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Monday, July 06, 2009
Terry Paulson :: Townhall.com Columnist
Health Care Reform that Puts You in Control
by Terry Paulson
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President Obama seems committed to pushing through his version of health care reform whether we want it or not! Like his stimulus package, Americans wonder whether he will let politicians, much less citizens, read his plan before passing it! Everybody wants health care coverage as long as someone else pays the bill—employers, rich tax payers or the government! Unfortunately, at a time President Obama is promising more, the existing government health care plans and corporate entitlement programs are proving underfunded and unaffordable. But, what can be done?

America was built on personal freedom, personal responsibility, community and resourcefulness. Our self-reliant past can be a radical steppingstone to a more workable health care system for our future. We need a system that lets you take back control of your own health care needs.

Under such a plan, fears about portability would vanish. You wouldn’t be forced to stay in a job just to keep coverage. Prices would come out of the shadows as providers and insurance companies compete for your business. Instead of depending upon politicians or employers to look out for your interests, you’d be in control! You’d pick your own policy, making your health insurance portable, flexible and permanent!

To start, get employers out of the role of paying for health insurance. Let the money now spent on your coverage come to you as added income. To help offset the tax implications, give a health care tax credit to every American taxpayer.

Just as you are required to show evidence of liability insurance when you register or renew your vehicle registration, citizens should have to show evidence of major-medical insurance coverage when they file their taxes. Major medical plans have high deductibles but protect you from the high costs associated with serious illness. With everyone having to purchase a plan and companies competing for the business, the price for such coverage would come down.

Insurance companies should be required to cover all citizens without exclusions for prior conditions. Like the successful Swiss plan, a national high-risk fund could be established that all insurance companies contribute to that protects companies from suffering heavy losses in any given year. If necessary, as with utilities, a commission could be created to keep insurance company profit and coverage parameters reasonable.

To find coverage, marketplace resources would surface to give you access to more health insurance choices, better information, and more competitive prices. You use online searches to find the best price. Why not health care insurance and care?

Don’t require insurance to pay all health care costs. You don’t use auto insurance to pay for routine maintenance or our home insurance to pay for a paint job or plumbing repair. Health care coverage should be the same. Get coverage for the health care disasters with a deductible you can afford. Pay for the other costs yourself. When it’s your money you’re spending, you find the best deal!

Now, six-out-of-seven of your health care dollars are spent by third parties without any input from you. Choice matters. Milton Friedman used to say, “No one spends other people's money as carefully as he spends his own.” Competition has already worked for elective procedures—for facelifts, breast enhancements, hair grafts—those prices keep coming down because they’re not covered. When something’s free, you waste more. You eat more at an all-you-can-eat buffet than when you pick from a menu! Continued...

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About The Author

Terry Paulson, PhD is a psychologist, award-winning professional speaker, author of The Dinner: The Political Conversation Your Mother Told You Never to Have, and long-time columnist for the Ventura County Star.

 
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Abolish perverse incentives.
Exactly the right approach. It replaces the perverse incentives of employer-provided prepaid health care plans which led to "managed care" with a rational combination of catastrophic indemnity policies for the low risk, high expense unforeseen event along with HSAs for routine care. Wife and I switched to that combination several years ago, and we couldn't be happier with it. There are NO benefit manager bureaucrats to worry with---decisions are made by us and our docs. That arrangement would work for the 85% of Americans who already have resources committed to their care through employers or through some government program, and without ANY increase in spending. As a matter of fact, with the unleashing of market forces that this reordering of incentives creates, there would likely be substantial overall spending reductions. And the very best justification is that it avoids third party rationing decisions. Paying out of personal HSAs encourages prudent consumption decisions, taking some of the heat off of an overburdened system. And those who are too poor to participate could be subsidized through the establishment of HSAs in their names. Think along the lines of the food stamp programs where cash is deposited into personal accounts. The same could be done with monthly deposits into HSAs belonging to the impoverished. Out of those accounts could be paid indemnity insurance premiums as well as routine care.

FeargalX
Actually, only Spain and Japan dispense codeine OTC. In Hong Kong, it is a strictly controlled substance, just like here. Other countries (Germany, Switzerland, Austria, Canada, and the UK) have complicated rules regarding codeine (depending on the preparation's strength), but for the most part it is more a "behind the counter" drug - controlled by pharmacists, and sometimes physicians. Besides, do you have any reason to remove it from the controlled substance list other than "Let's follow all the really cool kids"?
I understand Vioxx was taken off the market, but what's your complaint against Celebrex? It's a good drug, with fewer side effects than Codiene and no potential for abuse. Codeine is still prescribed for short-term usage, ie: post-op.
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