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Monday, September 10, 2007
Harry R. Jackson, Jr. :: Townhall.com Columnist
Physician, Heal Thyself
by Harry R. Jackson, Jr.
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Just two years ago my wife and I sat in the office of a world famous surgeon at one of the nation’s most prestigious hospitals. As we stared into the face of this sharp, young physician, we felt inspired and hopeful. The doctor exuded confidence despite the fact that he told us that the type of cancer I was fighting was especially deadly – on average only 15% of patients following traditional surgical approaches lived five years after surgery. His institution, the world famous Johns Hopkins University Hospital, had developed a special treatment protocol which was years ahead of most domestic hospitals. Their techniques promised to quadruple my survival prospects.

This treatment required massive doses of chemo therapy, radiation, multiple surgeries, and post surgical chemo. After conferring with our doctors, we decided to go with the Johns Hopkins approach. The drive to the hospital was a great deal farther than other local hospitals, but we made the commitment because of the caliber of treatment we knew we would receive at the hospital.

The biggest shock of the entire process was that we received a large bill for the first minor preparatory surgical treatment- insertion of a special feeding tube, and a rare 24 hour chemo delivery system. The first chemo treatments were called “experimental” and bill of nearly $10,000 was racked up in less than two weeks by the preliminary procedures. There was a constant tug of war between us and the insurance company. The insurance company preferred local doctors and local tests. Hopkins, seemingly impervious to the insurance company’s complaints assigned a team of five doctors to manage my case, because of several complications I experienced in the course of treatment. Eventually the insurance company paid for all my tests, treatments, and procedures. The fact that I actually just cheated death on two occasions prior to the major surgery was the defining factor of the treatment protocol.

Today (eighteen months after surgery) I am cancer free. I am glad I worked with Johns Hopkins Hospital. I am convinced that their superior care has contributed to my survival. The cost of this new lease on life was approximately $100,000 of unexpected personal costs beyond traditional medical costs. These numbers do not include personal income loss due to illness. Was it worth the price? You better believe it was. I am thankful to be alive.

Recently, a lady at my health club stopped me to enquire about my doctors and the treatment I had received. Her father, who lives in England (under universal health care), has the same type of cancer but was essentially sent home to die. She is attempting to get my doctor to consult with his physicians overseas.

I am convinced that Americans have the world’s finest doctors and best hospitals. Our national conundrum is how we help each individual get the care they need.

Unfortunately, many Americans have too few treatment options available to them. Further, a huge number of our citizens are not covered at all. I have yet to see the program that answers all the issues, but I am encouraged by the direction that some opinion leaders are taking.

Senator Sam Brownback has made the following statement,

“Our healthcare system will thrive with increased consumer choice, consumer control and real competition. I believe it is important that we have price transparency within our health care system. This offers consumers, who are either enrolled in high deductible health plans or who pay out-of-pocket, the ability to shop around for the best prices and plan for health care expenditures. Also, the existing health insurance market forces consumers to pay for extra benefits in their premiums.”

Former mayor and presidential candidate Giuliani’s campaign web site says,

“America is at a crossroads when it comes to our health care. All Americans want to increase the quality, affordability and portability of health care… I believe we can reduce costs and improve the quality of care by increasing competition. We can do it through tax cuts, not tax hikes. We can do it by empowering patients and their doctors, not government bureaucrats. That's the American way to reform health care."

Mike Huckabee, former Arkansas governor and candidate for president, has made the following insightful remark concerning cutting healthcare costs,

“… spending is now about $2 trillion a year, which is close to $7,000 for each one of us. It consumes about 17% of our gross domestic product, easily surpassing the few European nations where spending is close to 10% and far higher than any other country in the world. If we reduced our out-of-control health care costs from 17% to 11%, we'd save $700 billion a year, which is about twice our annual national deficit.”

