It’s no secret that a majority of Americans are disillusioned with the healthcare system in our country – they think they are covered only to find out to their shock that they’re rejected by their insurance company because they’re not able to pay their exorbitantly and atrociously hiked premiums. There is no reason provided for the hike, and very often, the supposedly new and improved policy is no better than the one they signed up for and thought they could afford. When you’re dropped because you cannot afford to meet the new premium price, what happens to all the money you have paid your insurance company so far, especially if you haven’t claimed any of it as medical expenses? They don’t return it to you, they don’t offer you a concession based on the fact that you haven’t undergone any form of medical treatment, and they don’t care that you are now left without cover. How fair is this when it’s your money that fills their coffers in the first place?
And even if you could afford to pay the higher premiums, there’s no guarantee that you would be able to afford the kind of healthcare you deserve if and when you fall sick. Many people find that they cannot afford the cost of prescription drugs even though they’re covered by insurance. They’re unable to find generic equivalents and because they don’t qualify for free aid programs like PAP (patient assistance program), they’re left at a loose end. They may resort to buying drugs off the Internet because it’s cheaper even though they cannot verify their authenticity; they may buy fewer pills than required because that’s all they can afford, a move that totally negates the efficacy of the drug, or they may share a prescription with someone else who is sailing in the same boat, again, not the wisest of things to do.
The saddest part of all this is that if you take the effort to stay healthy by doing all the right things like eating healthy food, working out regularly and keeping your weight down, you save yourself from disease and ill-health. But on the downside, you still have to pay your insurance company every month or every year, and that’s literally money down the drain. Isn’t it ironic when you consider the fact that you would prefer to fall sick, just so you could utilize the premiums you’ve paid to your insurance company?
The problem with this country’s healthcare system is that those who can afford healthcare even without insurance are pushing up the cost for ordinary folks who can barely make ends meet. The demand for newer and more innovative medical techniques and drugs sends the cost of healthcare soaring, and with the insurance companies keen to cash in on this, it’s the average Joe who ends up having to choose between eating and a roof over his head and getting quality medical care – isn’t that a delicious irony too?
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This guest post is contributed by Shannon Wills, she writes on the topic of physical therapy assistant schools . She welcomes your comments at her email id: shannonwills23@gmail.com.
Tuesday, July 6, 2010
The Irony that is Healthcare
at 6:45 AM
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At first look, one might not think that the health insurance industry has much in common with the tobacco industry. After all, one sells a product that kills people and the other sells a product nominally aimed at putting people back together. But when it comes to deceitful public relations techniques, the health insurance industry has been learning well from Big Tobacco, which employed a panoply of shady but highly successful public relations tactics to fend off changes to its business for generations.
One of the things I said in my testimony before the Senate Commerce Committee on June 24 is that the health insurance industry engages in duplicitous public relations campaigns to influence public opinion and the debate on health care reform. By that I mean there are campaigns they want you to you know about, and those they don’t.
Its why I'm so glad to live in the UK. Sure we have our complaints about our system, but whoever you are, no matter what's wrong with you, you'll get the treatment you need for the grand price of zero moneys. Here in Scotland you can even get free over-the-counter meds straight from the pharmacy without buying them. And prescriptions are totally free for the vast majority of people. The only folk who pay for prescriptions are those between 16-60 who are earning over a certain amount per year, aren't pregnant or a new mother and don't have a life-threatening chronic condition (and people who pay for prescriptions still get all other treatment free). They pay £3($5) per prescription item, no matter what the item is and how many pills it is for. They're doing away with prescription charges completely in Scotland next April, so all prescriptions will be free for everyone. With dental treatment, only those between 18-60 who earn over a certain amount and don't have certain conditions pay and even then it is very heavily subsidised with a maximum total charge (I think its around £150 (~$225)). Other than prescription charges and dental treatment, everything is free for everyone in the NHS.
Our employer based healthcare system has us in a bind where the increasing costs of healthcare are hurting businesses and driving up costs for everything we buy.
Also, the US pays for almost ALL of the world's costs related to pharmaceutical research, while other countries benefit from our innovation with lower pricing than what we pay here.
Insurance companies will pull all kinds of tricks to increase their profits. Dropping patients from their plans, finding ways to get more health patients (offering free maternity care-pregnant mothers are most likely healthy), lifetime caps, etc.
I don't blame them because of the ridiculously exponential growth of healthcare costs, but when it starts to destroy the lives of individuals, it is very sad.
I really take issue when I hear that we need healthcare reform. It makes it sound like those of us providing the care aren't doing our job. We need to call it like it is! Its not healthCARE that needs reforming it INSURANCE that needs reformed. The problem is PAYING for the healthcare not the care itself. I know its semantics but the general public doesn't seem to realise that. I get comments (usually angry) everyday about the high cost of healthcare. No one seems to be complaining about the INSURANCE industry!
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