Beware the silver bullet on health care

  • Article by: DAVE DURENBERGER and SUSAN BARTLETT FOOTE
  • Updated: December 19, 2008 - 7:40 PM

If a board to control costs is independent, that's just another word for 'unaccountable.'

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jusayinDec. 20, 0812:42 AM

Every Health organization serving over 1000 people should be required to publish their annual budget. Citizens are buying health care on the basis of one set of numbers - the end cost. This has proved to be a very poor evaluator of quality, durability, consistency and internal cost control. Accountabilty is lacking because data is lacking on a timely basis. goal #1 - administrative costs of a major medical organization should be in the 3-4% range. The VA has done it. goal #2 - uniform - across the nation- forms and database design. The firm's impramtuer is not more important than the goal of consistency. No more "diversity" in forms. Goal #3 - Competition - When patients and physicians can see what each of the different systems is doing with money, each can make decisions on where to go. Lastly - Medical malpractice needs to be abstracted from the system. the current model of adversary for fee (insurance fees covering the doctors and atorneys fees covering the patients). Establish set-payments for various types of malpractice, and have an arbitration board review disputed cases. Provide a 30-day and 60-day review window with triggered automatic payments ( and penalty assessments) if the deadlines are not met.

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bernice3Dec. 21, 08 3:10 PM

but on this rejection of the national-board idea for health care, I do. Spending money to operate programs as important as health care is Congress's job and all their discussion and argument must be held in the open for our inspection and judgment. It is especially dangerous if the current president is like George Bush, who appoints only those Bush-buddies who agree with him ideologically and who do their best to undermine the agencies they are supposed to be managing for our benefit and that of the environment.

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