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We Need to Design Health Care Reform That Puts Patients Before Profits

rooseveltinstitute.org

11–20 of 206 posts

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#11

Until Americans find Physicians (and Pharmacists) as the enemy, it will never happen. They(AMA and APA) are top lobbyists that entrench themselves using monopolistic practices. Sure school can cost 500k, but with 200 to 300k+ per year salaries, they can kill that debt. (This is their common defense)

[deleted]

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#12

> We can and must design the next round of insurance reforms with patients as a priority. With low deductibles that actually facilitate the consumption of care, our health care system can directly benefit the well-being of low- and middle-income people—not just the holders of for-profit hospital stock. No, we need to get rid of private insurance with Medicare for All. The amount of money, corruption, and lobbying ins…

>No, we need to get rid of private insurance Insurance works well for rare events. Using insurance for an annual physical (or any other routine thing) is just pissing money away. Cutting insurance out of routine and preventative care will require far less political capital and should have a massive impact on costs. No need to go all the way to eliminating private insurance. A government option would have benefits but…

Seems like a reasonable ask. Gov't pays for preventative care like physicals, flu shots, and STI testing (sort of already happening on the last bit through Planned Parenthood), insurance takes care of traumatic events.

Seems to me though the greatest cost in healthcare, and thus causing the greatest amount of contention, are chronic ailments that can't really be classified as preventative or traumatic, and require constant doctor visits to treat.

Care for the elderly is a similar story since they make up most doctor visits and are the biggest consumers of medications overall.

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#13

> We can and must design the next round of insurance reforms with patients as a priority. With low deductibles that actually facilitate the consumption of care, our health care system can directly benefit the well-being of low- and middle-income people—not just the holders of for-profit hospital stock. No, we need to get rid of private insurance with Medicare for All. The amount of money, corruption, and lobbying ins…

Other countries, yes even in Europe, have better healthcare than us with multi-payer systems. Medicare for All is a joke.

Other countries have better healthcare with single payer systems also.

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#14

> We can and must design the next round of insurance reforms with patients as a priority. With low deductibles that actually facilitate the consumption of care, our health care system can directly benefit the well-being of low- and middle-income people—not just the holders of for-profit hospital stock. No, we need to get rid of private insurance with Medicare for All. The amount of money, corruption, and lobbying ins…

Umm.. a good part of Medicare is run by private insurers. Medicare Part C and D.

Are you saying get rid of those too?

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#15

> We can and must design the next round of insurance reforms with patients as a priority. With low deductibles that actually facilitate the consumption of care, our health care system can directly benefit the well-being of low- and middle-income people—not just the holders of for-profit hospital stock. No, we need to get rid of private insurance with Medicare for All. The amount of money, corruption, and lobbying ins…

Other countries, yes even in Europe, have better healthcare than us with multi-payer systems. Medicare for All is a joke.

Medicare for all doesn't eliminate other payers, and is more similar to the European system than what we have now.

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#16
I know a medical provider who works for a small family medicine practice recently purchased by a large hospital group in our area. They're being told, "You guys need to be sending more people to our hospitals."

So for these organizations, patients who are sick and suffering are seen as a product.

A day of reckoning is coming for these organizations because the sick and suffering are getting fed up with being treated like a product.

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#17

> We can and must design the next round of insurance reforms with patients as a priority. With low deductibles that actually facilitate the consumption of care, our health care system can directly benefit the well-being of low- and middle-income people—not just the holders of for-profit hospital stock. No, we need to get rid of private insurance with Medicare for All. The amount of money, corruption, and lobbying ins…

We do need Health Care reform, but I'm not convinced single payer government is going to lead to better outcomes.

> No, we need to get rid of private insurance with Medicare for All.

That would shift the incentivization from maximizing profits, to instead solely minimizing tax payer dollars.

Lobbying would still exist (see defense industry).

Denying care wouldn't be based on health reasons (dubious), but shift to class based reasons (see welfare).

And, our healthcare will instead be subject to the whims of the politics, rather than the profits for Shareholders.

Medicare works because it's beneficiaries are a strong voting block. There are population segments in America who aren't.

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#18
post #14

> We can and must design the next round of insurance reforms with patients as a priority. With low deductibles that actually facilitate the consumption of care, our health care system can directly benefit the well-being of low- and middle-income people—not just the holders of for-profit hospital stock. No, we need to get rid of private insurance with Medicare for All. The amount of money, corruption, and lobbying ins…

Umm.. a good part of Medicare is run by private insurers. Medicare Part C and D. Are you saying get rid of those too?

Yes. Medicare for All is different from Medicare and gets rid of the hollowing out of traditional Medicare services through these side channel attacks on it.

https://www.congress.gov/bill/116th-congress/house-bill/1384

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#19

Earlier quoted context omitted.

>No, we need to get rid of private insurance Insurance works well for rare events. Using insurance for an annual physical (or any other routine thing) is just pissing money away. Cutting insurance out of routine and preventative care will require far less political capital and should have a massive impact on costs. No need to go all the way to eliminating private insurance. A government option would have benefits but…

Seems like a reasonable ask. Gov't pays for preventative care like physicals, flu shots, and STI testing (sort of already happening on the last bit through Planned Parenthood), insurance takes care of traumatic events. Seems to me though the greatest cost in healthcare, and thus causing the greatest amount of contention, are chronic ailments that can't really be classified as preventative or traumatic, and require co…

What if we pay for affordable preventative care, and the government covers the cost of traumatic events?

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#20
> We can and must design the next round of insurance reforms with patients as a priority. With low deductibles that actually facilitate the consumption of care, our health care system can directly benefit the well-being of low- and middle-income people—not just the holders of for-profit hospital stock.

We have this already to an extent with managed care. The old system of fee for service incentivizes healthcare providers to treat the symptom and not the root cause. As of 2016 over 80% of Medicaid and Medicare patients patients are on a form of managed care plan instead of a fee for service. And Medicaid and Medicare are responsible for about 40% of Americans. Additionally there are systems like Kaiser that have similar incentives in the private market.

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