I think everyone would agree that lowering healthcare costs is a really cool idea. Before we ask (or allow) the government to take over the entire industry, we may want to look at it little closer.
There are two questions we should ask before taking the governmental leap: What are the real costs…to us? And, is there a better solution? After boring you with some statistics, I plan on offering you my version of a solution.
By showing you these stats, I hope you will gain a better idea of what the healthcare industry means to our overall economy. When I say economy, I am not just referring to Wall Street or corporate profits… I am referring to your pockets and paychecks
According to the US department of labor’s Bureau of Statistics, the Healthcare industry is the largest industry in the land. As of 2006, the industry accounted for over 14 million jobs. In addition, 7 of the 20 fastest growing occupations fall under its umbrella. 5% of the total US population works for some form of medical care facility. As we say in the south, “That’s a heap o’ folks.”
These stats do not include sub-industries like pharmaceutical companies, insurance companies, insurance agencies, and medical paraphernalia manufacturers. Millions of others rely on these sub-industries for their paychecks. If we add these jobs into our stats, we’re probably closer to 10% of the total population relying on the healthcare industry for their bread and butter. That’s almost 30 million jobs.
Keep in mind that Corporations aren’t the only ones who profit from the industry. Your friends, your family, your wives, your fellow church members, and your neighbors may be getting their paychecks from healthcare. Those of us who aren’t have 401(k)’s, IRA’s, mutual funds, and other investments tied to medicine and its auxiliaries. In other words, we all have a vested interest and should want healthcare to be efficient, profitable and long lived.
In summary (if it’s not too late), healthcare is a huge pillar of our economic foundation. It is almost completely domestic and for the most part, can never be shipped overseas. It effects every man, woman, and child in this land? As a result, we have to use extreme caution when considering a change to its structure.
Now that we are in a cautious mindset, let’s examine what a government take-over might mean. I think we all can agree that government is not the poster child for efficiency. As a matter of fact, the words “government” and “efficiency” are rarely spoken with a straight face, but given the seriousness of this topic, we really can’t afford to be laughing at that old joke.
In all reality, a magic wand of hope is not going to change how our government functions. The bureaucracy is in place, so allowing them to take over the industry is not going to magically make healthcare more efficient and less expensive. Sadly, the opposite is probably its destiny.
From our standpoint, it often seems that government has infinitely deep pockets, but their pockets really have big holes in them that lead to our pockets. If they take over the largest industry in the country, how much extra will we have to forfeit from our paychecks to pay for it? Not only will we be sharing everyone else’s healthcare costs, but the government has no incentive to be efficient. In addition, how much money will be removed from the tax pool as a result of converting a for-profit industry into a governmental non-profit? In all reality, that’s what we would be doing by socializing healthcare.
How efficient will it be? And, how long will our children have to wait before they get treated by their care provider? If we ask government to step in, it may incur a lot more pain than is actually relieved (pun definitely intended).
At this point, I know I am at risk of losing your attention. Please hang with me as I offer you my solution.
Health Insurer’s Marketing Overhaul:
Woo Hoo! Government still gets to be involved: Initially, government needs to pass legislation that forces health insurers to market directly to you and I. Yep, you read that correctly: No more group insurance plans that allow insurers to create mini-monopolies within corporations. They will be forced to compete in the open market for your insurance dollars and can no longer hide their premiums in your paycheck withholdings.
Health insurance companies, like the government, have found nifty ways to hide the true cost of their products by having your employer share those costs, and even collect it for them. They get their money before you receive a paycheck, and as a result, you don’t even miss it.
Since employers do lose some tax advantages in this proposal, I suggest we allow them to convert those tax advantages to an increase in your pay-scale. Both of these suggested changes would create additional jobs and higher salaries.
By creating a more competitive environment, insurers are forced to keep premiums in check, and you get more money in your paycheck. So far, So good…right?
Here is the most controversial part of my plan: We must limit the amount courts can award for malpractice suits. Medical malpractice insurance premiums and potential/actual legal costs are two of the biggest expenditures in healthcare. The doctors and hospitals spend millions and billions of dollars worrying about being and getting sued. As a result, they are forced to pass these costs on to us and the insurers.
If we want doctors and hospitals to lower their costs, we have to be ready to assist them in lowering what it costs them to stay in business. By segmenting malpractice awards into two categories (death and disability) and limiting the amounts that can be awarded under each category, we can assist them in lowering those costs. In turn, we lower our costs.
The dilemma, however, is how to place a dollar figure on someone’s life or ability to normally function. What is fair? What is equitable? I find myself unable to draw a clear conclusion, but we already established that caution was a necessary component to change our healthcare system. This is one area that requires extreme sensitivity, thought, and patience…
On the whole, there are still a few details to iron out before we embark on any of my proposed changes, but I challenge you to give it some thought. It makes sense and it works within our current economic system without creating a major upheaval in our daily lives. It puts more money in our pockets and keeps the government out of them. (Like most struggling people, I am all in favor of both).
Feel free to let me know your thoughts on this…my contact info is below.