Medicare, Obamacare future? Snip, snip, snip

Former Monitor economics reporter and columnist David R. Francis urges:

Congress is going to have to tackle rising health-care costs in Medicare and 鈥�Obamacare.鈥� House Republicans can try to repeal Obamacare or starve it for funds. Democrats can beat back such attempts. But the laws of economics still rule.

Francis notes that health-care spending in the United States is 鈥渕ore than twice as costly as what other advanced nations spend as a share of GDP. Yet America鈥檚 average life expectancy is lower and it鈥檚 advancing more slowly.鈥� He says that the high cost 鈥渨eakens America鈥檚 international competitiveness.鈥� He wants lawmakers to address cost controls, but says 鈥淭he issue is how.鈥�

The health-care law passed last year was billed as a cost-cutter.... The one reform Congress considered that really could have begun to change the cost equation 鈥� a so-called 鈥減ublic option鈥� where government insurance would compete with the private sector 鈥� was dropped.

For those who equate the new health-care law with a 鈥済overnment takeover,鈥� Francis explains:

The fact is that the health-care industry 鈥� physicians, nurses, hospitals, drug companies, clinics, insurance companies, etc. 鈥� remains in private hands though the government pays some of the bills. But competition for clients has 鈥渘ot worked鈥� to cut costs, [Wendell Potter, a former public relations manager for major health insurance company CIGNA] says....

Potter charges that the health-care industry has deliberately tried to frighten Americans away from government efforts to cut costs.... The reform law includes pilot projects aimed at shrinking medical costs, he notes.

Francis says Potter admits cutting costs is 鈥渆asier said than done,鈥� but offers some suggestions:

Trimming costs in any substantive way would include cutting incomes of medical professionals (who are paid significantly more than their counterparts in other nations), drug-company executives (who charge US patients more for drugs than patients in other countries), and health-insurance executives.

David R. Francis is a former Monitor economics reporter and columnist.

海角大神

Medicare, Obamacare future? Snip, snip, snip

Fields