Tuesday, May 22, 2007

Health Care Reality

Jeff Cornwall presents the NFIB survey of Business Owners over the question of Health Care. The greatest majority of Business Owners identify Cost is the most important problem with the Health Care issue, and think that increasing Consumer Sensitivity to Health Care Costs can be a Cost-Saving measure. They believe in individualized premiums but not denial of Coverage. A majority of Employers still think they should have some involvement in provision of Health insurance, but that it should be voluntary. Again, a majority of Business Owners think that Government subsidies should be kept out of the system.

There are several Errors in this stance, Some where Business are actually shorting themselves. The most drastic comes in their demand for voluntary participation. A Government Mandate dictating provision of Health Care coverage alters the Schematic, insuring that Competition must face the same profile as themselves, if Employees insist on Health Care coverage. Tax and Accounting practice grants minimization of Tax charges based upon a maximization of potential Profit declaration areas. Consumer Sensitivity to Health Costs will lead to a under-utilization of Health services, which will eventually generate worse Health Care outcomes for Employees, and simply place your premiums on the wrong side of Cost-Averaged premiums. Individualized premiums generate excess Item Costs, eventually creating a lop-sided Bell curve of Averaged-Costs premiums slanted to higher premium Cost overall. A Universal system of Health Care coverage would have to a Government program, to insure that even the unemployed are covered; this of actual benefit to Business Owners, creating the condition that they only have to subsidize the health care of their Employees alone, and not their families as well.

The optimum Health Care system would be a Universal Health Care program with optional ability to engage Private Medical Care. I like a Universal system where all Health Care is paid by the Government, but only at Costs equivalent to levels consistent with Employee provision–Medical Providers are all considered to be Employees gaining a certain level of Wage, with Medical Testing, Services, and Hospitalizations likewise limited by Universal Price rates. Insurance Providers cannot extend amounts greater than Government provision, while Consumers can provide a Consumer-set Gratuity for performed medical service to a preferred Medical Service Provider.

Here is the real Meat of the Proposal: The Government will tax Everyone the first 8% of all Tax receipts, no matter the Tax source, for payment of all Health Care Costs. Health Insurers will become nonentity Participants; I would suggest they switch to Property Insurance, potentially reducing these high Costs. Employers would be limited to potential provision of a Gratuities Fund for Employees to pay preferred Health Care Providers. Universal Health Care would become fact, Medical Providers would get a Living Wage if they maintained a minimum Patient load, Patients could choose their Medical Providers and give them a Gratuity if they thought well of the Providers’ provision of services. We would only then have to work on Patent and Copyright extensions to limit Rent-Seeking in Royalties in the medical industry. lgl

No comments: