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The Healing American Healthcare Podcast
The Healing American Healthcare Podcast

Episode 12 · 1 year ago

Making Healthcare A Right, Not A Privilege In America

ABOUT THIS EPISODE

Ed Eichhorn, co-founder of The Healing American Healthcare Coalition™, goes over where the US currently stands on the path to universal healthcare. He also lays out the possible plans that could help make it happen. 

Want to join our mailing list? Text HEALHEALTHCARE to 22828 to get started. And be sure to go to healingamericanhealthcare.org to learn more about The Healing American Healthcare Coalition™. 

Music: 

"The Discovery" 

by The Lemming Shepards 

Exzel Music Publishing (freemusicpublicdomain.com) 

Licensed under Creative Commons: By Attribution 3.0 

http://creativecommons.org/licenses/by/3.0/ 

Hi, I'm at Korn, the CO founder of the healing American healthcare coalition. Our goal is to provide our listeners and readers with timely information on pandemic research and developing universal healthcare plans for America. Our coalition is not a political action committee, nor is it affiliated with any political party. Our mission is to be a trusted, objective source regarding current national discussions on healthcare initiatives that will impact the health and wellbeing of all Americans. Today, I like to provide you with our presentation on the current status of universal healthcare proposals. So let's begin. So universal healthcare, making healthcare right and not a privilege, is what will discuss today. As a part of our presentation, will discuss Medicare for all, medicare acts that was recently reproposed by the senators from Virginia and Colorado, the American relief plan and how it expands the affordable care act that was recently passed justice Wednesday, and will also cover the Korn Hunchinson plan that is a part of our book healing American health care. First, I'd like to share a couple initial thoughts with you. In one thousand nine hundred and forty one, Winston Churchill was chairing a British cabinet meeting as the United Kingdom was waiting the United States entry into World War Two or just to support Great Britain. It aptly describes a quote that applies to the status of healthcare policy today. Winston Churchill said, as one of his cabinet members was anxiously asking about when the United States would enter the conflict, that Americans will always do the right thing in the end, but only after exhausting all other possibilities,...

...and I think that thought certainly applies to healthcare in the United States today. We've been talking about universal healthcare in our country since Teddy Roosevelt ran for presidency in one thousand nine hundred and twelve, and hopefully over the next few years we can find a way to come together to develop a universal healthcare plan that would serve all Americans. And also like to just mention this thought from Warren Buffett that he expressed at the two thousand and seventeen annual meeting of his company, Berkshire Hathaway. He said the biggest problem that US businesses face in competing with overseas companies is not corporate taxes, it's the cost of healthcare. He said that over the last fifty years, as a percentage of GDP, corporate taxes have decreased from four percent to less than two percent, while the cost of health care has grown from four percent to seventeen point one percent. So when we think about improving healthcare are there are three goals and one outcome that we should expect. First of all, we should provide universal healthcare. Twenty nine percent of Americans don't have a healthcare at this time and another forty percent are under insured. We need to reduce healthcare has costs. We have the most expensive healthcare system in the world. Our costs are, in general, twice as much as the costs of other members of the United Nations Organization called the Organization for Economic and cooperation. We need to reduce healthcare bureaucracy and we need to improve medical outcomes. If we do the first three things, we have a good chance at improving our medical outcomes. Currently, our life expectancy is three and a half years less than most countries in Europe and it's been projected that, because of the pandemic, our life expectancy projection should drop by another year on average and could drop by as much as two to three...

