Constructive gadfly
Published on August 30, 2008 By stevendedalus In Politics

 Although I’ve supported since Truman pushed for it in the late ’40s, universal healthcare can be put aside until we settle the horrendous issue of so many thousands going in hock or declaring bankruptcy owing to major medical bills in arrears. There should be for the uninsured and underinsured alike an accumulated floor one should have to pay for serious medical conditions. A youngster in his twenties barely above the minimum wage hit with appendicitis or a weekend sports injury should not be saddled with a bill of more than $500-1,000 and be given the chance to pay for it in easy payments before a collector agent pounds on his door. For young families who are belted with a medical catastrophe must be subject to humanitarian bailout. Nor should anyone in similar circumstances be threatened with foreclosures and repossessions.

The taxpayer should be honored to help those in dire financial need due medical catastrophe.

Copyright © 2008 Richard R. Kennedy All rights reserved. Revised: Aug 30,  2008.

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Comments (Page 1)
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on Aug 31, 2008

Are we going to force doctors to charge less?  How about we outlaw lawyers so malpractice goes down and then medical costs so as well?

on Sep 02, 2008

We need to have some serious healthcare reform, but having a floor for charges doesn't make sense.  No matter what you charge for the service the basic costs of the medical equipment and doctor's training, malpractice insurance, etc isn't going to go down anytime soon.  What would really help is if judges would throw out frivilous lawsuits, part of the reason our doctors charge so much is to pay for their malpractice insurance because of sue-happy patients who blame the doctors for everything.  Take OBGYN's for instance, I'm not sure what the figure is today but I know a few years ago (~5) in MD OBGYNs had to pay on the order of $250K/year for malpractice insurance alone.  So that means that they have to at least make $250K/year just to pay that bill, tack on the rent on their office space, medical equipment, plus their salary so that they can live and you can see why they charge so much per patient.

on Sep 03, 2008

I admit malpractice insurance is obscene and terribly unfair to physicians. However, the "frivolous" lawsuits are minimal and do not reflect by any stretch the major costs of medical domain. Nor am I advocating "cheaper" service; but there certainly ought to be humanitarian intervention for the serious ill who cannot cover catastrophic costs.

on Sep 03, 2008

However, the "frivolous" lawsuits are minimal and do not reflect by any stretch the major costs of medical domain.

No, they are a major part of it.  Over 80% of malpractice suits are frivolous.  based on a false presumption that doctors are gods.

And lowering costs is your only real option.  Reducing quality can be done, but then do you really want to?

on Sep 03, 2008

No, they are a major part of it. Over 80% of malpractice suits are frivolous. based on a false presumption that doctors are gods.

And this is exactly why OBGYN malpractice insurance is so high.  The slightest birth defect is blamed on the OBGYN rather than genetics or any number of factors involved during gestation.  Yes there are some birth defects that are directly caused by the doctor screwing up, but they are few and far between.

on Sep 03, 2008

Yes there are some birth defects that are directly caused by the doctor screwing up

And until God becomes a doctor, they will make mistakes.

on Sep 03, 2008

And until God becomes a doctor, they will make mistakes.

Very true.  And unless the doctor is grossly neglegent (operating while intoxicated, amputating the wrong limb, etc) then they shouldn't be sued for every little mistake they make.

on Sep 08, 2008

they shouldn't be sued for every little mistake they make.
They aren't. It's just a ploy of the insurance companies to gouge physicians.

on Sep 08, 2008

They aren't. It's just a ploy of the insurance companies to gouge physicians.

There are enough frivolous ones with big buck awards that make it so.  It is not a conspiracy of insurance companies.  It is a fact of life.  Edwards did not get rich by altruistic means - or by his sexual prowess.

on Sep 13, 2008

You're lumping all frivolous litigations as medical. Ain't so.

on Sep 13, 2008

How about we outlaw lawyers so malpractice goes down and then medical costs so as well?

Going from one extreme to the other would do no good - remove malpractice and you remove an incentive for doctors/hospitals to try and ensure they give the best treatment. Lawyers do have a role to play in the economy, even if it is likely much too large atm than it should be.

As for the general issue of health, IMO there are several options. Firstly you could have compulsory health insurance. Alternatively you could have universal health care for major afflictions. Another option would be to restrict losses claimed by hospitals/doctors to an individuals assets (and possibly a (small) maximum proportion of their income), with the government then footing the remainder of the bill, or similarly have the government take on the bill where the individual is unable to pay it back immediately, and then seek repayment from that individual up to the amount that the individual is able to contribute, until it is paid off (or written off). None of the options are perfect, but I feel that either one of them is more preferable to the situation where people are allowed to die because they lack the funds for life saving treatment. Now as to your 'capped charge' idea I don't think it would work - firstly how do you determine what this capped charge would be? Is it based on age? On income? On wealth? Any one of these would make it unfair for others. For example lets say you base it on income - I decide to not get health insurance to increase my disposable income, and spend that money on accumulating more wealth than a similar person who gets health insurance. We both suffer injuries, but thanks to my low income I have the amount I have to pay capped, even though I had plenty of assets to cover the cost. Base it on wealth and you have the problem of pensioners having to sell their homes to meet a medical bill, and struggling to cope on their low income. On the other hand your suggestionto allow the spreading of payments over time for a person with insufficient assets to meet it up front has merit, and I'd support government help on this issue. For example the government could offer a relief scheme where they will take on the individuals medical bills, and in return that person has to pay so much of their income to then repay their debt (to the government).

on Sep 13, 2008
You're lumping all frivolous litigations as medical. Ain't so.
No, I am not. Oh, there are plenty of non-frivolous ones, that is true. But I specifically used edwards because that is how he got rich. And the medical ones are what causes health care to be so expensive. And we know who is in bed with the tort lawyers - which include medical ambulance chasers (but of course is not limited to).
on Sep 14, 2008

And the medical ones are what causes health care to be so expensive.
Granted, but far from the only cause.

For example the government could offer a relief scheme where they will take on the individuals medical bills, and in return that person has to pay so much of their income to then repay their debt (to the government).
Good point, what's good for Fannie and Freddie, why not people in straits due to medical bills?

on Sep 16, 2008

stevendedalus

And the medical ones are what causes health care to be so expensive.
Granted, but far from the only cause.

No one said that frivilous lawsuits were the only cause of high malpractice insurance, but they are primary contributors to high malpractice since most hospitals/doctors are more willing to settle a case out of court even if they aren't at fault for an injury to avoid the bad press that a court case would bring.  Hell you see examples of this every single day, just turn on the tv and watch the ads for various law firms asking if you think you or a loved one have certain medical problems (like cerebal palsy), if you do contact the law firm and they might be able to sue the pants out of the doctor that delivered you or your loved one claiming that they are to blame.  It is our culture of finding someone to blame for every little thing that goes wrong in our lives rather than either owning up to our own mistakes or chalking it up to bad luck. 

No matter how you cut it if the judges out there would be more willing to toss out frivilous medical lawsuits then malpractice insurance would go down which would cause medical costs to decrease in turn.

on Sep 17, 2008

Whatever...the humanitarian issue remains:no one should have to bear financial disaster because of illness.   

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