Today, back to trying to define the problem. Last time, I looked at whether the quality of care was substandard. I think we have good quality of care. Please do not mis-understand, there are always problems, however, the quality of care is not the "crisis" in health in this country. The cost of care is a problem. Everything associated with medical care is too expensive. The cost to the patient is too high. Medical supplies are too expensive. Medical training is too expensive. Litigation adds a layer of cost to the system. Insurance adds a layer of cost to the system.
Today, I would like to touch on Insurance and managed care. Prior to the 1970's there was not "Managed Care". The patient used to manage their own care. They made decisions about how their money should be spent. After the federal "Health Maintenance Organization Act of 1973", the decision making and the power in medical care has shifted further and further away from the patient. In both subtle and overt ways, the payor (Insurance or the Government), determines what is available as options and when those options may be used.
A pretty good starting point is the following article by "Blarney in Politics". "
What's really wrong with the United States medical system? "
So when considering other legislative options, please advocate solutions that give more control over to the patient. This will result in better care and lower cost.
In my next blog, I will try to discuss the need for meaningful Tort (suit) reform as a cost reduction.