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Eve Tahmincioglu

Primary author Eve Tahmincioglu has been covering small business and entrepreneurship for more than a decade. She regularly writes about small business issues for the New York Times and BusinessWeek's SmallBiz magazine. She also writes the Your Career column for MSNBC.com. She is the author of "From the Sandbox to the Corner Office."



For many small business owners, health care system is "Sicko"

Posted: Monday, July 23, 2007 1:09 PM by Eve Tahmincioglu
Filed Under: , , ,

I recently saw Michael Moore’s health care tragedy film “Sicko” and it got me thinking: What about a "Sicko" just about small business owners?
 
There’s a scene where Moore takes former 9/11 rescue workers, who can’t afford U.S. medical care, on a small boat to Guantanamo Bay, Cuba. His mission, albeit a futile one, is to get those poor ailing workers the same care now given to suspected Al Qaeda prisoners at the facility.
 
Moore should have taken along a boatload of entrepreneurs with him. Actually, he would have needed a cruise ship, maybe 10.
 

Filmmaker Michael Moore  speaks to the media on Wall Street in New York
Brendan McDermid / Reuters file
Filmmaker Michael Moore speaks to the media on Wall Street in New York last month during a press event promoting his new film "Sicko."

We all think of lack of health care coverage as a problem for the poor and unemployed, but small business owners are also drowning in this nation’s medical black hole.
 
I figured I had to write my first blog entry about the one issue that is at the top of all your lists – health care. Over and over again, in study after study, small business owners say it’s health care stupid, and it’s TOO @%$#&* EXPENSIVE!
 
Entrepreneurs and small business operators are beginning to sound like broken records, at least to politicians and the whole health-care industry. Maybe everyone is just “sicko” of them. (Sorry, couldn’t help myself.)
 
The National Federation of Independent Business, a small biz advocacy group you should know about if you don’t already, keeps asking company owners and they keeps getting the same answer.
 
From the NFIB’s latest health care survey:
 
“Once again small-business owners overwhelmingly voiced the need for Congress to address ever-rising health insurance costs,” said William Dennis, senior research fellow with the NFIB. “A difference in top priorities appears between Congress and America’s small-business owners. One is primarily interested in coverage and the other cost.  If lawmakers can help reduce costs, small businesses can help increase coverage in the long-run.”
 
Everyone talks about how small business is the engine that drives the economy, but many firms sputter out when their engines are fouled by high health care costs.
 
There’s a host of reasons:
They can’t leave their corporate jobs to launch a business because they can’t afford to buy healthcare on their own;
They took the plunge, started a firm, but now realize the escalating cost of health care coverage may send them back to working for The Man;
Or they go without coverage, holding their breath that an illness doesn’t send them to the poor house.
 
Many of the many presidential candidates say they have their plan for saving the health care system. But for those of you who can’t wait that long for change, if it ever comes, check out what’s happening in your own state. Many states are now offering opportunities for small business owners to buy into high-risk pools that provide cut-rate plans for people with dreaded pre-existing conditions. Check your state’s insurance department to find out what’s available.
 
And don’t forget to contact your local chamber of commerce, which may offer group insurance plans. A bigger group should mean you have to shell out less money.
 
But none of these things are a panacea for the deeply “sicko” system.
 
One entrepreneur I spoke with recently told me her high cholesterol and the fact that her husband had smoked in the distant past made them pariahs to health insurers. They couldn’t even get a policy unless they dished out thousands a month, and that was only for catastrophic care. Forget about getting coverage for routine doctor visits.
 
“We live in constant fear,” she says about getting sick.
 
This is definitely movie fodder -- horror movie fodder.

