Wednesday, November 4, 2009

Great Ideas for Reform

It's articles like the following that make me wonder how much of this current 2,000 page bill were written by lobbyists. In other words; it seems to me that reform is not that complicated, unless you were trying to pander to specific groups.

I did remove some paragraphs from the article becuase they weren't relevant to my post.

The Whole Foods Alternative to ObamaCare
By John Mackey

“The problem with socialism is that eventually you run out of other people’s money.”
- Margaret Thatcher

With a projected $1.8 trillion dollar deficit for 2009, several trillions more in deficits projected over the next decade, and with both Medicare and Social Security entitlement spending about to ratchet up several notches over the next 15 years as Baby Boomers become eligible for both, we are rapidly running out of other people’s money. These deficits are simply not sustainable. They are either going to result in unprecedented new taxes and inflation, or they will bankrupt us.

While we clearly need health-care reform, the last thing out country needs is a massive new health-care entitlement that will create hundreds of billions of dollars of new unfunded deficits and move us much closer to a government takeover of our health-care system. Instead, we should be trying to achieve reforms by moving in the opposite direction – toward less government control and more individual empowerment. Here are eight reforms that would greatly lower the cost of health care for everyone:

1) Remove the legal obstacles that slow the creation of high-deductible health insurance plans and health savings accounts (HSAs). The combination of high-deductible health insurance and HSAs is one solution that could solve many of our health-care problems. For example, Whole Foods Market pays 100% of the premiums for all our tea members who work 30 hours or more per week (about 89% of all team members) for our high-deductible health insurance plan. We also provide up to $1,800 per year in additional health-care dollars through deposits into employees’ Personal Wellness Accounts to spend as they choose on their own health and wellness.

Money note spent in one year rolls over to the next and grows over time. Our team members therefore spend their own health-care dollars until the annual deductible is covered (about $2,500) and the insurance plan kicks in. This creates incentives to spend the first $2,500 more carefully. Our plan’s costs are much lower than typical health insurance, while providing a very high degree of worker satisfaction.

2) Equalize the tax laws so that employer-provided health insurance and individually owned health insurance have the same tax benefits. Now employer health insurance benefits are fully tax deductible, but individual health insurance is not. This is unfair.

3) Repeal all state laws which prevent insurance companies from competing across state lines. We should all have the legal right to purchase health insurance from any insurance company in any state and we should be able to use insurance wherever we live. Health insurance should be portable.

4) Repeal government mandates regarding what insurance companies must cover. These mandates have increased the cost of health insurance by billions of dollars. What is insured and what is not insured should be determined by individual customer preferences and not through special-interest lobbying.

5) Enact tort reform to end the ruinous lawsuits that force doctors to pay insurance costs of hundreds of thousands of dollars per year. These costs are passed back to us through much higher prices for health care.

6) Make costs transparent so that consumers understand what health-care treatments cost. How many people know the total costs of their last doctor’s visit and how that total breaks down? What other goods or services do we buy without knowing how much they will cost us?

7) Enact Medicare reform. We need to face up to the actuarial fact that Medicare is heading towards bankruptcy and enact reforms that create greater patient empowerment, choice and responsibility.

8) Finally revise tax forms to make it easier for individuals to make a voluntary, tax-deductible donation to help millions of people who have no insurance and aren’t covered by Medicare, Medicaid, or the State Children’s Health Insurance Program.

Rather than increase government spending and control, we need to address the root causes of poor health. This begins with the realization that every American adult is responsible for his or her own health.

Unfortunately many of our health-care problems are self-inflicted: two-thirds of Americans are now overweight and one-third are obese. Most of the diseases that kill us and account for about 70% of all health-care spending – heart disease, cancere, stroke, diabetes and obesity – are mostly preventable through proper diet, exercise, not smoking, minimal alcohol consumption and other healthy lifestyle choices.

Health-care reform is very important. Whatever reforms are enacted it is essential that they be financially responsible, and that we have the freedom to choose doctors and health-care services that best suit our own unique set of lifestyle choices. We are all responsible for our own lives and our own health. We should take that responsibility very seriously and use our freedom to make wise lifestyle choices that will protect our health. Doing so will enrich our lives and will help create a vibrant and sustainable American society.

3 comments:

Cathy said...

At first I was really irritated, because I've heard these things over and over and they make so much sense that I can't believe they haven't just done it. Then I realized that it depends on your goals. It's all about government administered universal healthcare. I don't think we can afford it. And, I think we need to implement these common sense fixes before we try to get everyone covered. If Doctors and patients are more in control, it will leave more room for compassion rather than government mandate that breeds resentment on one side and laziness and loss of self respect on the other.

Anonymous said...

The GOP (I don't remember whether it was House or Senate) just unveiled their own healthcare plan a few days ago, and strangely, gasp, it was just like this article! Rather than doing a huge, untested, expensive overhaul, why don't we implement these smaller changes which should also meet the end goal of lower health care costs?

I can think of two reasons right off. First, I read an article talking about how today's legislators are using this as a form of immortality. They want their name on the bill that changed lives forever. Seeking fame and recognition, no matter the cost.

Second, I think there are a great many people who will not take responsibility for themselves. They want everything given to them. Until that pervasive attitude changes, HSA's, tort reform, and other measures may not work. Yesterday I saw an article in the newspaper stating 50% of today's children, and 90% of today's black children will be on food stamps and welfare. Children aren't being taught to work and take care of themselves - they're being taught to use the system.

Until people take some sort of responsibility for their obesity, diabetes, lifestyle, and health, I'm not sure what to do.

Cathy said...

Jeni, I totally agree with you! And, can't they see that by this overhaul that they are proposing they will just be aggravating the sense of entitlement that is crippling our country? At some point you just have to let people fall. I'm not talking about the people who are trying and have TEMPORARILY fallen on hard times. Just the ones who have decided not to work or have never been taught the consequences of not working. Is that heartless?