Candidate Obama has promised to “change you can believe in Washington, such as politics and economy, the government has for decades. The two most important markets in the White House run. A year later, liberals and conservatives would be impartial to admit that he has failed miserably in one or the other.
Failure to give a promise to succeed a president a bad grade, but otherwise to change in order to bring Washington politics and thus to preserve his health care program in the middle of a democratically controlled House and Senate passed on to excuse Obama displayed a performance that in a competitive, profit maximization would have cost him his job so far. The reason for this failure is so low has to understand his way, the most important elements of the problem at hand. The chance of understanding these fundamentals at this time of economic uncertainty, raises the question of the necessity of Obama’s inexperience made in the Government and its inability to problems relating to the adoption of an action plan and identify sound arguments that people can believe in .
Regarding the reform of health care, Americans are the problems that have confronted for the insured and shame go insurance. While the above should be treated, but the issue of health care is not the prerogative of a poor man. Every family, from poor to middle class is facing exorbitant costs of health insurance, while the additional health benefits not kept pace with the technology at the same time, so were not taken. It is not a bourgeois family unusual that one third of his income to pay for health insurance and asked to pay co-payments, insurance, etc. At the same time it is clear that the current system, the reimbursement of technological innovation in medicine and diseases such as Cancer suffocated, HIV, etc., are still there after decades of spending on research and investment in human capital. Speaking of which, when it comes to health care in the United States is the country’s most technologically advanced, but nationally, we have baby-steps in relation to serious diseases.
What then is the way out of this mess or the best way to get the problem “to solve health care? First, we have the fact that there must be a” universal “and not a matter is accepted, problem only for the poor and uninsured . do not accept what the main problem and the problem by trying random to solve over-dollars, one trillion of public debt is not only unreasonable but also irresponsible. Admittedly, the major cost components to circumvent this problem, and with all help. The main components are:
1st Medicare & Medicaid
2nd Responsibility for the reimbursement and patient
3rd Costs for consumers and incentives for better use of health resources
4th Uninsured
Medicare reform is necessary to provide incentives for doctors to treat patients according to protocols provide that good medicine. A doctor who would refuse a patient because of poor Medicare reimbursement actually increase the cost to the patient, when he became ill and seeking care in the emergency room. A side effect is that the doctors left the field that did not provide a satisfying career in the practice of medicine for the patient. Fewer doctors means less maintenance, means the condition referred to the health of the poorest to higher costs. It’s a vicious circle that can not be stopped on major reform. The same applies for Medicaid. Poor management and reimbursement induced inefficiency and costs explode mass. Ultimately, the patient is suffering and that creates in nuts, onto the rising cost of increasing inefficiency.
One way to fix it is Medicare, the ongoing privatization process, that private companies can contribute to competition and the patient has a certain responsibility to be continued. Our research has shown that the donut hole can indeed a black hole that causes patients to change or avoid the treatment, which are produced in Tern poor results and higher costs. However, if the model is revised, the patient can still take some financial responsibility and therefore more appropriate to use the system, but it has to do not as a disaster to make an appropriate treatment.
The pool of uninsured together two cohorts. The poor and less poor … are willing or forced, the system game. Both groups are not insured:
1st Uninsured because of poverty and
2nd Uninsured because the bill would allow a system to prevent fraud through the (expensive) insurance and pay only for them on the way to hospital
Instead of forcing people to buy insurance (through the imposition of a penalty stupid enough to lower insurance costs), incentives have to move wisely and sparingly using his resources. People are not criminals and should not, as such, by the imposition of severe penalties fees or penalties will be treated to encourage certain behaviors, in general, to act cautiously and people always try to conduct fair received seems to favor. Health accounts, set aside for use in times of need should not “use it or lose it” type, after all, to set aside thousands of dollars per year, plus bonuses will set insurance may cover only an emergency never occur? I know many people, it is foolish to think and contra-productive.
The law is approved by Congress in fact dead and members of Congress, whether Republicans or Democrats were to distance themselves from him. The truth is that these proposals were devised behind closed doors, with women and kickbacks and no one can be trusted. believe for a planned cross-party and a people can change, the proposals should be discarded and new should start over.
