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Joan Ganz Cooney | 07/20/2009 11:00 pm

Joan Ganz Cooney: How to Achieve an Effective Health-Care Plan


Joan Ganz Cooney
I don’t understand all the permutations of the health-care bill. What I do understand is that precious little is being proposed that would lower the cost of health care in America. We spend much more than other developed countries but with worse outcomes in terms of longevity and prevention and cures. Mayo Clinic, Cleveland Clinic and a number of first-class facilities operate at lower costs than the rest of the medical establishment with better outcomes. Which tells us that if we really mean to lower costs and have true reform, it will take patience and persistence on the part of the government and the American people. I’m not holding my breath.

20 Reader Comments (so far…) Sign In or Register to comment

L. C.
President Obama needs the support of all Americans. Partisan politics must end so that the peoples business can get done.
By L. C. on 07/22/2009 4:49 am
Kelly In Texas

Obama’s hurried and flawed plan needs some major tweaking. Check out his OWN Senate record on voting for health care reform….he is a sham.

The American people are not children, we are capable of voting for our wishes and understanding a bill, if GIVEN the chance to read and debate the issues at hand.

This bill needs major changes and this country needs to take the extra few months to get it right. Only the Obama worshippers are for ramming a flawed bill through that even Obama has not read.

This is NOT about Obama….it is about the BILL.

And the bill stinks to high heavens.

By Kelly In Texas on 07/22/2009 9:43 am
Judy Hill
interesting that you have so many "facts" about a bill that isn’t even finished, unified, or voted upon, and that you ascribe its entire authorship to Obama - when it’s actually Congress doing the writing.  sounds like you have an Obama fixation.
By Judy Hill on 07/24/2009 1:53 am
Kelly In Texas

Well Judy…what is really interesting here, is that you think that there was a question for me somewhere in that pompous post.

This is a thread about the health care plan which is "ascribed" as "Obamacare"….and guess what Judy?  I didn’t invent that. You would do well to bone up on some facts about it, considering that as it is…it would RUIN our system. Only because of the outrage of the citizens is this bill not passed now.

I can not stand Obama for what he is doing to this Nation. He is ruining our country, taking our freedoms and is creating a worsening racial tone in America.

Sounds like you don’t have a clue.

 

 

By Kelly In Texas on 07/24/2009 2:14 am
Star Lawrence
Partisan politics or common sense and analysis?
By Star Lawrence on 07/23/2009 1:24 pm
deber B

President Obama needs to refresh his memory on what "bipartisan" means.   He campaigned vigorously on "bipartisanship" but is now clearly "partisan."

"The time for talk is through." - President Obam, talking to the liberal bloggers on a conference call Monday night.

The Democratic bills in the House and Senate are a thousand pages long.  They’re still changing as committees try to mark them up, or as they mark up other versions of health insurance legislation.   There’s huge uncertainty about how lots of provisions in the bills and under consideration would work — OMB Director Orzag and HHS Secretary Sibelius couldn’t answer straightforward questions on Fox News Sunday and Meet the Press.   Nothing goes into effect in any case until 2013 —except the tax provisions, which would begin in 2011.   Yet President Obama wants everyone to stop debating and deliberating, and act now because he and he alone has decided "now is the time to go ahead and act."

Congress should assert itself, stand up for the deliberative and democratic process, and defy this presumptuous presidential diktat.

The time to debate is now.   There’s plenty of time to act later.

http://www.weeklystandard.com/weblogs/TWSFP/2009/07/kristol_shut_up_obama_explaine.asp

By deber B on 07/22/2009 6:32 am
Chris Broersma
What I am frustrated about is at least he’s doing something!  From the Clintons on there was no one in the Republican Party who has try to create their own help in helath care!  It is so easy to point the finger and blame, but where is the work they’ve done on our behalf!!!  The costs of drugs and care have sky rocketed while our pay here in the middle class has been frozen.
By Chris Broersma on 07/22/2009 2:26 pm
K M

Actually that is not quite true.  Under President Clinton, business owners and their employees were given the Archer Medical Savings Account (MSA) plans on January 1, 1997.  They were a ground-breaking, new and innovative way of drastically changing health insurance plans and the mindset of the American people about what health insurance means.  They also included tax benefits.

These MSA plans were proposed as an experiment with a cap on the amount of people able to get them to 750,000. 

Golden Rule Insurance Company, which was started by a family and run as a Mutual company until a few years ago, when they sold the company to United Healthcare, was the ‘Parent’ of the MSA program. They fought and fought with Congress and especially with the IRS to be able to impliment these plans.

President Bush signed into law, on December 8, 2003, as part of the Medicare Prescription Drug, Improvement, and Modernization Act, that these plans would be made available to all Americans. They named the plans, Health Savings Accounts (HSA’s) and fixed a few of the problems that the MSA program had.

Millions of Americans now thrive under these HSA plans and take advantage of the tax benefits.  The health care consumer has taken control over their own care and are paying attention to the actual cost of services instead of just blindly paying copays and never really looking at how much those services are.

