Originally posted by: blanghorst
Originally posted by: MovingTarget
Hey, I'm under no illusion that this will magically make it 'free'. Any 'leftie' as you call them who is worth his salt will tell you that. If you want bloat, look at the way things are currently set up with private insurers. Why do you think we pay so much more than ANY other first world country in total dollars spent on healthcare? It doesn't matter if it is a NHS-type service, a single-payer system, or a nonprofit locality based insurance pool model. They mop the floor with us in terms of access and $ spent per capita on healthcare with equivalent or better results.
Here are the six top sources of waste in our current system. If you eliminate this waste, our current system is on par with other systems in terms of expenditures as a percentage of GDP. These could mostly be remedied with reform rather than completely tearing up the current system.
Those are all good points. We should work on those. However, as one would say, "we can do better". The article you linked cites 1.2Trillion in lost $$ because of these. I don't know how they came up with that, but I'll take their word for it. We're already moving towards EHR/EMR nationwide as I've already stated (in another thread). The washing hands thing really is a best practices/routine measure that should already be done.
The excessive claims forms thing is HUGE imho. Actually working at a medical software company gave me a lot of insight about how insurance companies operate with these. It really is a nightmare. The billing is beyond screwed up, even with the attempts like the UB92/UB2002 forms and itemized billing. Even when these things are automated, inevitably a practice will still have to spend considerable amounts of manhours submitting and resubmitting/altering forms to make sure that an insurance company pays what they should. You can't isolate the human element from that with the current patchwork of insurance companies, laws, policies, etc. It really does need standardization on the national level, which includes not only the forms, but the various legal frameworks in the states. This would be a major part of health insurance reform. Personally, I think that as the defacto gatekeepers of healthcare in this nation, insurance should be on a strictly nonprofit basis....if you decide not to go with a government option and/or a single payer system.
The excessive testing does have a lot to do with insurance company policies, but tort reform would do a lot to eliminate this. Even the most liberal of healthcare advocates see the need for tort reform. Overall though, it is fear of lawsuits and not the lawsuits themselves that cause doctors/hospitals to go crazy with tests. Tort reform alone would ultimately be a small part of what is needed to bring costs under control, but many treat it as a magic bullet and ignore the other areas...same way with the ER as a clinic thing for illegal immigrants. It is important, but you can't bury your head in the sand and focus on only one part of what is needed.