not a viable option. Neither is denying care to people who cannot pay.
We need to bite the bullet and adopt true universal national healthcare and get healthcare administration and delivery costs under control