Saturday, February 28, 2009

OBAMA'S FISCAL RESPONSIBILITY SUMMIT


One of the biggest burdens for corporations and municipalities alike, is the cost of Health care. So much of what we do in our fiscal budgets is based on how much is left after the mandatory expense of contracted health programs, both for current and retired workers.

With the economy in the slump that it's in, Americans suddenly seem willing to consider sensible ideas that other developed countries have done to solve problems. Problems that have baffled us for generations.

It looks like we are going to have a temporary Nationalization of our major banks. Many feel this is far more prudent than handing over billions of dollars greedy bastards who wrecked the financial system in the first place.

Privatizing Social Security is history. Who knew just a few years ago the push from the White House for privatization would be so evidently wrong. Even a money guru like Alan Greenspan, just shakes his head and wonders where they went so wrong.

So President Obama has convened his "Fiscal Responsibility Summit". What was in it surprised many on both sides of the issue; A cognitive plan to deal with the swelling price of health care for the retiring generation of baby boomers and its effect on Medicare and Medicaid. This is considered to be the biggest threat to America's future solvency.

The rate of cost increase per beneficiary combined with the sheer numbers of the Boomer Generation is what threatens the system. I found this article to be most helpful by Ezra Klein on the American Prospect website on February 23.

After the abuse of tax shelters by the super-rich, and the absurd rip-offs by military contractors, the biggest money is in the health sector. The collusion between the insurance companies and the pharmaceutical industry have not only drained our individual pockets, but have devastated our municipal budgets.

Here is a chance for a new direction bringing reform to the way we finance and deliver medicine. This is central to the Obama Administration's fiscal plan. He's looking to other countries that provide quality care to all of their citizens, spending less than half what we do and achieving better outcomes.

Those countries have shifted their focus on funding their resources into energy and education programs while we try to keep our hospitals open. We witnessed the long struggle to merge Benedictine and Kingston Hospitals only to be saddled with the higher bills anyway.

I realize that change will come slowly. Its human nature to resist change, especially for those of us in the Boomer population. You'll agree that the insurance and pharmaceutical lobbies don't want this reform any more than the oil companies want alternative energy development. But I look forward to the day when our private and municipal pockets are less burdened with the rising costs of healthcare. Americans are more open to these progressive alternatives.

Most of every tax increase we experience in Kingston and Ulster County is a result of the these untouchable entitlements, so when the method of healthcare shifts to a more manageable and less expensive program, I expect the masses to rejoice.

So, as I wade through the hours of cable news and witness the banter on this issue, I can only hope the Obama Healthcare Plan succeeds against the entrenched "Party of NO" and that the legislation has teeth.

11 comments:

Anonymous said...

I need to hear more specifics on this. Talking about "common sense" measures that other "developed countries" have taken tells me little.

Are we going to be faced with waiting lists like other "devleoped countries" for procedures that are not life threatening?

Are we going to be denied some quality of life procedures as is happening in other "developing countries"?

Are we going to be receiving letters like the ones received by people who are on Medicaid in Oregon when the state denies treatment to late stage cancer patients, that inform them of the denial of treatment, but inform them that the state will pay for pallative care, up to and including doctor assisted suicide?

Are we going to make it illegal for the wealthy to obtain medical care or purchase health insurance outside whatever state system we set up, out of a belief that it is unfair for the rich to be able to receive medical care that the rest of us are denied? Then, like Canada, are we going to ignore that law when the healthcare system becomes overwhelmed?

Are our congressmen, Senators, the President and his administration going to have to participate in the same system the rest of us will have to navigate or will they legislate better care for themselves and their families?

I understand that the cost of health care is rising as the baby boomers get older, but we (yes I am at the young end of the boomers) will eventually die off. But as the citizen's of other "developed countries" have found and have had to fight against; when the government begins to make decisions based on the cost of treatment and one finds him or herself being denied treatment, to whom do you turn?

Anonymous said...

The superior performance of these alternatives is at long last coming to the attention of the mainstream media, which has so long ignored it.

Newsweek's Fareed Zakaria, for example, recently noted that "Canada's health-care system is cheaper than America's by far (accounting for 9.7 per cent of GDP, versus 15.2 per cent here), and yet does better on all major indexes."

Lets look and learn about these options before we succumb to the fear tactics of those who control the system today.

Anonymous said...

I'm with 3:12 on this one. I spoke to and questioned many Europeans and Canadians in my years of selling and dealing with the public and did not hear one negative comment about their Health Care or Socialized Medicine[let's not be afraid to say it] It has worked for 70 to 100 years in these countries...smitty

Anonymous said...

The health care system, as is, is not only overburdened and overpriced, but almost impossible, for many folks, to even wade through in order to get their needs met...

What happened in this society anyhow? Has anyone noticed that to even find a phone number - one has the option of searching through 3 - 4 - 5 phone books now (usually finding the number one is seeking in the last one, if at all????)

