Friday, August 17, 2007

What? America doesn't have the 'best' health system? Read on.

An August 12 New York Times editorial highlights the imperfections of the American healthcare system. It is becoming clear that the United States certainly doesn’t have the “world’s best medical care.” Our healthcare system could, in fact, be considered one of the worst when looking at things such as the percentage of people who are covered by insurance and the survival rate for certain diseases and conditions.

The editorial discusses insurance coverage and says that 45 million Americans simply do not have health insurance. This is a problem. Because of the high cost of care people without health insurance are unable to receive routine checkups and are therefore unable to be screened for diseases that could be treated if caught early. Because of this, many Americans are forced to wait until they are in the late stages of a disease (cancer, for example) before they go for treatment, because they can’t afford it otherwise. The problem is that the treatment for late-stage cancer is much more expensive than preventative care, or treatment for the disease in the early stages. As a result, the disease ends up costing the patient, and the system, much more than it should. This is part of the reason why healthcare in this country is so expensive and why so many millions of American’s can’t afford healthcare coverage.

Policy Change

The healthcare and insurance system in America needs fundamental change, not incremental change, and the 2008 presidential candidates are stepping up to the plate and offering their plans for change. All of the candidates agree that something needs to be done to combat the rising cost of healthcare and the growing number of uninsured Americans. Many candidates even support a government-run universal healthcare program which would ensure that all Americans have access to affordable coverage. Other candidates, like Mike Huckabee, do not support universal coverage through the government, but instead want to focus on preventative care and driving down the cost of insurance within the private sector.

In the wake of Michael Moore’s “Sicko,” the term “universal healthcare” instantly excites people and Huckabee almost seems radical in saying that we do not need a government-run universal healthcare program. But, in reality, Huckabee might have the right idea. As discussed above, and in previous posts, preventative care and a system that values health care, not just sick care, would greatly reduce cost and force Americans to become more proactive about their health.

While no one would disagree that every American needs to have access to affordable healthcare, the argument becomes whether or not the healthcare system should remain private, or if it should become public, and run by the government. And honestly, do we really want the government running our healthcare system anyway?

Record Keeping Technology

The same editorial addresses the issue of the way medical records are kept in the United States. Astonishingly, despite the sophistication of technology in our country most of our medical records are still kept with pen and paper. But, Google and Microsoft both recognize the need for change, and are looking to fill the void in electronic medical record keeping. It makes sense that consumers want to take control of their own medical records and decide who gets to see them and what they get to see. This fits well with the consumer driven healthcare revolution, and will allow consumers to fully take charge of their health and wellness.