yes, but we live in a capitalist society.
I find it disturbing so many people have been throwing around the capitalist/socialist terms without an evident understanding of what they are talking about. Capitalism is talking about private ownership. Socialism is talking about government ownership. In our society, it's not either or but a mix depending on industry. The one I find amusing that no one talks about is Fascism (aka corporatism). Our healthcare system is a mix of socialism (Medicare/Medicaid) and fascism (private health insurance oligopoly.) Neither one is good for healthcare.
Medicare endorses process, not outcomes. A process for the sake of a process. For example making a DPT fill out fourteen pages of paperwork for a patient for the sake of filling them out. A government paid employee than overviews records to find out what is medically "necessary" even though they are miles away. Regulation of fraud and quality is in a building far away from where the treatment is being delivered. With 60 billion dollars of "estimated" fraud per year, it's clear what they are doing isn't only inefficient, but not working. To make everything like Medicare would be to make everything inefficient and ineffective. Beauracrats make medical decisions and determine quality not the healthcare professional and the patient.
Just in the past decade, there has been a substantial increase in the number of healthcare mergers. "
Profits at 10 of the countrys largest publicly traded health insurance companies rose 428 percent from 2000 to 2007, while consumers paid more for less coverage." (
http://blog.aflcio.org/2009/05/27/h...oar-as-industry-mergers-create-near-monopoly/ ) What they leave out here, is that more consolidation of the insurance means the increased ability to dictate payments to providers. Less payments to providers, less benefits for beneficiaries, and less competition to decrease premiums means all stakeholders except for the shareholders of the corporation benefit. So what we have is more money going into less hands. The providers and the patients lose.
So what is the solution? Many people working in the industry will say exactly what JessPT did. There is no free market. This is the number one issue facing this healthcare system. Costs are high because they are set my third-party payers, which ulimately is influenced by government intervention. For example private insurers look to Medicare as a guideline for what they will pay for PT services. Prices are set higher than what the free market would pay.
Whether we like it or not, healthcare could never be free and it will always be rationed one way or another. The reason it can't be free is because whether we like it or not, it takes resources to pay for the providers training as well as medical equipment. It will be paid for in one way or another. Both ways will involve citizens. One would be directly from patient to provider, which would set prices via the free market and demand quality. The other way would be through taxes/premiums which artificially sets prices where quality is determined by someone sitting at a desk miles away.
I've come to a conclusion that government and corporations are working together because healthcare is big business. That is the sad reality. Corporation influence in washington is pushing us in a direction where corporations and government, have much more control over us than we ever would dream. Contrary to popular belief, corporations are not the private sector jobs we need, and we don't need more government jobs which come at a cost.
Corporations act solely to maximize profits, even at the cost of jobs. You see it at Walmart where they are replacing workers with automated checkout. Even more money bypassing workers going straight to the top. The same is true with healthcare. This country needs to do some research into what is happening. Too much power in too little hands is never good. Expect higher premiums, higher taxes, lower compensation, higher regulations; all while someone on top is getting filthy rich off of the sick. The government and corporations are in collusion together, unless the people of this country figure it out and stop it before it gets too big, it may be too late. Unfortunately I think it is. People are blinded by the mass media which is controlled by corporations which then controls our government. Very sad. Educate yourselves and educate others.