View Poll Results: What should be fixed first?

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  • Cost

    35 70.00%
  • Medical Malpractice

    6 12.00%
  • Medicare Fraud

    7 14.00%
  • Coverage Denial

    9 18.00%
  • Claim Denial

    5 10.00%
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Thread: What should be the first step to fixing healthcare in the US?

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    What should be the first step to fixing healthcare in the US?

    It's no secret that before Obama came along, the US had major healthcare problems. However, it's clear that fixing it is up for debate. so I took 5 major issues in the healthcare industry and put them up against each other. Which one do you think should have been fixed before ObamaCare? Multiple choice is allowed, votes are public.

    Cost:

    Medical bills prompt more than 60 percent of U.S. bankruptcies - CNN.com

    Woolhandler and her colleagues surveyed a random sample of 2,314 people who filed for bankruptcy in early 2007, looked at their court records, and then interviewed more than 1,000 of them.

    They concluded that 62.1 percent of the bankruptcies were medically related because the individuals either had more than $5,000 (or 10 percent of their pretax income) in medical bills, mortgaged their home to pay for medical bills, or lost significant income due to an illness. On average, medically bankrupt families had $17,943 in out-of-pocket expenses, including $26,971 for those who lacked insurance and $17,749 who had insurance at some point.

    Medical Malpractice:


    10 Things You Want To Know About Medical Malpractice - Forbes

    Fact: According to the Journal of the American Medical Association (JAMA), medical negligence is the third leading cause of death in the U.S.—right behind heart disease and cancer.

    In 2012, over $3 billion was spent in medical malpractice payouts, averaging one payout every 43 minutes.

    Medicaid/Medicare Fraud:


    Medicare And Medicaid Fraud Is Costing Taxpayers Billions - Forbes

    How much Medicare and Medicaid fraud is there? No one knows for sure. In 2010 the Government Accountability Office (GAO) released a report claiming to have identified $48 billion in what it termed as “improper payments.” That’s nearly 10 percent of the $500 billion in outlays for that year. However, others, including U.S. Attorney General Eric Holder, suggest that there is an estimated $60 to $90 billion in fraud in Medicare and a similar amount for Medicaid. Big money!
    Denial of Coverage:

    Insurers Denied Coverage to 1 in 7 - WSJ.com

    The four largest U.S. for-profit health insurers on average denied policies to one out of every seven applicants based on their prior medical history, according to a congressional investigation released Tuesday.
    Claim Denial:

    PolitiFact | TV ad overstates health insurance denials

    The researchers reported that from 2002 through June 30, 2009, six of the largest insurers operating in California rejected 47.7 million claims for care, or 22 percent of all claims. According to the nurses' group, during the first six months of 2009, PacifiCare denied 39.6 percent of claims; Cigna denied 32.7 percent; HealthNet denied 30 percent; Kaiser Permanente denied 28.3 percent; Blue Cross denied 27.9 percent and Aetna denied 6.4 percent.
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    Re: What should be the first step to fixing healthcare in the US?

    Cost, but if we can make a dent in any of them I'd be surprised.
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    Re: What should be the first step to fixing healthcare in the US?

    First is cost. Not so much because of where it is, but because of how fast it is rising. All of them are areas that should be looked at. Claim denial is one that I that hit close to home and I got to learn about such things as "first denial", where the insurance company denies as many claims as it can when first submitted, even when they know they will have to pay out, simply because slow paying makes them a shockingly large amount of money and there is no downside to doing it. Denial of coverage and fraud are probably the hardest to fix, but that does not mean working towards improvements is not worthwhile.

    Excellent poll by the way.
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    Re: What should be the first step to fixing healthcare in the US?

    Cost should not be the first consideration but UHC based on sound evidence based practice would bring the cost in line while providing the best care possible.
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    Re: What should be the first step to fixing healthcare in the US?