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Comments

The only way health care reform will work is to put all of the for-profit health insurance companies out of business and just have the federal government have a medicare style plan for every American with a special subsidary for Veterans. In other words, it's a dead horse. Corporations, Small Biz and entrepeneurs won't go for it. They'll all scream, "Government intrusion" and that will be the end of health care reform. Why bother? Just accept that it isn't going to happen.
My friend and I are in the process of starting our own business.  I'll have no healthcare when I get out of the Navy in six months, so we'll see what happens there.  I hope this business works out for us, because if it does, I'm moving to Europe so I can live a real life.  I hope American politicians do fix the healthcare problem in the coming years, but for me its a day late and a dollar short.
As an American I find it unimaginable that we do not have some kind of National Health Care System! We need a plan that must provede those in need with relief "when it is needed". We need Major Medical Expense coverage with a structured deductable plan, maybe similar to our Medicare System Plan, to protect people from the devastating financial and emotional loss they suffer when they get sick or injured. Maybe we cold have a plan where the deductable could be covered by private insurers just as the deductable is for people on medicare. We do need Action from our representatives. Please keep it in mind come election day.
Everyone in this country should take a really long look at the health care industry in this country. The system truly is sick itself. If you don't believe it , just wait till the next time you need to have a procedure done or some emergency taken care of. You will freak at the cost and how difficult and problematic and confusing it is. A true nightmare. Please wake up America!
Hi! just a short comment on the health care issue.
Sorry I don't own a business yet, but I work for a hospice company. My insurance rates just went up this month. For one child and one adult $374.00 bi weekly for medical insurance. This is insane!!!!
I owned a small flowershop and worked 48 hours a week. I was never able to afford health insurance. It is an outrage... When is this country going to copy the french health care system... It is the best in the world and it works. It is affordable and accessible to everyone! I know, I was borned and raised in France. There is no waiting lines, you can choose you doctors. The care is great, and medications very inexpensive. It baffles me how anyone in the usa can be against Universal health care. It would profit everyone and the americans would be certainly healthier. Also, France offer affordable health insurance to its citizens living overseas. The health care system in this country is a real rip off and it needs to be changed. If those politicians do not know how, send them to take a class at the french ministry of health!! Also, no
one seem bothered by how much money is being spent on the military... 610 billions in 2006!! This money could have taken care of a lots of people for many years to come... Also, preventive care is Key to a successful health care system... preventive care should be accessable to everyone. In France a doctor visit is only $30.00
This country is backward!! Health care system in France is N0 1, american health care system is N0 37th... What a shame! And you think this country is the greatest in the world?? Right!!! No country is the greatest when it cannot provide something as important as health care! To us europeans, it is a right and a moral obligation! And for the one who think France is bankrupted, France has never been so rich!!
As a Teamster about to quit my job and open a business, so I can be a better mommy than truck driver, I am concerned about this very thing. I am middle-aged(Eeek! ) and hope to address my overweight condition before taking the plunge so I CAN get some kind of coverage for,say, drastic hospitalization and pay for routine doctor's visits out of pocket.  If I keep my salary down I can deduct 100% of those expenses as well as whatever premiums I have to pay-I hope.

My job makes it extemely difficult to be healthy and I am accustomed to the comprehensive health care we enjoy as union members.  I will get a double-whammy of reality when I make my move.  Wish me luck!  The alternative is to consign my young son to the indifferent care of a rapid turnover of caregivers and underskilled big-city teachers for the next 12 years or so while I continue to work 60-70 hours per week, on nights,weekends,and holidays for The Man. THAT dog ain't gonna hunt.
Small business owners often overlook the resources at their disposal.  Local Chambers of Commerse and Small Business Groups will offer low cost group insurance to members.  If they are irresponsible enough not to get healthcare for themselves at least, they deserve whatever they get!
I researched opening a small-business with only 4 employees.
I got through all the tax-laws and my head was reeling...then I looked at getting medical insurance in a group plan for 4-people.
The quoted rate was 3X my projected first-year income after expenses.
I stopped looking into opening the business at that point.
I now understand why comapnies use the tatic of employing a bunch of part-time employees compared to a smaller amount of full-time employees.
This may decrease the insurance payments for the company but limits the businesses chances of employing hi-grade/long-term employees.
I for one will NOT even apply to a company unless they have medical insurance available after 90 days employment even if I have to pay a higher preimum as a lower time employee.

