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Health Care in America

Posted by: John A. Byrne on May 05

We’ve gotten a fair amount of ideas from readers to explore the problems with health care in America. Certainly, it’s one of the defining issues of our time. On Sunday, The New York Times ran a front page story on how even the insured are feeling the strain of health costs. Reporters Reed Abelson and Milt Freudenheim concluded that some people are even avoiding the doctor’s office because of the financial shock of health care costs.

Tom Renda, one of our readers, pitched a story on what steps could be taken to fix the fact that we have a primary case provider shortage. “Recently my wife was driven out of primary care medicine after 19 years of successful practice, all by ludicrous reimbursement policies and rates. A colleague reporter to me that his daughter, a medical student, and her classmates are being beseiged to go into primary care, but the all are turning down this low-paying field.”

Another BW reader, Peter Blanchette, suggested that we write about the “pros and cons of the single payer health care systems around the world and their applicability to the U.S.” Peter suggested looking at the Canadian, British, French, Japanese and Swiss health care systems. “How would the pharma companies be impacted if the U.S. had a single-payer system?, he asked.

In fact, we did a story—”The French Lesson in Health Care“—last summer about that country’s health care system pegged to the release of Michael Moore’s inflammatory documentary Sicko. We also did another story, “Is Europe’s Health Care Better,” last June.

Nonetheless, given our readers’ interest in this topic and its overwhelming importance, I asked one of our superb health care journalists, Cathy Arnst, what she thought. Her reply: “I think it would be very interesting to examine other health care systems around the world and what lessons the U.S. can draw from them. PBS did recently run a documentary along these lines, but we could emphasize the economics as well as the quality of care, bringing something new to the table. I’ve always wanted to so such a story.”

It turns out that Cathy has had close personal experience with the U.K. and, of course, the U.S. systems. Her late husband was treated in both countries. “Although he died in London, I felt his care and the treatments they tried there were much better and more innovative, and probably extended his life,” she said. “Pharma would most likely only be impacted by health care reform if prices were set and formularies put in place by the government, which has always been a tough sell in Washington—couldn’t due it for Medicare, for example. However, its tough to rein in costs without such controls.

Cathy is deep into another project right now, but intends to turn to this subject soon. Thanks to Tom and Peter for the ideas.

Reader Comments

Shum Preston

May 7, 2008 03:36 PM

The events of June 19th would provide a perfect background for looking at the single-payer or Medicare for all health systems. Some 38,000 insurance industry execs are gathering in San Francisco for their annual convention (of AHIP), and they will be greeted not just by thousands of protestors, but also by events across the country as part of a national day of action.

I have long wondered why American employees allow health insurance companies to swallow one-third of their care dollars in overhead.

Margaret Nahmias

May 25, 2008 10:13 PM

How about doing an investigation of the insurance companies which I think are mostly to blame for the health care mess with their abitrary rules. You might also want to consider doing an article about the impact of very high malpractice insurance costs and lawsuits on attracting and retaining doctors in this country.

BW.com Editor-in-Chief John A. Byrne

May 27, 2008 06:57 PM

Shum and Margaret, these are two very good ideas. I think much has been written on the often arbitrary rules imposed to limit coverage and improve the profitability of insurance companies. I have long been keenly interested, however, in the overhead costs of our health care system. I've had conversations with Cathy about this very issue in the past. I think a powerful story can be reported and written on this topic.

Margaret Nahmias

June 9, 2008 10:19 PM

I was reading in the HIM trade magazine On the Record about a coming hospital debt crisis, with hospitals leveraging to the hilt to build big facilities in the face of dwindling Medicare reimbursements. The article only predicts the problem but does not talk about the implications for the hospitals or the potential impact on patient care. This might be a good topic to explore.

carson grey

June 13, 2008 12:34 PM

I have yet to see substantive data on just *why* healthcare costs are rising so dramatically. It certainly has the earmarks of (yet another) bubble, in my view.

What exactly is so expensive?
Why does procedure X cost 450% more now than it did four years ago?
There's a lack of justification of these costs and I think that needs to be dealt with extensively.

BW.com Editor-in-Chief John A. Byrne

June 13, 2008 04:47 PM

Carson, as someone who recently visited the Emergency Room of a hospital, I can personally attest to the dramatic rise in health care costs. Every person I know who has had to go to a doctor and fill a prescription for one kind of drug or another has felt the brunt of health care's inflationary costs. I asked senior writer Cathy Arnst about your suggestion and here's her immediate reply: "That is a good idea. I'd never thought that much about why the cost is rising so much higher than inflation. I can start working on that next week."

Great idea. Thanks Carson!

David Caskey, MD

June 29, 2008 03:47 PM

I have been involved in health care for over 40 years. I was recently fired from LSU Medical Center in Shreveport for standing up to the administration. This is becoming a real issue in medical care, and I will be giving my insight over the next few weeks. Please go to www.lsu-unofficial.com for my series of articles on the deterioration of our system.

NANDLAL KANJIBHAI PANCHOLI

July 1, 2008 06:13 AM

The U.S. is spending a mind-boggling sum of money on research on medicine and health care but it does not get desired returns. For instance, mega-research projects of R&D on AIDS have nose dived causing huge financial losses. This shows that the approach is neither pragmatic nor feasible. The US should stop squandering money on dream projects because its shattered economy can ill afford such misadventures. If the US wants to make its health care system cost effective and efficient, it should import proven inventions in medicines from countries like India that have substantial experience and expertise of R&D in medicine. I am a medical scientist and I have invented medicines that actually cure Psoriasis, Paralysis, R.A.Factor(Rheumatoid Arthritis Factor) in blood and Uric Acid in blood. These are genuine inventions verified and confirmed by clinical investigations.A nd the medicines that have cured these ailments have been tested in laboratories and found harmless. Can anyone guess the cost incurred by me in making these epoch-making discoveries in the core area of medical science? It is not more than five hundred dollars. This may sound quite incredible but it is quite true. This proves that the US is spending an unreasonably huge amount on R&D and healthcare dream projects.

Bob Mantz

July 21, 2008 12:38 PM

A story on the ability of MLB to let the 'f' word slip into a broadcast, remove clips of it from YouTube easily while it continues to proliferate the thousands of sports related independent web sites. My clip was removed from my site, www.youtube.com/bobmantzradio even though it was used in a news story that I wrote: http://bleacherreport.com/articles/37912-chase-utley-drops-the-f-bomb-at-the-home-run-derby which is supposed to be allowed under MLB rules.

I wrote a follow-up and am awaiting MLB and YouTube's answer to my request.

http://bleacherreport.com/articles/39178-i-salute-the-mlbs-ability-to-remove-chase-utley-audio-while-steroids-ran-wild

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