come back when you're 60 and need a hip replacement and the Health Care Administration decides that you don't get one because a 20 year old illegal immigrant also needs one.
Don't be so dramatic. I have as many questions about where our country will be when I'm 60 as anyone, but to think we'll be living in a time as you describe is just a bit extreme.
Healthcare is broken. Has been since lawyers got involved and doctors quit providing patient focused care.
We indirectly pay for uninsured care today. Why not start to regulate the records and what treatment the uninsured are getting? As far as I'm concerned it's good thing for self insured and group insured members.
Daschle says health-care reform will not be pain free. Seniors should be more accepting of the conditions that come with age instead of treating them. That means the elderly will bear the brunt.
Medicare now pays for treatments deemed safe and effective. The stimulus bill would change that and apply a cost- effectiveness standard set by the Federal Council (464).
The Federal Council is modeled after a U.K. board discussed in Daschles book. This board approves or rejects treatments using a formula that divides the cost of the treatment by the number of years the patient is likely to benefit. Treatments for younger patients are more often approved than treatments for diseases that affect the elderly, such as osteoporosis.
In 2006, a U.K. health board decreed that elderly patients with macular degeneration had to wait until they went blind in one eye before they could get a costly new drug to save the other eye. It took almost three years of public protests before the board reversed its decision.
The bills health rules will affect every individual in the United States (445, 454, 479). Your medical treatments will be tracked electronically by a federal system. Having electronic medical records at your fingertips, easily transferred to a hospital, is beneficial. It will help avoid duplicate tests and errors.
But the bill goes further. One new bureaucracy, the National Coordinator of Health Information Technology, will monitor treatments to make sure your doctor is doing what the federal government deems appropriate and cost effective. The goal is to reduce costs and guide your doctors decisions (442, 446). These provisions in the stimulus bill are virtually identical to what Daschle prescribed in his 2008 book, Critical: What We Can Do About the Health-Care Crisis. According to Daschle, doctors have to give up autonomy and learn to operate less like solo practitioners.
Keeping doctors informed of the newest medical findings is important, but enforcing uniformity goes too far.
That is fine for a lot of us, unfortunately, many people can't afford it. Why not make it affordable for everyone.