I have worked in the health care industry for the past 40 years, the last 20 as a practice administrator. The whole health care industry as gotten completely out of hand. Insurance companies ask for and receive double digit increases each year while lowering reimbursement to physicians. DME companies and pharmaceutical companies are constantly involved in direct marketing campaigns that encourage more and more consumption. Americans don't need more care, they need to take better care of themselves. We are in desperate need of a single payor system that provides health care for all Americans and eliminates the "for profit" entities. Tell your elected representatives to stop taking money from the big corporations and do what is right. If they don't....fire them.
I was an exchange student to Sweden many years ago.  After comparing maternity leave, medical care, among other items with what the Swedes have--my husband and I are considering moving there and possibly settling there.  We also figured out I have less tax liability there making only $36,000 a year.  I wouldn't be taxed at my husband's higher rate, which is about the same in Sweden.  I say "screw it."  The powers that be will not reform the system here because its their "turn to ride on the high hog."  I'm sure I'll be slandered as un-patriotic for leaving, but my parents and grandparents understand.  I'm doing what anyone would do for their kids--trying to give them the best life I can.  Its exactly what my husband's grandparents did 40+ years ago in leaving communist Poland.
Overall, there is a simple fix, but we may have to endure our own civil war. Us versus Them. If we won, that sure would make us common folk happier in all manner of daily life with more of the best of American freedom.
I hope I can do this: please read Jane Bryant Quinns last Newsweek essay. P.S. In my dreams I see a populist pres., and an overpowering majority of young democratic congressmen and women. Remember the Bastille.
I used to own a small busimess with about 6 employees. I was able to cover them for a while, then rates got beyond what I could pay. I kept looking around, tho'. Amazing the scams I was offered. On one policy, the saleman flat-out lied to me about the terms. When the paperwork arrived I waded through it and discovered that there was a $25K deductible. Can you imgine? A twenty-five thousand dollar deductible! And it wasn't that cheap! I had to call and scream and threaten and finally got my money back.
I work on the administrative side of a small business (30 employees) and every few years or so each employee completes a form stating their health issues so the company maybe able to get a lower premium.  What sucks about this is the insurance company can then charge what they want when they see any underlying condition and heaven forbid we have anyone with cancer then ZOOM up goes the premium!  I think the company pays like $890/month for the family plan.
A few months back I was going to have an elective proceedure done and I tried in vain to find out a ballpark on how much it was going to cost and do you think I could get a straight answer?  Healthcare is about the only industry I can think of that you can't easily get a price quote on how much something is going to cost.  I wanted to know so I could start saving ahead a little bit. My goal was to shop around to find the best deal so ultimately my insurance company wouldn't be over charged by some over zealous Dr.  Granted, health insurance wasn't intended to cover every sniffle and sneeze and I think some Americans have that idea.  Even those on government assistance should have to pay some sort of co-pay and for goodness sake find a family doctor and quit going to the emergency room for your rashes.  And another reason healthcare is so costly is because us hard working Americans are paying for those that are here illegally and are sponging off the rest of us.  Please excuse  my rambling and misspelled words because this has stuck a nerve.
For those who think that universal or government healthcare is the answer, all you need to do is look at the state of Wisconsin.  Recently, the governor and Senate passed a bill to insure all people under the age of 65.  This plan would cost 15.2 billion dollars, which is about $3 billion more than the state takes in yearly in taxes.  This wonderful plan would increase the tax bill paid by residents by $510 dollars a month.  Small businesses who do not offer insurance would see their employees costs sky rocket.  

