On Wed, Aug 19, 2009 at 2:13 PM, Robert Munn<[email protected]> wrote:
>
> I agree with gruss on this one- whatever we do, the system is going to
> go broke. We can't escape demographics.

The public option plans being proposed in the House have cost
containment as a primary goal. The current system has no cost
containment. Everyone recognizes that we need cost containment for any
health care reform plan to work. I just don't see Baucus' nebulous
idea of "co-op" systems achieving that goal.

The current setup is headed toward national bankruptcy, it is true.
That is why we need genuine reform now. A public option plan is the
weakest and only first step down that road.

There is certainly a lot more to be done beyond reforming health
insurance. I'd love to see a comprehensive look at tort reform in the
medical industry. Evidence-based medicine is another area that we can
save a lot of money in. A huge number of PSA tests are done every
year, for instance, because of out moded protocols and we now know
that they result in a large number of unnecessary surgeries that end
up doing more harm than good. Add in extensive use of mammograms for
people with no indicative factors and you start seeing a trend of
places where real savings can be realized.

Lets start with health insurance reform, get universal or near
universal coverage in place, let a public plan compete with private
insurance and then lets tackle the rest of the list. This is just a
starting point, not the end. But you have to start somewhere.

Judah

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