While the White House is tackling our bloated Healthcare system, comparisons are typically made to various EU Socialist countries, Socialist Canada, and Australia. Thinking a bit outside of the box, what if the problem was tackled from infancy, instead of middle age?
In other words, what if Medical Education was the port needing the overhaul?
In China and Russia, medical education is heavily subsidized costing about $3000 to $6000 per year. As a result, China has a growing population of doctors from inside as well as outside who can then not be laden with such astronomical debt, the care cost must be proportionate to their debt.
Because of the influx of students from around the world, China resolved to teach their students in ‘English’! A universal language!
In the US the incentivizing is based on making people sicker and more addicted to medication, so as to artificially increase earnings. A more rational approach would be to revert to ages ago when the incentive was based on cure rates instead.
Hospitals in the US are a verifiable mess. If health insurance is a Federally mandated and subsidized institution, then there should be no ‘out-of-network’ at all, because the Federal Network is the United States.
Secondly, Administrative costs in the US are higher than any other country. Why? Salaries and coding are the predominant factors. Coding is ridiculously complex because each insurer has their own coding, and each plan within each insurer has a separate coding. This implies that each plan charges a different amount for the same service. And today, there are hundreds of plans within each insurer.
It wasn’t that long ago that when you were insured by Kaiser, that WAS the plan. Now you are required to pick out of a candy shop assortment. While the insurers believe this will save them money, it ramps up administrative costs disproportionately.
Salaries? The Executive list is pretty daunting; CEO, COO, CMO, CFO, CIO, PCE, NSE, MCE, HRE, PSE, SSE, ACE, FE, LSE and ME. Whew! Of course each of these executives have a staff to manage as well. Then come the doctors, specialists, nurses, PPA’s, Imaging, etc… etc… etc…
The CEO salaries range from about $600,000 to over $10million. A good place to start draining the swamp.
The Socialist methodology is not only failing, it has proven to be dangerous as well. In the UK, the NHS, government sponsored healthcare program has been in a death spiral for over a decade. Private insurers came alive but they were an added cost so they only benefited the wealthy.
Today, hundreds of thousands are protesting the proposed privatization of the UK health system. It is a definitive conundrum as organizers protest that privatization will increase costs… but of course deficient costs are what caused the spiral of the Socialist policy in the first place. In addition, the protestors blame the government for mismanaging the healthcare system – while simultaneously demanding that the government manage the healthcare system…
You can’t have it both ways – but that would seem to mirror our own political climate in the US.
And while the Singapore system is hailed as one of the world’s best, it is not without it’s own set of woe-oh-my-goshes. Apparently they had to institute a Safe Hospital Campaign with armed guards because relatives of patients were storming hospitals and killing the doctors for not saving their relation and demanding their ‘bribe’ money be returned. In 2012, assaults on doctors averaged over 27 per hospital per year. And a survey of 316 hospitals revealed that 40% of the staff planned to quit as a result of the violence.
In Sweden, wait times can be upwards of two years… with many residents traveling to France and Germany for their care. In the UK they went to India. With the influx of migrants and diseases, the pressure on hospitals in these countries is set to split at the seams.
Providing free care to a million+ refugees, well, someone has to pay, because in real life – nothing is free. Diseases being tagged? Syphilis, gonorrhea, TB, leprosy, polio, measles, mumps, scabies, hepatitis, cholera, malaria, etc… And while our dutiful ‘Snopes’ says no way – the CDC says otherwise.