Comments on: Column: What’s to Fear in Healthcare Reform? http://annarborchronicle.com/2009/08/28/column-whats-to-fear-in-healthcare-reform/?utm_source=rss&utm_medium=rss&utm_campaign=column-whats-to-fear-in-healthcare-reform it's like being there Tue, 16 Sep 2014 04:56:38 +0000 hourly 1 http://wordpress.org/?v=3.5.2 By: Judith Schmidt http://annarborchronicle.com/2009/08/28/column-whats-to-fear-in-healthcare-reform/comment-page-1/#comment-30240 Judith Schmidt Mon, 31 Aug 2009 01:11:17 +0000 http://annarborchronicle.com/?p=27136#comment-30240 We need to take a closer look at some other systems, including Germany. Take a look at this April 2009 Frontline series: link

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By: Madeline Diehl http://annarborchronicle.com/2009/08/28/column-whats-to-fear-in-healthcare-reform/comment-page-1/#comment-30223 Madeline Diehl Sun, 30 Aug 2009 17:13:22 +0000 http://annarborchronicle.com/?p=27136#comment-30223 As one of the organizers of Saturday’s event, writing now after it has taken place, the thing I was most struck by was how very many people, even here in Ann Arbor, do not really understand what President Obama is proposing in his plan for healthcare reform. I know there have been intentional efforts by the opposition to mislead and confuse people, as reported in the press. And also, quite frankly, the proposed legislation can be a bit daunting to try to understand, even without that–the bill itself, right now, runs about 1,000 pages.
If you want to educate yourself more on what the proposed legislation really says, but don’t have time to read the bill itself, the Kaiser Family Foundation has an excellent summary at:
link
The website there has the capacity to search by topic if you are concerned about certain issues in the plan.

Or, go straight to the source, and check out the White House’s own website at:
link

The White House even encourages citizens to call up with their questions and concerns at:
(202) 456-1414

thanks to everyone who came out for the event Saturday morning to ask questions, express support, express honest disagreement, and also, to those many people who honked their horns and gave us their thumbs up in solidarity. And thanks to the Chronicle for giving us this forum as a way to get the word out.

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By: Amy Saunders http://annarborchronicle.com/2009/08/28/column-whats-to-fear-in-healthcare-reform/comment-page-1/#comment-30203 Amy Saunders Sun, 30 Aug 2009 00:03:14 +0000 http://annarborchronicle.com/?p=27136#comment-30203 I appreciate the comments and the dialogue that has been triggered by my article. It seems very fruitful to have a discussion about both the philosophical issues and the practical issues surronding the prospect of health reform.
I understand that my commentary was viewed as divisive by some, counterproductive to the goal of encouraging collaboratiive dialogue. I apologize for that and it was certainly not my intent to be inflammatory in regard to the debate about solutions to our healthcare problems. I do wish to state that I don’t have anger toward people who disagree with me on the best way to solve them.
I did make angry statements though and I realize that this forum is not the right way to vent them, especially if they were seen as divisive. However I hope that most readers understand that my emotional reaction was directed toward the people who do want to block honest debate. There ARE organized efforts to encccourage citizens to disrupt town hall meetings so that no discussion can take place, to yell and interrupt and intimidate. This is an intentional plan to get a specific response. There are claims made about healthcare reform that are known by the purveyors of these claims to be untrue – that would be an intentional lie, there is no way to get around that. And the precise intent of these claims is not just to mislead the public, but to frighten and anger them so that the “public debate” becomes one of “are you going to put granny to death or not?” rather than “how are we going to solve this problem?”. It is only the people who know these are lies and intentionally convey them that I am angry wiyh, not people who are now wondering “what is really true here?” and “should I be afraid or not?”. I will not back away from owning that anger and I hope many others feel angry about it too.

Having said that though, I am sorry that I inserted it in a commentary about the importaance of healthcare reform, since I wanted my message to be a positive one. I do feel that we can constructively deal with the different points of view on the subject and work together to find solutions.

