The health care debate has become one of the most confusing and highly charged debates in recent memory. One main reason for this is that the administration has repeatedly left unanswered the basic question of how this plan will work. There is some good reason for this as there is no real concrete plan as of yet, just a bill that is in process which has been criticized as lengthy but not clear. However, the President has spoken about health care repeatedly in town halls, in press conferences, and has directly addressed the country, but has not once has he given a basic explanation on how his plan will work. Again today in a op-ed in the New York Times President Obama talks about why health care is needed. Yet no one is at a loss for why health reform is needed, they are at a loss for how health reform will work.
Cost is a major issue. The administration says that the plan will be funded approximately 1/3 by eliminating waste and inefficiencies. Yet CNN ran an article stating that little has been done in the current bill to address fraud. Tort reform has also been excluded, which means the waste that occurs through doctors practicing defensive medicine, and the underlying cost of malpractice insurance will not be dealt with. Digitizing medical records has been cited as a way to reduce costs. This would likely reduce costs down the road, but wouldn't there be an initial cost of moving records to a database, setting up a database (or other system) with the appropriate security and protocols? How will this happen? Who will establish this system and oversee its management and especially its security?
The reason so many people are nervous is that if the system is squeezed for savings it makes sense that care might suffer. Without the 'how' people are likely to jump to conclusions, and while proponents can complain that people 'are playing the politics of fear,' the reality is that some people are honestly afraid of what might happen to Medicare and Medicaid if reform means cuts. Granted some have come to ridiculous conclusions like Governor Palin's over-the-top remark about 'death panels.' However, the irony is that remark actually effected the debate because there was no other explanation out there about what 'end of life counseling' means. The administration is adamant that health reform pass, and pass quickly, but they don't appear to know what reforms they want or how they will work. How can the President expect the public to support reform when no one can explain it?
From Purple People Vote Independent Political Blog
Cost is a major issue. The administration says that the plan will be funded approximately 1/3 by eliminating waste and inefficiencies. Yet CNN ran an article stating that little has been done in the current bill to address fraud. Tort reform has also been excluded, which means the waste that occurs through doctors practicing defensive medicine, and the underlying cost of malpractice insurance will not be dealt with. Digitizing medical records has been cited as a way to reduce costs. This would likely reduce costs down the road, but wouldn't there be an initial cost of moving records to a database, setting up a database (or other system) with the appropriate security and protocols? How will this happen? Who will establish this system and oversee its management and especially its security?
The reason so many people are nervous is that if the system is squeezed for savings it makes sense that care might suffer. Without the 'how' people are likely to jump to conclusions, and while proponents can complain that people 'are playing the politics of fear,' the reality is that some people are honestly afraid of what might happen to Medicare and Medicaid if reform means cuts. Granted some have come to ridiculous conclusions like Governor Palin's over-the-top remark about 'death panels.' However, the irony is that remark actually effected the debate because there was no other explanation out there about what 'end of life counseling' means. The administration is adamant that health reform pass, and pass quickly, but they don't appear to know what reforms they want or how they will work. How can the President expect the public to support reform when no one can explain it?
From Purple People Vote Independent Political Blog
