Does the American healthcare system work as it stands right now?
By RoestEmPoe
@RoestEmPoe (72)
United States
January 12, 2012 9:51am CST
I personally feel it doesn't. The current pay to care system is more a consumer driven enterprise instead of a healthcare system that actually cares. I do not have insurance. I haven't been able to afford it yet. Someday but right now I struggle to get by living pay check to pay check. My last job offered to give me insurance at the cost of almost half of my pacheck at the time. I couldn't justify that big of an expense especially after seeing the deductible and out of pocket expneses that they had in place. It just didn't seem woth it to me. Seems to me a different system would work better than paying a third party who has no incentive to care for the individual, beyond their monthly premiums that is, be in chardge of a person's health. Their only investment is in ensuring their profit margin is better than the previous year.
3 people like this
8 responses
@andy77e (5156)
• United States
13 Jan 12
By all accounts we have one of the best health care systems in the world. If you look at your chance of surviving any illness, and compare those chances with anywhere else in the world, you have a better chance of surviving here, than anywhere else.
Of course it costs more. But then, that's how it is with anything. You want the latest greatest treatments, it's going to cost you the latest greatest price.
Now there are things that need to be changed, but unfortunately, we're going in the opposite direction of the needed changes.
Instead of more options, and free-market changes, we're adding more costly regulations, and restricting options. The government seems bent on increasing cost until no one can afford anything at all.
1 person likes this
@knoodleknight18 (917)
• United States
13 Jan 12
Well in a way you're right. We do have one of the highest survival rates. But we also have a high rate of unnecessary procedures. We're also the fattest country in the world. And plenty of people die because they can't afford basic health care. So it really depends on how you judge the best. We might have some of the best care available. But on a national level, we have some of the worst health of any modern nation.
@lampar (7584)
• United States
12 Jan 12
The present system of buying health insurance from private company to protect oneself against any future runaway health care cost won't work in reality. Unless the government can come out with a solution to contain the ever rising cost associated with personal health care from providers in health care industry, the insurance premium individual take out on personal health policy will continue to rise to keep the insurer ahead of profitable health policy underwritting. An alternative helath care system is to let the health care provider come out with an affordable and tax free fund that collect a small percentage of monthly premium from an individual as a form of advance payment for any unforseeable big emergency medical expenses as supplemental benefit, the sooner we can get rid of the middleman, the more of the premium can be shifted to the helath care providers to pay for the actual care a patient will receive.
@RoestEmPoe (72)
• United States
13 Jan 12
Exactly that would seem to be a better way and the benifit would obviously be that now your doctors and hospitals have a financial benefit to keeping you healthy. The healthier you are the more they profit. As opposed to only getting paid when you're sick they get paid regardless. Makes more sense doesn't it?
@flowerchilde (12529)
• United States
12 Jan 12
I think you are right, but I don't know what the answer is. I am highly suspect of putting the government in control of it for a number of reasons, one too much increases the scope and power of government, also I never saw a government program that was efficient nor cost effective! I think allowing health insurance companies to compete across state lines could only help, now they cannot, something I cannot help but feel was brought about as a favor due to lobbying.
@RoestEmPoe (72)
• United States
13 Jan 12
I don't feel comfortable with giving control to the government either. I think that would just make things alot worse rather than better.
@cripfemme (7698)
• United States
15 Jan 12
I think we need a system like Norway or the Netherlands. They both pay less for health care than we do in America. According to the studies I've read, and am a health educator by the way, people live longer, healthier lives in those countries. We have the most money of any nation in the world shouldn't we be dedicated to helping our people live the best life possible? As a person with a disability, I can tell you that Medicaid waste a lot of money by providing care in expensive nursing homes instead of cheaper community settings. They also waste a lot of money repairing stuff that should just be replaced, because of their time limit rules. Obviously, a wheelchair will last longer for someone who's 65 and doesn't leave the house a lot than it will for me, who is 35, has a job, and leave the house at least 4 to 5 times a week.
@matersfish (6306)
• United States
12 Jan 12
There are a couple issues I try to weigh before I make any decision on privatized healthcare vs. public healthcare.
The first, of course, is whether or not the quality of care would actually be better. We do have a precedent here in the US. Look at the Native Americans. Government spends roughly $7,000 per policy for Natives (3x what a private policy costs... for an entire family!), yet Natives statistically have the worse level of care and die at a younger age--because they're in generally poorer health--than the rest of the population.
Now, if government cannot provide adequate care for a few million people, paying three times what a private package costs (which means the taxpayers are obviously footing the enormous bill), then what faith should anyone have that they could provide adequate care for over 300 million?
That point ties in with the second issue I try to weigh: the universal costs.
As it stands now, we're already over 14 trillion dollars in debt. Taxing the rich at 100% rate (let's pretend that they could survive more than 1 season lmao!) would not do anything to even come close to paying the cost of simply giving people healthcare. Not when government almost literally shuts down, not because they cannot agree where to cut, but because they cannot even agree on how to stop government from growing by a measly 10%!
Universal healthcare, single-payer, government-run -- whatever you wanna call it. It might work for a country of a few million people, without other huge expenditures, without massive immigration problems, and with increased government regulation and increased taxation across the board. But that isn't America.
A private business might only be interested in profit, but the government doesn't care either. Native Americans are proof of that. I don't need to go off on a diatribe, spitting hyperbole about how crooked government is. Numbers never lie. And if they do a worse job with fewer people while spending more money, then increase that a thousand-fold and just see the disaster that happens.
What is the alternative in the United States of America to private insurance? Our government is inept, addicted to spending, and full of politicians infinitely more self-interested than any CEO.
It sucks that people don't have or can't afford a healthcare package, but the cure is worse than the disease.
1 person likes this
@RoestEmPoe (72)
• United States
13 Jan 12
I do agree with you in regards to a government run healthcare system involving our government. That would be an exercise in futility. I have enough trouble dealing with the DMV I wouldn't want to get involved when there's more at stake than just my driver's license. What I was wondering was maybe a way of bypassing the insurance companies. The insurance companies play no actual role in healthcare. But the doctors and hospitals do. Seems to me that a better way to go would be something along the lines of a subscription plan to you physician and your preferred hospital. Wouldn't something like that make more sense. I'd rahter pay my local healthcare providers a monthly fee to care for me If I need rather than some name on a letterhead.
@dheppler89 (55)
• Canada
13 Jan 12
Healthcare in the United States is seen almost more as profitable business than a care for peoples health at all. All it takes is one broken leg, or a dislocated shoulder and without proper insurance you will find youself in thousands of dollars of debt. I like in Ontario, Canada and I must say I am very thankful for our healthcare. I've had many injuries for I like to participate in alot of extreme sports and if it wasnt for our healthcare here I wouldnt be able to afford to enjoy those activities.
@parascevi (313)
• Greece
13 Jan 12
Well... i do not live in US and i don't know in detail your healthcare system but i have heard many negative comments from people and friends used to live here.I have also seen in movies many difficult situations people encounter with the healthsystem in US and the way the treat to pateinets seems to me like more a profitable organization rather than a really system who cares for its citizens.