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1/4/2007
Health care, health care, health care, health care
We all want it and because most of us have no idea what it’s costing us, we think the very best care is an entitlement for everyone, but most especially for us and our family.
Well – that’s quandary number one.
Then there’s quandary number two – where will the money come from?
In his speech yesterday, newly sworn-in Assembly Speaker Mike Huebsch said to his colleagues “[We] won an opportunity to make a difference, to grapple with the great issues of the day, to touch history, to make people’s lives better.” Both Speaker Huebsch and Governor Doyle referred to the rising cost of health care in their inaugural day messages. Governor Doyle said the rising price of health care “is not only an economic crisis, it’s a human crisis …and it demands action now.”
Though Republicans have worked long and hard on this issue, the plans on the table have limited bipartisan support. It will be up to Speaker Huebsch and Assembly Health Committee Chair Leah Vukmir to yes, craft effective constructive responses to the current very active health care initiatives, but to also be very proactive in determining the direction the health care experiment takes in Wisconsin.
So… it’s safe to say the Governor and the legislature have their work cut out for them.
(Recent articles that do a good job summarizing current health care proposals have been included in recent editions of FoxPolitics News: 1/2/07 LaCrosse Trib, 12/26/06, Stateline.org, 12/19/06, WSJ)
And much of that work will fall on Leah Vukmir, filling the shoes of longtime Assembly Health Committee chair, former Representative Gregg Underheim (R - Oshkosh).
Representative Vukmir earned a B.S. in nursing from Marquette, her masters in nursing from UW-Madison and is a certified pediatric nurse practitioner. Ms. Vukmir’s positions on health care issues are detailed well in a Journal-Sentinel campaign questionnaire:
The best way to reign in health care costs without compromising quality is to allow for more consumer choice in health care. Cost and quality transparency are starting points and both the legislature and private sector have partnered to create an environment that fosters the ability for patients to make better decisions. This transparency will only work if we allow patients to be in charge of their health care dollars through the use of health savings accounts. I strongly support private sector reforms and believe the role of government should be limited to providing tax incentives for preventive health care, removing mandates that increase costs and finally by using the government's purchasing power to drive market changes.
A consumer-driven model will increase competition among providers and decrease the cost of health care. This will allow more employers to offer health care coverage to their workers, which will get us closer to universal coverage.
I am willing to look at proposals for expanding coverage to children and families that cannot afford insurance, however I do not support universal, government-run health care.
Of the widely circulated Riemer/Gielow “Wisconsin Health Plan,” proposed to be funded with an expanded system of employer payments, Ms. Vukmir has said. “To say I’m skeptical puts it on the mild side.” She adds that while the plan’s sponsors might call the employers’ payments to the pool an assessment, “I call it a tax.”
As of now, no Republican has stepped forward to sponsor the Wisconsin Health Plan in the Assembly. And the Republicans must be seen as the party with ideas – not the perennial naysayers. Ms. Vukmir has the right ideas - and “won an opportunity” all right. She has her work cut out for her. Look for more on health care in future commentaries on FoxPolitics.net…
COMMENTS
We need to educate those who can be "educated" exactally where health care money goes.
Full disclosure on typical cases is needed. We need to see how much ilness really costs.

dale (Thu Jan 04 07:38:05 2007)
An extremely common myth introduces and pervades this health care column. It's understandable, because the myth is so widely promoted and repeated. It is repeated by most elected politicians of both major political parties. Those parties, and their politicians, are so entirely dependent on campaign finance "contributions" from deep pockets "donors", that they cannot ignore the preferences and wishes of those major "donors" who expect substantial returns on their lobbying and campaign "contribution" investments.
The myth, which has washed repeatedly over all of us, is directly implied by Jo's opening quandries.
Those quandries are, "we think the very best care is an entitlement for everyone, but ... where will the money come from?"
It is a MYTH - (in fact, for those who know better, it is a bald-faced lie) - that universal comprehensive health care for all Americans would necessarily cost us MORE, per capita, than the current employer-based, insurance company directed and administered apparatus which distorts the provision of health care to us in the USA.
Health care is not "free" anywhere. But the amount of money that is currently being spent, per person, in the USA, on total health care expenditures, is far greater than in any other nation in the world. It used to be that the health care available and provided to average Americans was the best available in the world. That is no longer the case. In fact, in the last 30 years or so, health care outcomes (measured in life expectancy, infant mortality, disease rates, etc.) in the USA have dropped from number one in the world to (at last count) number 42 in the world. And we now spend about twice as much per capita on "health care" as all other modern industrialized nations. The icing on this cake is that the rest of those modern nations also provide UNIVERSAL health care coverage to their citizens. But for all the money we spend in the USA, we, alone, do not provide universal health care.
The harsh, undeniable reality is that we in the USA spend an exorbitant premium in order to continue to maintain this insurance apparatus which is based on the philosophy that "Health care is NOT a universal right."
Simple as that. Citizens of the USA pay MORE for this arrangement, now being imposed on us, that is based on the denial of comprehensive preventative health care, and on the denial of treatment appropriate to the medical need of the patient (for various reasons known as loopholes and exclusions and value judgments imposed on unfortunate individuals), than we would pay for an uncomplicated system of health care that honors the Hippocratic oath and the best professional traditions of medicine, and acknowledges the right to health care for all.
For more information and for links to important sources of factual information that can help us end this appalling health care crisis, see my website. America can no longer afford to be misled and distracted by myths such as those that have been afflicting us.

Clyde Winter (Wed Jan 16 02:13:00 2008)
So Clyde, how do you propose to make Americans aware of the money being spent on tneir behalf for health care? Do you opine that Americans need not know, need not care, about what the system is paying for THEIR health care?
Yes, costs must be controlled. Consumer choices must be a major part of controlling those costs. And that requires transparency of pricing. That's something that the government may have to become involved in to mandate compliance by providers and insurers. But I don't think you can take consumer choice out of the equation. It's how our economic system has thrived for well over 200 years.

Jo E. (Wed Jan 16 03:44:38 2008)
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