Friday, August 31, 2018

The Democrats' Approaching Dilemma | Medpage Today

The Democrats' Approaching Dilemma | Medpage Today:
What should they do about health reform?

Great piece.  My favorite statements:

"...allow insurers to keep their profits and socialize the losses...

Drs. Jiwani, Himmelstein, Woolhandler, and Kahn extensively analyzed the data for 2012 and determined that expenses related to billing and insurance in our multi-payer system totaled almost 18% of U.S. healthcare expenditures that year, far more than in any other OECD country. In 2014, in The New York Times, Elisabeth Rosenthal estimated administrative costs at 20% to 30% of the total.  Today, the ratio of administrators to clinicians is probably higher, and accounts for a larger percentage of U.S. healthcare costs.

At least one analyst crunched the numbers and concluded that "as countries spend a larger percentage of their healthcare dollars on administration (as opposed to public health, or providing patient care, for example), things get worse for patients and healthcare providers."

The way to reduce costs, maintain quality, and cover all is to treat the sick, simplify, and decentralize, through Medicare for all. Providers must be non-profit. Now is the time to work out the details."

No comments: