Monday, December 29, 2008

Our favorite health related blog, Health Care Blog, had an interesting post. Apparently, Obama-Biden Transition Team has encouraged individuals to gather in small groups with friends to discuss their ideas for health care reform so that citizens could provide feedback to health reform czar-designate Tom Daschle.

This clever and witty poem is a product from one of such gatherings:

‘Twas three nights before Christmas, and despite cold and storm

We’d gathered together to talk health care reform.

Clutching Team Obama’s brief questionnaire

We went over each item with scrupulous care.

Middle-class, middle-aged and in the Midwest

With our host’s college kids for reality test.

O’er the country many thousands had signed up for the same

Despite fear “special interests” would come rig the game.

But as we plain folk gathered by the living room fire

We closely read instructions, then vented our ire.

It was plain to us as the new-fallen snow

That insurers existed just to say “no.”

Choosing hospitals and docs? For verification

Our group relied on the best reputation!

While I plumped for more data on quality of care

“You can’t measure,” they said – so I tread lightly there.

(OK, the truth – and please don’t tut-tut

I struggled, alas, to keep my mouth shut.

But praise to the docs there, all credit should be

For their politeness to the lone plaintiff’s attorney.)

We were asked to tell tales that came from our lives

Like self-employed men who hire their wives

In order to become an insurable group –

They still paid big premiums; insurers ain’t dupes.

“Healthier lifestyles and policy?” – we gave that a jab.

It’s mostly your fault that you’ve got so much flab.

(Not being Republicans, we adjured condemnation

We knew of the links ‘tween income and education.)

The role of employers? We cried, “Get them out,”

But decided, “A transition” -- after thinking of clout.

Yes, we had fun, we talked “big picture,” too:

Single-payer, malpractice, and why Americans do

Not think other nations can help us advance --

Though our group had lived in Italy, Russia, the UK and France.

But most of our talk, and most of the clatter

Centered on cost – there’s the heart of the matter.

A woman whose son has a quite rare disease

Spends endless time fighting for care that he needs.

Oftentimes, she must threaten to sue

To get paid for the care she knows is their due.

And this is a woman of much sophistication --

What happens to the less powerful in this, our great nation?

Care’s a “privilege” or a “right”? – those words carry freight.

And so we conducted our own short debate.

“Basic care” for all? Yes, but choices are hard.

Do you get the same care if you have no green card?

Ethics, morality – all very nice

But what Team Obama omitted was any hint of the price.

Will cutting out waste and boosting prevention

Allow painless “reform”? That is the question.

Someone will pay – there is no free lunch.

But “someone,” for now, won’t be our small bunch.

We took a group picture (it’s what was suggested).

We’ll soon review notes (it’s what is expected).

And though Daschle by the “grassroots” has vowed to be led.

No false visions of sugar plums danced in our heads.

Twas three nights before Christmas, but we’ll know Santa was here

When reform becomes law – and as a Cubs fan I believe, this is the year."


We hope you enjoyed this poem. Maybe, you would even consider joining our group for similar discussion. Let us know by replying to this post.

Happy Holidays,

SlavMed Team



Thursday, December 11, 2008

Daschle to Head Health and Human Services - Good or bad?

It was announced today that former Senator Tom Daschle is Obama's choice for secretary of health and human services.

Obama previously said that healthcare is “not something that we can put off because we are in an emergency. This is part of the emergency.” The new health czar clearly shares this sense of urgency. He said that “Our growing costs are unsustainable, and the plight of the uninsured is unconscionable.”

But how will all these sentiments translate into practical solutions?

Will the government offer its own health insurance plan, to compete with private plans as the new administration proposed during the campaign? Will the private insurers hold down costs and improve care if they have to compete with a public plan? Or will they simply be driven from the market?

In a meantime, we still find that there is no practical alternative to medical tourism for those who need treatments now.

What do you think?

Tuesday, November 18, 2008

Can you believe it? Are we entering Middle Ages?

Bush administration plans to grant sweeping new protections to health care providers who oppose abortion on religious grounds. What????

Even Bush appointed legal counsel of the Equal Employment Opportunity Commission said the proposal would overturn 40 years of civil rights law prohibiting job discrimination based on religion.

WTF?

Employees of the pharmacies will be able to refuse to fill prescriptions for contraceptives? Turn away Medicaid patients? Hospitals will not be required to offer emergency contraception to rape victims?