Crazy prices. A crazy replication of services and paperwork. A crazy replication of agencies to help one wade through this crazy replication of paperwork (which is being done by a crazy replication of employees) in order to get the best deals out of the crazy priced deals which usually suck in the end anyhow...

And - the worst apparent schemers, when all is said and done - usually end up being - NOT THE CONSUMER - but one or more of those folks putting forth the crazy paperwork and crazy replication of agencies, etc. etc. etc.

People in the "business" charging fees for people that have (oops, I forgot...) been deceased for a year...

People in the "business" charging for nurses and such that aren't even REALLY on staff...

People in the "business" not sending poor folks for the tests they need...

Whilst sending those with good insurance for the same tests in duplicate or triplicate...

Crazy, crazy, crazy...

But I haven't been following it all THAT much. Just LIVING it. And remembering what it was like to try to help my father find his way (prior to his death) through the maze...

At some points having to say, "Dad, I just can't figure it out either..."

Simple. Pragmatic. Affordable...

Anyone remember when your family doctor was your family doctor... and wasn't a long wait for a quick (too often nadequate...) "fix"...

which somehow ends up with one having to go to five other people (bloodwork here; x-rays there; specialists here there and everywhere...) for five other tests (or whatever) that cost five times (or more) than they should....

Etc?...

Does anyone identify?

Yes, I certainly hope they get a grip on all of this...

I mean, seriously, they can probably save bundles associated with the Medicare Program just by not sending out 2 million, 3 million, 4 million BOOKS (I really have no idea how many, but apparently a LOT!) a year - that a lot of people can't figure out...

Thus the treck from agency to agency that also receives book after book....

And pays employee after employee to try to explain them to you (or SELL them to you...)

Etc.

I could go on. But I'm supposed to be giving myself (lol) a much needed "break" here - because although I like to clown around - I'm also way too serious sometimes for my own good...

BTW, the "boomers" (as a cohort group) didn't "cause" this mess - a few folks in Washington did!

And generation XYZ (or whatever...) won't (as a cohort group) solve this mess -

Only some serious investigations and some serious common sense solutions - to be imposed by a few (relatively speaking) folks in Washington will...

Good posting Mike. This issue is huge... and this is another (specific) area where the folks "at the top" (as soon and as efficiently as possible) should ask the public what their experiences with our current health care system (even a lot of doctors are fed up!) have been like...

Shucks! Just ask them folks how many books - from how many different "prividers" (Medicare, etc.) they have got in the mail!

I mean, for folks like me that have problems digging up the money for one container of printer ink...

I would think the printing, copying, binding and mailing costs associated with our current medical system might be enough (all by itself) to make one's head "spin around!"

NS

Anonymous said...

Thanks again Mike. I up a video (along with a repeat of my response here) up on my blog for anyone that wants to hear more on this issue...
http://spreadingourwings.blogspot.com

NS

Anonymous said...

Let's get to specifics:The Obama Plan is in essence to make health records more accessible to the professionals who need them. That's the plan so far, which is something that should have been done long ago. That's fine and good and well and good as far as it goes.
Then what? Well let's look at what the overall budget can likely sustain in the near future.
The Obama world is one that draws down from Iraq by the end of 2010 and ramps up in Afghanistan for an as yet indeterminate period of time, and there is no reason to think Congress will assert itself any more now than it did during GW Bush's two terms of indeterminate wars. Those are costly and have little to nothing to do with "fiscal responsibility."
Secondly, we find there has been enacted a notable tax cut for 95% of working Americans. This is also going to blow a hole in the deficit or at least continue that trend, particularly in the atmosphere where finally people start getting it and out of fear they have ramped up savings rates--great for individuals, lousy for the Federal Budget and the Economy in general, at least in the short term. Fiscal responsibility also includes avoiding inflation insofar as is possible to do so, and all these things are a positive prescription to foster inflation!
The real question is can someone with good intentions do twenty things that need doing within four years--or even within eight years--and do them ALL well? I suspect, contrary to the fairy dust idealism here, the answer is "no." That is the idea here. Someone described the road to hell as being paved with good intentions, although that may be an overstatement here. The main idea is that in the economy you have to look at cause and effect and while everything is not predictable as outcomes any more than the weather ultimately is, there are trends and certain things that can be predicted.
Once a few more people hit reality, I hope that those will reside in the Obama Administration and start to criticize the notion that the world's policeman should continue to be our role, or for whatever reason that we cannot admit we were wrong in the middle east war mongering policies, and start to take a hard look at when and where and under what conditions we continue to wield a big stick around the world. Our very economy and domestic welfare may depend on it, and probably does depend on that.
So far we have only heard hero worship of the Great One, but the price tag of the Great One's foreign policy has not yet been questioned, and it is time someone questioned it--and its prudence goes beyond that also. The Soviet Union learned a hard lesson in Afghanistan--does the United States have to repeat such a thing in order to learn a lesson? It would seem so, since The Great One has committed the nation there indefinitely.
All of which only describes how bad GW Bush was;that someone could come along with "Bush Light" war policies and find so much political support both during the election and now, whilst supporting what will inevitably be a less than satisfying outcome except to the perennial flag-waving creeps who destroyed this nation in the first place, which will continue to place a heavy load on the federal budget while all the while calling for "fiscal responsibility"--all on the part of OTHERS, of course--is "silliness cubed", if it could be described in mathematical terms.

