[Winona Online Democracy]

Title: Sustainability Series


Karen and Keith and all...
 
I am troubled by the governor's proposed budget reductions in health care.  Telling childless adults they need not apply for state subsidized health insurance sounds like discrimination to me (but then I see that all over the capitol).  It is, more importantly, dumb.  Don't you think we pay for the uninsured when they visit emergency rooms and cost twenty times as much to cure as if they'd gone to a family practice doctor two weeks or two months earlier?  The Adith Miller Fund isn't paying for all uncompensated care...overall costs are inflated to accomodate expected unbillables.  Rachelle Schultz or any Winona Health types feel free to correct me if I am wrong...
 
Higher costs...higher insurance premiums...more people can't afford them...more uninsured.  In less than ten years the number of uninsured residents in the Winona area has doubled to twenty percent (that number comes from Winona Health's community survey released this month)!  Since employers are no longer offering coverage to the extent they once did, I would think government would need to be the provider of last resort.  It will save money in the long run.
 
We should create a corporate tax structure that offers incentives to employers to offer health insurance.  Doesn't look like we've got that kind of environment going now. 
 
Unfortunately, all the administration appears to be concerned with is making this biennium look pretty and the hell with the long haul.  Do you realize that state budget forecasters are FORBIDDEN BY LAW to say how inflation will impact deficit projections?  That's running state government like a business, by golly.
 
 It's been a while since I posted, so I thought I would weigh in.  As for Keith's suggestion that this is a natural way for churches and familes to step in...I would say they already do.  But in today's highly regimented health care reality, non-professionals cannot provide services that are provided in clinics and hospitals.  Support services, yes...critical care services, no.  On a related note, we Sebos and Krages have a tradition of caring for the infirm in our family our selves when possible...but not all families have the resources that we have. 
 
Penny wise, pound foolish.
 
Bob Sebo
Winona
 
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