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| US vs. France-Switzerland-Germany-Belgium-Canada... |
Ezra Klein, the Washington Post blogger who wrote extensively and cogently on the health insurance reform debate, had
some excellent analysis yesterday at his "Wonkbook" of precisely how the Affordable Care Act to overhaul and extend health insurance can work to begin bringing down our country's exorbitant health care costs.
(You can see by the chart above right that this is a uniquely "American" problem, due primarily to the system's reliance on profit-driven insurance/health care industries, in comparison to other countries with universal coverage and excellent health outcomes, but better-regulated insurance and delivery systems.)
Klein was looking at ACA in contrast to the Paul Ryan/GOP budget plan - which intends to strip seniors of Medicare in favor of a voucherized private insurance scheme - but his outline is useful as a general overview of just what direction the new health care reform will take in beginning to control costs.
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| Rapid rise in health care $$$ are the big "fiscal" issue. |
Anyone who is truly serious about the future of budget deficits and rational allocation of our GDP understands that the only truly difficult "crisis" looming over the nation's finances is in health care costs - whether they come out of the public or private "pocket" - not the more general fiscal issues that are subject more to demagogy than serious discussion.
Here are the essentials on how ACA can help,
from Klein:
The Affordable Care Act’s central hope is that Medicare can lead the health-care system to pay for value, cut down on over-treatment, and cut out treatments that simply don’t work. The law develops Accountable Care Organizations, in which Medicare pays one provider to coordinate all of your care successfully, rather than paying many doctors and providers to add to your care no matter the cost or outcome, as is the current practice. It also begins experimenting with bundled payments, in which Medicare pays one lump-sum for all care related to the successful treatment of a condition rather than paying for every piece of care separately. To help these reforms succeed, and to help all doctors make more cost-effective treatment decisions, the law accelerates research on which drugs and treatments are most effective, and creates and funds the Patient-Centered Outcomes Research Institute to disseminate the data.