The way I understand our current Third Party Payer system the major decisions are made by a company looking to cut costs and make a profit. Drs are encouraged not to order 'unnessasary tests' (as if they would waste their time or effort on any test that is truely unnessasary) and Nurses are encouraged to not bring 'unnessasary' equipment into the patients room, streaching our care between 8-10 patients in the acute care setting and in LTC the ratios are extreemly frigtening.
But at the same time countries with a Single Party Payer system run into their own chalanges; Wait lists, higher taxes, and some treatments are not covered, not to mention it can be a buerocratic nightmaire. While I have never worked in a country with a Single Party Payer system, I am sure Health Care Providers are met with just as many chalanges.
As Nurses our priority isnt cost, profit, or politics; it is and always will be our patients. So my question is; Which system shows better Patient Outcomes, and why? Has there been a study done compairing them that I am not aware of? I want to better understand what is best for this country, and more importantly my patients.
Quote from elkpark
I always suspect, in these conversations, that the individuals proposing "free market" systems and that people who have a problem with paying for insurance just don't want to be responsible probably don't have any experience as an individual customer in our current free market system. You don't really get how bad the system is until you've tried to buy insurance on your own in our wonderful "free market." The last time I was unemployed for a significant amount of time, I went shopping for health insurance as an individual. At the time, I was in my early 50s and in excellent health except for one minor health issue which is stable on no medication/treatment and has been for a long time. The best offer I could find was $500/month premium with a $5,000 deductible -- that's $11,000 out of my pocket (each year) before the insurance would pay a single penny. Now, if I had been working full-time and making a decent salary, I might have been able to afford that (but, in that case, I would have insurance through my work, at a more affordable group rate).Our system needs serious changes, much more than the ACA (which is basically just minor tweaking of our current dysfunctional system) will provide. I am another of the many advocates of a single-payer system in the US.
You and many others are missing a big point. That is, what we have now IS NOT a free-market healthcare system. A free market system would be where the consumer controls how their healthcare dollars are spent. Not an insurance company. And not the government.
Consumers controlling the where, when, and how their healthcare dollars are spent will lead to competition, innovation, lower costs, and better quality of healthcare.
Last edit by SC_RNDude on Oct 21, '12
: Reason: Typo