The Future of Health Care


 I read the other day that 20% of the income of a typical medical office is spent on insurance claims administration. Then there's the insurance company cost of administering the claims, plus the cost of the darned ERISA lawyer who brings those class actions. A billion here, a billion there, pretty soon it starts to add up (Thanks Ev Dirkson). I read the other day that most of the Democratic candidates for Preident are not only afraid of suggesting single-payor health plans, but are afraid of suggesting expanding employer coverage. In other words, despite everyone being miserable with the present system, it's become like the weather - everyone complains, no one can do anything about it. Then I read that some were proposing that ERISA preemption of health care matters be lifted so that the states could be freed to try what the states are supposed to do -- experiment with different ideas so we can get a handle on a national solution. But the ERISA wags say "no no no. National uniformity is far too important for big corporations. After all, these corporations can't even keep up with the laws of the tens or hundreds of nations in which they do business so . . . wait a minute, yes they can and do quite well at it." And the wags win, because we don't want to upset big corporations. So the most logical means of finding the answer is removed. And we are left with nothing.

I think I'll stop reading.