U.S. Health Care System 'Headed For Multiple Organ Failure,' Op-Ed Says
Main Category: Health Insurance / Medical InsuranceArticle Date: 07 Nov 2006 - 16:00 PDT
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The "U.S. medical system is headed for multiple organ failure," John Abramson, a clinical instructor at Harvard Medical School and the author of "Overdosed America," writes in a Los Angeles Times opinion piece. "The spiraling cost of health care is well known: $7,100 per person this year, projected to increase to $12,000 in 2015 and compounding at more than double the rate of inflation," Abramson writes, noting that "medical care gobbles up one-sixth of the GDP." According to Abramson, "[F]acts show that these enormous expenditures may be buying us the best amenities in medical care -- but not the best health." A Dartmouth Medical School study found that "perhaps a third of medical spending is now devoted to services that don't appear to improve health or the quality of care -- and may make things worse," Abramson writes, adding, "This means that the U.S. is wasting more than $650 billion a year -- half again more than the entire Defense Department will spend this year, including the cost of the war in Iraq -- on unnecessary and often harmful care." He says, "One factor is specialists. Both U.S. and international studies show that the more a health care system relies on primary care, the better the outcomes and the lower the cost. But American medicine is heavy on specialists and getting heavier." In addition, according to Abramson, "Our government has become almost fundamentalist in its reliance on market-based, pro-business solutions to social problems." He continues, "No politician wants to be tarred with the charge of promoting 'socialized medicine.'" According to Abramson, "[E]ven in the midst of this pivotal congressional election campaign, few politicians are addressing the crisis in affordable, quality health care. Is this any way to run a democracy?" (Abramson, Los Angeles Times, 11/3).
"Reprinted with permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation . © 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.
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Another Option For Health Care
posted by John Silver RN MS on 7 Nov 2006 at 5:11 pm The crisis in the American healthcare "non-system" is epidemic and escalating. One problem is that the national debate has centered on only two options, free market systems or socialized medicine. There are other solutions!
First, we need a national debate on whether healthcare is a right or a privilege. That discussion can guide us into a debate on what kind of healthcare system we want. One alternative is the public utility model. In 1935 we chose this as our soultion to the lack of energy distribution to our rural communities (access) and controlled the costs. It was called the PUCHA Legislation.
There are four areas we need to decide on:
1) Administration- Whom do we want to administer this system. My recommendation is RN's.
2) Medical practice- We need to protect what we do well (emergency type care), and greatly expand community based and educational systems. Our community healthcare practitioners (and I include nurse practitioners in that group) should be financially encouraged to provide services to keep people out of the acute care facilities, and our in house physicians should be financially incentivized to get people out as soon as possible.
3)Financing- We currently tax the #2 (cigarettes) and #3 (alcohol) causes of morbidity, but not the #1 cause (junk food). A 25 cent tax on junk food would pull every state out of the red on medicaid and create a surplus we could devote back into community and health education.
#4- Every hospital should be a teaching facility so that evidence based practice can be not only encouraged but mandated.
Lastly, we really need to talk about what our responsibilities are as consumers of healthcare to lead healthy lifestyles, eat balanced diets, and get regular exercise. It's not rocket science, and we've known for many years how to maximize one's health status. At the same time, we need compassion for those of us who, through genetics or misfortune, suffer the medical ramifications of disease and injury.
This is the greatest country in the world for a victim of trauma. It's one of the worst for those suffering from chronic conditions But, how do you legislate health?.
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