...years for African, American and Hispanic Americans. Today, healthcare consumes more than seventeen percent of our GDP and we spend about three point four trillion a year on healthcare in the United States. Are Per capital costs, as I mentioned, are more than twice the average of capital costs of other democracies, and the Center for Medicare and Medicaid has projected that if we do nothing, these costs could double to six point five trillion by two thousand and twenty seven. And now, if you look at government funded healthcare costs today, approximately a hundred and fifty million Americans have government funded health insurance. About seventy million Americans are covered by Medicaid. Fifty seven million Americans have Medicare coverage. Nine million Americans are covered by the veterans administration a another nine million have try care for military, active duty, retirees and dependence of approximately two million native Americans are covered by the American Indian Health Service and Tenzero baby boomers sign up for Medicare every day. Medicare for all is a single payer system and it would eliminate the health insurance industry and up to two million jobs, about one point five million jobs in the health insurance industry, in an additional half million jobs from providers like hospitals, doctors and clinics. It would also regulate drug pricing, which is something that every plan should do. Estimates of its costs vary a great deal, from an annual increase of three point two drawing dollars to an annual savings of six hundred billion. Surveys indicate that Medicare for all is supported by only thirty eight percent of respondence, because it eliminates choice. And in a survey of Democratic voters, initially seventy five percent of the respondence supported Medicare...

...for all, but eighty eight percent of the same survey group did not support it when they realize they would have to give up choice and healthcare. If Medicare for all became law, it would also likely accelerate physician retirements, increasing the projected future physician shortage. Today, thirty percent of our physicians are over the age of fifty five and if their income was going to decline because of the price is set by Medicare for all, they may consider retirement at an earlier age, and although some aspects of Medicare for all are discussed routinely by Senator Sanders, who is the main proponent of Medicare for all and came up with a plan, it does impact hospital operating budgets. When Senator Sanders talks about his bill, he says that it's going to eliminate co pays and expand Medicare to include eyeglass and hearing coverage and lower the cost of pharmaceuticals. Those are all popular with voters, but he doesn't go into what Medicare for all would do to hospital operating budgets. So let's take a look at what that process would become. The bill would require that the Department of Health and Human Services establish a national budget for hospital operations. What this means is that hospital budgets would be global budgets, based on the global budgeting experiment for hospitals in Maryland that began in two thousand and fourteen. These are top down budgets, not bottom up budgets. The national budget would be rolled down to each state and the states would determine each hospital's operating budget in their state. Health and Human Services could also dictate hospital staffing levels and capital budgets would be handled separately.

So this would be a very dynamic change. If Health and Human Services could actually tell every hospital what's the ratio of doctors to nurses would be in their operating budget. So if we look at this, when we begin this presentation we said we should provide universal healthcare, reduce healthcares costs, reduce its bureaucracy and improve outcomes. The Medicare for all proposal would improve outcomes and expand healthcare coverage, but it would also increase costs and would likely increased bureaucracy. Let's take a look at the Medicare exchange or medicare x proposal. This bill was originally introduced in the last congressional session by Senators Kane and Bennett. They reintroduced the bill this February and had eleven cosigners for their bill. It would introduce a public option based on Medicare in those areas of the country that have a shortage of competitive private insurance plans for individuals and small business. Once that had been introduced, it would expand nationally by two thousand and twenty five. It would also include reduced drug prices for Medicare X and Medicare Part D. Well, let's see how that compares to how we believe we should improve healthcare. Medicare ex proposals would improve outcomes and expand healthcare coverage. It would not create universal healthcare coverage and has not been scored by the Congressional Budget Office to provide an estimate of its cost impact. So it would be hard for us to estimate its cost and it does not address healthcares bureaucracy. This week, the American Relief Bill became law and the BILL EXPANDS OBAMA CARE subsidies to higher income levels. These changes will offer coverage to an additional one point three million...

