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Wednesday, December 10, 2008
Carrie Schwab Pomerantz :: Townhall.com Columnist
Taking the Pulse on American Health Care
by Carrie Schwab Pomerantz
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What was the biggest suprise of Election Day?



Our country's appetite for change, as evidenced by the recent election, seems to extend to our health care system. After years of rising costs and less accessibility to quality health care for millions of Americans, we finally seem ready to accept reform.

According to the 11th annual Health Confidence Survey conducted by the nonprofit Employee Benefits Research Institute (EBRI), virtually all Americans say that affordable, high quality health care should be at the top of our nation's health care goals. Significantly, more than 80 percent are willing to support tax incentives and other government involvement as a way to make health care more affordable and more available.

Add to these statistics the fact that only 51 percent of respondents are extremely or very confident that they can get the treatments they need, and only 42 percent say they have adequate choice of medical providers -- and the desire for real health care reform seems pretty clear.

Not surprisingly, cost is one of the main health care issues today. I think we're all feeling a bit battered by rising health care costs -- from insurance premiums to prescription drugs -- especially when we're experiencing an economic slowdown.

Interestingly, while 55 percent of Americans with insurance coverage report an increase in costs in the past year, that percentage is actually down from 65 percent in 2007. On the face of it, that seems like a positive. But on the flip side, far fewer are satisfied with the cost of health insurance and with the cost of services not covered by insurance.

Especially troubling to me is that 42 percent of survey respondents are not too or not at all confident about the affordability of healthcare -- an increase from 36 percent last year. And this lack of confidence translates into daily decisions that can impact our health as well as our finances.

Consider that for Americans who have experienced cost increases:

-- 62 percent are more likely to go to the doctor only for more serious conditions or symptoms;

-- 29 percent have decreased their contributions to retirement;

-- 54 percent have decreased their savings;

-- 27 percent have difficulty paying for basic necessities.

When people are at the point of having to choose between their physical health and their financial health, the need for a cure for our health care system becomes more and more apparent. Continued...

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About The Author

Carrie Schwab Pomerantz is a Motley Fool contributor.

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Abolish socialized medicine
The reason health care is so expensive is that government has interfered extensively in medicine. Medicine is half-socialized in this country. If the government would get its hand out of the medical profession, prices would go way down. This is classical economics. We have got to start explaining that to people.

A generation ago, liberals talked about the "right" to health care. Now that they have a "right" to health care, liberals talk about the "right" to health insurance. In other words, liberals don't want to be reminded that they are parasites; they want a formal government program so that they can keep up the pretense of respectability.

But we have to explain to people that while government can guarantee coverage, it cannot guarantee anyone any medical care under that coverage. Only doctors and other health professionals can provide medical care; government doesn't provide anything. People actually die on waiting lists in countries with socialized medicine. It is the government's heavy hand that has resulted in fewer doctors, longer waits, lower quality of care, and more expensive care.

The solution is not HSAs or health vouchers or any other gimmick which will only entrench the notion of socialized medicine and act as a precedent for greater socialization down the road. The solution is to start attacking all government programs and laws that interfere in the private sector.

The real issue with US health care
Health care in this country is expensive for several reasons. Greed of doctors is one. We don't need to argue about that. Most of us have to work five days a week, eight hours a day to pay our bills. How many doctors do you know who really work that many hours? I know a handful at least who work less than 30 hours a week and make way more money than my electrician husband makes working 6-10s.

Another reason is that insurance companies and entitlement programs are telling doctors what is an acceptable amount to be paid rather than their customers telling them what they're willing to be paid. Most the people I know how have insurance never ask "What is the full cost of that treatment/test/med?" They just want to know how much their copayment is, giving everybody a false sense of low prices until they have to pay something out of pocket or the insurance company denies a charge (happening more and more often as insurance companies balk at rising prices).

The biggest reason, however, is that people overuse doctors for minor illnesses. The common cold usually goes away in a week if you drink lots of fluids and get some rest. I have several coworkers who go to the doctor everytime they get the sniffles "just in case it's something worse." They drive up the cost of medical care because they cause a shortage (doctors only have so much time in their reduced schedules to give to patients) and because they charge their insurance when there is nothing wrong with them. There's also a lot of people who would never consider a lower-cost alternative to a MD and a hospital visit. PAs, direct-entry midwives, many other services can be accessed for far less cost than an MD, but we won't even consider it as long as our insurance keeps paying for the higher priced services.
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