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How else do we fix Healthcare?

Commented on July 21, 2011
Created July 21, 2011 at 4:08 AM

I think one important step in fixing the American Healthcare system will be personal accountability and getting everyone to eat a more Paleo like diet. What other steps do we need to take or can we take to fix healthcare? You create a step and/or vote on the step you think will be most important.

6371f0ae0c075ded1b8cd30aafd4bf16

on July 21, 2011
at 04:36 AM

I've often said get rid of the whole payer system and start over. It should cost you as much for a hair cut as a doctors visit. We pay such high rates because the private insurances often have a policy of deny, defer or defend. Which leaves the medical industry out of money. They can't continue to take losses so they have to raise rates. Good Answer.

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21fd060d0796fdb8a4a990441e08eae7

(24543)

on July 21, 2011
at 04:22 AM

Agh! This would require the most complicated answer ever!

I worked in the strategy department at Blue Cross Blue Shield over a decade ago, then went to school for health policy. From those experiences, I can safely say that slowly moving away from private insurance is one step in fixing healthcare. People who work there truly believe that they are providing a necessary service for the American public. But from what I gathered, private health insurance was a random mistake here in the US (Blue Cross formed separately from Blue Shield in Texas--one was a teacher's service and one was for some other type of worker, and they just never got together). Medicare's administrative costs are much lower than any private insurer, and private insurers have been responsible for roughly zero percent of the innovation in the healthcare sector. Cuba has a per capita healthcare cost of around $300, while the US is around $6,000. We have roughly equal lifespans of around 77 years, and Cuba has a slightly better infant mortality rate. True, we are subsidizing drug companies and stuff here in the US, but the numbers are striking.

Strictly speaking, agricultural subsidies and stuff like that does not fall into the healthcare umbrella. But even outside of that, I would say that regulating food marketing is a serious part of reducing obesity. False advertising abounds, and even true advertising is just a way of tipping human physiology, which already craves sugar/salt/fat combinations, into further spirals of gorging.

But also, any single answer on how to "fix" healthcare will be overly simplistic. There are a bazillion issues at hand. Like even healthy people take up a huge amount of healthcare costs at the end of their lives. Medical technology that we take for granted (MRIs for routine injuries, for example) cost quite a bit of money. There are a lot of things outside of paleo that need fixing or reconsidering. But a sharp turn towards promoting any and all whole foods instead of promoting "whole grain" as a real food would be money.

6371f0ae0c075ded1b8cd30aafd4bf16

on July 21, 2011
at 04:36 AM

I've often said get rid of the whole payer system and start over. It should cost you as much for a hair cut as a doctors visit. We pay such high rates because the private insurances often have a policy of deny, defer or defend. Which leaves the medical industry out of money. They can't continue to take losses so they have to raise rates. Good Answer.

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