Sunday, April 17, 2011
Tuesday, April 12, 2011
Monday, April 4, 2011
Seniors will not get the medical care they need because of the PPACA. Our government is broke, so is cutting care to save money. Instead, our government could institute a salaried, three person committee in each hospital to ensure that only beneficial care is provided. This could save up to 30% of Medicare health care costs, or around $145 billion dollars, that is otherwise spent on care of no value.
Procedures that are not indicated result in more suffering. The addition of an admission form will help the patients, physicians and salaried medical team make rational decisions for beneficial care while avoiding the patient solely managing the complexities while they are sick and distraught. In the long term this will help hospitals and physicians because Medicare payments will not be cut.
Saturday, April 2, 2011
Medicare is in deep financial trouble. Federal spending for this program in 2011 is expected to be $487.9 billion. This amount is projected by the Congressional Budget Office to increase to over one trillion dollars by 2020 which, if not addressed, would bankrupt the federal government. In response to this projection, the deficit and the desire for universal coverage, the newly enacted Patient Protection and Affordable Care Act will arbitrarily decrease Medicare payments, cutting spending by $523 billion over the next ten years. This will decrease care for many if not most Medicare patients by severely limiting their access to physicians and hospitals.
There is a better way to control Medicare’s costs and provide universal coverage. A great deal of our total medical expenditures, almost one-third by several different estimates, is for non-beneficial inappropriate care. A physician committee in each hospital to help provide only beneficial care individualized for each patient would avoid over-treatment, decreasing Medicare costs by at least 20-25%. As therapies of no benefit expose the patient only to risks, this would also improve outcomes. Resources would then become available to fully fund Medicare, provide universal coverage and maintain the financial viability of the federal government.