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	<title>Comments on: Mandated Health Insurance</title>
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	<description>Consumer Directed Healthcare News, Health Advice, and Industry Opinions</description>
	<pubDate>Sat, 22 Nov 2008 13:03:54 +0000</pubDate>
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		<title>By: Alice Comer</title>
		<link>http://www.healthcare-blog.com/2007/mandated-health-insurance/#comment-6640</link>
		<dc:creator>Alice Comer</dc:creator>
		<pubDate>Fri, 31 Aug 2007 16:43:40 +0000</pubDate>
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		<description>I agree with parts of each commentor's statements. 
&#62;&#62;Michael: Arguing about who has or does not have insurance is simply arguing about who PAYS for it...&#62;&#62;

This statement is absolutely right on target however, from there it goes downhill.  To say that mandatory insurance does nothing about cost, I do not agree.  I DO think that a big modification of the system is needed...not sure what yet.  But free choice, business and personal is the foundation of this country.  It's the American Dream.  Yes, I realize some of the choices we make are less than ideal.  Regarding healthcare, we have transcended through several phases: 1) the government-managed Medicare system which pays a fee for service has allowed care to get so expensive because if you get paid more for every bit of care rendered, it is human nature to provide more care that may or may not be needed.  2) Private insurance was following the same path.  Then, OOPS what have we done, the cost is too much for anyone to make any money.  Phase 2:  The "Managed Care" phase; Did it really rein-in the cost or did it result in "Mangled Care"? Probably a little of both.  Granted, neither on of these systems is ideal, and currently the cost is so high that many are left without any insurance...well, this then raises the cost to you and me, and some think it is totally "Mangled Care".  What is the answer?  I am not sure, but it probably is a blend of the two systems.  But, my opinion is that any payment system must be linked to quality of care. 

Then from Eileen:
&#62;&#62;We will never get control of medical costs until each individual is both knowledgeable about how much their care costs, and required to make the payment for that care.&#62;&#62;
I basically agree with this statement...knowledge &#38; understanding of one's healthcare costs is critical to reforming anything with the system.  I would also add an understanding of one's coverage and benefits goes with that.  I have started a blog in which my goal is to provide the consumer with the knowledge to better understand healthcare, benefits and cost.  I have been in the healthcare business for almost 30 years and have personally witnessed the plethora of individuals without a clue of their health insurance, including Medicare and Medicaid.  I have made it my mission to reach every person possible to gain a functional understanding of their healthcare choices and responsibilities.  A lofty goal?  I don't think so.  

If many people participate, we collectively have the potential.  If everyone who had a tid bit of information contributed to my blog, we can make a difference.  It is very new, so only a few posts at this point...I decided to surf around for other information that may help and I found this and similar blogs.  The difference in my versus the others is that my blog is directed to the consumer rather than the health professional.  I need to get it out to the mainstream web in order to accomplish my mission.  You can help with that.  http://ezhealthcare.blogtoolkit.com

