Expect a concerted effort to bring health care costs under control soon after the 2008 elections, no matter who succeeds President Bush in the White House. Momentum is growing, with such varied stakeholders as employers, unions, consumers, providers and insurers agreeing that health costs are still rising too quickly, even if they disagree on precisely how to bring them under control.
Businesses are pressing especially hard to ease what they view as a big burden. Firms are tired of premiums pushed ever higher to cover the cost of care for the uninsured -- now over 45 million and growing. Big U.S. companies pay more than do rivals in Europe and Asia, making it harder to compete in global markets.
Consumers are also clamoring for a fix. Even those who currently have health coverage worry about being able to find it or afford it in the future. That insecurity is a big change from 1994, when the Clinton administration's effort ran into a storm of opposition.
Plus states are adopting their own plans, adding to the pressure on employers, who prefer a national approach to a hodgepodge of state rules.
What will a national plan look like? Details will depend on results in states already implementing programs. Massachusetts has begun one, and California is getting close. The makeup of Congress and the winner of the presidency will also have an influence.
Among the likely key components:
Neither of the extremes -- establishing a new, government-run plan or forcing consumers to buy individually on the open market -- has much chance of receiving serious attention in Congress.
For weekly updates on topics to improve your business decisionmaking, click here.
POSTED BY: Ralph Herndon (July 15, 2007 11:00 PM)
I have a quick little story that will be of interest to you:
I was recently in an auto accident. A lady rear ended us while we were waiting for the car ahead of us to turn into a driveway. I laid on a transport stretcher in the hallway of a local hospital emergency room for several hours. For that privilege, my health care provider received a bill for over $3500 dollars. Let’s not even begin to talk about doctor fees, x-ray fees, etc, etc, etc. Am I missing something here?
We need to go after the root of the problem, which is in fact, obviously, the medical industry itself.
It is no wonder the insurance companies keep raising rates. After all, they are not going to absorb these ridiculous fees.
POSTED BY: KDavis (July 16, 2007 12:11 PM)
To me this is simple...go back to making hospitals not for profit, do not allow hospitals to write off the PPO discount as a loss, do not allow direct to consumer advertising of prescription drugs. These things alone would save over $100 billion a year before anything is done to change how health care is delivered, paid for, or acquired. State plans are more costly and restrictive. The Tenn. state plan is half of their entire budget and the benefits minimal at best.
POSTED BY: Susan (August 30, 2007 07:03 AM)
Profiteering appears to be away of life in the health care industry. Increasingly physicians are refusing to take Medicare because of what it pays and the difficulty in getting paid.
Medicare part D added more bureacracy and administrative costs. This was done to appease pharmacetucal companies.
The people we have been sending to Washington are not representing the welfare of the people, but of themselves and the deep pockets that keep them in power. How does the ordinary citizen fight this? How do we stop a government by the people that is no longer representing the people?
Maybe it is time for even a greater reform on a more basic level. Something that addresses the lack of loyalty to the American people as jobs, and taxpayer dollars are sent everywhere outside of the nation. We are wasting billions due to the incompetence of our current leadership and the promotion of fear and scandal instead of working on real problems.