So, for those who think the answer is government control, I have one question.  Who will pay for it?  In case you can't figure it out, you will, with higher taxes.  Personally, I like having the choice, even if I have to pay a higher premium.  
First of all, I know there has been a lot of talk about why America doesn't have national healthcare. The obvious reason: HMOs and insurance companies pump too much money into the governments pockets for this to ever happened. I believe you call it "contributions" But we all know they are "legal bribes". DON'T BELIEVE THE PEOPLE WHO SAY NATIONAL HEALTHCARE IS BAD!! I am from Europe and live here in the US and I have heard spokesmen speakign about how long it takes to see a doctor, get a surgeon, get your pills etc etc. Does it happen? Sure, but not the way these people describe it. They are all liars, not doubt in my mind paid by the health care companies to speak badly about national healthcare. How long do you wait for a doctor now? How many times have you been denied coverage? Or told what pills to take? What doctor to see? This is your life they are talking about!! What does some snot nosed kid taking a call in who knows where know about your medical condition to deny you anything!!?!?!? What are your premiums for? If I pay you to provide for me in times that I need help, then I do not expect to fight over bills. Why have coverage in the first place? When I was in Europe (Portugal) a few years back, my appendix burst and was rushed to a hospital. I had emergency surgery and stayed in the hospital for 9 days. NINE!! Here you'de be home the next day. On the 7th day, I had a temperature of 99.1. They wouldn't let me leave the hospital. Finally, when I left, I paid my bill: $6.35. (Phone call). Wake up America!!!
Amy from Macon has the right idea.  Instead of complaining about the lack of access to health care coverage, small business owners need only join their local Chamber of Commerce to get access to a real laundry list of health care plans.  That is if the REALLY want the coverage or just want an excuse not to provide health care for their employees.  
Plus, there are all the other benefits associated with belonging to a Chamber including the networking functions and education.  And, no, although I belong to a good Chamber, I don't work for one.
One thing to remember; the health care system in this country is NOT a free market / "capitalist" system.  It is a very sick mixture of legally sanctioned monopolies (AMA, hospital associations, drug companies etc.), publicly funded programs (Medicare, Medicaid) and for-profit payers (insurance companies).  There are huge amounts of money pouring into the system and most providers have a vested interest in the status quo (inertia).  More and more small business and middle class people are falling through the cracks and face financial devastation.  Just don't blame "capitalism."  Entrepreneurs were squeezed out of the system a long time ago and now operate on the fringes.
People want nice things?  People want more government funding for parks, healthcare, roads and other things?  It's simple.  Raise taxes.  If you want nice things, you have to pay for them.  Where else would we get revenue for a major crisis like this?  Remove funding from NASA?  Cut back Parks and Recreation funding?  Not enough money there.  Raise taxes, get more government income and then see what more money means more nice things.  Of course there is always that problem of politicians hoarding it.....
I find it ironic that your "solution" to small business problems is a further abrogation of property rights and ending for-profit enterprises in health care.

As a business owner, I have suffered the increased health care costs associated with insuring my employees. I have also suffered the increased costs associated with giving my employees wage increases. Perhaps you could really help me out by putting all my workers on the government payroll! Better yet, how about forcing my customers to buy my products in quantities more than their needs!

Wake up America. The state and the consumer are more at fault for breaking America's health care system than greedy HMOs are. If you want to fix these problems, deal with them as the economic issues they are, not the emotional issues you want them to be.
I am no fan of Michael Moore or his partisan rants, but your comment "(t)hey took the plunge, started a firm, but now realize the escalating cost of health care coverage may send them back to working for The Man;" sums up problems that I encountered after twelve years of owning and operating an incorporated small business.  Health care insurance costs were the defining reason why my wife and I are now back working for "The Man" in another state.  Small business might be the engine that drives the economy, but health care insurance costs are driving small businesses out of business.  

Like everything else in the country that directly impacts average people these days, the system is broke and appears to be driven by nothing more than the insatiable greed of large corporations.  Whether it's health care coverage; prescription drugs; gasoline and energy costs; out-sourcing of jobs and / or related illegal immigration; and a myriad of other problems --- we are in deep yogurt and there is no relief on the horizon.  Politicans in both parties are enablers of this mess and chamber maids to special interests, which have been enjoying one big party at our expense for years.
I encourage everyone to focus on their state legislatures to address the need for guaranteed healthcare for all. The feds may never deliver. E.g. California's legislature passed a universal health care bill last session that was vetoed by the Terminator Schwarzenegger. Many states have similar bills already introduced, e.g. Ohio, The Health Care for All Ohioans Act, H.B. 186 & S.B. 168. You can get info about similar bills in all states that have them at www.spanohio.org  Do not be afraid of contacting your legislators.
Universal Health Care seems to work in the countries I have visited. I would just be afraid the same people who screwed up the Katrina disaster relief effort so badly would be the people our Government would put in charge.
Due to pre-existing conditions, I have been declared by the health insurers as "uninsurable in the United States" (their words). That means they will not sell coverage to me at any price... in the USA.