    I'd say cost, but you can't fix cost without addressing the majority of the other points. Therefore I said medical malpractice, it's absurd that doctors have to carry such ridiculously huge malpractice insurance policies on the off chance that anything ever goes wrong (and it doesn't even have to, people can sue and win even if the doctor does everything right). That cost is passed to the consumers. We need to eliminate this ridiculously litigious society that we've built.

    I vote we shoot all the lawyers, especially the ambulance-chasing variety.
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    Re: What should be the first step to fixing healthcare in the US?

    Not electing a lying douchebag in 2016.

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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Cephus View Post
    I'd say cost, but you can't fix cost without addressing the majority of the other points. Therefore I said medical malpractice, it's absurd that doctors have to carry such ridiculously huge malpractice insurance policies on the off chance that anything ever goes wrong (and it doesn't even have to, people can sue and win even if the doctor does everything right). That cost is passed to the consumers. We need to eliminate this ridiculously litigious society that we've built.

    I vote we shoot all the lawyers, especially the ambulance-chasing variety.
    There have been done some studies on how much tort reform would lower cost, and it is pretty small. If I remember right, it would be less than 1 percent. Does not make it not worth doing, but when costs are rising 2 to 3 times the rate of economic growth, there is a major problem and 1 % ain't gonna do it.
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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Hatuey View Post
    It's no secret that before Obama came along, the US had major healthcare problems. However, it's clear that fixing it is up for debate. so I took 5 major issues in the healthcare industry and put them up against each other. Which one do you think should have been fixed before ObamaCare? Multiple choice is allowed, votes are public.

    Cost:

    Medical bills prompt more than 60 percent of U.S. bankruptcies - CNN.com



    Medical Malpractice:


    10 Things You Want To Know About Medical Malpractice - Forbes



    Medicaid/Medicare Fraud:


    Medicare And Medicaid Fraud Is Costing Taxpayers Billions - Forbes



    Denial of Coverage:

    Insurers Denied Coverage to 1 in 7 - WSJ.com



    Claim Denial:

    PolitiFact | TV ad overstates health insurance denials

    I say costs.Here is 3 ideas off the top of my head.

    1.Remove the Certificate of Need requirements that many states have.Doing so will allow more hospitals to be more easily built.Currently many states have this requirement.This requirement was literally created to stifle competition.As most people know competition is a good thing because it generally lowers prices.

    2.Award multi-billion dollar cash prizes to individuals or groups who actually make a cure a actual disease or make working medical devices.Pharmaceutical companies are motivated by profit just like every other company on the planet,this means its more in their interest to develop and provide treatments not cures.By awarding multi-billion dollar prizes this can motivate individuals to create cures and eliminate the cost of research and developed that often gets tacked onto the price of many medications.

    3.Subsidize the cost of medical schools and training and import doctors from other countries.This could add more doctors and other medical professionals which could lower their pay.The more people you have available to do a job the less you have to pay them.
    "A nation can survive its fools, and even the ambitious. But it cannot survive treason from within. An enemy at the gates is less formidable, for he is known and carries his banner openly. But the traitor moves amongst those within the gate freely, his sly whispers rustling through all the alleys, heard in the very halls of government itself. For the traitor appears not a traitor; he speaks in accents familiar to his victims, and he wears their face and their arguments, he appeals to the baseness that lies deep in the hearts of all men. He rots the soul of a nation, he works secretly and unknown in the night to undermine the pillars of the city, he infects the body politic so that it can no longer resist. A murder is less to fear"

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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by jamesrage View Post
    3.Subsidize the cost of medical schools and training and import doctors from other countries.This could add more doctors and other medical professionals which could lower their pay.The more people you have available to do a job the less you have to pay them.
    This option actually shocked me. Would you be alright with importing doctors from any other country? Or specific countries?
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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Hatuey View Post
    This option actually shocked me. Would you be alright with importing doctors from any other country? Or specific countries?
    Cuba. They have a surplus.

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