President Obama's Council of Economic Advisers is out today with
a new report about the benefits of curbing the growth of health
care costs. Reducing growth inflation from 6 percent to 4.5
percent, the report says, could mean as much as $2,600 in more
income for the typical family of four by 2020, and $10,000 by
2030. Such cost savings could also reduce the unemployment rate
by a quarter point, or 500,000 jobs.
The report contains few details about how those ambitious goals
would be achieved, however, and does not address any increased
federal spending needed to implement health reform. And the
White House economists acknowledge that shaving 1.5 percentage
points off the rate of growth in health spending would be
extraordinarily difficult -- "probably near the upper bound of
what is feasible."
Meanwhile, the industry groups that promised last month to save
$2 trillion in health care costs over the next decade, are back
with a more detailed letter. I haven't had a chance to read the
whole thing yet (available here),
but here's how they vow to save money:
• Utilization of Care: $150 - $180 billion
• Chronic Care: $350 - $850 billion
• Administrative Simplification and Cost of Doing Business:
$500 -$700 billion
In case you're keeping score at home, that's adds up to a range
of $1 trillion to $1.7 trillion.
Interesting to see the forward-looking numbers from CES
calculating how much the proposed 1.5% cost trend deceleration
could save American families in the future (if the 1.5% reduction
can be enacted, which is of course the hard part). Over the last
five years, such a deceleration, if enacted, would have reduced a
family's healthcare cost by $3,095 total. For more information,
go to www.healthcaretownhall.com.
John | 6.2.09 @ 4:07PM
The point is not to greatly expand the healthcare system which is
what BHO wants to do. I believe that we could continue just like
we are with a few tweaks. The first tweak would be to make the
individual pay the bill out of his pocket, and then he has to
file for reimbursement from his insurance company. The doctors
office doesn't file the forms, the patient does this will do 2
things - 1) it will reduce the many unnecessary office visits. If
you have to foot the bill and wait on re-imbursement you will
suffer through a cold with OTC medicines rather than go to the
doctor to get the same meds in prescription. 2) It will reduce
costs to the doctor and allow him to quit padding the bills so he
can get close to his real cost on re-imbursement. If you don't
believe that's true talk to your doctor about paying cash for
your medical stuff vice using insurance and see how dramatically
he can reduce your cost.
Tweak 2 would be to make everyone over age 18 have a medical
savings account (5% of salary pre-tax) to be used to pay medical
bills and or insurance if they desire. These funds could only be
used for payments to certified medical institutions. Once you
fully fund this at $30k then any excess would be to pay
catastrophic care insurance (prior to that the government would
pay for catastrophic care exceeding 30K). Tweak 3 - once medical
savings and catastrophic care was satisfied, the excess each year
could be rolled into your retirement plan (IRA, 401K, or whatever
retirement plan you use without any penalty).
Tim| 6.2.09 @ 10:43AM
Chronic care = euthanasia. Soylent green is people! PEOPLE!
Jeremy Engdahl-Johnson| 6.2.09 @ 3:20PM
Interesting to see the forward-looking numbers from CES calculating how much the proposed 1.5% cost trend deceleration could save American families in the future (if the 1.5% reduction can be enacted, which is of course the hard part). Over the last five years, such a deceleration, if enacted, would have reduced a family's healthcare cost by $3,095 total. For more information, go to www.healthcaretownhall.com.
John | 6.2.09 @ 4:07PM
The point is not to greatly expand the healthcare system which is what BHO wants to do. I believe that we could continue just like we are with a few tweaks. The first tweak would be to make the individual pay the bill out of his pocket, and then he has to file for reimbursement from his insurance company. The doctors office doesn't file the forms, the patient does this will do 2 things - 1) it will reduce the many unnecessary office visits. If you have to foot the bill and wait on re-imbursement you will suffer through a cold with OTC medicines rather than go to the doctor to get the same meds in prescription. 2) It will reduce costs to the doctor and allow him to quit padding the bills so he can get close to his real cost on re-imbursement. If you don't believe that's true talk to your doctor about paying cash for your medical stuff vice using insurance and see how dramatically he can reduce your cost.
Tweak 2 would be to make everyone over age 18 have a medical savings account (5% of salary pre-tax) to be used to pay medical bills and or insurance if they desire. These funds could only be used for payments to certified medical institutions. Once you fully fund this at $30k then any excess would be to pay catastrophic care insurance (prior to that the government would pay for catastrophic care exceeding 30K). Tweak 3 - once medical savings and catastrophic care was satisfied, the excess each year could be rolled into your retirement plan (IRA, 401K, or whatever retirement plan you use without any penalty).