Americans. The Sea Bo estimates that this will increase federal subsidies by about thirty five billion dollars a year. The bill provides incentives to red states to expand Medicaid coveries to Americans who are currently not eligible in these seventeen states. It will lower the cost of Cobra benefits for Americans who have lost their jobs during the pandemic. Dr Emmanuel, who is a professor at the University of Pennsylvania and was a part of the team that designed Obama Care, reports that this bill will have a dramatic impact on reducing the number of uninsured Americans. These measures are also only temporary and they will expire in two thousand and twenty two. So, looking at our goals for healthcare improvement, the pandemic relief bill will expand health coverage and it will reduce the number of one in short Americans. It will improve outcomes. This plan is a move in the right direction. However, it increases cost and does not reduce bureaucracy. Let's take a look at all care, a practical, affordable approach the universal health care that Dr Hutchinson and I wrote about in our book healing American health care. We would require all employers to provide health insurance for their employees, much like the German plan that began in Germany in one thousand eight hundred and eighty three. IMP lawyers would have choice. They could be self insured, provide private insurance or all care for their employees. Today, ninety percent of private health insurance programs are sold to employers. All care would allow them to keep their business, unlike mfora that would eliminate their industry. All care would be approximately thirty percent less expensive than today's cost of private insurance, creating price competition. This...

...competitive pressure could reduce the cost of insurance for companies by as much as a hundred and eighty billion dollars a year. Individuals could also purchase all care. Individuals or companies could purchase Medicare advantage like plans to provide gold and silver plans to augment all care to compete for employees. Today, sixteen percent of Medicaid recipients are employed and they would now get coverage through employers. This would reduce the cost of Medicaid for the federal and state governments by more than two hundred billion dollars per year. All care would also introduce a national charge master for hospitals and clinics to reduce the complications of medical billing we has to make. This would reduce the cost of billing to five percent of total healthcare costs and it out varies between eight and ten percent of healthcare costs. All Care would also require national drug price negotiation and would allow Medicare party to negotiate drug prices. All Care could reduce the cost of healthcare in United States by a trillion dollars a year while improving access to care for everyone. So I consider all care to address the needs of universal health care in America well. First, it provides choice for individuals and employers, something surveys have said that all Americans want. It creates a more level playing field for employees. If every employer is required to provide insurance, Americans will be completely free to change jobs without concern for losing their healthcare benefits if they choose another employment opportunity. Employers will need to consider increasing the competitiveness of their benefits and Employment Practices to retain staff. It does not eliminate private insurance companies, it challenges them to compete with...

...all care as the public option. It lowers the cost of coverage for all care and all private insurance companies by requiring national negotiation for Pharmaceutical Pricing, and it lowers the cost of all care and all private insurance companies by simplifying the bureaucracy of billing and collection. All Care Reduces the cost of Medicaid by requiring all employers to provide health insurance at a time when Medicare is adding tenzero beneficiaries every day. All care also provides the opportunity to reduce the budget deficit at a time when the national deficit is growing rapidly based on the two thousand and seventeen tax cut and the challenges of the pandemic that we face today. All Care Meets the challenges of the CBO projection on the growth of healthcare cost over the next several years. The other plans do not. All Care is a concept that could help congress to reach a strategic compromise that would result in a universal healthcare system. It reduces government costs, something that Republicans traditionally want, while providing universal healthcare, something Democrats traditionally want. All Care Bills on Obama cares strengths. So, going back to our four goals for healthcare improvement, by providing universal healthcare, reducing healthcare is cost, reducing bureaucracy and therefore improving outcomes, all care addresses all for healthcare improvement goals. We'd like to take a moment to compare medicare for all to all care, and we would do the same for many care x when and its financial factors are developed. Medicare for all is paid for by taxation. All care is largely paid for through employment. Medicare for all eliminates the healthcare industry and all care does not.

Medicare for all controls all hospital budgeting. All care does not. Medicare for all does not address hospital markups. Medicare for all does. Medicare for all dictates doctor and there's staffing levels for every hospital. And all care allows hospitals to manage themselves. Medicare for all is supported by Progressive Democrats. All care provides an opportunity for a strategic compromise between Democrats and Republicans. So thank you. Please join our coalition at healing American healthcare to receive our timely newsletter, the three minute read, and to learn about ICORN and Hunchinson plan. Read our book, healing American healthcare. It's available at Amazon, Barnes and noble and at our website. The healing American healthcare podcast series is available on spotify or at Apple. Our book is available as an Ebook or a paperback. Thanks for joining us once again. My name is Ed iicorn. We appreciate your taking time to listen to our podcast.

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