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A group called Business Leaders transforming healthcare and it is campaign that was organized it’s just begun , 3 months ago. They already have a 170 businesses signed on and it was started by an man named Richard master who owns a picture frame manufacturing company and Pennsylvania , and he has also produced a documentary that any of you can watch , it’s called fix it health care at the tipping point and it’s available for free . I think you can down there you couldn’t watch it on YouTube and he makes the business case for a National Health Program and an absolutely makes it clear that .
We could grow the economy they grow jobs bring manufacturing back to this country there there are companies that have moved their businesses out of this country for no reason other than that the cost of providing health insurance to employees is prohibitive. It’s cheaper to open your business in Canada than in the United States .
So there is , there is absolutely a business case , a conservative business case for a National Health Program.
And like to get your comment on one other.
Africa. That’s being and promulgated particularly by by Medicare . But the other insurers and Medicaid is looking at this as well . Interview how that fits is , is this effort is trying to address some of the costs , not value-based reimbursement . I don’t think people I appreciate this is this bipartisan effort is I understand it and it addresses the idea that fee for service is not a way to control costs , we all get paid as physicians . If you don’t get better , we get paid because you come back into the system was in value based now physicians hospitals would be paid based on indicators of how well they’re providing the services both evidence based in quality in other markers that seems to me to make sense . Medicare is clearly into that physicians who bill Medicare now gonna be paid that way in the future . Our office has a value-based contractor that private insurer as well . What , how does that fit in with your ideas . What’s the problems with it that you see compared to what you wanted .
And I think that the idea of a value-based program is good I I and all of it sounds good. The problem is the employer , the implementation of it in the context of a an industry that still making a profit . I think what would be far better is to simply eliminate the profit from our health care system . Both the financing in the form of insurance companies and frankly from .
For-profit hospitals , for-profit surgery centers for profit all all of those could and in our legislation it is proposed that that those , for-profit entities would be converted to non , non-profits , which really is actually not that big of a deal. Many of the hospitals were non-profits before they became for profit . So we’re just talking about transitioning them buying out the investors reverting them back to nonprofits and then paying hospitals a global operating budget , which means they now no longer have to have the billing clerks billing for every aspirin and every suture in this country . The rule of thumb is that if you have a 500-bed hospital . You have 500 billing clerks in in Canada if you have a 500-bed hospital . You might have 3 billing clerks and they’re just billing the Americans who happened to be visiting Canada who get sick and need to have their insurance bill so by eliminating . I think we can get a whole lot more bang for our buck by eliminating for-profit entities go into a global operating budget and then a capital expenditure budget so that we make decisions about where we build new things or add new innovations that were doing them in places where people actually will benefit from those services rather than places where the entity will make more profit .
Carol in our last 3 minutes. Let’s say there’s people out there wanted no more , and also people who want to help us move towards a single payer system as you describe what worked in they’d be too .
Well , they can go to a couple of Web websites W W W.PN hp.org that’s P and H P for Physicians for a National Health Program. They have a lot of useful information there especially frequently asked questions , you can go to W W W.health over profit.oh r g which is ab a campaign for everyday Americans who want to learn more about this and I’m hoping that we’re gonna have a a more robust P and HP chapter here in in Alaska . So those of those would be some some options .
I mean I mean give another quote and where , in the last couple of minutes that and in the John McDonough , the Harvard School of Public Health was riding in 2015 a couple years ago when he was discussed in the device of Vermont’s attempt to have a single payer system and he said , although a single payer system is economically compelling economically compelling politically , it’s just not viable currently Ivory believes that eventually political leaders will in quote in in entity of running multiple complex systems to ensure different classes of Americans unquote and consolidation is inevitable.
I would love to comment on that. Okay . I’m not waiting for any member of Congress to give me permission and tell me that it’s now politically feasible if I wait for that . I’ll be dead you’ll be dead . My children will be dead . My grandchildren will will be dead . We need the American people 2 .
Make a decision for themselves that they think this is a good idea and when enough of the American people have made that decision and communicated it to their member of Congress and made a toxic for their member of Congress not to get on board , they will get on board.
Final comments Peter.
Well , it’s been a girl , a great pleasure to have Carol here and again I I where I’m coming from. First of all , I believe that health care is a right , you know , Universal Declaration of Human Rights by Eleanor Roosevelt and I fully ascribe subscribe to that and and I know and and think you use your time neighborhood health understand the plight of the uninsured in this country and it is absolutely not acceptable . It cannot be acceptable in this country if we claim the moral high ground very , just a couple seconds then is was though .
I agree with you and I can also make the conservative case that is also just good business. And there’s no reason they can’t be both .
In amen. Great discussion . Thanks very much to Dr. Carol Paris , president of the Board of Directors of Physicians for a National Health Program and Dr. Peter abuse of acreage for taking time to be with us and help us understand this very complex but appealing his to continue the discussion on a single payer healthcare plan you can join cascade on facebook and you can find that link at all . Alaska back to Alaska Public out or where you can also find our archives and you can let us know your thoughts about this program for subsequent this Monday line once gonna take a Labor Day break and then return the following week when we will be talking about post traumatic stress which and how that relates , and a coordinate with Ken Burns documentary series on the Vietnam War , which will be starting soon in September . I’m sorry David Walgren , was today’s audio engineer Erik Bork is our web editor I’m Dr. there .
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