In 2000-2001 my consulting firm paid most of the premium to cover an employee other than me, but by 2003 I could not do that any more either. I left the country and took my 15 year old consulting practice with me.

I know people all over the world. Switzerland's health care sounds slightly better than France's. My chronically ill friend in Switzerland could easily be dead if she were in any other country. Instead she is not only alive, but working.

At present I am in the UK. I came here for personal reasons, not their NHS. I do not recommend emulating their NHS health care system, which even they admit costs more than other countries in the EU without matching quality of care. Now that I am outside the USA, I have been able to buy private insurance and can get care in the private network, which is better.

If I return to the USA to live, I will again be unable to keep or obtain health insurance. Tax laws make it punitive to spend more than 30 days a year visiting in the USA. When I left, I supposed there will be no going back.

If rising anti-immigration emotions keep me from being able to renew my visa, I have chosen the next country I will go to. What I do improves the profitability of factories and telecom companies, which I hope will make me welcome.
Those of us with insurance are used to paying for it. If our taxes increased by 3% across the board, we could fund national health insurance, and 3% is far less than most of us pay now!!!!! Hmmm... less money, better coverage, coverage for everyone... is this really a debate? In a free market economy, we all want more for less - and Universal Coverage does this! HR 676 - tell your reps to support it!!!
The goverment should atleast be able to have a basic plan for everyone like Medicare. After that you could buy supplemental plans if you need it. We don't have a health care problem in this country. We have a delivery problem. When the only reason people work is to have health insurance, then how are we ever going to encorage people to start new businesses.
Interesting article.  Even if you have health insurance with a major carrier you may not be completely covered.  I have a friend in the business and she said people (me) don't read the fine print and will get caught out with a major illness.  She saved my wife and I (both self employed) a lot of money by raising our deductible, and taking out an additional policy from an independent carrier to cover us in the event of a catastrophic medical event. . .
As long small business believes government is the enemy and votes Republican not progress will be made on health care. As long as people believe Canadians and Brits have substandard care and believe the rest of false corporate claims things won't change. And no the states can't fix this mess. A national health plan similar to Medicare is the only answer. You have control costs by limting profits for both the drug companies and medical industry. As long as you let  rich folks spend whatever they can we might get something passed in the next for years.
Almost every day, people come into my small business and tell me how I should change this or that.  Sometimes, people have great ideas, but 98% of the time, what they say just shows how little they understand the business I am in.  The same is true for those who imply that I and other small business owners are stupid and deserve to die if we can't afford health insurance.  Health insurance is very expensive and many small businesses can't afford it.  Heck, businesses of all sizes are having a hard time of it.  More importantly, many people have pre-existing conditions and are turned down.  I am NOT too stupid to check with the Chamber of Commerce.  Ours doesn't offer anything.  We are not idiots, Amy & Mike.  I have an MBA and experience in this area.  I promise you that the only reasonably priced plans have very high deductibles and poor coverage.
I live in Canada and pay $44.00 per month for my health care coverage for the essentials (doctors visits, tests etc) plus about $5.00 for the rest (drugs and such). People always say that the American system is better than ours because of the wait times, but I recently had a scare where I could not move my leg because of a lump in it. I waited 45 minutes to see a doctor, and less than half an hour for an ultrasound. This was all at no cost to me or my company health plan, and my company offered health care plan covered the drugs that I needed to deal with the pain. I can not think of a better system than the one that we have here.
Part of the problem with health care in this country is the high cost of prescription drugs. The drug companies say that they need to charge higher costs so they can recoup the cost of r&d for finding new drugs to treat diseases, this really puzzles me because the government pays drug companies to find drugs for diseases (r&d). Then they use us for guiney pigs to test their crap on and find what the affects are, then hide the results give the medication to other countries at lower prices and charge the people of the United States inflated prices, then make billions of dollars year and then to add insult to injury tell us that the price is the lowest that they can charge and still make a tiny profit. In one word B___S___ . This is another part of the problem that nobody seems to address. Our health care system is on its death bed. Please someone pull the plug.
IT IS DISGRACEFUL THAT WE HAVE MONEY TO WASTE ON THE WAR,NASA AND OTHER THINGS LIKE THE BRIDGE TO NOWHERE.WHY CAN'T WE HAVE A NATIONAL HEALTH CARE POLICY AND PUT THE MONOPOLIES IN HEALTH CARE OUT OF BUSINESS?
In August of last year I was diagnosed with Endometrial cancer.  I work for a small company who did not have health insurance (I still work for them and they still have no insurance).  The 4 employees here have husbands who have incredible insurance plans.  I do not.  My lifesaving cancer surgery wouldn't even be discussed by the healthcare professionals who are supposed to save me, unless I could pay at least 50% of it upfront and make incredible payment arrangements afterwards.  Subsequently any private insurance wouldn't take me because of this condition (I had applied privately the year before, but I am overweight and was therefore denied by ALL of them).  Even the federal medicaid system wouldn't help me because I'm 35 (34 at the time), have a job, have no kids, etc.  Since all of this happened, everything is out of pocket.  I'm not rich, I'm dying in this debt.  My mother borrowed from retirement, friends pitched in.  And the governments answer was "You have to be unemployed for 6 months, and THEN we'll have OUR doctors examine you and see if this is life threatening to be considered for anything".  SIX months? I would have died.  Now, I've been given a second chance at life, and am swimming in debt and I STILL can't get insurance.  So now I miss work for all the doctors visits I have to make, don't get paid for that time, have no insurance and keep incurring debt with EACH visit.  I don't know all the discussions about politicians and small business insurance availability, but I know SOMETHING MUST BE DONE.  A year ago I would have died from my invasive cancer, now I'm dying because of the debt, and to this day any doctor that sees me sees only what I can pay... not my life, my humanity.  Something must be done.  
Regarding the comments by Amy in Macon and Mike in PA about simply joining a chamber of commerce or other professional organization to get group rates. Yes, you can do this, but the plans offered are *very* low-end plans in terms of coverage.