Thursday, November 13, 2008

Healthcare reform anyone?

Economy is in crisis. So is healthcare. Will the Obama administration be able to move forward on both health insurance and various social/culture/civil rights issues surrounding access and choice? Or will their health care reform suffer the same fate as Clinton’s?

Democrats seem to be determined not to let it happen. Senators Max Baucus of Montana and Edward M. Kennedy of Massachusetts “intend to aggressively pursue significant - and expensive -- healthcare legislation despite an expanding federal deficit and President-elect Barack Obama's intense focus on the ailing economy” (http://www.boston.com/news/politics/politicalintelligence/2008/11/senate_democrat.html).

It is impossible to cover all uninsured and underinsured without revamping the entire system. On the other hand, there’s no way to solve America’s economic troubles without fixing health care for the long term. The public agrees. Even the Big Business agrees. Is it the perfect storm we needed to get things done?

Baucus’s plan claims to employ a "holistic approach” and to address not only healthcare access but also costs. But will they move fast enough to capitalize on Obama's “honeymoon period”?

Tuesday, October 14, 2008

Our favorite quotation

Easy is right. Begin right and you are easy.
Continue easy and you are right.
The right way to go easy is to forget the right way and forget that the going is easy.

Chuang - Tzu

Monday, October 6, 2008

Do we have any hope for healthcare reform?

We know that American medical care is the most expensive in the world. We would like to think that being the most expensive, it is also of the highest quality. Yet year after year we look at the reports and articles that compare quality of care in the US and other industrialized nations and realize: it is simply not the case.

Commonwealth Fund, a nonprofit research group in New York, reported:
http://www.nytimes.com/2008/07/17/business/17health.html?fta=y

1. United States spends more than twice as much on each person for health care as most other industrialized countries.

2. Yet, US is on the last place among those countries in preventing deaths through use of timely and effective medical care.

3. Access to care in the United States has worsened since 2006. More people,75 million,lack adequate health insurance or are uninsured. The central finding of the report - access has deteriorated.

4. Assessment of the United States on 37 health care measures finds little improvement since 2006. Bottom line: the cost of health care continues to rise, more people — even those with insurance — struggle to pay their medical bills.

5. United States ranks last in preventable mortality, just below Ireland and Portugal. The leader by that measure is France, followed by Japan and Australia.

6. Other countries worked hard to improve.Britain, for example, focused on improving the performance of individual hospitals that had been the least successful in treating heart disease. Making top-quality care a government priority led to success in Britain.

7. Business leaders also see a need for health care changes. They agree that it’s been as bad as they have been thinking it is.

8. Inefficiencies of the American health care system: the administrative costs of the medical insurance system consume much more of the current health care dollar, about 7.5 percent, than in other countries. In comparison, administrative costs are at the level of 5 percent or so in Germany and Switzerland, where private insurers also play a significant role.

9. A lot of the waste in the US system is the antiquity of the information technology and the burdensome regulatory and compliance costs of doing business in 50 states. A more uniform system could result in savings.

Conclusion? US healthcare needs a change! (That word again!) With a bankrupt financial system and national debt approaching 10.5 trillion, it is doubtful that there is hope for a reasonably quick solution.

Until then, medical tourism in Europe may be the most viable choice for many of us in need of necessary treatments. Difference in price is remarkable. Vacation is spectacular. Difference in quality? Read the post again.

Any thoughts?
Slavmed.com

Tuesday, September 16, 2008

Why medical tourism?

According to the US Census Bureau over 46 million Americans were uninsured in 2005. Rising healthcare costs coupled with overwhelming number of the uninsured makes one wonder – where do Americans get their medical treatments? A medical tourism phenomenon is a logical response of market economy to the imbalance between demand, supply and price in the US healthcare.

Difference in price is main reason for patients to seek medical care abroad. Without a doubt, many comprehensive medical and dental procedures are more affordable abroad yet the quality is outstanding! Many think that lower prices equal lower quality but it is not the case. The prices are lower not because the quality is jeopardized but because the healthcare systems are different. There are no third party payers involved in the process.

We want to hear from you: Would you consider medical tourism as an option for you or your family members? Please share you pro and con arguments.

For more information: slavmed.com

Tuesday, September 9, 2008

SlavMed

We created this blog to invite meaningful discussion about today's healthcare and unconventional alternatives made possible by the phenomenon of medical tourism.