Historically, states like Hawaii and Tennessee that made serious efforts at universal health care suffered financially. Hawaii's effort developed during the 80s when health care costs were just starting to explode and by 1992 Hillary Clinton herald it as a success with 98% of its population covered. It was killing small businesses and Hawaii's business climate ranked 49th. Today, Hawaii only insures 92% of Hawaiians and political leadership has determined that "there is no silver bullet" to cutting health care costs. Tennessee realized quickly that its effort was going to bankrupt the state. The US Congress is not that astute or courageous to admit failure.
Why is universal health care unaffordable? In 1965, the US government introduced Medicare and Medicaid which has devolved to a system that utilizes price controls to control cost while ignoring patient outcomes. Price controls underpay excellence (page 12 Obama's economic council June 2009 report) and for decades the federal government used the savings to pay for preventable medical errors making poor care a cash cow and quality care a money loser.
Free markets are based on just the opposite principle so no one should be surprised by health care's unaffordable inflation rate. Adam Smith warned that government never competes in free markets, it manipulates them (health care, education, mortgage industry). Unfortunately, we have a Congress where half believe government needs to manipulate markets and half have various degrees of belief in free markets. So, the vehicle that has made the US an economic power is being destroyed in the US Congress.
In 1999, the Institute of Medicine estimated that 100,000 patients die annually just in hospitals. This number has since been increased to 200,000 plus and if we included all of healthcare, the annual preventable death toll exceeds the total US troop deaths for all of World War II. ObamaCare is designed to inject the present command and control policies government used for decades to achieve these preventable death tolls which failed to lower costs and increase quality with a massive dose regulations and oversight. We know this will fail because the second most regulated industry by the federal government is nursing homes where federal and state regulations dictate every minute of patients existence in a highly controlled environment. A progressives dream for all of us.
This three decade experiment continues to fail annually for over 2 million patients. Yet, ObamaCare conceived by feelings and ideology is on a projectory to subject 310 million to the same failures because of a weak, self-serving U.S. Senate. Consequently, American's economic future will parallel the Hawaiian experiment as ObamaCare gains strength in underpaying excellence for budgetary reasons and rewarding failure for political reasons, small business will weaken and large business with leave costing millions in lost jobs.
The alternative is a health care system that pays for excellence and NEVER failure in a manner that health care professionals are inspire to daily pursue excellence in achieving the most efficient delivery of quality, universal care. The savings from decreasing poor care and inefficient systems will approach 50% of this years health care costs which is sufficient to cut premium costs while giving all American orderly access to health care. We will get here but first we need to let ObamaCare bring us to the abyss so progressives can see the lights of hell. It is how a decaying culture behaves.
Friday, January 14, 2011
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