Posted: Mon May 31, 2010 12:14 pm
To say that medical care is screwed up in the USA is an understatement.
What most do not know is that our current practice of employer provided medical health care coverage started during WWII. At that time, employers were under strict war time rationing and wage and price controls. FDR did this to constrain inflation and to allocate resources to the war effort.
There was a huge shortage of labor as the war expanded and men (and women-my mom was a WAVE!) were put into the military.
Offering free health care as a job benefit was a way of circuit-venting the wage caps.
This morphed into an employer-insurance company combination that wasn't designed for the end user but rather as a cost factor in doing business. Add Medicare in 1965 and you imposed a whole new layer of
bureaucracy to the mess.
Whether you have "free" medical care or the mess here in the states, at the most basic level there are costs. The hospitals, doctors, nurses, drugs, etc. all have their expenses and somehow someone has to pay for them.
What the best way to handle all the competing factors is a huge problem, and I do not think what we have here in the States really leaves any of the stakeholders happy with the results. High medical costs are the reason for nearly half of all bankruptcy cases, for example. Yet the medical people are doing a great job and certainly deserve to be paid fairly for their efforts.
The solution????
Donnchadh
What most do not know is that our current practice of employer provided medical health care coverage started during WWII. At that time, employers were under strict war time rationing and wage and price controls. FDR did this to constrain inflation and to allocate resources to the war effort.
There was a huge shortage of labor as the war expanded and men (and women-my mom was a WAVE!) were put into the military.
Offering free health care as a job benefit was a way of circuit-venting the wage caps.
This morphed into an employer-insurance company combination that wasn't designed for the end user but rather as a cost factor in doing business. Add Medicare in 1965 and you imposed a whole new layer of
bureaucracy to the mess.
Whether you have "free" medical care or the mess here in the states, at the most basic level there are costs. The hospitals, doctors, nurses, drugs, etc. all have their expenses and somehow someone has to pay for them.
What the best way to handle all the competing factors is a huge problem, and I do not think what we have here in the States really leaves any of the stakeholders happy with the results. High medical costs are the reason for nearly half of all bankruptcy cases, for example. Yet the medical people are doing a great job and certainly deserve to be paid fairly for their efforts.
The solution????
Donnchadh