Friday, September 18, 2009

Screw up, Fix, Screw up. Fix until it is not Fixable

The government steps in and "fixes" a problem. But because they are not "long term" thinkers the "Fix" always has unintended consequences...that need fixing.

And on and on it goes until it is beyond fix. Are we at that point in healthcare "reform". the latest bill proposes to mandate individuals have insurance. But one of the ways they propose to finance it is to tax health insurers. Huh!!!!! So we are going to "fix" the high cost of healthcare by increasing the cost of healthcare.

Only congress could come up with that.

Tuesday, September 15, 2009

Controlling Healthcare Costs

The mantra now is the we must control healthcare costs. But this is an unreachable goal. Sure we can reduce costs by limiting service, but limiting payments, but these always come with unintended consequences and are not really controlling costs, but mus managing healthcare.

The government, since it is already headlong into healthcare must think this; We must create the environment to enable the market to function and to produce the best care at the optimum price.

To do;

Create a competitive environment and not with a government option when the government controls all the rules and when the government is made up of people (from that old song...) who can' say "No".

To make the environment better on costs some limits on the option to sue. The environment now just encourages lawsuits. To start a lawsuit costs little and may generate a tsunami of money for the lawyers and the plaintive. If they lose, so what, little ventured.

The customer has to have skin in the game. No one should go to the doctor without having to pay someting. Every doctor should know and make avaiable "How much this will cost".

More later