> -----Original Message-----
> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
> Behalf Of Charlie Bell
> Sent: Friday, July 13, 2007 7:55 AM
> To: Killer Bs Discussion
> Subject: Re: U.S. health care
> 
 
> That assumes you keep providing care the way you do.
> 
> Increase preventative medicine and primary nursing, and you reduce
> other healthcare threefold.

How?  I'm not sure you have an adequate picture of the US system and how it
works for the average person who works for a big company. While the lack of
health insurance for about 15% or so of Americans is a horrid fact that must
be addressed, these people do not represent the majority of health care
costs.

For example, most of the lifetime cost for medical service in the US is
accrued after age 65. Everyone over 65 is eligible for Medicare. Under basic
Medicare, the co-pay (the out of pocket cost) for a primary physician visit
is $5.  For most on Social Security and Medicare, this is not a major
worry...other factors (an unwillingness to bother a neighbor for a ride is
my mother's favorite excuse) are more important. Most of the time, the
elderly make an appointment....but when a member of the family living with
us this summer became ill, she walked in without an appointment to an urgent
care facility, and saw a nurse practitioner within 1.5 hours.  

So, an inability to afford primary health care is not the most important
factor in the cost structure of the US. For the elderly, the cost problem in
seeing a physician/nurse is not that they cannot afford $5, but that when
they do get sick, the treatment is expensive. My wife has arthritis, and
just one of the meds that provides her relief costs about $200/month.  My
mother is on a number of expensive meds...that are mostly covered by
insurance...she has a small co-pay.

 
A major source of cost, in the US, is the legal system. Hospitals are not
required to accept every potential patient, but, once a patient is in a
hospital, no service can be denied because of cost.  If it is, the hospital
and the doctors open themselves up to lawsuits that run in the multiple
millions.  As a result, tens of thousands of dollars are spent prolonging
the life of dying people by a few weeks or months.  My brother-in-law, a
physician, talked about having to code (bring back from clinical death)
someone twice a day for a month until the family accepted the fact that he
was dying and nothing could be done but prolong the death.  In most cases,
it takes weeks for the family to come to grips with that, and allow the
person to die.

There are other factors, like the horrid bureaucracy of paperwork, poor
health habits, etc. that contribute to this problem.  But, a lack of
available primary care medicine is not the critical problem.  This has been
tested experimentally for the last 15-20 years in the US when HMOs first
came out.  Primary co-pays were very small (near token), and primary care
was encouraged.  Indeed, my health insurance paid me $100 to get a physical.
Studies of people who had this insurance showed, at most, a modest health
gain over those in more traditional plans.

Dan M. 



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