Notes from 5/27/09 Panel on Health Care Reform
Today I attended a panel on health care reform moderated by Austin Mayor-elect Lee Leffingwell. The panel included John Troutner (Psychiatrist), Laura Stramberg (National Federation of Independent Business), Chuck Durant (VP, Seton NW Hospital), Anne Dunkelberg (Director of the Center for Public Policy Priorities), and Gaye Kopax (Health Care For All Texas).
The panelists were asked 3 questions:
1) Does the US need health reform?
2) How can we have a comprehensive system that pays for itself?
3) Citing the horror stories about other countries, what should we expect with adoption of a single payer system?
All panel members felt that health care reform is needed. Over 46 million people in the US are uninsured; more than half of these are small business owners and self-employed. The cost of health care for Texans has grown 10X faster than their incomes. Soaring health care costs are the #1 cause for bankrupcy in the US. "We don't have a health care system", stated Durant, "we have fragments". Less than 5% of medical students are planning to go into private practice; we are seeing medical errors due to lack of coordination of treatments; we are seeing incomplete care; we are not putting enough emphasis on preventitive care. We need to reward doctors for prevention. Troutner said "59% of doctors and 83% of psychiatrists support a single payer healthcare system. We need to fix the adversarial relationship that has formed between doctors, insurance and patients.
Concerning a comprehensive system, we need to have national health policy first. We are currently paying more for health care than other countries. Medicare is having difficulties because it is underfunded, but we need to realize that Medicare and Medicaid covers the population in poorest health...we should expect it to be less expensive to cover the generally more healthy population. The system needs to be non-profit. It is critically important to understand access and efficiencies as separate issues to be addressed.
Concerning horror stories from other countries, Durant said "the AMA attacked 'socialized medicine' in the 60's in an effort to galvinize the US against it". Durant has studied the system in Germany which is a hybrid system offering choices; he believes we could learn a lot from studying Germany's system. Canada pays 60% less than US citizens for drugs; their waiting times for emergency and elective care are comparable to the US. Other statistics indicate that other countries are likely telling horror stories about US care versus their own.
In conclusion, we should be aware of the many reform bills that are and will be discussed in Congress including The SHOP Act and proposals introduced through Obama's neighborhood outreach on 6/6/09.

