To do my best work as an insurance and benefits advisor I do a lot of reading. Some reading I do involves financial matters; some involves political matters and of course, some involves insurance product planning and use information.
Most of the reading I do centers on writing that has been done within the last three years, so that I am absorbing information that is up to date. When I came across a work that was published in September 2007, I almost brushed it aside as not offering any relevant information. Boy, was I wrong!
I have been writing about health care in this country since before the finalization of Obamacare, in 2010. I was very skeptical of Obamacare’s main stated goals of:
- Increasing the number of Americans covered by health insurance.
- Streamlining the delivery of health care services.
- Reducing the overall costs of health care for everyone by restricting certain insurance company practices and providing tax credits and subsidies for individuals and businesses.
My feeling was that Obamacare as adopted did very little to guarantee that people would have the incentive to pursue careers in medicine and reduce their debt burden on graduation.
Generally, supply and demand work hand in hand. I believe more trained personnel would have brought medical costs down. I felt (and still do) that Obamacare did very little to ensure that the quality of care would go up rather than run downward. By opening more people up to an insurance coverage without a corresponding uptick in the people providing care insured that time would work against the provision of quality care. The result is that doctors are timed as to how much time they spend with a patient and there are increasing requirements for them to justify the time they spend.
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Move the calendar forward to the present day.
We are in the midst of a great medical pandemic cause by COVID-19. One of the biggest fears the politicians in power expressed was that if COVID-19 was as horrible as they imagined it could be, hospitals would run out of available beds and many people would be left without the vital medical care they needed.
The problem we face today can actually be traced back to the early 1960s, when politicians argued and feared that there was explosive growth in the building of hospitals. It was decided that only the state or the federal government could be impartial enough to judge whether a new hospital was truly needed in a community, or whether it was just a grab for revenue by a greedy for-profit enterprise.