When the "taxpayers" who are currently comfortable with their healthcare options see their costs increase dramatically or even their lose healthcare, have trouble getting private insurance, go broke, and can't declare bankruptcy, they will blame someone.
The good news: this could be the seeds of critical mass we have been looking for to drive us towards Universal healthcare.
Denying care is not a measure of efficiency
http://www.stltoday.com/stltoday/news/stories.nsf/editorialcommentary/story/55A2A117E7B6E2E786256FFE004D71DD?OpenDocument<snip>
Over the past two months, a number of articles have been published detailing the dispute between health care providers and UnitedHealthcare over the insurance company’s new Performance program. BJC HealthCare has notified the insurer that it intends to terminate its contract by Aug. 13 unless the company substantially modifies the program.
BJC believes that UnitedHealthcare’s program, which purports to measure quality and efficiency, is based on fundamentally flawed, profit-driven criteria. As such, it would interrupt the important relationship between patients and their doctors.
BJC HealthCare, its associated physicians and other health care organizations recognize the importance of ensuring access to quality, affordable health care. Indeed, quality and cost efficiency are not mutually exclusive goals. BJC participates in several national initiatives that focus on quality and efficiency, including those sponsored by the Centers for Medicare & Medicaid Services, the National Quality Forum and the National Committee for Quality Assurance.
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Finding a solution to escalating health care costs requires that government, employers, providers, insurance companies and citizens work together. As the baby-boom population continues to age, this problem will become more pronounced. We cannot afford to hope it will just go away.
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BJC is not alone in calling for modifications to the Performance plan. As noted in a Post-Dispatch article last week, the American Medical Association, the St. Louis Metropolitan Medical Society, the Missouri State Medical Association, the St. Charles-Lincoln County Medical Society, the Washington University School of Medicine, SSM Health Care and St. John’s Mercy Health Care “have all called on United to withdraw this insurance product until it is substantially modified.”
BJC can and will support reasoned and well-designed initiatives that truly measure quality and that thoughtfully address the rising costs of health care. However, such initiatives must employ broad, nationally recognized quality guidelines, and they must respect the additional costs incurred by a health care organization that teaches the next generation of physicians, engages in medical research and serves as the primary health care safety net for the poor and uninsured.