Kris Kringle can't help us
Posted: Friday, December 14, 2007 5:13 AM by Eve Tahmincioglu
Filed Under:
Health care, Back office
It’s the time of year when people throw reality out the window and daydream about getting everything they’ve always wanted.
Why not health care reform?
A national small business group crafted a health care wishlist of sorts and I hope it ends up registering with more than just Santa. There’s not a lot he can do for this nation’s ailing health care system from the North Pole. And anyway, he typically goes on a long vacation after his big night.
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| Bernd Settnik / EPA |
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The National Federation of Independent Business this week came out with a core values list, including everything from universal coverage to privatization. I know I know. Sounds like a clash of ideas, but they’re dreaming big.
The list will be used as guide for the NFIB to develop “more specific, actionable policy initiatives that will be explored by policy makers moving forward.”
This is the heart of the issue -- will this nation be able to move forward and finally reform the health care system?
The livelihood of small businesses across the country depends on the reversal of what has been mass inertia.
So, we pile up ideas on the table, not just from advocacy groups like the NFIB, but by consumers groups and the never-ending candidates running for president.
But when will we finally move forward?
Here are some details on the NFIB’s ambitious
“Small Business Principles for Health Care Reform:”
Universal: All Americans should have access to quality care and protection against catastrophic costs. A government safety net should enable the neediest to obtain coverage.
Private: To the greatest extent possible, Americans should receive their health insurance and health care through the private sector. Care must be taken to minimize the extent to which governmental safety nets crowd out private insurance and care.
Affordable: Health care costs to individuals, providers, governments and businesses must be reasonable, predictable and controllable.
Unbiased: Health care and tax laws should not push Americans into employer-provided or government-provided insurance programs and hobble the market for individually purchased policies. Small employers should be treated the same as large employers, who can already pool across state lines. A health care system built on employer mandates or on play-or-pay taxes is unacceptable.
Competitive: Consumers should have many choices among insurers and providers. Policymakers must alleviate the limitations that state boundaries and treatment mandates place on competitiveness.
Portable: Americans should be able to move throughout the United States and change jobs without losing their health insurance.
Transparent: Information technology should enable all parties to access accurate, user-friendly information on costs, quality and outcomes. Providers must be able to obtain relatively complete medical histories of patients. At the same time, patients’ privacy must be guarded zealously. The private sector must play a vital role in developing the new technologies.
Efficient: Health care policy should encourage an appropriate level of spending on health care. Laws, regulations and insurance arrangements should direct health care spending to those goods and services that will maximize health. Adequate risk pools throughout the health care system are vital to accomplishing these goals.
Evidence-based: The health care system must encourage consumers and providers to accumulate evidence and to use that evidence to improve health. Appropriate treatment choices and better wellness and preventive care should be key outcomes.
Realistic: Health care reform should proceed as rapidly as possible, but not so quickly that firms and individuals cannot adjust prudently. It is important to assure that no one’s quality of care suffers as we move to provide coverage for all Americans.