Finally, healthcare reform in plain English
Filed under: Healthcare
Nine months after taking office, President Obama outlined his plan for overhauling the nation's health care system in a speech before Congress on Wednesday. It was long overdue.
Sixty-seven percent of respondents to a CBS News poll released last week said they didn't have a clear understanding of health care reform ideas because they found them too confusing. One of the reasons Americans are so puzzled is that President Obama hasn't done a good job explaining why we need reform or how his strategy will help fix the problem. His message got lost in translation.
Meanwhile, opponents have spelled out succinctly and effectively the failings of the Democrats' proposed plan -- and they've thrown in a few fabrications to boot. By using misleading words and phrases like "rationing," "government takeover" and "socialized medicine," and some truly ludicrous ones like "death panels" and "killing grandma," opponents of the president's plan have convinced many Americans that the health care reforms under consideration are indefensible. As New York Times columnist Charles Blow put it, "Conservatives speak in bumper stickers. Obama speaks in thesis statements."
That changed on Wednesday night when the president finally addressed critics head on, countering fallacies with facts. He spoke clearly, plainly and with authority about what's wrong with our nation's health care system and what needs to be done to fix it, and he defined the broad goals of his plan. "It will provide more security to those who have health insurance," he said. "It will provide insurance to those who don't, and it will slow the growth of health care costs for our families, our businesses and our government."
Some of this is quite complicated, and the president put it in the simplest terms possible. He probably didn't change many Republican congressmen's minds, but he may have gotten the attention of some citizens on the fence and those who were not sure what to think, in part by acknowledging valid ideas put forth by Republican lawmakers.
As a physician, I am particularly encouraged by the possibility that medical malpractice reform might be included in the legislation, since this has been sorely missing from the debate.
At the same time, the president stuck to his core message that we need to provide quality health care to all Americans. He said that one in three Americans have gone without health insurance at some time in the past two years. That seems about right based on anecdotal evidence in my practice. But the president pointed out that reforms are also necessary for the people with insurance. "Those who do have insurance have never had less security than they do today," he said.
It's now incredibly common to see patients who have either lost their jobs or are about to -- and they risk losing their health insurance as well. All President Obama or any politician needs to do is spend one week in my office or that of any doctor in America to see first hand how inefficient and unfair the health insurance industry is, and how frustrated both doctors and patients are as a result.
I saw a patient this week who was about to pay $1,500 out of pocket for a battery of lab tests (a Pap test, HPV test, STD screening and a cholesterol test) because her insurance company denied coverage. The first few tests are routine screenings for cervical cancer and the cholesterol test is obviously a preventive screening tool. The patient said she couldn't afford to have a colposcopy, a diagnostic test for cervical cancer even though the procedure was clearly necessary in her case. Fortunately, after the patient and my office staff spent two hours on the phone, the insurance company reprocessed the first panel of tests and covered them. Let me point out that the patient was a bright, educated woman; those without her persistence might not know to push back and challenge a denial of care.
I witness manipulative tactics like this by insurance companies every day that make it difficult for patients to navigate the system and get the quality care they're entitled to. The question is: Have enough Americans had similar experiences that the president's speech will serve as a wake up call to take action? Maybe Obama's simple yet stirring speech will inspire people to support the efforts to fix this problem, rather than let politics derail it.
Did he leave out details? Yes, there are still a lot of specifics to be worked out, which is why laughter erupted in the chamber when President Obama said, "There remain some significant details to be ironed out." But that's where Congress steps in to consider the various options and ideas, and to find compromise in order to close the deal.
So much of what has and will be written about the president's speech is partisan: The focus is on whether Obama will regain popularity in the polls and reinvigorate a faltering presidency or if Republicans will succeed in killing health care reform once again. From my perspective, this is not a chance to win a political victory. This is about finally being within reach of a health care system that works -- for everyone.
Russell Turk, M.D., is an obstetrician and gynecologist in Fairfield County, Connecticut.



























Reader Comments (Page 1 of 12)
9-12-2009 @ 2:33PM
bob martin said...
I HAVE ONLY A HIGH SCHOOL EDUCATION AND I UNDERSTOOD HIS PLAN.
IF THE OPPOSERS HAD QUITE TRYING TO DERAIL IT WITH ALL THEIR FABRICATIONS OF TRUTH, THEIR WOULD NOT BEEN ANY MISUNDERSTANDINGS.
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9-12-2009 @ 11:24PM
jack said...
Yes, you have a high school education.... you can read, but you still do not understand
9-12-2009 @ 11:25PM
FIWIKI said...
Did you understand that the projected unfunded debt on the current medicare system is $89 trillion. Oh, yeah the POTUS failed to bring that part up.
