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The answers to the health insurance mess are out there, and most of them are on the cost-containment and preventive sides, which would making increasing access to all (which is what it has to be) much easier. Unfortunately, our "leaders" are not serious people. They scream at each other for a few minutes and then go hunting for a teevee camera.
Here are a few fun facts I'd love to see denied:
- Our obesity and heart disease rates are far higher than any other country, draining our health care system on multiple levels. This is a cultural issue that both parties refuse to address.
- It's far less costly to provide comprehensive preventive services in the short term than it is to leave people uncovered in the long term. The GOP doesn't want to discuss this.
- It's far less costly to provide comprehensive diagnostic services in the short term than it is to allow disease to fester and grow and then have to deal with it for the long term. The GOP doesn't want to discuss this.
- Just throwing people into the system does not control costs, because increasing access without addressing cost does not bring down cost. The Democrats don't want to discuss this.
And here's another fact I'd like to see shot down:
A recent study of severe asthma patients showed alarming success with a simple idea. The asthma patients were given FREE medication for their condition ("oh no," says the GOP, "we can't do that, that's socialism") and basic education on their condition, the medication, how to take it, and why. See, there are lot of people who can't take their meds because they can't afford them.
The results were clear, a 70% drop in hospitalization and an 80% drop in emergency room visits. How simple, how obvious, how effective.
This is called VBID, Value-Based Insurance Design, look it up, in which the specific treatment of specific conditions are addressed, rather than just avoided. But since giving something for free to keep long term costs down is "socialism", this practice is evidently frowned upon, and the GOP doesn't bring it up. Source:
Value-Based Insurance Design: Spend a Little More On Selected Patients For Payoff Down the Line | Managed Care Magazine Online
So, a strong base coverage for all consisting of free preventive and diagnostic treatment to significantly cut long term health care costs ain't gonna happen. And our elected "leaders" are not going to remind the populace that their eating and exercise habits effect the cost of their health care, because they may not be re-elected after that. That's one example of several.
As long as politics are polluting health care discussion, things will continue to get worse.
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