Anonymous said...

After reading the comments, mostly for socialized healthcare I thought it would be good to read about the people actually living it. So after some searching here is a sampling of what I found.

Here are some links:

http://www.liberty-page.com/issues/healthcare/ukwomeninlabor.html

http://www.liberty-page.com/issues/healthcare/ukdental3.html

http://www.liberty-page.com/issues/healthcare/uklungpatient.html

http://www.theglobeandmail.com/servlet/Page/document/v5/content/subscribe?user_URL=http://www.theglobeandmail.com%2Fservlet%2Fstory%2FRTGAM.20080301.wheart01%2FBNStory%2FNational%2Fhome&ord=108782161&brand=theglobeandmail&force_login=true

http://www.liberty-page.com/issues/healthcare/nzcoaster2.html

http://www.swissinfo.org/eng/index.html?siteSect=105&sid=4059652

These links are about the health care systems in England, Canada, New Zealand and Switzerland. Waiting lists seem to be a common problem in nearly all of these countries. One article talks about patients in Ontario being sent south to the US to receive cardiac care that the hospitals in Ontario are incapable of providing. Another is about hospitals temporarily closing maternity wards in England and pregnant women having difficulty finding a hospital to have their babies. Yet another one is about Switzerland's socialized health care system nearing collapse due to rising health care costs, doctor shortages, aging population, etc... Those problems sound awfully familiar.

I read article after article about various countries essentially rationing care. People being put on waiting lists, being denied to most effective medications because of the cost and other cost saving measures.

It is obvious that a simple switch to a single payer system will not rid of us the pressures out current health care system faces. I don't know what the answer is right now, but we do need to make sure the cure is not worse than the disease.

Anonymous said...

It's time to recognize that the threat from within of our health is a far greater threat than from out. We spend far too much on defense from imagined foes than we should. Our real threats to our security are being fought in our hospitals,clinics, and doctors' offices. Not in the deserts of the middle east. Maybe we should subsidize medical training, instead of the industrial war machine. I think we'd save more lives. We'd certainly take less lives.

Anonymous said...

With all due respect, informing ourselves about alternate Healthcare i.e.Liberty.com, a current providor and profiteer is like asking Burger King about healthy dieting. More propaganda than truth. It might be better to read less and question more?...smitty

Anonymous said...

Government run, universal healthcare EQUALS rationing. You CANNOT get away from it. It is impossible. So Smitty, if you are willing to ration YOUR healthcare with someone else, GOOD FOR YOU.

BTW, nobody ever tackles the true cost of US Healthcare! Out of control lawsuits! Who are you going to sue when the US Government is calling the shots?

Lastly, there is ONE reason why there are Canadians who 'love' their system. It is universal knowledge, that for unsiversal healthcare to work, EVERYONE must be a part of it. There are doctor shortages in England, why? Because they come to AMERICA to practice. The English know, if America goes socialist, there will no longer be incentive for doctors to leave. LOWEST common denominator, note 'lowest'.

Anonymous said...

"Out of control lawsuits" is a common rant devoid of reality. The people who need access to lawsuits the most are those who most often are not practically able to access them. Stop your anti-Americanism under the banner of patriotic Republicanism. "Pooffmmmy" I spit you out of my mouth and I have specific reasons for so doing.
Subsidizing medical training is an interesting idea, but even that won't cure the shortcomings of medical training that in many cases is years behind the times. We require people to renew driver's licenses in a more stringent manner than those continuing to practice medicine, and that's just a fact.
Generally speaking Canadians pay through the nose in taxes to receive subsidized health care, but in the main ARE ALSO satisfied with the result. That has to be some sort of record because the human tendency is to complain about costs. The quality of care returned, overall, must be pretty decent for this to be so.
The fact is Obama is correct in stating that preventive medicine must be fostered which will reduce costs and ramp up quality. That is one thing that is true, but the Great One must also realize that he cannot save the world including Afghanistan and still have every dollar available to accomplish all the tasks he wants to accomplish without bankrupting this and future generations in the process. Health care is going to remain costly no matter the savings achieved from greater efficiencies from records management improvements and preventive care;huge deficit spending forever will most certainly increase inflation at some point and that is a bad mix under these current economic conditions!