It’s the Government – Silly
By Ann Miller; RN, MHA
By far, our federal government is the largest purchaser of healthcare services, according to Robert James Cimasi MHA, AVA, CMP™ of Health Capital Consultants, in St. Louis, MO; and many others.
Although the government faces immense pressure to control healthcare costs, especially during the current HR 3200-3400 debates, it also faces pressure to expend additional funds in order to achieve its ostensible primary mission in its involvement in healthcare, i.e., to expand and improve public health.
Federal Payment Schemes
In many ways the government has led the way for cost control through its development of resource-based reimbursement, prospective payment systems, budget limitations and other payment schemes. However, its conflicting goals have led it to approach these controls in a hesitant and piecemeal manner rather than effecting bold, comprehensive reforms.
Consider, for example, the lack of government intervention in the face of mounting pressure to remove some of the barriers preventing a reduction in US pharmaceutical costs.
Today, most experts agree that Uncle Sam pays for at least 51% of domestic healthcare when Medicare, Medicaid, SHIPS, the VA, Indian and Prison Healthcare Systems are considered. In fact, according to our Publisher-in-Chief, Dr. David Edward Marcinko; MBA:
‘We already have a single payer health system in this country, but most folks just don’t realize it.”
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Filed under: Drugs and Pharma, Health Economics, Managed Care, Military Medicine, Op-Editorials Tagged: | david marcinko, healthcare reform, HR 3200, HR 3400, Indian Health Services, Managed Care, Medicaid, medicare, Obama care, Prison Healthcare, prospective payment systems, resource-based reimbursement, robert james cimasi, SHIPs, VA System