9-13-2009 @ 2:30AM
cruisedoc said...
I am a practicing physician of 25 years and emphatically disagree with Dr. Turk. Certainly we need reform and insurance company oversight, but I do not believe it has to involve socialized medicine in any way. Of course we need TORT reform, and I believe Mr. Obama just attempted to throw a bone with talk of a pilot plan. Just do it. If the Stimulus could be rammed through in such little time, then so can TORT reform.....if you're serious about it. HC is expensive, and I personally don't believe it is going to get much cheaper. In fact, as technology grows, it is likely to get more expensive, that is, for state-of-the-art care. Of course there is nothing called a 'death panel', but there are 'advisory panels', those who will recommend how much care can be afforded and given. A person denied, say a high priced chemo drug, might have a different opinion regarding whether to call it an advisory panel or death panel. Keep in mind that NO other national health plan allows the use of the newer chemo drugs, like Avastin, which can cost $17,000 a month. It is simply too cost prohibitive. In the US, so far, insurance companies and medicare have paid for this drug and other similar drugs. Over 50% of the cost increases over the past 30 years is due to higher technology. So, what happens when we have the technology to make everybody the $6 million man, but we don't have $6 million per man? To date, by and large, rising insurance premiums have covered very expensive care for those stricken. I seriously doubt that a huge government bureaucracy can lower prices and offer anywhere near the same level of care. Yes, we need reform, we should not try to throw out the whole system and start over with the government in control. We need to forge ahead and make some real progress, but slow enough to see what works and what doesn't. Dr. Turk has one opinion, I have another, and as I discuss it with my colleagues, l find I am not alone. In fact, I have yet to talk to a single colleague who supports any current plan. Obama
9-13-2009 @ 8:59AM
MK said...
There appears to be confusion in the term understanding. Everyone seems to understand what he says. It is the difference in what has been written (into the bills) and what is written that is the problem. When you understand that, media statements like: "By using misleading words and phrases like "rationing," "government takeover" and "socialized medicine," and some truly ludicrous ones like "death panels" and "killing grandma," opponents of the president's plan have convinced many Americans that the health care reforms under consideration are indefensible" - are the indefensible misunderstanding. Dear Media: quit misrepresenting thyis left wing agenda and READ THE BILL.
9-13-2009 @ 9:57AM
JWR said...
QUIT
9-13-2009 @ 5:33PM
a-bus said...
bob martin _ I also have a high school education, come from a lower income home, and two college degrees I paid for on my own but all the information I have looked at tied direct to the bills now in Congress - do leave open no protection against undocumented people in this country, have built in systems with in the bill that will leave employers with a simple choice to dump employees with privet insurance onto the government option and there is one it would be the exchange with rules,
So Bob if you believe Obama you need to do further investigation and read the existing bills now written by one party only. I hope you reconsider to look into this you will be sorry once its in place because there will be no turning back-Just what Obama and his brown shirts want.
9-13-2009 @ 7:36PM
chuck said...
where public SKOLL
9-14-2009 @ 6:52PM
chuck said...
another DEMOCRAT LOSER who cant spell (QUIT) not quite, who is this really that IDIOT joe plugs biden
9-14-2009 @ 9:39AM
Cathy said...
this is plain english
congress must pay off the national debt
they must audit The Fed
they must stop deficit spending
they must put the dollar back on the gold standard
then they can spend what tax dollars they collect on which reforms they can afford to fund. simple!
9-12-2009 @ 6:03PM
LAST MAN STANDING said...
I AGREE THE CONGRESS HAS EVERYONE CONFUSE EVEN PRESIDENT. YES ALL SENIOR KNOW THAT MEDICARE IS RUN BY GOVERMENT BUT THEY PAID INTO MEDICARE THROUGH WEEKLY DEDUCTION FRON THEIR PAYROLL CHECKS .WHICH FOR MOST WORJER IT OVER FORTY YEARS.NOBODY KNOW WHY THEY HAVEN'T SYPO THE FRAUD AND ABUSE OF MEDICARE PLAN IF THEY GOVERMENT ALREADY NEW ABOUT IT. THIS AKES ALL DEM'S LOOK LIKE THEY WERE SLEEPING ON JOB MANY OF THEM HAVE BEEN THERE SINCE BEGINNING OF TIME . CONFUSE YES BUT MORE DISAPPOINTED TAHT THEY CAN'T BE HONEST AND DO THE JOB THEY WERE SENT TO DO . IT A SHAME THE TAXPAYER AREN'T STUPID MADE BE WE JUST GAVE THEM THE BEBIFIT OT TIME TO WORK THSES THING OUT BUT OBVIOUSLY WE WERE WRONG.
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9-13-2009 @ 3:30AM
steve said...
