Fear Mongers Won’t Stop Health Care Reform

They’re at it again. The fear mongers who have few positive ideas to contribute to the debate are rounding up a posse to take shots at the health care reform train. The internet is the latest weapon in their arsenal.

In addition to the blogs that seem to multiply like gerbils, a friend forwarded an email from an unknown source. It was based on a blog post by Betsy McCaughey that appeared on Bloomberg.com. McCaughey is an adjunct senior fellow at the Hudson Institute, a non-partisan policy research organization supposedly dedicated to innovative research and analysis.

McCaughey’s post criticizes the section of the stimulus bill that establishes a Federal Coordinating Council for Comparative Effectiveness Research. This council will pinpoint treatments that are most effective.

McCaughey claims the council’s work will lead to limitations on treatments for serious illnesses and shift funding toward younger patients. Her post fails to mention the $1 billion set aside for prevention and wellness programs, which should reduce the need for expensive treatments by preventing disease. The bill channels an additional $8.2 billion into research to find cures.

The Council has not been granted authority to establish guidelines for private or public plan payments or coverage. It will establish a database where professionals can easily access the latest information. McCaughey seems unaware that proven treatments often take several decades to reach the consumers who desperately need them.

Now the email I received is spreading claims that Democrats want to ration health care for the elderly and that those efforts need to be stopped. Doesn’t the author realize we’re already rationing care for everyone under the current system? The list of doctors who won’t take new Medicare patients in my area seems to grow daily, and out-of-pocket expenses are rising for everyone, including Medicare recipients. How many people do you know personally who can afford the care they need, with or without insurance?

Every health care consumer in this country, whether satisfied with the system or not, should watch the film Critical Condition, which aired on PBS last year. It highlights the struggles of four people whose lives were totally disrupted when they couldn’t afford the care they needed.

The story I will never forget followed a man who opted to have his foot amputated so he could return to work before he lost his benefits. He thought the treatment his doctor preferred would take too long. When his recovery period was longer than expected, he lost his job anyway, and the insurance company retroactively denied his claim for a prosthesis. He was forced to have his ill-fitting temporary prosthesis repaired after it broke because he couldn’t find work. He received severance pay and found a new job after a year, but was concerned that his new employer’s insurance would not cover a pre-existing condition.

Most of the people I know have experienced some nightmare in the system or know someone who has. Health professionals, insurers, advocates, business leaders, and patients agree that change is inevitable.

The fear mongers won’t succeed this time. The question is no longer if but when and how.

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Jacqueline Laurette Jones is author of Unmasking a Diagnosis: How to get Help for a Confusing Chronic Illness Without Filing for Bankruptcy.

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Health Care Reform Train Moves Forward

With several key announcements this week, the words and actions of President Barack Obama show he understands the economy will never recover without health care reform. He also understands the public must be educated about the urgency of needed changes.

The president touted today’s health care summit as a step toward creating a bipartisan consensus on workable solutions that address the concerns of everyone involved. More than 150 leaders in politics, labor, and business, joined representatives of doctors, hospitals, insurance companies, and consumer organizations. Kentucky Senator Mitch McConnell delivered a letter to the president that stated even Republicans are willing to consider reforms that don’t include establishing a single-payer system. Democratic Governor Kathleen Sebelius of Kansas, the president’s nominee for Secretary of Health and Human Services (HHS), has the skills to keep the momentum going.

Earlier this week, when the president announced Sebelius as his choice, I thought he had made another mistake in this area. His initial pick, Senator Tom Daschle, withdrew because of problems with his taxes. Sebelius was unsuccessful at attempts to provide coverage for the residents of her state.

But in spite of a Republican-dominated legislature, who feared the cost of expanding state insurance coverage and blocked her efforts, Sebelius successfully initiated major and minor changes that put the needs of consumers first. Those changes included standing up to HMOs that interfered with private medical decisions and helping senior citizens save money on prescription drugs. Prior to her election as governor, she became the first insurance commissioner in the nation to deny a takeover of her state’s Blue Cross/Blue Shield program by a for-profit health care conglomerate. The state has also expanded preventive care for several at risk populations during her tenure.

With the help of Nancy-Ann DeParle, who now heads the White House Office of Health Care Reform, Sebelius may be able to get the job done. DeParle brings experience with a wide variety of health care issues facing citizens, businesses, non-profit organizations, and government at the state and national levels. Among other positions, she served as director of the Health Care Financing Administration (HCFA) and as representative for health care reform in the Office of Management and Budget (OMB) during the Clinton administration. Especially important is her experience with serving the poor as commissioner of the Tennessee Department of Human Services.

Earlier this week, President Obama announced plans to address the needs of the nation’s uninsured. His budget includes $155 million for 126 community health centers around the country to provide care for approximately 750,000 people and create up to 5,500 new jobs. The centers will provide mostly primary care and preventive services, which will reduce the number of taxpayer-financed emergency room visits for non-emergent conditions.

But recent reports show that 87 million Americans went uninsured in the last two years. That’s up from the widely-reported figure of 47 million because so many people have recently lost coverage along with their jobs. Some experts say the number is growing by 14,000 each day. This lack of access to care will cost the nation even more as those people become disabled by conditions that could have been prevented by early intervention.

If the health care reform train doesn’t continue to move forward, it could easily derail all other plans to get the national and world economies back on track.

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Jacqueline Laurette Jones is author of Unmasking a Diagnosis: How to get Help for a Confusing Chronic Illness Without Filing for Bankruptcy.