I appreciate the opportunity to contribute to the discussion.  This one will be a hot topic, esp. when Hilliary fully incorporates healthcare into her platform.
Alice Comer
Little Rock, AR</description>
		<content:encoded><![CDATA[<p>I agree with parts of each commentor&#8217;s statements.<br />
&gt;&gt;Michael: Arguing about who has or does not have insurance is simply arguing about who PAYS for it&#8230;&gt;&gt;</p>
<p>This statement is absolutely right on target however, from there it goes downhill.  To say that mandatory insurance does nothing about cost, I do not agree.  I DO think that a big modification of the system is needed&#8230;not sure what yet.  But free choice, business and personal is the foundation of this country.  It&#8217;s the American Dream.  Yes, I realize some of the choices we make are less than ideal.  Regarding healthcare, we have transcended through several phases: 1) the government-managed Medicare system which pays a fee for service has allowed care to get so expensive because if you get paid more for every bit of care rendered, it is human nature to provide more care that may or may not be needed.  2) Private insurance was following the same path.  Then, OOPS what have we done, the cost is too much for anyone to make any money.  Phase 2:  The &#8220;Managed Care&#8221; phase; Did it really rein-in the cost or did it result in &#8220;Mangled Care&#8221;? Probably a little of both.  Granted, neither on of these systems is ideal, and currently the cost is so high that many are left without any insurance&#8230;well, this then raises the cost to you and me, and some think it is totally &#8220;Mangled Care&#8221;.  What is the answer?  I am not sure, but it probably is a blend of the two systems.  But, my opinion is that any payment system must be linked to quality of care. </p>
<p>Then from Eileen:<br />
&gt;&gt;We will never get control of medical costs until each individual is both knowledgeable about how much their care costs, and required to make the payment for that care.&gt;&gt;<br />
I basically agree with this statement&#8230;knowledge &amp; understanding of one&#8217;s healthcare costs is critical to reforming anything with the system.  I would also add an understanding of one&#8217;s coverage and benefits goes with that.  I have started a blog in which my goal is to provide the consumer with the knowledge to better understand healthcare, benefits and cost.  I have been in the healthcare business for almost 30 years and have personally witnessed the plethora of individuals without a clue of their health insurance, including Medicare and Medicaid.  I have made it my mission to reach every person possible to gain a functional understanding of their healthcare choices and responsibilities.  A lofty goal?  I don&#8217;t think so.  </p>
<p>If many people participate, we collectively have the potential.  If everyone who had a tid bit of information contributed to my blog, we can make a difference.  It is very new, so only a few posts at this point&#8230;I decided to surf around for other information that may help and I found this and similar blogs.  The difference in my versus the others is that my blog is directed to the consumer rather than the health professional.  I need to get it out to the mainstream web in order to accomplish my mission.  You can help with that.  <a href="http://ezhealthcare.blogtoolkit.com" rel="nofollow">http://ezhealthcare.blogtoolkit.com</a></p>
<p>I appreciate the opportunity to contribute to the discussion.  This one will be a hot topic, esp. when Hilliary fully incorporates healthcare into her platform.<br />
Alice Comer<br />
Little Rock, AR</p>
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		<title>By: health insurance san diego</title>
		<link>http://www.healthcare-blog.com/2007/mandated-health-insurance/#comment-5709</link>
		<dc:creator>health insurance san diego</dc:creator>
		<pubDate>Fri, 10 Aug 2007 15:42:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthcare-blog.com/2007/mandated-health-insurance/#comment-5709</guid>
		<description>I think it's important to keep health insurance private.  That gives people more options, plans, and an incentive to stay healthy.</description>
		<content:encoded><![CDATA[<p>I think it&#8217;s important to keep health insurance private.  That gives people more options, plans, and an incentive to stay healthy.</p>
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		<title>By: Eileen Martinez</title>
		<link>http://www.healthcare-blog.com/2007/mandated-health-insurance/#comment-2728</link>
		<dc:creator>Eileen Martinez</dc:creator>
		<pubDate>Mon, 04 Jun 2007 16:02:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthcare-blog.com/2007/mandated-health-insurance/#comment-2728</guid>
		<description>We will never get control of medical costs until each individual is both knowledgeable about how much their care costs, and required to make the payment for that care. The current healthcare system puts many layers of bureaucracy between the patient and the healthcare provider. Mandating healthcare insurance only benefits the insurance industry, and continues to remove the individual from the decision regarding their own healthcare.</description>
		<content:encoded><![CDATA[<p>We will never get control of medical costs until each individual is both knowledgeable about how much their care costs, and required to make the payment for that care. The current healthcare system puts many layers of bureaucracy between the patient and the healthcare provider. Mandating healthcare insurance only benefits the insurance industry, and continues to remove the individual from the decision regarding their own healthcare.</p>
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		<title>By: Michael</title>
		<link>http://www.healthcare-blog.com/2007/mandated-health-insurance/#comment-2615</link>
		<dc:creator>Michael</dc:creator>
		<pubDate>Sun, 27 May 2007 22:36:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthcare-blog.com/2007/mandated-health-insurance/#comment-2615</guid>
		<description>Since health insurance IS the problem, more than any other single contributor because it eats money (administrative, dividends, bonuses) but doesn't deliver what it is, in theory, designed to, it is not the solution. Arguing about who has or does not have insurance is simply arguing about who PAYS for it, but has no effect on COSTS. Assuming all costs are reasonable for its given function, then virtually anything that does not contribute to bedside care is a waste of valuable, irreplaceable resources. Fifteen-hundred or so insurance company adminstrations, including sales and marketing, etc. is gargantuan compared to what it would be in a rational world. A single payer system, with one adminstration, and no sales and marketing department or dividends, is the only rational answer to collecting what funds are necessary and disbursing them according to need.</description>
		<content:encoded><![CDATA[<p>Since health insurance IS the problem, more than any other single contributor because it eats money (administrative, dividends, bonuses) but doesn&#8217;t deliver what it is, in theory, designed to, it is not the solution. Arguing about who has or does not have insurance is simply arguing about who PAYS for it, but has no effect on COSTS. Assuming all costs are reasonable for its given function, then virtually anything that does not contribute to bedside care is a waste of valuable, irreplaceable resources. Fifteen-hundred or so insurance company adminstrations, including sales and marketing, etc. is gargantuan compared to what it would be in a rational world. A single payer system, with one adminstration, and no sales and marketing department or dividends, is the only rational answer to collecting what funds are necessary and disbursing them according to need.</p>
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		<title>By: Kelly</title>
		<link>http://www.healthcare-blog.com/2007/mandated-health-insurance/#comment-2468</link>
		<dc:creator>Kelly</dc:creator>
		<pubDate>Sat, 19 May 2007 12:38:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthcare-blog.com/2007/mandated-health-insurance/#comment-2468</guid>
		<description>Mandated health insurance is bad medicine.</description>
		<content:encoded><![CDATA[<p>Mandated health insurance is bad medicine.</p>
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