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By: ChrisW http://annarborchronicle.com/2009/08/28/column-whats-to-fear-in-healthcare-reform/comment-page-1/#comment-30189 ChrisW Sat, 29 Aug 2009 15:42:20 +0000 http://annarborchronicle.com/?p=27136#comment-30189 Everyone seems to be ignoring the real problem — medical costs rising out of control. 30 years ago any given hospital was run by a tiny group of highly professional individuals, usually doctors. As government regulations and insurance complexity has grown, hospitals have become bureaucratic nightmares.

More government regulation isn’t necessarily the best answer since it was government regulation that caused the problems to begin with. Why do people get healthcare through employers? Because of government wage controls during WWII. Don’t like your HMO? Those were created by Congress in the 1970s. Why have costs risen so much? Because they can — as long as someone is going to pay money for a treatment, there will be someone, somewhere offering it, regardless of it’s medical efficacy. Not to mention that Medicare rules outmoded all older hospitals, forcing hospital systems to go deep into debt with newer facilities ($250 million for a small 48-bed cardiac unit in Ann Arbor alone).

While there are some competitive pressures at hospitals, it’s illegal to open a hospital in this state without government permission, which to anyone familiar with the real world means bribes and lobbyists.

The whole “digital medical records” fiasco is just a massive tax on patients, with hospitals employing hundreds of expensive IT personnel and management instead of doctors and nurses.

Malpractice reform has been completely absent in the discussion even though most doctors admit that 20% of tests are done solely for legal reasons. Why? Because the Democratic party is owned by trial lawyers, just as the Republicans are owned by large corporations.

If nothing else, Congress should be forced to use whatever system they come up with and they should pay into it just like the self-employed. That may ensure at least a tiny bit of sanity in the system.

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By: mr dairy http://annarborchronicle.com/2009/08/28/column-whats-to-fear-in-healthcare-reform/comment-page-1/#comment-30188 mr dairy Sat, 29 Aug 2009 15:13:48 +0000 http://annarborchronicle.com/?p=27136#comment-30188 The health care industry (funny word “industry”), but that’s what our health care has been become, a very big business that has more to do with profit and politics than it does with health care.

The Insurance Company/ Doctor/Provider/Pharma and ancillary businesses are by far the biggest bureaucracy we have, far larger and out bureaucratizing any government run health care program like Medicare. Everyone knows and admits that this private bureaucracy has done a poor job or caring for our health. Twice the cost of other developed countries with worse outcomes Health care is already rationed and controlled by these highly profitable businesses.

The current health care bureaucracy has far more to do with profiting from people’s misery than it does with making people healthy. How could the government do any worse?

Remove the profit motive from providing health care and we’ll all be in better shape.

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By: Rici http://annarborchronicle.com/2009/08/28/column-whats-to-fear-in-healthcare-reform/comment-page-1/#comment-30171 Rici Sat, 29 Aug 2009 00:28:59 +0000 http://annarborchronicle.com/?p=27136#comment-30171 There was a very interesting interview on Fresh Air this past Monday. T.R. Reid spent time in many different countries to study how their health care plan works. He listed 3 major plans in use in the developed world – not every other country has single payer! And then the 4th model, in effect in most of the rest of the world, is “pay before service.” One problem with the US is that we have elements of *all 4*, which makes billing/reimbursement so extraordinarily difficult. Anyone who is interested in learning about these should listen to the show (although be prepared for him to make a few scathing remarks about the US system(s)).

Here’s the URL for the show:

link

You can listen to the story or download a transcript.

