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The Next Big Thing in Health Care Reform - Why Are People So Worked Up?

Why are Americans so aroused about health care reform? Statements like "don't touch my Medicare" or "everyone should have access to state of the art health care regardless of cost" are in my opinion uninformed and visceral responses that indicate a poor understanding of our health care system's history, its current and future resources and therefore the funding challenges that America faces going forward. While we all wonder how the health care system has reached what some ask as a crisis stage. Let's attempt to take a number of the emotion out of the talk by briefly examining how health care during this country emerged and the way that has formed our thinking and culture about health care. thereupon as a foundation let's check out the pros and cons of the Obama administration health care reform proposals and let's check out the concepts put forth by the Republicans?

Access to state of the art health care services are some things we will all agree would be an honest thing for this country. Experiencing a significant illness is one among life's major challenges and to face it without the means to buy it's positively frightening. But as we shall see, once we all know the facts, we'll find that achieving this goal won't be easy without our individual contribution.

These are the themes i will be able to touch on to undertake to form some sense out of what's happening to American health care and therefore the steps we will personally fancy make things better.

A recent history of yank health care - what has driven the prices so high? Key elements of the Obama health care plan The Republican view of health care - free market competition Universal access to state of the art health care - a worthy goal but tough to realize what can we do? First, let's get a touch historical perspective on American health care. this is often not intended to be an exhausted check out that history but it'll give us an appreciation of how the health care system and our expectations for it developed. What drove costs higher and higher?

To begin, let's address the American war . therein war, dated tactics and therefore the carnage inflicted by modern weapons of the age combined to cause ghastly results. Not generally known is that the majority of the deaths on each side of that war weren't the results of actual combat but to what happened after a battlefield wound was inflicted. to start with, evacuation of the wounded moved at a snail's pace and this caused severe delays in treating the wounded. Secondly, many wounds were subjected to wound care, related surgeries and/or amputations of the affected limbs and this often resulted within the onset of massive infection. So you would possibly survive a battle wound only to die at the hands of medical aid providers who although well-intentioned, their interventions were often quite lethal. High death tolls also can be ascribed to everyday sicknesses and diseases during a time when no antibiotics existed. In total something like 600,000 deaths occurred from all causes, over 2% of the U.S. population at the time!

Let's skip to the primary half the 20th century for a few additional perspective and to bring us up to more times . After the war there have been steady improvements in American medicine in both the understanding and treatment of certain diseases, new surgical techniques and in physician education and training. except for the foremost part the simplest that doctors could offer their patients was a "wait and see" approach. Medicine could handle bone fractures and increasingly attempt risky surgeries (now largely performed in sterile surgical environments) but medicines weren't yet available to handle serious illnesses. the bulk of deaths remained the results of untreatable conditions like tuberculosis, pneumonia, scarlatina and measles and/or related complications. Doctors were increasingly conscious of heart and vascular conditions, and cancer but that they had almost nothing with which to treat these conditions.

This very basic review of yank medical record helps us to know that until quite recently (around the 1950's) we had virtually no technologies with which to treat serious or maybe minor ailments. Here may be a juncture we'd like to understand; "nothing to treat you with means visits to the doctor if in the least were relegated to emergencies so in such a scenario costs are curtailed. the straightforward fact is that there was little for doctors to supply and thus virtually nothing to drive health care spending. A second factor holding down costs was that medical treatments that were provided were purchased out-of-pocket, meaning by way of an individuals personal resources. There was no such thing as insurance and positively not insurance paid by an employer. apart from the very destitute who were lucky to seek out their way into a charity hospital, health care costs were the responsibility of the individual.

What does health care insurance need to do with health care costs? Its impact on health care costs has been, and remains to the present day, absolutely enormous. When insurance for people and families emerged as a way for companies to flee wage freezes and to draw in and retain employees after war II, almost overnight an excellent pool of cash became available to buy health care. Money, as a results of the supply of billions of dollars from insurance pools, encouraged an innovative America to extend medical research efforts. More Americans became insured not only through private, employer sponsored insurance but through increased government funding that created Medicare and Medicaid (1965). additionally funding became available for expanded veterans health care benefits. Finding a cure for nearly anything has consequently become very lucrative. this is often also the first reason for the vast array of treatments we've available today.

