Okay, this is scary….

Thursday, February 26, 2009
By Helen Smith

In reading about Obama’s new $634 billion health fund, I came across this:

The budget figures also represent significant shifts in how the United States will pay for medical care.

For example, experts have identified hospital readmissions — especially for elderly patients — as a sign of poor care and unnecessary expense. About 18 percent of Medicare patients are readmitted to the hospital within 30 days of an original visit. The new approach would establish flat fees for the first hospitalization and 30 days of follow-up, sometimes done by separate facilities. Hospitals or clinics with high readmission rates could be paid less.

I am not sure what the details are but just from reading the above, how is punishing hospitals or clinics who re-admit sick patients by paying them less going to provide good care? It’s like the insurance programs that dock doctor’s pay the more patients they see–and reward them for seeing fewer. Many just see fewer, regardless of whether the patient is better or not. But maybe I am naive and good care isn’t the point. Maybe the point is to make a certain portion of the American population including the president feel good that all Americans have insurance, even if patients are left sitting outside the hospital door.

Perhaps I have this wrong, maybe there is more to this “new approach” than I have heard about. Maybe….

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  • During the campaign, Obama promised to reduce the number of uninsured Americans, improve the quality of care and save the typical family $2,500 a year in medical costs.

    Ummm, I just saved about $25K on a new car. I did not buy it! I am fixing up the old one instead.

    It sounds like the way they will be saving money with this universal health care is to limit how much health care each person can get. Many people in countries that already have this type of health care are denied many of the services that they could get if they could afford it and many are even denied it if they want to pay out of their pocket to get it. Why do you think so many come from Canada to get health care in the US?
  • So 18% of sick elderly patients discharged from the hospital have to be readmitted within 30 days. What a shock, huh? And we're supposed to take that as a sign of poor medical care? That's completely illogical.

    I'll tell you what will happen if this passes and gets implemented. Doctors and hospitals will start turfing the sicker patients to public hospitals and academic centers and refusing to admit them. They will say, "we're sorry, we just aren't equipped to deal with a problem of this magnitude, you'd be best off at the academic or tertiary care hospital down the street." Most hospitals in this country are already in serious financial straits. Does the Obama administration think they're going to sit still for this crap? Medicare patients better start writing to their representatives because it's going to get a whole lot harder to find hospitals that are willing to accept them if this thing becomes law.
  • real f
    OK, I'll be the one to see the really dark side of this. Mostly older patients are the ones that need the most care. Who's going to suffer the most? OLD PEOPLE!

    So, if you want to take care of more illegals, and their babies, and younger people who are more liberal, and vote more democratic, why not cut care for those who are more likely to oppose you? Especially as those who voted for Reagan get older and older... and oppose socialism/communism...
  • The point is, Obama looks very presidential.
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