This comment responds to U.S. Rep Mike Coffman's recent guest column regarding ACA replacement.
I read independent reviews of healthcare systems in tier 1 countries. Other nations score …
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I read independent reviews of healthcare systems in tier 1 countries. Other nations score higher than us on an "outcomes" basis. And citizens of those countries pay one-half or less than us. What a boon to our economy given the quality and cost of other tier 1 countries.
We have a management problem:
1. U.S. healthcare has multiple systems. This defeats cost management and efficiency. Our systems include: insurance companies, the VA, the U.S. Congress, Medicare and Medicaid, local systems. Efficiency would be possible with a single system. If the GOP rejects a federal option, give the whole thing to Kaiser-Permanente. I think a system like Kaiser could work.
2. Healthcare is a basic need for everyone - it should not be tied to a profit. The agenda of insurance companies is to make a profit. I have no problem with private companies making a profit - they must or go out of business. But healthcare should have one agenda: the patient.
3. Remember the double-digit increases in medical insurance premiums, year after year, prior to the ACA? We've already tried the private sector running healthcare. Why did the ACA become law? Why return to a failed system? And please recall the rate of increases in medical premiums has decreased under the ACA.
4. Do you know people who would leave their job or elect early retirement and start a new venture - but don't because they would lose employer-sponsored insurance? Consider the entrepreneurial explosion (and the boost in employment) if the U.S. had universal health insurance!
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