In this political season, the health
care crisis has again become a hot topic. Make no
mistake, the U.S. has the best health care in the world
in certain areas, mainly trauma care, surgery and
infectious disease control. But when it comes to chronic
degenerative illness like arthritis, diabetes, heart
disease, cancer or autoimmune disorders like Lupus and
Multiple Sclerosis, the U.S. has more cases per capita
than any other country. At the same time we pay about
three times as much per person than other countries for
medical care. So what's the problem?
Let's start with managed care. These
organizations were touted as the solution to lower
health care costs. Yet, health care costs have
skyrocketed at even higher rates since HMO's and PPO's
took over our facilities. The main reason for the
existence of managed care is to increase profit by
keeping their costs down while increasing revenue. This
often results in increases costs to consumers. Here's an
example. I recently asked my medical doctor about a
suspicious mole on my arm. He agreed that a specialist
should check it and referred me to a well known
dermatologist. Sure enough the dermatologist agreed the
mole should be removed and a biopsy sent to a lab.
Unfortunately his PPO no longer paid him to do this
procedure (which he had preformed hundreds of times
before) so he referred me to another specialist. The PPO
approved specialist examined my small mole. "Yep that
should come off," he said, "We'll schedule another
appointment next week." The final visit took about 20
minutes to complete a procedure that 20 years ago would
have been finished on the first doctor visit. Total bill
for the four office visits and biopsy? Close to 1,400
bucks. Of course if I hadn't been covered by my wife's
health insurance from her state job, I may have gotten
up to a 20% cash discount and at least one or two less
office visits. Still wondering why health insurance
premiums are so unaffordable?
How about prescription drug costs?
It's well documented that the U.S. pays more for the
same drugs that bring a cheaper price outside our
borders. Who picks up the tab? Mostly private insurance
or Medicare /Medicaid. The costs are passed on to the
patient as higher insurance premiums or to the doctor as
less reimbursement for services. Still wonder why
insurance companies and pharmaceutical companies rival
the oil giants for record profit margins?
What about the hidden costs of
prescription drugs? Keep in mind, prescription drug
interactions are now a leading cause of death in this
country. If proper monitoring was taking place, how many
lives would be saved? How much could health care costs
be reduced? Although they can save lives, prescription
drugs are potentially dangerous. That's why you need a
prescription!
Now the latest news. The American
Academy of Pediatrics has recommended statin drugs for
children as young as 8 years old with high cholesterol.
Here's a news flash. High cholesterol doesn't cause
heart disease. Inflammation causes heart disease.
Inflammation causes damage to the inner walls of the
blood vessels. Cholesterol repairs this damage. If you
have lots of damage, cholesterol will clog the arteries.
If your inflammation and damage is low, your cholesterol
levels don't matter. Case in point, the Eskimos have the
highest cholesterol levels recorded in any population.
When they stuck to their traditional diet of whale
blubber and fish (high in anti-inflammatory OMEGA-3 )
they had extremely low levels of heart disease. When
fast food came to town, heart disease went up. If the
American Academy of Pediatrics is concerned about heart
disease in children, how about taking a cue from New
York State and lobbying to take hydrogenated oils out of
our food supply? Hydrogenated oil clogs blood vessels,
reduces organ function, and increases inflammation. As a
preservative, hydrogenated oil increases shelf life of
food therefore increasing food industry profits. Isn't
it time we put our childrens' health ahead of corporate
profits?
So what can an individual do to bring
down health care costs? Vote for candidates that pledge
to put pressure on the insurance, pharmaceutical and
food processing industries to put public health ahead of
quarterly profits. Call your congressional
representative to take similar action. Petition your
local PTA to remove junk food from schools and improve
lunch programs. Educate your friends, family, and
neighbors on what healthy lifestyles can do for your
health.