Question by Red Fox Ace: What does the medical community itself think about Obama’s health care reform?
So much hubbub has been made in the media, but what do doctors, physicians, nurses, and surgeons themselves think about Obama’s health care reform?
Strongly in favor? Strongly opposed? Split?
Answer by Scott
Of the doctors I have talked to much of the staff in hospitals in upstate new york, I have noticed that an overwhelming number of them strongly oppose the health care reform. This is simply due to the fact that since everyone gets free health care, people will go to family physicians and hospital emergency rooms for the common cold. This racks up the money spent on treating them and takes time away from patients who truly need help. It also causes shortness of staff and shortness of supplies.
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Question by Dr. Bean: Question about Obama’s blueprint?
Concerning the national debt, Obama’s blueprint says:
“Restore Fiscal Discipline in Congress
Obama will reinstate pay-as-you-go (PAYGO) budget rules, so that new spending or tax cuts are paid for by
spending cuts or new revenue elsewhere.”
So, how much does he think universal healthcare costs? How much will his tax increases account for? And what programs will he cut?
I know he wants less governmental jobs to be ‘no-bid’ contracts…sounds pretty vague…can’t get a number on how much money that might save.
I also no he ‘wants to cut pork barrell spending.’ However, keep in mind this is only about $ 20 billion per year.
We need at least a few hundred BILLION to break even. Add another few hundred BILLION for universal healthcare at least. WHERE DOES THE MONEY COME FROM?
…and no, I am not a McCain supporter. I am asking a question about what I feel is the greatest threat america faces: the deficit, the debt, and the dollar.
Answer by DAR
You know where the money comes from. Look in the mirror.
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America’s understanding of healthcare reform needs to move beyond news headlines and 30-second sound-bites toward a deeper understanding, and Wednesday night’s ABC-TV presentation by the president – Prescription for America – did little to further that cause. The president seemed to be over his head talking about the issue, which probably explains why the audience appeared distant, bored and even catatonic.
Most of the audience questions and anecdotes were off-point and not relevant to the big picture and the president’s comments seemed at times to be incoherent and confusing. ABC’s news anchors Charles Gibson and Diane Sawyer did their best to focus and clarify the discussion, but even they were unsuccessful keeping the session on track. It was 60 minutes of regurgitated Obama-ganda and not his best effort.
President Obama asserted that one-third of current healthcare costs are unnecessary, but didn’t elaborate.
He should have offered some details, such as where those unnecessary costs reside in the system. Is it with the doctors, the hospitals or the drug companies? Is it the routine doctor visits or the (hopefully) once-in-a-lifetime hospital stays that are causing the unnecessary costs? The president also said “we know what works and what doesn’t work” in providing healthcare, but offered no examples of either.
One of the factoids posted on a slide before a commercial break indicated that 50% of America’s healthcare costs can be attributed to heart disease, diabetes and obesity. Important, big picture findings such as that deserve some commentary and clarification, wouldn’t you agree? Specific answers and examples might have helped set the stage for serious discussion and debate, which was the stated purpose of his presentation. As important, they might have given the growing number of skeptics in America confidence that their political leaders and bureaucrats actually know what their talking about on the healthcare issue.
Furthermore, I was amazed that the president could talk for an hour about healthcare reform without even mentioning tort reform, which many believe is needed to contain healthcare costs going forward (and many other costs in our economy). If he is serious about reforming healthcare, he needs to put aside the long-standing allegiance of the democrats to the civil trial lawyers of America who represent a major party constituency.
Tort reform refers to making changes to our civil justice system that would limit the amount of, and monetary damages arising from, litigation. Should victims of medical malpractice be compensated for their misfortune? Absolutely, but does the average settlement need to exceed a million dollars, and should that practice be allowed to paralyze and potentially bankrupt our healthcare system? Anyone seriously attempting to tame our healthcare cost burden must at least put tort reform on the table for discussion. Serious omissions such as that undermine the administration’s credibility and confirm our worst suspicions about how politics can distort our nation’s most important institutions.