I run a 200 person consulting & development company and we moved to a self-insured plan 2 years ago after almost a decade of untenable double digit increases from our major carriers...we feel that providing good, fully funded healthcare is an essential benefit, but the cost is huge and will eventually outstrip our ability to pay for it even though we are fortunate to be in an industry that pays well.

For 2007, our insurance costs will be greater than our cost for 28,000 sq. ft. of office space, computer equipment, and our 401(k) plan COMBINED...there absolutely IS a healthcare crisis in this country and those who don't believe it are either ignorant, deaf, or both. If you're just listening to what the Republicans and the insurance industry (or their collective mouthpieces on right wing radio) are telling you, you're simply not tuned in to reality.
We are living in a Third World nation so long as we do not have universal health coverage. I cannot  start a business because I need health coverage. I am tied to my boring, unproductive job because I need the health coverage that it provides. Instead of opening a business, paying an employee or two, paying taxes and buying supplies from other businesses, I am stuck just being a taxpayer. Our backwards health policies stifle business formation, creativity, profitability and productivity. Someday, we will learn.
Janet from Scappoose is quite correct and on target with her comments.  Many chamber organizations struggle to find ways that offer access to affordable health care coverage for members, especially those with less than ten employees.  Larger chamber organizations frequently do offer access to a group health care plan for small businesses (which they otherwise would not be able to access), but typically with very high premiums and high deductibles.  

