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Post on March 19, 2010 by 12 Comments »

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Here’s a great perspective on the health care debate from Dr. David Hill, a pediatrician in Wilmington, who knows a lot more health care than most of the people weighing in on the talking head shows.

Hill has plenty to say about  reform and ends his column with a message for Congressman Mike McIntyre.

If McIntyre fails our children by not supporting this bill I would invite him to have a seat on one of my rolling stools and explain to the parents I see every day exactly why it is their children cannot get the health care they need.

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Comments (Closed):12

  1. Kimberly
    March 19, 2010 at 8:13 am

    Thanks for sharing such a well written and thoughtful article. I completely agree with Dr. Hill. I think every politician that votes against Health Care Reform should be forced to meet with the parents of children with special health care needs and with patients and explain to them why that politician thinks profit is more important than providing for the health and well being of our citizens. The Health Reform bill is not perfect, it isn’t exactly what I would prefer either, but it is a giant step in the right direction that will save lives, stop insurance discrimination, and fix many of the problems with our current health care system. We can’t wait to reform our health care system, we can’t allow the status quo to continue, the price that we will all pay if we fail to reform our health care system is far too high and far too devastating. It really isn’t about money and power anyway, regardless of what the teabaggers and Republicans say, it is ultimately about saving lives.

  2. pino
    March 19, 2010 at 9:59 am

    Here’s a great perspective on the health care debate from Dr. David Hill,

    A disingenuous letter at best.

    First, the Senate version of the bill would actually decrease federal health care expenditures according to the Congressional Budget Office.

    This is due to the fact that the bill brings in revenue for 10 years but will only provide service for the last 2. Further, in order to “make the numbers” the Democrats had to add Student Loan reform, double count $500 million for medicare reform and include a Doc Fix that may or may not be passed.

    their employers are dropping health insurance altogether

    Then fix that. You don’t receive compensation from your boss in food or in a house either. Can you imagine being paid in “housing”. Silly, right? Then why do you insist on being paid in “insurance”?

    Our system for providing health care in this country has led us to some of the worst measures of health (and children’s health) in the developed world

    I mentioned at best this is disingenuous. Here is where the data is simply flat out wrong. Quite the contrary to the gentle doctor’s claim, America does not have the worst medical care in the world, we have the best.

    while costing our citizens twice as much as the next most expensive country’s.

    Do you think that Celine Dion who has had FOUR in vitro fertilization attempts, going on her FIFTH contributes to that number? Could it be that spending more on medical care is a feature [celine certainly thinks so] and not a bug?

    Come on doc, you made it through medical school; we know ya got the brains to work this out…..

    explain to the parents I see every day exactly why it is their children cannot get the health care they need.

    Because nothing in this bill fixes costs.

  3. IBXer
    March 19, 2010 at 10:15 am

    Congress pretends that it can overcome the laws of scarcity. It can’t.

  4. AdamL
    March 19, 2010 at 10:44 am

    McIntyre says it’s too much too soon. I’m sure the parents would understand that it’s too soon to provide health care to their children.

  5. AdamL
    March 19, 2010 at 10:45 am

    Not true pino, the bill does address costs.

  6. Dennis Perry
    March 19, 2010 at 11:18 am

    What part of a $1,000,000,000,000.00 do we not understand? This is not the solution. Yeah, some of the “reforms” would be desireable but this is not reform; this is another giagantic entitlement program. What is next ? Everyone is entitlled to eat. Does that mean that we should also open a federal commissary? What has happened to this country? What has happened to concepts of personal responsibility and self reliiance? These reforms are not insurance, they are a public dole, plain and simple.

    You do not by insurance to pay for your morning coffee or gasoline. You buy insurance to protect against the unpredictable. Health Insurance should be reserved for the non predictable financially damaging events of life and not for health maintenance. Most health care is no different than putting food on the table. Perhaps a solution is to REQUIRE people to provide for themselves by mandating personal health savings accounts that each would own and be reponsible to allocate for day to day health care. These could be coupled with a major medical high deductible for major health issues. For those truly unfortunate there is always room for a safety net of a combination of private and public help.

    In any event maybe a case can be made to address issues of preexisting or catastrophic health events but how is it governments responsibility to provide health care to the obese, indolent, addictive, boozing irresponsible parasites posing as human beings?

  7. pino
    March 19, 2010 at 11:21 am

    Not true pino, the bill does address costs.

    It doesn’t. It puts limits on what can be and can’t be charged; but it doesn’t address any underlying cost of medical care.

    I’m sure the parents would understand that it’s too soon to provide health care to their children.

    Do these children not qualify under S-CHIP?

  8. Kimberly
    March 19, 2010 at 11:27 am

    The United States Health Care System ranks 37th according to the WHO. Find the data here: http://www.photius.com/rankings/healthranks.html

    I wish those who spout lies against Health Care Reform would read the entire bill and do their homework first. If they can’t understand it then talk to someone smarter that can. The Health Reform bill does address and lower costs. It does expand access to care for 32 million Americans. It does not allow funding for abortions. It does not allow coverage for Illegal Aliens. The Student Loan Reform portion is to incentivize students to become doctors, specifically to encourage them to go into Primary Care, and it is to assist with the huge debts that are incurred to obtain a medical degree.

    I wish people would take the political views out of the discussion and realize that it is critically important for our present and our future to correct the many problems with our current health care system and to increase access to care. It isn’t about politics, it is about human lives.

  9. pino
    March 19, 2010 at 11:37 am

    The United States Health Care System ranks 37th according to the WHO.

    That data is wrong.

    First, WHO cooked up a ranking system where 25% of the value of the system is based on what they think is a “fair and equitable” system. For example, consider this on a scale of 1-10:

    System A: Care for the poorest rates a 2, care for the richest rates a 5.
    System B: Care for the poorest rates a 5, care for the richest rates a 9.

    While system A is better for the poor, WHO rates system A as more fair, the difference is only 3 while in system B the difference is 4.

    Further problems with the WHO ranking is that it doesn’t take into account violent deaths that occur in America. When normalized for that data, the USA ranks #1 in the world in life expectancy.

    Infant mortality rate is more of the same. The largest cause of infant mortality is low birth rate and premature babies. The US is a world leader in both cases. While clearly an area we need to work on, it is not an indicator of our medical system. Further complicating the IMR is the fact that not all countries report all of their live births. In many countries, for example, a baby has to live 24 hours to be considered a birth. In others, that baby has to live 48 hours.

    This bill isn’t helping the poor. This bill isn’t going to help the uninsured. This bill is going to create a State based system that will drain it of all innovation and vitality. We will become a system that the rest of the world flees.

    The only real question will be, when we become a European based system, where will those Europeans flee to?

  10. pino
    March 19, 2010 at 11:43 am

    While system A is better for the poor, WHO rates system A as more fair, the difference is only 3 while in system B the difference is 4.

    Typo:

    System B is better for the poor, in that system they receive the same care that the richest in system A receive.

    But the WHO doesn’t see it that way. While B is clearly better for everybody, WHO rates System A as “more fair”.

  11. Adam Linker
    March 19, 2010 at 5:08 pm

    Again, pino, completely wrong. It doesn’t set limits on what it will pay for at all. It begins to implement global payment systems and change unnecessary inpatient readmissions and other fundamental cost drivers.

    And that’s right, many kids don’t qualify for Health Choice.

  12. Adam Linker
    March 19, 2010 at 5:12 pm

    Dennis, what part of reducing the federal deficit by $130,000,000,000.00 do you not understand?