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Nov. 27, 2009 Apparently, from what I gather, the current health care debate indicates a serious intention to put more money into national medical insurance and, therefore, overall health care. Since it will not be a direct withdrawal from your own pocket every time you get sick, that should make you feel so much better right when the first medical symptoms start to sprout. That is how the government is going to increase the share of the economy devoted to medical spending from sixteen percent or whatever it is now to over twenty percent, possibly twenty four percent and see to it that there are still high paying jobs as well as healthy people still living here in this country. At the same time, unless everyone gets exactly the same benefits and pays precisely the same premium or bills every month, something that is highly unlikely in a country with fifty individual states and fifty state health care systems plus a variegated assortment of insurance companies, state medical boards and numerous hospitals and medical schools, someone is going to pay less and someone is going to get more services. Like sick people. And some one is going to get a free ride. Like people who have more medical problems. So what are you going to do. Some people suffer and some pay. It wasn't fair to start and it isn't going to be fair in the end. Of course, many of us will end up in the same cemetery in the same county, state or country. So what are you going to do. When you've got to go, you gotta go even if you do not care to go. To be sure, there are jobs and money involved. What I find interesting is that nowadays I see old geezers in my neighborhood with walkers, scooters and even home attendants called health care aides. Imagine ordinary workers with personal assistants just like movie stars and other rich people. This is where it is going. A lot of expensive medical toys for a lot of home bound old people waiting around for the next doctor visit. I would hope that life prolonging medicine would be given priority over services that might be nice but aren't all that essential. On the other hand, I also know that some health care plans do not pay for much in the way of nursing homes as I found in my deceased father's case and there are stories that Medicare only pays for three years of anti rejection drugs for transplant patients, a dangerous situation for those in that category. It doesn't seem proper but that is the government for you. So it's nice to see more money going into health care and hopefully it will be properly spent. Obviously, if health insurance pays, Medicare and or Medicaid will not have to foot the bill. Saving the government money I suppose. Although as I having been pointing out, there are a lot more services and procedures being offered that were not previously paid for. Along with a lot of low cost medicine being paid for by Medicare Part D. Resulting in long waits at the pharmacy. My mother, who was in her eighties, was suffering from Parkinson's and a broken hip. She was given physical therapy even though her heart and her mind were not into the exercise. But it did get her out of bed and a wheel chair she was cooped in until she needed constant medical care in a hospital setting where she developed bed sores due to lack of exercise. So all the services are nice. But again life sustaining measures should be given priority especially in a world where luxury services, such as personal tutors for the harder pressed students are now being offered, at government expense. I can see more shots to prevent this and that and that because they are cheaper than a cure and more tests to detect what ails you also to prevent it in the first place, both jacking up costs. So claims about reducing costs except where the government fixes prices can be laughed at. It's all so very nice and expensive, don't you know. I would expect private insurance bills for all the extra mandated services to beat the cost of inflation by a generous margin so I can see where the nine hundred billion dollars is coming and going and why this is so contentious in any case.
But that is where Washington is headed. They apparently are going to be offering more medicine and more services for more people. All this extra expense should probably result in rising insurance rates while the government shifts money from Medicare and Medicaid to those getting bigger tax breaks than the old deductions so that more people have more health care jobs as medicine and medical care become a bigger and bigger part of the national economy.
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