Some democrats contend that America ‘s economic survival depends upon successful healthcare reform and just as many republicans contend that democrat proposals for reform will push us further into an economic abyss. Most disturbing, however, is that lawmakers from both sides of the aisle seem to be approaching the problem piecemeal and from the perspective of what will sell politically, rather than what will successfully reform our healthcare system.
The Obama administration promised government transparency and post-partisan decision-making. Now would be a good time to make good on its promise. We need to engage in a substantive discussion of the real issues surrounding healthcare reform, not just those that will lead to a politically expedient solution.
According to World Health Organization, the U.S. healthcare system ranks 37th among the healthcare systems of 200 countries. The U.S. healthcare spending is considered as one of the highest in the world as healthcare expenditure in the country accounts to 17.5% of its GDP (2009) as compared to an average of 8% to 9% in the Organization for Economic Co-operation and Development (OECD) countries. However, the rising healthcare costs and increasing health premium rates, along with high number of uninsured people (about 47 million, i.e., approximately 16% of the total population) are among the significant factors contributing to the need for healthcare reforms in the U.S. Healthcare reforms in the country are looked upon as an initiative toward provision of affordable health coverage for all Americans, and improvement in quality and efficiency of healthcare.
President Obama signed the health reform into law in March 2010 to address the inefficiencies of the existing healthcare structure and to decrease the number of uninsured people in the U.S. The health reform bill outlines several provisions such as universal health coverage, cost containment, increase in insurance market competition, excise tax on medical device manufacturers, and lower drug costs for Medicaid and Medicare. Thus, the provisions in the health reforms directly impact the U.S. healthcare industry and its stakeholders
Table of Contents :
