Health care is certainly a hot and contentious topic these days. In fact, I recently had a cyberspace “debate” with a friend on Facebook when he took umbrage with my commentary on the Obama administration plan for Universal Health Care in the United States. I subscribe to information releases from the White House and read an intriguing article in the New York Times. As an insurance consultant, I have over 20 years experience in the industry and certainly have my views on what is wrong with medical insurance and suggestions on how to improve it.
Let’s start by getting something straight. This is not an apology for medical insurers. I don’t represent any of them nor their agents. Their hands are dirty just like many others I will mention in this article. This conundrum we face doesn’t have easy fixes or else it would be done by now. Unfortunately, the fix of a government-sponsored universal health care program doesn’t solve the problem and probably exacerbates it.
Here’s why government-sponsored health care is a problem…
1. Politicians make decisions based on their ability to get re-elected, not necessarily what’s best for the country. Doubt me? See Arlen Specter’s defection to the Democratic Party after nearly 30 years in the GOP. Why would we trust that a group that is concerned about their ability to retain power would better make decisions on our health care?
2. The government has bigger fish to fry. The economy, Iraq, Pakistan, their own legal issues. This is an issue of big vs. small government. I opt for small.
3. Politicians don’t understand the industry. Insurance isn’t the easiest concept to grasp, much less to make decisions on. You may not like how the medical insurers have run the show but the reality is they at least work in the industry every day and understand the actuarial and coverage implications.
4. Living in Washington State, I see a large amount of Canadians coming down here for care. Canada has universal health care and it certainly has its issues. Regardless of what the media tells you, our system of health care is the best in the world. I recently spoke to a hospital administrator from Switzerland who was awed by our ability to care for patients.
5. Competition is always a good thing, and it’s true among private insurers.
6. Guess who ends up paying? Us.
Here are five solutions to improve the problem…
1. Tort Reform. Frivolous lawsuits have negatively affected health care costs. They lead to increased professional liability for medical providers (which also go up every year), providers making more expensive decisions based on being afraid of being sued, and higher expenses to defend claims. All these higher administrative and legal costs lead to passing it on to you, which leads to higher losses for the insurers who raise premiums to offset. The definition of a vicious circle.
2. We need a paradigm shift in this country. Health care isn’t a right. I don’t recall reading we all are entitled “Life, Liberty, and Universal Health Care.” Yes, it’s a desired state but so is financial security for everyone. The reality is that health care comes at a cost. Once we take accountability for our own health care instead of thinking of it as an entitlement, we may be able to make headway.
3. Skin in the game. I believe you will see Health Savings Accounts (HSA) becoming the norm over the next 10 years. By using high deductible programs, we make it more affordable for businesses to provide coverage, and increase the flexibility for individuals to manage their own health care. The $20 co-pay system is expensive. When we each have “skin in the game” then we make wiser financial decisions.
4. Generic drugs. They do the same thing and they are cheaper. Many insurers give discounts if you opt for generic alternatives. Prescriptions have been a killer to costs. This eases the pain (pun intended).
5. There needs to be more incentive for business owners to pay for their employees’ health insurance. They have almost been priced out of the market. They need more options and tax breaks to make it feasible for them to provide coverage for their workers.
We have the best health services in the world. I wouldn’t want my family treated anywhere else in a life-threatening situation. It comes at a cost. Health care for all sounds great on a campaign trail (regardless of party), but the reality is that we all need to take responsibility for our health care. That includes paying for it.
Be safe and be well,

© 2009 Dan Weedin – All Rights Reserved