Posted by
Deborah Fordham on Thursday, May 14, 2009 8:05:03 AM
The failure of the medical community today to provide healthcare at a reasonable price to all is because it is NOT a free market enterprise. There is too much government involvement already.
Doctors don't publish their prices. Insurance companies don't publish price lists of what they cover. Insurance companies have unpublished "fair and reasonable" prices which go into a formula to calculate what they will pay for a given procedure. Doctors may charge $70 for an office visit from an individual, but contractually must only charge the insurance company $25 and the patient has a $25 copay. Another doctor may charge $60 for the same visit, but with the same insurance company he would also receive $25/$25, even if he is a lousy doctor. Since there is virtually no way that someone is able to compare prices from doctor to doctor, or for doctors to advertise, the free market is gone.
In addition, doctors must protect themselves from frivolous lawsuits by doing unnecessary tests and procedures. And HIPAA (the Highly Insidious Paperwork Augmentation Act) adds significantly to the costs of doing business. Laws are stacked against patients and doctors in favor of trial lawyers and drug companies and perhaps, paper manufacturers.
American doctors are trained in the pill-pushing tradition. Few have training in allergies, even fewer in nutrition. They are schmoozed daily by sales reps who promise pills and tests that will solve their patient's problems. Patients have been conditioned to demand a pill for everything. But the cheapest, most effective ways for patients to get better are often the best.
When I was unable to move my arm, a doctor diagnosed arthritis and put me on high doses of painkiller "for the rest of my life". Another doctor told me to grit my teeth through the pain and do big arm circles to loosen the joint. I was permanently cured in two days. There is no place that I can "report" the bad treatment or the good treatment, other than a few, disjointed, doctor review websites.
There are many alternative treatments that are effective that can't
make it past the AMA or pharmaceutical lobbies in America. St John's
Wort, the primary drug (herb actually) used to treat depression in
Europe, is not given by doctors in America, despite its absence of side
effects. Glucosamine is a miracle cure for many arthritis sufferers,
but not often mentioned because drug manufacturers don't sell it. The
German cure for cancer, used sucessfully by Ronald Reagan, is not
permitted in America because it doesn't use drugs.
When I got sick in Belgium, I went to the doctor, he took me into a
room with a bed in one corner and a desk in another, figured out what
was wrong, took me over to the desk, I handed him twenty euros, he
handed me a receipt and I left. Here in America, there are
significantly more hours spent on paperwork than on anything actually
having to do with medicine or treatment. The proposed universal
healthcare program in America would combine the worst of all cultures
creating excessive paperwork and oversight that would submarine the
entire industry.
The Solution:
- Require all doctors and insurance companies to publish all prices.
- Require health insurance companies to clearly state what they cover and how much. When they drop or reduce coverage on a procedure, they need to write all patients and clearly let them know about the changes.
- Don't allow insurance companies to get a better price on services.
- Have a common online website for patients to rate and comment on doctors.
- Malpractice lawsuits should end in the suspension of a doctor's license if he deserves it, not a lottery payoff for the patient and lawyer. There must be a cap on lawsuits.
- Get rid of HIPAA - if a patient is concerned about privacy, he should work it out with the doctor before his treatment.
- Quit giving free medical treatments to illegal aliens - if they need emergency care which they expect the government to pay for, the back door of the hospital should be a trip "home".
- Give holistic doctors and health care more credence. Let insurance cover them.
- Clarify that babies born in America to illegal aliens do NOT become American citizens. Change the Constitution if necessary.
Many doctors are in it for the money. Most are doctors because they really want to help and cure people. Untie their hands and let them do what they need to without the burden of government intervention. A free market system would benefit all.