1.1 KEY TAKE-AWAYS
1.2 REPORT DESCRIPTION
1.4 RESEARCH METHODOLOGY
2 U.S. HEALTHCARE INDUSTRY OVERVIEW
2.1 OVERVIEW OF HEALTHCARE SYSTEM IN U.S.
2.2 HEALTHCARE REFORMS IN THE U.S.
2.2.1 AGENDA OF OBAMAS HEALTHCARE REFORMS
2.2.2 CHALLENGES FOR OBAMAS HEALTHCARE REFORMS
2.2.3 IMPACT OF OBAMAS HEALTHCARE REFORMS ON THE HEALTHCARE INDUSTRY
220.127.116.11 Impact on Health Insurance Industry
18.104.22.168 Impact of on Pharmaceutical and Medical Devices Industries
22.214.171.124 Empowerment of Healthcare consumers and its impact on U.S. economy
3 U.S. HEALTHCARE SYSTEM
3.1 HEALTHCARE STRUCTURE IN THE U.S.
3.1.1 REIMBURSEMENT AND FINANCING.
126.96.36.199 Public health insurance
188.8.131.52.3 Other public systems.
184.108.40.206 Private health insurance
220.127.116.11.1 Employer-sponsored insurance.
18.104.22.168.2 Private non-group insurance (individual market).
22.214.171.124.3 Private group insurance (cooperative)
3.1.2 REGULATORY ENVIRONMENT
126.96.36.199 Healthcare laws
188.8.131.52 Regulating bodies
184.108.40.206.1 The Center for Devices and Radiological Health (CDRH)
220.127.116.11.2 U.S. Food and Drug Administration (FDA)
3.2 HEALTHCARE EXPENDITURE.
3.2.1 TOTAL HEALTHCARE EXPENDITURE.
3.2.2 PER CAPITA HEALTHCARE EXPENDITURE.
3.2.3 HEALTHCARE BUDGET AND HEALTH REFORMS
3.2.4 OBAMAS STIMULUS PACKAGE FOR HEALTHCARE SECTOR
3.3 NEED FOR HEALTHCARE REFORMS
3.3.1 RISING HEALTHCARE COSTS.
3.3.2 UNAFFORDABLE HEALTH INSURANCE.
3.3.3 UNEVEN HEALTH COVERAGE.
3.3.4 LACK OF QUALITY HEALTHCARE
4 OBAMAS HEALTHCARE REFORMS
4.1 OBAMAS PROPOSED STRATEGIES FOR HEALTHCARE REFORMS.
4.1.1 INCREASING AFFORDABILITY AND ACCESSIBILITY OF HEALTHCARE
4.1.2 IMPROVING PUBLIC HEALTH
4.1.3 LOWER HEALTHCARE COSTS
4.1.4 IMPROVING QUALITY OF HEALTHCARE.
4.2 OBAMAS INITIATIVES IN HEALTHCARE
4.2.1 OBAMAS HEALTHCARE REFORMS
18.104.22.168 Patient Protection and Affordable Care Act, 2009
22.214.171.124 Health Care and Education Reconciliation Act 2010.
126.96.36.199 Healthcare Reforms Implementation Timeline
4.2.2 OTHER HEALTH INITIATIVES
188.8.131.52 Childrens Health Insurance Program Reauthorization Act, 2009 (CHIPRA)
184.108.40.206 American Recovery and Reinvestment Act, 2009
5 IMPACT OF OBAMAS HEALTH REFORM PROVISIONS ON THE U.S. HEALTHCARE INDUSTRY
5.1 IMPACT ON MEDICAL DEVICES INDUSTRY
5.1.1 EXCISE TAX
5.1.2 INCREASED FDA COMPLIANCE
5.1.3 INCREASED TRANSPARENCY THROUGH CER AND BAN ON SUNSHINE PROVISION.
5.1.4 INDIRECT IMPACTS
5.1.5 BUSINESS IMPLICATIONS FOR MEDICAL DEVICE MANUFACTURERS.
5.2 IMPACT ON PHARMACEUTICAL INDUSTRY
5.2.1 EXCISE TAX: A POTENTIAL NEGATIVE IMPACT
5.2.2 LOWER DRUG PRICES THROUGH MEDICARE AND MEDICAID
5.2.3 REBATES FOR NEW FORMULATIONS OF BRANDED DRUGS
5.2.4 INCREASE INSPECTION AND COMPLIANCE COSTS
5.2.5 12-YEAR EXCLUSIVITY FOR BIOLOGICS AND NEW REGULATORY PATHWAY FOR BIOSIMILARS.
5.2.6 COVERAGE OF CLINICAL TRIAL COSTS
5.2.7 BUSINESS IMPLICATIONS FOR PHARMA/ BIOTECH INDUSTRY
5.3 IMPACT ON INSURANCE INDUSTRY
5.3.1 MEDICAL LOSS RATIO (MLR)
5.3.2 MANDATORY COVERAGE PROVISIONS
220.127.116.11 Guaranteed eligibility
18.104.22.168 Ban on annual and lifetime limits
22.214.171.124 Mandatory preventive care and immunizations without cost sharing
5.3.3 ANNUAL FEES AND TAX IMPLICATIONS
5.3.4 HEALTH INSURANCE EXCHANGE
5.3.5 IMPROVEMENT IN CHILD COVERAGE.
5.3.6 COST CONTAINMENT PROVISIONS
5.3.7 EMPLOYER PLAY-OR-PAY POLICY
5.3.8 BUSINESS IMPLICATIONS FOR INSURANCE INDUSTRY
5.4 IMPACT ON OTHER STAKEHOLDERS (BENEFICIARIES AND HOSPITALS)
5.4.1 IMPACT OF HEALTHCARE REFORMS ON BENEFICIARIES.
5.4.2 IMPACT OF HEALTHCARE REFORMS ON HOSPITALS
6 ECONOMIC IMPACT OF OBAMAS HEALTHCARE REFORMS.
6.1 ECONOMIC IMPACT
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