In addition to these quotes most thinking leaders would agree with the following conclusions:

1. The tax code needs to be reformed so that it does not penalize Americans without coverage.

2. Health access must be given to impoverished or low income citizens (a tax credit may be best way to handle this).

3. The nation needs to accelerate the speed of drug evaluation and release by the FDA.

4. Incentives that promote wellness and disease prevention must be written into health insurance programs.

There is a huge need for Americans to find an answer to our health care woes. As we have already stated, our medical system is the best in the world. Our doctors, nurses, and hospitals are the finest available on the planet. There is just one thing missing – the ability to make healing our own people a priority. We must heed the biblical challenge that was given to Jesus in his earthy ministry, “Physician, heal thyself!”

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About The Author

Bishop Harry Jackson is chairman of the High Impact Leadership Coalition and senior pastor of Hope Christian Church in Beltsville, MD, and co-authored, Personal Faith, Public Policy [FrontLine; March 2008] with Tony Perkins, president of the Family Research Council.

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Health care
I noticed Bishop Jackson didn't mention any of the Democrats proposals... Could it be they want to pay for it by "rolling back the tax cuts for the rich"

I Am Encouraged
"2. Health access must be given to impoverished or low income citizens (a tax credit may be best way to handle this). "

Yes! Today the majority of those without health access work full-time for companies that do not offer health insurance, earning low wages ($8/hour which works out to about $16,600 on a 40 hour per week/52 week basis). Any plan must include a way to cover all citizens.

4. Incentives that promote wellness and disease prevention must be written into health insurance programs.

Again, yes! Right now the uninsured do not receive any treatment or guidance to prevent disease (or catch conditions early via screening tests). This needs to be included.

Additionally, the 10% of citizens who have chronic ailments (and make up 90% of health care costs, a number that now includes Harry R. Jackson, Jr.) need to be guaranteed health care access at rates they can afford.

Too bad the Republicans did absolutely nothing about this national problem when they had control of the presidency, supreme court, senate, and the house of representatives.

a $100,000 tax cut???
"I am convinced that their superior care has contributed to my survival. The cost of this new lease on life was approximately $100,000"

No way can low-income Americans save $100,000 with tax cuts. And because in our current system, most Americans receive health insurance from their employer, it's the unemployed who tend to be the most of the uninsured. And when you're unemployed, an income tax cut saves you nothing because your income is zero anyway. A 10% tax cut is worthless because 10% of zero income is zero.

Republicans and conservatives need an answer for those American citizens who simply don't earn enough to make tax cuts matter. These folks' income is so low that they are saving none of their little income anyway, making Medical Savings Accounts (MSAs) useless too.

The right answer may be a kind of "negative income tax" for health care--but it will require Government subsidies.

Republicans traditionally have had little to say about those at the bottom 20% of the ladder in America. Yet they are the ones who have the biggest health care problems.

What a load of bull!
Giuliani’s campaign web site says:
".. I believe we can reduce costs and improve the quality of care by increasing competition. We can do it through tax cuts, not tax hikes. We can do it by empowering patients (?)and their doctors,(?) not government bureaucrats." (?)

Nice, thoughtful words Rudi, but without any real suggestive solutions whatsoever. Both sides, Dem or Repub, are bereft of workable initial options to increase the access to health care without reducing the quality by going to socialized medicine, or "Single Payer" as the Democrats call it. ("..a rose by any other name?")

AARP is running ads claiming that health care is a "right". I disagree. "Rights" do not cost money nor compel the expense or inconvenience of others for you to exercise.

That said, health care is certainly a necessity, just as water, trash collection, electricity and roads. There is a "common good" to health care that should remove it from the greed of Wall Street, and an importance that should keep it out of the hands of public employees.

Liberals WILL HATE this posting!
According to the latest figures 85% of Americans have health insurance. In other words, people who have health insurance outnumber those ho don’t almost 6 to 1. This tell me that health insurance is READILY AVAILABLE if an individual will get of their LAZY A$$ and look for it!

The reason cost are so high is malpractice insurance, I DEFY THE LIBERALS to say they can cut costs with an ambulance chaser (Mr. Elizabeth Edwards) as one of their standard bearers.

