Health Care Reform, and the Issues We Face

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As we approach the election this fall, it seems like the news media report on little else. Unfortunately, too little news coverage addresses health care reform. That's wackadoo, because there is still so much to be done to improve the cost, quality, and access for patients within the US health care system.
So let's talk about the major health policy issues we in the US face. This is Healthcare Triage News.
This episode was adapted from a post Aaron wrote for the JAMA Forum. Links to further reading and sources can be found there: newsatjama.jam...
John Green -- Executive Producer
Stan Muller -- Director, Producer
Aaron Carroll -- Writer
Mark Olsen -- Graphics
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Опубликовано:

5 окт 2024

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Комментарии : 51

@steveh46 8 лет назад

Dr. Carroll pointed out some fixes that would improve the ACA. He also pointed out that the current political system is incapable of acting to pass these fixes. We have an election in a few weeks. Please consider voting for the candidates that would help improve the current health care system and bring wider coverage to the public.

@djbslectures 8 лет назад

steveh46 +

@KingBrooklynman 8 лет назад

@anuzis 8 лет назад

Just returned to the states after 6 years in Japan. Missing the great national insurance, PPO-style openness, and spending less than $100 on an MRI. Looking forward to voting for a similar system in the U.S. at every opportunity possible.

@Roll587 8 лет назад

My health insurance improved dramatically after the ACA. I really hope it's expanded so everyone can benefit as I have. Or, of course, single payer would also work fine, though I doubt we'll ever be that blessed.

@Chiyenworkout 8 лет назад

your health insurance is attack on liberty

@djbslectures 8 лет назад

+Art of street work out Your comment is attack on grammar

@Chiyenworkout 8 лет назад

DJBsLectures LOL!

@phxtonash 8 лет назад

I was born with asthma there for was never allowed insurance. now I get my inhalers for $3.60 instead of $60 & $500 each.

@djbslectures 8 лет назад

My takeaway: "Ah, it's not gonna happen"

@ireallyhatemakingupnamesfo1758 8 лет назад

Yea, no matter what happens we should just all move to Canada

@Kenadian2006 8 лет назад

There's one reason and one reason only for all the problems in your healthcare system. Profits. Go single payer or government run system, and you'll get better care for less money. This isn't fucking hard America.

@InorganicVegan 8 лет назад

That's not necessarily true. A third of French hospitals are for-profit, and they have the best healthcare system in the world.

@Kenadian2006 8 лет назад

But its not the dominating force in their healthcare system. You can't treat your health or life as a commodity, it's not something that can be traded for.

@numeroseis 8 лет назад

I think he meant that the problem is that there's not a 'not-for-profit' option

@SchiferlED 8 лет назад

The issue at hand is the insurance, not the hospitals themselves. Hospitals can be private while the insurance is government-provided. Also, a third of them being private means that two-thirds are not private. That's a pretty significant majority.

@pewing99 8 лет назад

In every country I have been in with a government supplied health care option one of the big benefits companies give is private health insurance. Even some government jobs offer it to keep good employees.

@Jearhby 6 лет назад

It would be great if there were sources for this information...

@Jearhby 6 лет назад

I stand corrected, way to cite sources!

@Sporkredfox 8 лет назад

"Alaska, Alabama, North Carolina, Oklahoma, and Wyoming" have no choice. All but Alaska didn't expand medicaid. Connection?

@Sporkredfox 8 лет назад

Nevermind he addressed this

@Chiyenworkout 8 лет назад

Maybe they wait the election result. Why you expand the medicaid, if Trump gonna repeal obamacare

@TheRealE.B. 8 лет назад

I thought the entire point of the ACA WAS to bring healthier individuals (young people who can't afford insurance) into the risk pool.

@pewing99 8 лет назад

At a great expense to them. Before the ACA a young healthy person could get real insurance AKA catastrophic health insurance to cover those costly but rare accidents and diseases that everyone gives as a reason you need health insurance for very low amounts. Now they are required to purchase what is essentially prepaid medical that covers way more than they would ever need.

@steveh46 8 лет назад

"Catastrophic health insurance is a type of medical coverage under the Affordable Care Act. This is a type of high-deductible health plan for people under 30 or those who qualify for a "hardship exemption." www.ehealthinsurance.com/health-plans/catastrophic-insurance

@helenwoodward9233 8 лет назад

One thing seems to be a lack of health individuals. My understanding is that there is a disproportionate number of people with existing health problems getting their insurance from the exchanges as opposed to an employer. Would it be likely to improve the options in the exchange if a greater segment of the population had to use the exchanges instead of getting insurance through their employer?

@cminmd0041 8 лет назад

Except the percentage of jobs offering health insurance has been declining since the 70s.

@georgecataloni4720 8 лет назад

I expect the worst, therefore every policy is good, right? No, that's not how it works lol. If you expected costs to go up more, but it only went up a little, that's still bad; we need a new system.

@ZombieX13 8 лет назад

What was the last time we went with a public option? Oh yeah... the Post Office. Which then made it illegal compete with it.

@ZombieX13 8 лет назад

Repealing the ACA and returning to the status quo wouldn't help. But repealing the ACA and opening up those state borders to competition WOULD.

@BenVoyant 8 лет назад

well that just sounds pretty depressing

@YumClickCafe 8 лет назад

That tie tho

@helloworldstein 8 лет назад

"Here are all these data backed solutions but our politicians are too idiotic and too busy bickering to implement them" That's depressing.

@TrabberShir 8 лет назад

Claiming "studies show" without citing any studies at all regarding a politically sensitive topic is bad form in general, it is especially bad form for a channel that has built it's brand by citing it's research. Considering I can hop over to the Cato blog and get a half dozen reputable studies that demonstrate the medicaid expansion has the opposite affects of what you claim I have to question how impartial you are being on the topic of insurance.

@LucaMasters 8 лет назад

They do cite their sources. Follow the JAMA link in the description.

@TrabberShir 8 лет назад

Thanks for that, I missed that, sadly their medicaid reference is HTTP code 404. (poking around they seem to have not proofread their links, they misspelled the filename. correct link is aspe.hhs.gov/sites/default/files/pdf/206761/McaidExpMktplcPrem.pdf they left out the c in Mktplc) Now it is worth noting that they completely mis-cite that report. "It’s even associated with lower insurance costs for those who buy private insurance." is not the conclusion of the report, the conclusion is that Medicaid expansion reduces costs of private policies sold on the exchange. It does not try to address private insurance costs in general.