I don't wish to convey that medical innovations are a nasty thing. consider the tens of many lives that are saved, extended, enhanced and made more productive as a result. But with a funding source grown to its current magnitude (hundreds of billions of dollars annually) upward pressure on health care costs are inevitable. Doctor's offer and most folks demand and obtain access to the newest available health care technology within the sort of pharmaceuticals, medical devices, diagnostic tools and surgical procedures. therefore the result's that there's more health care to spend our money on and until very recently most folks were insured and therefore the costs were largely covered by a third-party (government, employers). Add an insatiable and unrealistic public demand for access and treatment and that we have the "perfect storm" for higher and better health care costs. And by and enormous the storm is merely intensifying.

At now , let's address the key questions which will lead us into a review and hopefully a far better understanding of the health care reform proposals within the news today. is that the current trajectory of U.S. health care spending sustainable? Can America maintain its world competitiveness when 16%, heading for 20% of our gross national product is being spent on health care? What are the opposite industrialized countries spending on health care and is it even on the brink of these numbers? once we add politics and an election year to the talk , information to assist us answer these questions become critical. we'd like to spend some effort in understanding health care and checking out how we expect about it. Properly armed we will more intelligently determine whether certain health care proposals might solve or worsen a number of these problems. What are often done about the challenges? How can we as individuals contribute to the solutions?

The Obama health care plan is complex needless to say - I even have never seen a health care plan that may not . But through a spread of programs his plan attempts to affect a) increasing the amount of yank that are covered by adequate insurance (almost 50 million are not), and b) managing costs in such a fashion that quality and our access to health care isn't adversely affected. Republicans seek to realize these same basic and broad goals, but their approach is proposed as being more market driven than government driven. Let's check out what the Obama plan does to accomplish the 2 objectives above. Remember, by the way, that his plan was gone by congress, and begins to significantly kick-in starting in 2014. So this is often the direction we are currently taking as we plan to reform health care.

Through insurance exchanges and an expansion of Medicaid,the Obama plan dramatically expands the amount of usa citizens which will be covered by insurance .

To cover the value of this expansion the plan requires everyone to possess insurance with a penalty to be paid if we do not comply. it'll purportedly send money to the states to hide those individuals added to state-based Medicaid programs.

To cover the added costs there have been variety of latest taxes introduced, one being a 2.5% tax on new medical technologies and another increases taxes on interest and dividend income for wealthier Americans.

The Obama plan also uses concepts like evidence-based medicine, accountable care organizations, comparative effectiveness research and reduced reimbursement to health care providers (doctors and hospitals) to regulate costs. The insurance mandate covered by points 1 and a couple of above may be a worthy goal and most industrialized countries outside of the U.S. provide "free" (paid for by rather high individual and company taxes) health care to most if not all of their citizens. it's important to notice , however, that there are variety of restrictions that many Americans would be culturally unprepared. Here is that the primary controversial aspect of the Obama plan, the insurance mandate. The U.S. Supreme Court recently decided to listen to arguments on the constitutionality of the insurance mandate as a results of a petition by 26 states attorney's general that congress exceeded its authority under the commerce clause of the U.S. constitution by passing this element of the plan. the matter is that if the Supreme Court should rule against the mandate, it's generally believed that the Obama plan as we all know it's doomed. this is often because its major goal of providing insurance to all or any would be severely limited if not terminated altogether by such a choice .

As you'd guess, the taxes covered by point 3 above are rather unpopular with those entities and individuals that need to pay them. Medical device companies, pharmaceutical companies, hospitals, doctors and insurance companies all had to "give up" something that might either create new revenue or would scale back costs within their spheres of control. As an example, Stryker Corporation, an outsized medical device company, recently announced a minimum of a 1,000 employee reduction partially to hide these new fees. this is often being experienced by other medical device companies and pharmaceutical companies also . The reduction in good paying jobs within the se sectors and in the hospital sector may rise as former cost structures will need to be addressed so as to accommodate the reduced rate of reimbursement to hospitals. Over subsequent ten years some estimates put the value reductions to hospitals and physicians at half a trillion dollars and this may flow on to and affect the businesses that provide hospitals and doctors with the newest medical technologies. None of this is often to mention that efficiencies won't be realized by these changes or that other jobs will successively be created but this may represent painful change for a short time . It helps us to know that health care reform does have an impact both positive and negative.