Chamber organizations could (and should) be part of the solution to this mess, however, too often they tend to be somewhat tepid in their advocacy efforts concerning these matters.  And there also tends to be a symbiotic relationship between them and politicians on these types of issues.  As I stated in a previous posting, there will be no relief on these issues as long as politicians in both parties continue to advance the agendas of special interests, rather than the interests of citizens that they were supposedly elected to represent.
Looking at Michael Moore's SICKO:
-- bone marrow transplants for kidney cancer is a very experimental treatment. It isn't approved or covered anywhere in the world. Only because we are in the USA is this even an option being discussed
--- health care would probably be as affordable and available here as in Cuba if doctors here were paid the same as they are in Cuba. Not likely to happen ...
I have read all the blog entries to date, and see no solutions offered.
My suggestion is to enter one Bill into congress removing the existing Federal Health Care Plans, and Federal retirement Plans from the House and Senate legislators. They have special wonderful plans that they approved for themselves long ago that cost them nothing. By removing their plans  maybe the Congressmen would have more interest in solving the national Healthcare and Social Security problems for we the people, which would then include them.
I have a better idea.  I want choice, not government mandates.  Healthcare is in America is too expensive because of unreasonable liabilities, overzealous government regulation, and government mandated charity.  For starters, let's allow nurses to treat minor illnesses and write certain perscriptions, lower the horrendous cost of FDA approval for new drugs and end the frivolous lawsuits.  That would take care of many of our problems.
We currently have a system in which the Merchants of Greed in Big Insurance and Big Pharma make obscene profits and the result is 48 million uninsured people and medical bills as the leading cause of bankruptcy for those who do have insurance.

The only answer is for the government to step in and put an end to this oligopolistic system. Everyone would be covered, no one would be bankrupted, healthcare would be better than now, and the total cost for all would actually go down substantially.  

Will it happen?  I don't know.  Big Insurance and Big Pharma have long had the public brainwashed. And they have bought and paid for the politicians of both parties for many years.  I hope it will happen.  ButI don't know.
Come on people!!  Do you really want the government that has ruined Social Security and, yes, AND Medicare to run a healthcare plan?  No one has actually spoken to the people directly involved in the system; Nurses, Doctors, Physical, Occupational & Speech Therapists are the ones who work in the trenches day in and day out.  We are the ones who see what is happening, not only with our patients, but with ourselves.  You want to see the worst healtcare coverage?  Look at a healthcare institution, especially a long-term care facility.  Medicare and state Medicaid programs have made is so these facilties can barely make ends meet.  I personally know several caring, hard-working, compassionate nursing assistants who had to choose between taking the insurance coverage or feeding there family!  This is absolutely appalling!  America is the so-called richest country in the world, but you could have fooled me.  When private insurance companies are allowed to practice medicine without a license, across the country, by mandating how long a person can be hospitalized, or whether that's even an option is immoral, unethical, and downright murderous, regardless of what standard you judge it by.  Ask the people in the trenches in healthcare what needs done.  Politicians are out for re-election.  The top-heavy government is too much of a bureaucray to do anything efficiently (look at the mess following Katrina).  Insurance companies should not be for-profit type businesses; they should be providing for those paying for their services, not to pad their own pockets.  I am willing to bet that those employed by these racketeers have the best coverage available.  After all, why shouldn't they?  They make millions of dollars daily.
And, what most Americans DO NOT REALIZE is that MediCare is the all-time single most budget-deficit causing Federal Government expenditure, by far, over 7 times more costly than all other major expenditure (Social Security, Defense, Transportation, etc.).  In a recent article published by USA Today, this fact remains absolutely hidden by the Federal accounting standards - which can not be used by private businesses.  

So, the reality is clear - if we ever had a national healthcare plan, the abuse, fraud and theft would leave this country completely broke.  Thanks to MediCare, which is costing American taxpayers over 1 trillion dollars per year, our nation is almost broken financially.  Almost.  

MediCare is the biggest government pork-barrel hand-out in our nation's history.  If we add medical coverage to people less than 65 yrs. old, we will be in serious trouble.  
This country already has a National Healthcare program, it's called Medicare.  How many of us would be satified with this level of coverage?  How many doctors would continue to practice with Medicare in control?  

