Health Care continues to be a big issue in the Republican contest. The main talking point is to “repeal Obamacare” (which is really Pelosi, Reid & then Obama-care). I agree with that sentiment but I haven’t heard any plans other than that though. Honestly, it’s just more of the same. Nobody (R or D) has a plan for what TO do, just what NOT TO do. I think the successful candidate will need to demonstrate a solution for health care. Here’s a couple of thoughts on health care:
The first huge problem is that we’re not being honest with ourselves about health care – we already have universal health care. It ain’t efficient and it doesn’t produce great results but if you go to the hostpital they are legally required to treat you. Regardless of your ability to pay. Everyone reading this that has health insurance helps pay for this. Our own hospital loses millions a year providing this service. Since it’s delivered on a crisis-basis, it doesn’t produce great results and costs a fortune as simple problems have become complicated.
Why are insurance companies restricted to doing business on a state by state basis? In some states it’s just beyond the pale as some companies have +90% market share! I’m not sure whose idea of “competition” that is but I’d love to have that level of market penetration for my IT consulting company.
The health care debate reflects a central tension in America – what kind of people are we? This tension and debate was best described by a question I heard at the Tea Party debate: Say a 25 year old man who, as a result of a terrible accident, ends up at the emergency room. The hopital orderly pulls out the guys wallet and it is determined that he has no insurance. Does the young man die or does the hospital treat him?
If you believe the young man lives, we need to fix health care. If you believe the young man dies, we need to strip down the system even further and make it clear that the ability to pay is the price of entry. Currently we’re stuck in the middle and it is poisoning the system. Requiring hospitals to treat all comers, normally at the 11th hour has turned out to be an aweful compromise. It surely is an issue that needs real leadership.