Obesity is emerging as the BIGGEST health crisis of the 21st century. Health Care IS A PROACTIVE THING! YOU CAN take better care of yourself & thereby REDUCE THE NEED for medical care. I’ll lay money that if ALL AMERICANS would watch their diet, exercise, get enough rest and take vitamins, their overall health would MARKEDLY IMPROVE in a VERY short time.

George
Republicans will loath this fact.

47 million Americans Have No Health Insurance - Up 5%

WASHINGTON -- A record 47 million Americans did not have health insurance last year, while the percentage of children without insurance rose for a second consecutive year, according to US Census Bureau data released yesterday. [...]

btw A nation with the 2nd highest infant mortality rate in the industrialized world can't quite brag.

Taft
That's what I said, (15%) 47,000,000 Americans don't have insurance. People who have health insurance outnumber those who don’t almost 6 to 1. This tells me that health insurance is READILY AVAILABLE if an individual will get of their LAZY A$$ and look for it!

The mortality rate blurb is a LIBERAL LIE!

Sea Dude
If some idiot would rather have a water toy instead of insuring his family for three years, how does this become my problem? If we are to have complete government control of everything, I suggest we start with retailers and require that they verify health coverage for the length of time it will take to pay off the purchase on potential buyers. Since the government is so informed, it should take little to verify coverage. Instant insurance check. Otherwise, no sale.

If that is not enough, make person-to-person sales meet the same rules. People are without health insurance because they made other choices a priority.

Liberals and Jackson, heal thyselves
.

SteveL
In fairness to Jackson, he is not talking about a 100,000 tax credit. Presumably the tax credit would be for health insurance which would spread the risk around. So since the kind of cancer treatment that Jackson needed is rare and unpredictable, he (if he was among those needing a credit which he is not) would be in a pool with many others receiving credits for insurance they don't wind up using.

Georgetwin
If by Liberals hating this posting you mean hate the poor logic it represents you are right.

The argument you make here is a non-sequitor. The fact that a certain percentage has something does not indicate the "laziness" of those who don't (regardless of what the percentage is) unless there is some reason to think that the two sample groups are otherwise similar. But in the case of health care we know full well they are not. Having health care is largely correlated with certain job opportunities, or qualifying for certain government programs. Those people who work in fields that do not provide health care and are not willing to do what is necessary to qualify for the government programs (which largely would mean impoverishing themselves or artifically aging themselves or developing a disability) are not in any way lazier than the others. Or at least there is nothing in the percentages to indicate they are.

Lon
AGAIN! If 85 % percent of the people have health insurance, it is WIDESPREAD & EASILY AVAILABLE! Anyone who doesn’t have it ISN’T LOOKING VERY HARD FOR IT!

15% No Coverage
Regarding the 15% without health insurance - what percentage of that percentage is made up of people who CHOOSE not to have health insurance. Who take the risk of healthcare on themselves since they can afford it or participate in a "self made" group (they and their friends donate money and help each other out with expenses)? Not blaming laziness here - just saying the opt out of having insurance as they can cover the costs themselves.

15% No Coverage
Regarding the 15% without health insurance - what percentage of that percentage is made up of people who CHOOSE not to have health insurance. Who take the risk of healthcare on themselves since they can afford it or participate in a "self made" group (they and their friends donate money and help each other out with expenses)? Not blaming laziness here - just saying the opt out of having insurance as they can cover the costs themselves.

And sorry if this was a double post...something wrong with the system today.

15% No Coverage
And ... how many of that 15% are people with existing medical conditions, expensive but treatable, things like diabetes or asthma or Parkinson's disease or, like Harry R. Jackson, Jr., cancer. Private health insurance companies can and do exclude individuals like that from coverage. It is not "widely and easily available" for them.

