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The Case For
Universal Health Care Bill 7030
John R. Battista,
M.D.
- The publicly financed
health insurance program this Bill would enact would decrease
total health care expenditures in the State of Connecticut by over
2 billion dollars a year as per the 1992 Office of Health Care
Access study on the benefit package delineated by this Bill.
- The 2 billion dollar
savings are the result of decreased insurer administrative
expenses (67%), decreased hospital administrative expenses (14%),
decreased physician administrative expenses (26%), decreased cost
of purchasing medications and durable equipment (30-40%), and
coordinating care throughout the state.
- Addition savings, not
considered by the Office of Health Care Access report, would
result from:
- Decreased
administrative expenses to the State as a result of
consolidating health care administrative functions currently
spread through several different departments
- Decreased insurance
premiums on non health care insurance that have health care
benefits attached to them (automobile insurance, work-man's
compensation insurance, malpractice insurance)
- Involving physicians
in developing quality assurance standards that are cost
effective, and having those standards protect them from
malpractice claims
- Emphasizing preventive
care and allowing access to health care which will prevent
medical illnesses or allow it to be treated early, when
intervention is more effective and less costly
- This Bill would solve the
health care problems associated with our current multipayer
system. It would provide health insurance for the uninsured. It
would increase quality of care for the poor who seek health care
under title 19 or title 21 (Husky) insurance programs. It would
decrease out of pocket expenses for senior citizens and the
disabled on Medicare. It would eliminate disruption of continuity
of care, lack of confidentiality, and quality of care issues
associated with employer based, managed care programs. It would
make health insurance more affordable for small businesses. it
would free workers from having to stay in unwanted Jobs in order
to maintain health care insurance.
- The Bill would create a
democratic system for determining benefits, rates of compensation
for health care providers, and taxes by creating a formal
mechanism to allow consumers, providers and health care
organizations to advise the public insurer before making budgetary
recommendations to the state legislature.
- The Bill is consistent
with the wishes of the population. In the last poll on this
subject by the Hartford Courant in 1990, 60% of the population
supported publicly financed universal health insurance.
Furthermore, the vast majority of the population believe access to
health care should be a right of citizenship. The CT Council of
Bishops is on public record in support of universal health care.
- The public financing of
health insurance is not socialized medicine. This is a health
insurance financing system, not a health care delivery system. The
delivery of health care is left in a competitive, free market
system. In fact the medical free market system, which has been
undercut by managed, corporate health insurance, would be
strengthened by this Bill.
- There would be no lines
under this system because the State of Connecticut has a
sufficient oversupply of health care providers and diagnostic
equipment (35%) to handle the increased demand (15%) associated
with this Bill.
- The Bill is acceptable to
health care providers because it would not reduce income, it would
eliminate frustration with managed care, and give providers a
meaningful voice in determining rates, benefits, and quality
assurance standards. Voting by the New Milford Hospital Medical
Staff revealed 4 of 5 physicians in favor of this Bill. A Just
released study in the New England Journal of Medicine shows
a majority of academic physicians, residents, and medical students
favor a single payer, publicly financed health insurance program,
and prefer that system over a managed care system by three to one.
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