Much more of health care had been delivered privately or on a community level like other small businesses, but with the industry becoming corporate and publicly held, costs increased greatly; enter profits, even at the so-called non-profits; enter huge CEO pay; enter generous contracts for consultants; (many of these consultants being former executives of the corporations) enter advertising, outrageous commissions for landing contracts, extensive expensive mailings, big expenses for specialists who invest the float and the required reserves with banks; etc.
We don’t need all of this to accomplish the payment of our health bills. The ACA fails miserably by failing to address and reform these matters.
On Aug. 4, ObamaCare pro and con positions were discussed on the Free Press opinion page. The arguments reduced themselves down to the wisdom and folly of employers and young people gaming the system. It was truly disgusting. Do we know nothing about developing a plan for a terribly serious purpose that doesn’t resemble a game of chance at a casino? Forbid it that Socrates was totally correct. We obviously need mandatory basic coverage for everyone and the simplest payment system possible — one that can function with a mix of providers similar to Medicare. In this system as in Medicare and Medicaid, insurance companies have contracts with the government to handle the day-to-day business of payments. They might offer supplementary policies to those who make that choice.
Delmer C. Eggert is a retired medical doctor, he had a private practice in Mankato for 36 years and was a medical consultant to the security hospital in St. Peter and to social services agencies.