How to Make Health Care Reform Work

when we all have to buy government insurance, becaues that's what we will be able to afford. The senate and congress (all the Washnington insiders)are exempt for all this. The will still have top of the line insutance for life. Correct

the goverment could save money by cutting reimbursement for physcians and hospitals,the system is to easy to abuse.I was a er doctor for 22 years and we were paid too much for too little care.the system doesn't go by actual time spent with patients.we were paid for an hours care when actual time spent was 10=15 minutes,meanwhile we could see and charge 4=5 other patients.the system also allows for extra charge for what should be folded into the care.the billing company we used gave us direction on how to increase billing by 30=70% without doing anything more for the patient.the system is too easy to abuse.the primary care doc should be paid more for time spent with the care of patient.the system also should be revised for hospital based docs who have very little in overhead costs.we only had malpractice and billing fees.

I am a business owner and am a firm believer in capitalism. However, healthcare is one industry that should be regulated like utilities. There should be a cap on how much profit an insurance company can make and a cap on the price a drug company can charge for medication. No one in politics is talking about anything that will reduce costs, just trying to make us all pay the insurance and drug companies whatever they want to charge through taxes. I am not saying the companies should not make a profit, but I have a problem with companies reporting record earnings by raising prices and charging excessively while saying it is because their cost went up. Let's face it - there are very few health insurance companies. If you have an illness, you want the best drug, which is usually only made by 1 company and protected from competition. If healthcare was indeed affordable, then more people would have it and the system could work without sacrificing quality or access.

Why does this medical reform have to be so complex. Why not simply have a two tier system and leave the current insurance programs alone and in place? Create a second tier for those who are not insured currently or do not have ID. Create Clinics for those who cannot afford to have insurance so they can get treatment without taxing ERs. The government can staff this with Drs; who agree to have their med school paid for by the government and the drs then repay with a two year commitment to this program to work in one of the government facilities. Other staffing will have to also be hired; however it will reduce the costs because it is not taxing the ER departments. The hospitals operate a "for profit" operation and typically have a 14% loss as a result of uninsured patients. This would give an outlet for those patients to obtain treatment and allow the hospitals to be more profitable. The current insurance system overall works and should be left alone. Medicare and goverment insurance already discounts payments to the medical industry. A government sponsored "Doc in the Box" which offers "free" services to whose who need medical treatments from bandages, to antibiotics for colds and such will allow the other facilities to operate a more normal business plan. Of couse have a means to treat trauma in a an ER; but not use the ER for a headache, colds or other minor non-trauma or emergency events. This should be the primary roll of these clinics.

Why don't we just do away with the federal employees health insurance and roll them over into the system the rest of us use. If congress was included, things would get "fixed" in a hurry. The same could be said for their retirement accounts and social security.

THE WAY TO MAKE IT WORK IS TO LEAVE IT ALONE....HEALTH CARE IS NOT BROKEN ! PLEASE DON'T TRY TO FIX IT. PLEASE...