As for young, healthy people just opting out .... when there are tens of millions of uninsured, I'm sure that a handful can be classified as voluntarily "opting out". More are at their first job. One company I know of offers health insurance for $2400/year for an individual, full-time workers only. They pay their workers $7.50 - $8.50 / hour, depending on position (for 40 hour weeks, that works out to $15,600 - $17,680 per year). That's about 15% of their gross income, an unaffordable amount when housing, food and transportation needs are taken into account. And, like a health insurance rep said on CSPAN, an individual who would buy insurance in those circumstances would be looked at very, very closely to see if there are any pre-existing medical conditions (because who else would pay 15% of their pre-tax income for health insurance?). And, of course, pre-existing medical conditions are excluded from coverage.


Greed will always seep in like water
If you fix one leak some greedy snakes will take advantage and look for ways to steal what you worked so hard to build or repair.
There's no mention of the drug costs, or the insurance companies bloating charges, as well as the care takers and the hospitals.
just like the triple increase for the price of gas at the pump in seven years time...does anyone care about John Q Public?

You don't know a thing
That is correct. So far every one who has posted has missed the mark by a mile. I have been a physician since 1974 so I feel I have some insight into what is going on.

1. There is no "crisis", the number and percent of population without insurance is about the same as it has been for decades.
2. I make a considerable amount of money but even I can not afford what is charged by the insurance company for what they call coverage. Note that there is a significant difference between what insurance pays and what the real bill is.
3. The cost of health care is sky high. The reason is the government and the lawyers. In the US at this time it is against the law to give a person free care!! Also consider what would happen if you called me about a headache. I can't tell you to take an aspirin. Instead I have to send you to the ER and you develop a $10,000 bill after all is said and done. Why? Because of the very small possibility that your headache would be something like a tumor. Now the ultimate treatment would not save your life, but it would at least look like I was doing something and keep me from being sued. This is a very simple example, it is repeated constantly in all disease states daily.
4. Your bill reflects a hidden tax. Medicare and medicaid in no way pay for the services for their patients. Someone has to so this is transfered to others.
5. In the last 20 years, regulations have created a completely different indurstry that has to be funded by you. That increases cost. It does little if anything for the quality of care.
6. Politicians of both parties have killed medicine. It no longer is what it used to be. With the institution of socialized medicine it will get worse. None of the countries in this world have the quality of care that we used to. You can quote all the stats you want, they are meaningless.
7. HMO's are a joke. They are only present to slow down your ability to get care or deny payment for legiment reasons.

georgetwin
Curiously enough when you repeat a non-sequitor it remains a non-sequitor. Maybe if you repeated it with more exclamation points it would cease to be a non-sequitor, but I am guessing not.

Whether a commodity is realistically available to the 15% that does not have it is not something that can be deduced from the fact that the other 85% have it without some information about what differentiates the two groups. Perhaps you could try making your claim with all caps and see if it works any better.

Harry,
God bless you and your family. I hope everything turns out alright.

Free care
"Physician, heal thyself"? And what does that mean? The physicians are responsible for the extra $100,000? Or that if everyone had health insurance the cost would go down?

The problem is that everyone demands absolutely the best care for every ailment, for free, or someone else to pay for it [insurance], from the best and brightest. $100,000 above and beyond for "free", and the cost should be $zero?

That is the problem. Yea, physician, heal thyself? Subject yourself to years of the most competitive study, work 24/7, risk lawsuits with every patientthat walks through your door for $20,000 a year! While a real estate broker gets 6% of every transaction?

Say bye to the best and brightest doctors. Say hello to inability to see a specialist, that will be the nurse. And why do you think 80% of physicians in England are foreigners?

Physician, heal thyself?

SteveL writes: 10, 2007 10:20 AM
...it's the unemployed who tend to be the most of the uninsured.

DESKJOCKEY RESPONDS

Having started my career working below min wage and then having worked later in life at high wages, I’ve seen this problem form both ends.

Why did I work below min wage? So I could enter the work ladder. As my career progressed I remained uninsured until my later 20’s. At that time I also didn’t buy car insurance. I had nothing, could not see that I ever would and only hoped that when I die my net worth would rise to zero.