We also pay monthly for medicare
9-12-2009 @ 3:45PM
jd said...
The only way to start reforming healthcare in a democratic government with a capitalist economy is to make people realize that healthcare is an earned privilege, not a right. Just like you pay to keep your car maintained so you can get to work and put food in your mouth so you can stay alive, so should you pay to maintain your health so your body can stay alive. It's that simple. The notion that "insurance" is somehow required is ludicrous for preventive procedures. Just as with automobiles, the only thing insurance may be needed for is CATASTROPHIC healthcare (hospitalization longer than 3 days). PERIOD. Get it through your thick skulls, you stinking liberals and stupid conservatives.
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9-13-2009 @ 12:44AM
James said...
What you're saying is you need to 'earn' the money to have Health Care. So women 65 or over that are married, and are still married or their husbands have passed away, and have never been in the workforce should not be able to use Medicare because they didn't 'earn' it.
Workers with families who got layed off through no fault of their own and can't afford Health care shouldn't be able to have Medical insurance through Welfare because they are not 'earning' it.
A mind is a horrible thing to waste. And yours is wasted.
9-13-2009 @ 2:46AM
cruisedoc said...
Stupid liberal, huh? Well, I agree that there are some who are looking for a free ride. Beyond that, you make a lot of sense. My personal policy is very inexpensive at $375 a month. No, it doesn't cover the small stuff, but pays 100% up to $3 million, after I reach my deductable. So, I take responsibility for routine visits and tests (although at a negotiated rate), but I can't go bankrupt and am covered for major expenses. If my bill is $250,000, I still only pay my $5k deductable. Yes, I know that's a lot for some people, but they aren't likely to have to sell their house to come up with it.
9-13-2009 @ 8:43AM
fc said...
True reform in health care starts with a preventative medicine approach. I agree, like taking care of your car, you must take care of your body and mind before it breaks down. Regular oil changes and tune ups prevent problems with your engine, good education and a Mayo clinic model of medicine will lower health care costs because we will prevent illness and decrease the burden on health insurance. To think that we only have to change the delivery of a system and not change what is causing us to access it, is simple minded.
Quit smoking, prevent obesity and you will see costs driven down even without health care reform.
Expecting to fix a medical problem after years of abuse is not the solution. That would be like driving your car without ever having it inspected or treated correctly.
We need to do something....we can not throw out some kind of reform.
9-13-2009 @ 9:45AM
Tom said...
In other words you are saying only those who can afford it should be able to survive.
Pretty cold.
9-13-2009 @ 5:23PM
doesntmatter said...
Wow you're obviously rich and haven't had a condition like an immune system disease which requires constant medical treatment to stay alive... So someone born with an illness should suffer even though they didn't chose to be born that way? Even if they are someone who works hard like 60hrs a week doesn't recieve any government money and can't recieve insurance from their employer and still struggle to cover costs of preventitive medicine...? Must be awesome to have so much money it doesn't mean anything to you and you can throw around $5k for a hospital visit whenever. I bet you're a great guy with a bunch of friends...
9-13-2009 @ 8:29PM
Tend said...
I disagree, we have congressmen and senators in DC that have quality Health Care, not to mention many many other benefits that the Tax Payers are paying for. If any one of them had to seek medical care under the insurance most americans have you can bet they would get off their behinds and do something. Death Panels, we already have that because if you don't have QUALITY Ins you do not get QUALITY treatment. Drugs and Test that could help you are never mentioned and yes people are dying because they simply have no Insurance. The elderly worked all their life only to find that they are treated as usless non-productive citizens and they paid Uncle Sam and now that they need him to give a hand they are handed a bandade. They can't afford the Gaps on the prescription coverage the Goverment came up with so they miss many days and not taking any. What we have come to is if you are not a productive member of society you are denied drugs that are readily available to your Politicians and yes your life span is shortened . If they cared they would cut some of the costs going to themselves that might make a lot of people feel better.
9-12-2009 @ 4:04PM
ettucat said...
O ONE is saying preserve the status quo. NO ONE! We are saying we want TORT REFORM, we want INTERSTATE ACCESS to health insurance, we want SOME REGULATION and STRICT OVERSIGHT of insurance company tactics, we want them to DETECT, INVESTIGATE, and ELIMINATE the fraud, corruption, and inefficiencies in the current social programs of SS, Medicare, Medicaid, VA Services, and all social programs and agencies currently operating. We want Congress and the President to THROW THEIR SPECIAL INTEREST GROUPS UNDER THE BUS, and actually do something for the American citizens, for a CHANGE WE CAN SUPPORT. Stop protecting those big supporters of your re-election, who promise you the means to increase YOUR OWN wealth and power. Show some integrity in doing the job the people have elected you to do.
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