Thursday, January 26, 2012

health care reform failed to cure prices


Health Law 2010, as Vice President Biden said, "big [expletive] business." It puts us on the general health insurance. It is a favorite target of Republicans gunning to take Congress. Lawmakers who support could lose their jobs. And it will remain a central focus after the midterms, the Democrats need to defend against legal and political challenges through 2014, when it takes full effect. Provide a simple ME

But the Democrats' effort to sell the rights of the public may be adversely affected as even some ardent supporters believe his biggest nedostatak.Remont left virtually untouched one big element of our health care dilemma: the price problem. Simply put, Americans pay much more for every bit of care - tests, procedures, hospital, drugs, devices - than people in other rich countries.

Health services in the United States have enormous power to set prices. No government, "a taxpayer" on the other side of the table, and the consolidation of hospitals and doctors has left insurers and employers in a weak negotiating position.

"We spend less per capita on hospital compared with other developed countries, we see the doctor less often, and we swallow fewer pills," said Jon Kingsdale, who oversaw the implementation of the 2006 Massachusetts health care law. "We just pay more for each of these units compared to other countries."

2010 law is a little time to address. Its much more cost-control provisions are geared towards reducing the amount of care we consume, not price platiti.Zakon encourages doctors and hospitals to join the "accountable care organizations" that have financial incentives to limit unnecessary care, it beefs up "comparative effectiveness research" to to eliminate ineffective treatments and to be the most expensive end of the tax to curb excessive use of consumer health protection.


Such measures could reduce redundant tests, emergency room visits and hospital readmissions, which will help control Medicare costs, where the government sets the rates. But they are less likely to lower prices outside Medicare and stem the growth of private insurance rates.

The main reason for this policy. Remember how drawn-out battle of health? He started in the spring of 2009 and ran for a full year dana.Bill the proponents in the White House and Congress to have some idea of how tough the fight with the insurance companies will be. Taking into hospitals, doctors and drug and device manufacturers, as well - people who would face in transit over the price - perhaps fatal.

So, it was not cost boriti.Zakon will go on the face of probable post-republican half onslaught - and dismantling May be easier if the Americans think they are a little to curb costs. This is one of those fine political ironies: The law derided as socialism May have had an easier time winning favor from skeptical public if it is, well, a little more socialism.

It's pretty far from socialist as stoji.Uprava decided not to seek lower drug prices for Medicare, and it is not, press the "public option," government-run for people under 65 can buy in. While supporters of the public the opportunity to sell as way to compete with insurers, the real goal of the hospital and liječnika.Javna option would create a national purchaser of health care that could have made ​​impact on providers to reduce prices. This would reduce the costs of legislation reducing subsidies needed to make insurance affordable.

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