Health Care
As a small business owner for the past thirteen years, I am intimate with the cost of healthcare for my employees. Premiums have risen drastically and benefits have dropped. If my business had a million-dollar bankroll, I would most likely abandon health care insurance altogether and pay costs out of pocket. Most small businesses do not have this luxury and are barely able to get by as it is with existing health care plans. Health care has grown from a deep problem for American citizens to an acute economic problem.
Government programs for health care aren't lacking in quantity: Medicare, Medicaid, CHIP, the VA, CHAMPUS, FEHB, are among the dozens of programs administered by the government to give benefits to a variety of groups. Replacing these groups with a single entity devoted towards complete health care insurance for all Americans would be an ideal that I would work towards.
Health care costs are skyrocketing because the current system inflates demand for the most expensive approaches to care. New drugs and new techniques are often marginally better than those they replace, but cost ten times as much. We can correct this from both directions. We can reduce demand for the most expensive drugs by regulating prescription drug advertising to ensure it's targeted to the doctors who prescribe the drugs instead of uninformed patients. We can improve the supply of more cost-effective treatments by targeting research grants toward development of more efficient technologies that help large numbers of patients at a reasonable price, instead of complicated heroic procedures that help researchers' academic prestige more than they help real patients.
A 1994 RAND study found that drug treatment is far more effective than any other form of drug enforcement. Including drug treatment as part of a health care system for all Americans could greatly reduce the amount of tax funds required for enforcement.
Private insurance advocates are against this plan, but for the duration of their existence they have failed to close the gap on the uninsured. Medical professionals overwhelmingly have decried the profit motive in our health care system to me. If the private cost of health care is considered as a tax like the rest of the industrialized world views it, Americans are the most taxed individuals on earth. It is time our country works together on health care for the benefit of all, rather than continuing the betting game on an individual's health.
Healthcare itself needs optimization with patient records and transfers. Billing records that show a $60 box of alcohol-wipes shows the lack of "free market" competitiveness inherent in healthcare. All too often the primary motive is not the health of the patient, but the profit of the hospital. Whether or not sound alternatives exist is something that needs further investigation.
General Motors on Health Care
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Utah Health Alliance
Former Oregon Governor John Kitzhaber on Health Care
http://vote.peteashdown.org/issues/health-care.html