Tag Archives: Public Option

An evaluation of public-option health care plans in five US states

Amazing article from IBD. (H/T ECM)

Excerpt:

But perhaps the worst — and closest — example of why a federal takeover of health care won’t work comes from Maine.

[…]Maine’s universal coverage plan is most similar to the plans circulating on Capitol Hill. It was proposed in May 2003 by Democrat Gov. John Baldacci and passed a scant four weeks later. Much like the $787 billion federal “stimulus” plan that passed Congress in February of this year, nobody read the Dirigo plan either.

While greasing the pipeline for quick passage of Dirigo Health, the governor assured that all of Maine’s 128,000 uninsured would be covered by 2009, the bureaucracy would be streamlined and health costs lowered, and the plan would fund itself based on system savings with no tax increases — a similar claim to what President Obama has said about a new federal plan.

Six years after it was passed, it has insured only 3% — roughly 3,400 — of the 128,000 promised.

By 2007, the system was so broke that it closed to new enrollees. It still has not reopened and has also cut and capped benefits. The “streamlined” bureaucracy has cost the state’s taxpayers $17 million in administrative costs to cover 9,600 people, leading one to wonder if there are more bureaucrats in the system than enrollees.

Systemwide insurance costs have increased 74% since Dirigo was passed, and the governor and legislature have tried — unsuccessfully — to raise taxes to fund the system.

The short article analyzes the numbers FIVE current public-option health care plans in Hawaii, Oregon, Massachusetts, Tennessee and Maine.

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One in six patients misdiagnosed by NHS

Story from the Telegraph. (H/T Secondhand Smoke via ECM)

Excerpt:

As many as one in six patients treated in NHS hospitals and GPs’ surgeries is being misdiagnosed, experts have warned. Doctors were making mistakes in up to 15 per cent of cases because they were too quick to judge patients’ symptoms, they said, while others were reluctant to ask more senior colleagues for help. While in most cases the misdiagnosis did not result in the patient suffering serious harm, a sizeable number of the millions of NHS patients were likely to suffer significant health problems as a result, according to figures. It was said that the number of misdiagnoses was “just the tip of the iceberg”, with many people still reluctant to report mistakes by their doctors.

When the people providing the service are not being paid by the customer based on the quality of service provided, what incentive is there for the service provider to provide good service?

Take the money out of the hands of bureaucrats and medical insurance companies, put it back in the hands of the patient and provide the patient with information about prices and past patient outcomes. Then de-regulate the industry to increase new entrants and increase competition. Choice and competition. That is how you reduce costs and retain individual liberty.

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The deadly consequences of rationing health care

Story from the Daily Mail. (H/T Secondhand Smoke via ECM)

Excerpt:

Doctors left a premature baby to die because he was born two days too early, his devastated mother claimed yesterday. Sarah Capewell begged them to save her tiny son, who was born just 21 weeks and five days into her pregnancy – almost four months early. They ignored her pleas and allegedly told her they were following national guidelines that babies born before 22 weeks should not be given medical treatment. Miss Capewell, 23, said doctors refused to even see her son Jayden, who lived for almost two hours without any medical support. She said he was breathing unaided, had a strong heartbeat and was even moving his arms and legs, but medics refused to admit him to a special care baby unit.

If that is true, it is a profound abandonment. Moreover, it illustrates the consequences of treating individuals as mere category members for treatment decisions. For example, in the UK, an older person will be denied a hip replacement based on age, regardless of whether the surgery would benefit the patient and restore the ability to live a vital life.

I am terrified at running afoul of a system that encourages such barbarity. No wonder the NHS is having problems with abusive and rude personnel. You can’t legislate rationing that allows tragedies like this and keep your compassion intact.