The system is certainly broke, but we all share in the blame. The new Consumer Directed Health Plans (HSAs and HRAs) are a great examples of gaining control of costs while allowing more individual choice. Unfortunatly, there is little understanding by the average consumer.  It's time for all of us to become more engaged. There are plans in all 50 states for the uninsured, underinsured or children. You may be suprised as to what's already available.

Keep in mind that "if you think healthcare is expensive now...wait til it's free... "
We are a small corporation of two, aged 61 and 63, and relatively healthy.  For health insurance with a $2,000 decuctible we must pay $1,124 per month.  This is extremely difficult not to mention outrageous.  I have had to forego removal of a small basal cell skin cancer because it would cost me over $3,000 out of pocket, which is almost as bad as when I was charged $17,000 for lying in a hospital bed overnight, and having 5 minutes of anesthesia so my artificial hip could be put back in socket (called reduction).  All politicians should be stripped of their cushy health care that we pay for until we all get guaranteed coverage.
Actually, Mary, my husband works for a small clinic, and they actually PREFER patients who are covered under Medicare because they know they will get paid!  Although the system isn't perfect, it's better than fighting the insurance companies or having their payment taken away because the company was able to weasel out of it, and then they have to go after their patient!  My husband and everyone in his clinic are fighting for universal health care because they genuinely care about the health and wellbeing of their patients, and are sick of watching people drop off the radar because they can no longer afford their treatments.  
Also, speaking as one of the 45 million uninsured people, I find the system to be just. plain. crazy.  I am young, non-smoker, very rarely drink, avoid sodas and fast food, and exercise on a regular basis.  I have been very healthy for most of my life.  I have been to a doctor a total of 5 times my entire life, but I have a blemish in my health record: when I was SIX YEARS OLD, I had a serious case of pneumonia that resulted in hospitalization, and now every so often I get upper resperatory infections.  Nothing horribly life-threatening, never requiring an emergency room visit, and curable with antibiotics and rest, but as a result, obtaining my own health coverage would result in hundreds of dollars out of my own pocket EACH MONTH... equaling more than my car payment, credit card payments, and utilities COMBINED... and even with my employer paying a good portion, I would still be losing $250 a month (and none of these figures include my husband, just me).  AND EVEN AFTER PAYING ALL THIS MONEY, I can be denied coverage for some ailments because of my "history" and "pre-existing conditions"?  I find health insurance coverage to be almost as scary as being without!
I just have one question... how is this system NOT broken?
There seems to be some confusion between the care provided by doctors, nurses and other healthcare providers - and the ability to pay for that care.  

One needs to only look at the reasons for the high costs of medical care to see how to fix that problem.  Supply and demand is part of the problem, as well as the costs the medical care provider incurs to provide the services we (the public) wants.

Those costs include their own insucrance premiums to cover their legal bills when the treatment provided doesn't live up to the patient's expectations (ie: law suits).  

Being healthy is a right, but only if you exercise (pun intended) it by being pro-active in your lifestyle, and take the blame for whatever it is that ails you.
People sometimes confuses health insurance with health care.  Insurance is a for-profit third party standing between you and health care. In countries with socialized health care, there is no "insurance" except if you want to buy extras or private coverage. Instead of insurance, they have health care which is considered a basic right of citizenship.
Dear Mike and Amy,
Where do you live? In a dream world I believe.  I am a small business owner with three employees.  I can not find less expensive insurance anywhere.  I pay $1,900 monthly for health insurance in Virginia. My renewal happens in Sept. and I just received notice that it will be going up to $2,300 per month. It's not the greatest policy in the world but it protects us from catastrophies.  I just received 60 and I can not wait until I reach 65 for medicare.  Yes, this country has a real problem and it probably will break us especially after the cost of this war.  We need some way of joining with large groups of people to get a better rate. I do not know if that would work.  People do not realize how much insurance cost the employer.  It is not cheap.  If the Chamber of Commerce offered a cheaper policy I would certainly get it.  It just is not there.
It costs so much because of all the illegals and law suits make it a loss to practice medicine, kick the leeches out and make it harder to bring a case and bam more doctors and cheaper prices.  Wow deep eh?
You want high healthcare cost or high unemployment. Take your pick.


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