Thursday, September 10, 2009

Because the internet needs my opinion

Here's how to fix healthcare in a few easy steps:

#1- Go back to the old model of health insurance being there for catastrophes. Your auto insurance doesn't pay for oil changes, new tires or wiper blades, and your homeowner’s policy won’t pay for landscaping or roof repair.

#2- Stop letting insurance companies manipulate the market by setting the prices that Dr's charge. The Docs and the Hospitals will figure out ways to get what they need (like charging $30 for 10 ml of saline to flush your IV line).

Here's an analogy for what happens now. Let's say you go grocery shopping and fill your cart with all the things you need to feed yourself and family for a week. You go up to the checkout where the groceries are rung up and the total comes to $165. You look at the receipt item by item and decide what you're going to pay. Then you hand the cashier $97.43 and walk out. (This is what insurance companies do when they get the bill your doc submits).

If you did the same thing at the grocery store every week it wouldn't take long before the grocery store started charging cart rental fees, promotional program recovery surcharges, and raising the price of ground chuck to $12.99 per pound.

#3 Tort reform. I kind of like the European model of loser pays. That means that if you sue and lose you have to pay the other guys court costs. If you win, they pay yours. It lessens the likelihood of frivolous lawsuits. Limiting awards might be a good idea as well. Less risk to the Docs would mean less need for defensive medicine and less strain on resources. Not everyone needs an MRI for a sprained ankle.

If we went back to fee for service medicine you’d see more Doc’s going in to general medicine. At the same time you’d be able to see your doc usually same day and he or she would spend more than 3 minutes with you while you were in the exam room. You might even see a return to the old days when there was a town doctor who made housecalls, charged reasonably and still made a great living. And it will be because the docs will charge what patients can afford; just like every other business on the planet does.

Did you know that most pediatricians make about $90-95K per year? For 10 years of extra educations and student loan debt larger than a lot of mortgages? No thanks. GP's don't make much more. That's why med students specialize.

Stop trying to fix things, throw the insurance lobbyists (and the rest of the special interests on both sides of the isle) out of our capitols and let the market control itself.

I guarantee things will get better fast.

And remember to ask yourself “When was the last time the government did something right, or at least better than the private sector?”

I have more, but you get the gist

1 comment:

WB in OH said...

I couldn't agree more, especially with the last comment.