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By: Madeline Diehl http://annarborchronicle.com/2009/08/28/column-whats-to-fear-in-healthcare-reform/comment-page-1/#comment-30168 Madeline Diehl Fri, 28 Aug 2009 22:30:39 +0000 http://annarborchronicle.com/?p=27136#comment-30168 Hello to all, and particularly Marvin. I think the word “demonstration” perhaps is misleading for what we are trying to do tomorrow. Eli and I started planning the event after a dinner party of 6 of us friends (9 if you count our teenaged kids), where we realized:
1. we ourselves did not exactly know what the proposed legislation will and will not do, partly because of so much misleading information which has been injected into the public debate, and:
2. we had not been seeing or hearing the kind of bipartisan support for reform which the idea enjoyed last fall. why not?

We decided to begin educating ourselves about the bill, and to share what we learned at the event Sat. Simple as that.

There is an excellent article in the latest issue of The New Yorker magazine that explains that a big part of the reason the push for reform is losing momentum is because of a basic psychological fact: people are basically afraid of change, even if it is positive, good change.

Eli and I have organized this event for Saturday with a group of friends–regular people who do not represent any particular group or political party–to share what we have learned about the proposed legislation during this week of study, and also, to listen to what other people have to say, and learn from that, in the true spirit of mutual respect and community dialogue–much as this forum in the Ann Arbor Chronicle is set up to be–respectful, thoughtful, and, in the Chronicle’s own words, “generous.” I would challenge all of us who do come to the event tomorrow (which is by no means a “demonstration” in the way I think you are picturing that word) to also be what the Chronicle has taken up as their mission–open. We will not be able to make meaningful, needed changes in our society without being open to hear each others’ concerns, needs, fears, and beliefs, and together, only we have truly listened to each other respectfully, can we try to put together a version of the truth that can bring us to a better future. My truth, your truth–maybe neither one understands this issue completely. But together, we can join our perspectives and see things from a much larger perspective. This is the cornerstone of democracy.
That’s why I will be there tomorrow at 9:30 across from the Farmer’s Market, and I hope you will join me. I think you will find all of us there who are organizing it (which amounts to 10 people or so, again, who are just people) reasonable, open people who are willing to listen to what you have to say, if you say it in a reasonable, mutually respectful way. This is what our democracy is supposed to be, how it is supposed to work. And yes, there have been abuses, and this discussion has not always been straightforward on “both sides.” But I wouldn’t be bringing my kids there tomorrow if I didn’t believe the dialogue we are beginning there as a community won’t provide them with a positive, constructive role model of democracy in action–people talking together as neighbors who share a common fate, people trying to share ideas in a mutually respectful way.
And so I hope to meet you there with open hands and heart, with my very best regards,
Madeline

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By: Mary Morgan http://annarborchronicle.com/2009/08/28/column-whats-to-fear-in-healthcare-reform/comment-page-1/#comment-30167 Mary Morgan Fri, 28 Aug 2009 22:30:38 +0000 http://annarborchronicle.com/?p=27136#comment-30167 This might be the article referred to by Susan [#13] – an Aug. 25 NY Times Q&A with John Creighton Campbell, a UM professor emeritus who describes the healthcare system in Japan.

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By: Barbara Annis http://annarborchronicle.com/2009/08/28/column-whats-to-fear-in-healthcare-reform/comment-page-1/#comment-30166 Barbara Annis Fri, 28 Aug 2009 22:14:46 +0000 http://annarborchronicle.com/?p=27136#comment-30166 A single payer system, simply said is the civilized way to do things. Follow the direction of other developed countries and pick at the details later.

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By: susan http://annarborchronicle.com/2009/08/28/column-whats-to-fear-in-healthcare-reform/comment-page-1/#comment-30165 susan Fri, 28 Aug 2009 22:14:21 +0000 http://annarborchronicle.com/?p=27136#comment-30165 The NY Times had an interesting comparison yesterday of U.S and Japanese health care #’s. U.S. infant mortality-7 per 1000 live births and Japanese-3 per 1000., health spending GDP, U.S.-15 and Japan-8, doctors per 10,000 people, U.S.- 26 and Japan-21. Japan has universal health care that runs in the black. Why can’t the U.S look at the way they do it over there and follow suit!

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