BigRedBuster
Well-known member
OK...I have been reading various articles on single payer plans. Here is one I have a real question about and it points to part of why I'm leery of the single payer plan.
Vox
Reading that, it's fairly clear that he did a good thing here with the nursing home patients. However, you're comfortable with one person at the top having that much control over demanding changes in how patients are treated? Hey....that's great if you have someone up there that really really cares about what they are doing and is extremely knowledgeable.
However, what happens when you have someone who is appointed by some idiot President because they went to high school together, the idiot gets on a power trip and makes absolutely stupid decisions and forces changes that are not smart nor healthy for the patients throughout the entire health care system?
As stated at the bottom of the article, the administrative costs in the current system are astronomical and beyond comprehension. However, when you have competing sources for payment, if one insurance company doesn't offer something but the other one does, you have the option of moving to the one who offers to pay for what you want.
Vox
Now...."A single payer system can become a really powerful force for enhancing competition among providers," Berwick argues. "One reason is that you're doing metrics that are standardized, so you can see what's actually happening. Right now, you can't compare Cigna's beneficiaries to United's."
Berwick cited one example from running Medicare, which is essentially a single-payer system for Americans over 65. When he received a report that over 300,000 beneficiaries were being treated "atypically" with anti-psychotic drugs. Nursing homes seemed to be using drugs typically meant to treat psychiatric conditions to keep patients chemically restrained.
So Berwick called in the leaders of various nursing home groups to Washington and demand changes in their practices. Speaking on behalf of more than 50 million beneficiaries, he says, gave him more clout.
"I could go to the mat and act protectively," Berwick says. "I was able to tell them, either you fix this, or I will. I don't think there's a single private insurer who would have done that."
Reading that, it's fairly clear that he did a good thing here with the nursing home patients. However, you're comfortable with one person at the top having that much control over demanding changes in how patients are treated? Hey....that's great if you have someone up there that really really cares about what they are doing and is extremely knowledgeable.
However, what happens when you have someone who is appointed by some idiot President because they went to high school together, the idiot gets on a power trip and makes absolutely stupid decisions and forces changes that are not smart nor healthy for the patients throughout the entire health care system?
As stated at the bottom of the article, the administrative costs in the current system are astronomical and beyond comprehension. However, when you have competing sources for payment, if one insurance company doesn't offer something but the other one does, you have the option of moving to the one who offers to pay for what you want.