Also as part of that same bill that President Bush signed into law, our Seniors now have at least some prescription drug coverage, which they did not have before.  This allowed many Seniors to be able to take their necessary prescriptions that many had been unable to afford before.

There had not been enough done and that’s very apparent, but there has been some measures taken in the past few years.

I just hope we can all work together to create a system that will contain costs and make health care more affordable to all.

Part of that must be tort reform. 

While we must hold irresponsible medical providers accountable, we also must stop frivolous law suits that are instrumental in driving up the costs of health care.  This causes doctors to run unnecessary tests for the CYA factor and drives up the cost of libility insurance, which increases what providers have to charge for services. I’m disturbed that President Obama has said he will not consider tort reform as part of the health care reform changes.

Instead, many are looking to cut services, or as they call it ‘ration health care,’ to Seniors since those are the ‘most costly’ according to them. I wouldn’t want my grandparents denied necessary medical services just because of their age.

I would want a law suit dismissed that was filed by a woman who gave birth to a deformed or dead baby who had never had prenatal care and then blamed the unfortunate doctor who just happened to be the one on call at the time of the birth.

Hopefully with medical care for all, those types of events will not occur as often, and tort reform must be part of the health care reform package to reduce costs.

By K M on 07/23/2009 12:30 pm
Chris Broersma

KM,

Interesting points - but it didn’t change the way health care was going…I understand about the plan and many of its foibles, I am almost a senior since I’m in my late 50s.  But when the eldery are out of the plan then Medicare kicks in which to my understanding is going to remain.  

We need some kind of system because insurance rates and medical costs are killing 30 to 40% of the people here in Michigan alone.  And because the costs are too high they just aren’t getting care and then end up in hospital emergency rooms and we all know who pays for that.  Many here are those in their forties and fifties, and as new jobs are created…they aren’t the ones getting the jobs.  I know - that’s happening to me and my family.

By Chris Broersma on 07/23/2009 1:53 pm
K M

Medicare is taking a huge hit in the reform bills being proposed.  It won’t remain untouched and in fact is a major target.

We do need change and reduction in the cost of medical care, but rationing care to our Seniors should not happen.  One of the bills that passed through the committees is about lowering Medicare reimbursements. 

In rural areas, the majority of doctors won’t take Medicare patients because of the already low reimbursement from Medicare.  That part of the reform is going to hurt our Seniors.

The thing that makes me the most suspicious about that part of the reform is that major health insurance companies are applauding that.

By K M on 07/24/2009 12:15 pm
Maggie W

He wants something on the conference tables.  If it is riddled with mistakes.. and it will not be perfect by a very long shot.. then so be it.  But at least get something on the conference table and then let them go to work on it.

People seem to think this is the final bill.  Not even close.

By Maggie W on 07/22/2009 3:31 pm
Bella Mia
The Mayo Clinic has come out very strongly AGAINST the bills in Congress. 
  "Although there are some positive provisions in the current House Tri-Committee bill – including insurance for all and payment reform demonstration projects – the proposed legislation misses the opportunity to help create higher-quality, more affordable health care for patients. In fact, it will do the opposite.                                                                                  In general, the proposals under discussion are not patient focused or results oriented. Lawmakers have failed to use a fundamental lever – a change in Medicare payment policy – to help drive necessary improvements in American health care. Unless legislators create payment systems that pay for good patient results at reasonable costs, the promise of transformation in American health care will wither. The real losers will be the citizens of the United States."
 
http://healthpolicyblog.mayoclinic.org/2009/07/16/mayo-clinic’s-reaction-to-house-tri-committee-bill/
Wouldn’t it make sense to let the geniuses who put together the best systems help create better systems for all of us?  But politics doesn’t work that way; instead there are pay-off and bribes and beholdings to unions.  It’s hopeless to involve politicians in creating a healthy functional system.  Politicians are rewarded for creating tenacled bureaucracies by votes from those bureaucracies.   
By Bella Mia on 07/22/2009 6:40 pm
Star Lawrence
I don’t think the time for talk should EVER be through!
By Star Lawrence on 07/23/2009 1:25 pm
Annie Cieslukowski

I don’t think the time for talk should EVER be through!

Ok, I know the Republicans are completely against the plan as it stands. And what have they offered as an alternative?  More of the same will not work. It doesn’t work for business owners, it doesn’t work for employees, and it certainly isn’t working for the unemployed.

The current plan may not be perfect, but it is a plan. And it is a far sight better than the status quo. The time for talk is over.

It is time for action.

 

By Annie Cieslukowski on 07/23/2009 3:36 pm
K M

Time for talk should never be though as long as it is accompanied by action.

The reform package can’t stay as it is now because it’s far from what we need, but it’s sure a start and starting is better than just keeping the broken system we have now. 

We need to put the reform into law now and then we need continual dialogue to work to make it better. 

By K M on 07/24/2009 3:23 pm