Impact Of War Of Choice

Impact Of War Of ChoiceIs this why you liken Government to being the biggest Bully here and abroad? You can arrive at your own conclusions as youalso fall victim to 40,000 laws being proposed by the lawmakers each year reducing the freedoms of enterprising individuals and businesses.What is the solution? Downsize government by privatizing agencies that inhibit Enterprise and prevent innovation andcreativity. Then the private agencies can collaborate not suffocate technology.Where do we start? Read my lips it’s Health Care services.Why do you pick health care first rather than the post office? Because it is the second largest agency in the Federal Government behind the Department of Defense.The health-care industry is vast. It is costly and grossly inefficient. How could I make such an audacious statement? Having been in and around the health care business for fifty-two years, I feel that I have some insight into the reasons for the current state of affairs.Conglomerates, under the auspices of Obama Care, aretaking over the majority of the providers. Large insurance companies are going to be emerging ACOs, an acronym for accountable care organizations. The federal and state governments are at the end of their wits and budget means, allbecause the health of the country is considered an inalienable right while, at the same time, it is big business.While America is number ONE in cost per capita andthirty-eighth in quality, statistically, Americans spend more money on their health care than anything else but food. But the consumption of the health-care dollar is predominately not paid for by the consumer. The middlemen, so to speak, make the forces of free enterprise moot. Consumers are bystanders in the relationship between purchase and quality because they do not directly pay forthe product.This phenomenon is called monopsony. The consumer is not the buyer. But the buyer is almost singly dominant. This is the reverse of monopoly, where the seller has the last say. This is not Microsoft at work. It is the federal and state Medicare and Medicaid programs that buy upward of seventy five percent of all health-care service products. Under the Obama nation, government will be the purchaser of last resort for all Americans.Ingeniously, the insurance industry convinced the federal government in 1966 that the only fair and equitable manner to fund and pay for health care for the elderly and disabled was to pay reimbursable costs including a markup for overhead and return on equity. Most of the providers, in those days, were not-for-profit hospitals and sole-practitioner doctors. Thismethod lasted until 1989, when it was changed, in terms of payment, for hospital care and the emerging continuum of services for the elderly population.