Unemployed, low employed and successful young people tend not to pay for insurance because they get coverage for free at the hospital, and/or have low risk of health issues and/or have little assets at risk yet. This can be solved by removing free care where they now must work if they want health care.

Also, we do not have a health coverage problem we have a work ethic problem. When making 75 cents/hour I wondered if I could make $1.25 min wage. So I got a job pumping gas at min wage. After doing that for a year, I said to myself, why can’t I do something more valuable and make more money. I decided to mow lawns and bought a used $10 mower, put it in my trunk, put on my track shoes and whipped out lawns in minutes. Now I was making $10/hr. I continued this process until I owned my own company and became somewhat successful.

What I learned is that we don’t have income problems or health care problems we have behavior and attitude problems that result in symptoms of income and health care.

Now if people really wanted more income and insurance they get off of their couch mid day, turn off Oprah and go out and get what they want in life. But they don’t want those things if it requires leaving the couch and I respect their rights not to. And I don’t have a right to interfere by giving them money or insurance that they really don’t want anyway.

Let's start.....
with unhealthy lifestyles....My mother is in the hospital and as I walk through it to see her all I see is fat, hugely overweight people that can hardly fit in the single beds! It's disgusting and explains why most of them are there...it's got to stop,this unhealthy lifestyle most of them live. Can we/they not see why they're there??? Most of them eat crap and 1/2 of them smoke. They're eating our health care $$$'s up and it can be easily stopped if they had any kind of self control or self respect. I can barely stand walking through the waiting room and the hospital...

Uninsured scam
Folks are throwing around all kinds of wild uninsured #’s. If we get a handle on it we realize that very few are uninsured. Douglas Holtz-Eakin, director of the CBO claimed that there are a lot of issues with the numbers he provides for the giver-ment. For example the illegal aliens are included in that number. We have singles making over $50K and other high wage folks that choose no insurance or self insure because they don’t want to subsidize old people at work and rather take the cash benefit being at little risk themselves. We have millions that are covered under other federal programs that wisely don’t buy coverage. I listened to a guy on the radio last week break this down and we have a maybe 3M really uninsured folks.

So why do they throw out the big number? To promote socialized medicine of course.

SEPTEMBER ELEVEN: "BLESS THEM ALL!"
SEPTEMBER ELEVEN: "BLESS THEM ALL!"

SteveL
Further to DeskJockey's post, may I remind you that almost half of the people in this country pay no federal income tax whatsoever? That's right, the EIC means my husband and I pay 40K in federal income taxes each year (nevermind the state and other taxes) so somebody else doesn't have to because he's "poor". We're also funding someone else's retirement and drugs via SS and Medicare, which means there's that much less to see to our own need, much less plan for our future. Sorry, but I don't buy the notion that it's up to me to pay for yet another freebie that will benefit only the bureaucrats and the "poor".

Georgiagal; We are bombarded daily with commercials on radio and TV telling us what we ought to do to be healthier. It's got to the point that some cities have outlawed the use of certain food components because they have been deemed "harmful". What more do you want; food and exercise monitors to make sure we do the right thing?

Deskjockey
You have it exactly right. I busted my butt to get where I am and I have had people refuse work because it would screw up their welfare/unemployment. Needless to say I went to the local unemployment office and brought a caseworker out to talk to the miscreants and effectively "Screwed up their welfare/unemployment"

BTW as you know I am self insured but I still pay taxes because I am required to. I don't protest because I know that the system was set up to have the now working pay for the now retired/needy/etc. you also know that I believe there is a better way that could be self supporting and in 1 generation would be completely in place. I have no real idea what the overall cost might be other than it would have to be incredibly less than having the government pay the insurance industry for everyones coverage because #1:the insurance companies do nothing for free and the government does nothing efficiently.

Physcian Heal thyself
Healthcare needs have to be addressed in 2008. We can not continue to talk about the need for change without demanding a change. Jackson is correct that the United States doctors are well in advance in medical research. The insurance companies need to understand the advancements in medicine and go beyond the lucreative dollars they can make from the consumer.
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