Another Defeat for Sanity in Our Health Care System.
PMpMon, 21 Jul 2008 13:17:15 +000017Monday 3, 2008 — brendabowers****************************************************************************************************************
I was disheartened at the defeat of the Medicare adjustment bill that was defeated last week. Something must be done and yet everyone is doing their best to see that the program fails completely and takes down our young and our economy and ultimately our country. EVERYONE has had a hand in creating the problems we are now facing and yet every group insists on their little piece of the pie being sacrosanct with no consideration of the overall picture and what needs to be done. No group is willing to cooperate or compromise.
This particular reform measure was supposed to be a series of reductions in doctors fees over a period of time. However as these fee cuts were to be taking place the normal health care double digit inflation would continue. So even with the cuts in fees the doctors rate of payment would still be well above the rate of overall inflation. But doctors and doctors groups were opposed.
The reason behind the measure was, I believe, that if doctors fees were cut then the avalanche of unnecessary tests and procedures ordered by doctors would have gone down too. Only makes sense that if they are not going to get as much for doing them then they would stop doing them, doesn’t it? And this was just the beginning of many more adjustments to the program that would have affected everyone. But as I said, no one wants to give up their little piece of the pie.
I was very much opposed to Medicare when it was first discussed in the early 1960’s, but the Democrats under Johnson’s Great Society pushed it thru. And of course we have had nothing but double digit inflation in medical costs since. The only other area to have inflated at this rate is education, and here again only after the government got involved. I don’t understand how people who are calling for more government involvement in all areas of our life can not see what happens every time the government takes over! It really is a no brainer to look up the costs before the programs and then compare the costs 10 years after the program has been active. Then compare the rate of inflation in the area of the program with the general inflation rate.
60% of seniors in 1965 had their own private insurance, but were forced to enroll in the Medicare program. Many resisted but like me as a younger woman with an excellent policy simply had to give it up when the premiums became more than I (and they) could afford due to the rapid enormous inflation spurred by Medicare. Prior to Medicare insurance rates rose at generally the same rate as the economy. Due to these outrageous prices for my private health care plan I was forced to go under the Champus military health care plan which certainly was no where near what I had with my private health insurance plan.
This same escalation in costs forced workers to demand insurance from their employers which depressed wages so that now we see that wages have been far out distanced by inflation. The same as government backed student loans caused education cost to escalate making it necessary for young people to get these loans to get thru college so that now young people find themselves with student loans that will be a burden to them for the rest of their lives.
Doctors were also instrumental in causing the horrendously rising costs of medical care by doing procedures that were totally unnecessary so they could bill Medicare. I can not tell you how many outrageous things I saw as a voluntary social worker that doctors performed on the elderly. My very first case was to pick up and return to the nursing home an elderly lady who was riddled with cancer and only given a few months at the most to live. What had been done to her at the time I got involved? She had had a radical MASTECTOMY! As if cutting off her breast was going to save her life.
Now since I am on Medicare I am having to police my own health care and actually refuse some treatments suggested not just by my primary care doctor but even more so from specialists he sends me to. I also test medications prescribed and if I see (feel) no beneficial results I refuse to take them. I do this because the system and especially young workers are so overburdened. I see my actions here in the same light as recycling my trash. Just trying to do my part. I know however that I am probably less that .001% of the elderly population in this endeavor.
In fact, the elderly because medical care is so low cost to them are demanding treatment that simply will not help them, but their doctors give it to them if they demand it just to keep from getting into a debate with them. Every “new” drug advertised on television the seniors have to have. Stupid! Getting old is no bed of roses and there are some things for which just nothing can be done. A 65 year old can not expect to have the body they had at 35 that’s all there is to it. No miracle pill is going to give that 35 year old body back to them. Seniors have been spoiled and really need to be told by their doctors that they will just have to suck up some hard truths. (Fact: more is spent on an elderly person in the last year of their life than all the years previous.)
Medicare like everything the government has gotten into is an easy mark for the unscrupulous and greedy. Now we have young people calling for more government involvement with universal health care. Dear Lord, have we not put a large enough burden on our young? Have we not put our great grandchildren far enough in debt? Don’t these people understand that universal health care is just not possible in the United States. Why is it not possible? Because we have been spoiled by having instantaneous excellent health care available and if this is offered to all Americans at the tax payers expense then there simply is not enough money period! Something will have to give and the only thing that can give is the quality of health care we have become accustomed to. Those who are in their ignorance screaming loudest for Universal Health Care will not honestly compare our system with any other country that has niversal health care. If they did their attitudes would change and they would be able to see that their “wants” just aren’t possible so they had better be satified with their “needs”, and at the same time try to get the “wants” of theor Senior Citizens adjusted to some sort of realism also.
So there you have three groups who are now, and will later, refuse any compromise: doctors, seniors and younger citizens who can’t seem to understand basic math.
The passage of this bit of sane reform made to the Medicare system by reducing doctors payments would surely have resulted in a reduction in unnecessary procedures. And an elimination or reduction in unnecessary procedures is the only course I see in perhaps “saving” Medicare as it would naturally lead to realization of the need of rationing what is done to patients’ and especially on the elderly and those who will not benefit from the procedure to prolong their life or improve their health. The State of Oregon has a program that would be a good beginning in this endeavor.
I suppose we will just never learn that we can not have all of our wants. BB


