Thursday, July 30, 2009

Max Baucus Update - The Best Health Care System Money Can Buy

Has anyone ever wondered why a health care reform effort is being managed by politicians and not experts? Let's be serious - politicians that really know no more about how to reform health care than you or I. In actuality, probably less. Regardless of the screaming of those who enjoy the system as it is, we need reform because well too much of the system is broken.

If one was serious about reforming health care, wouldn't one create a nonpartisan committee to identify the problems, objectives and possible solutions? A committee run by experts and not politicians. To run this activity as one would run an engineering project. Because that is really what it is. It is business process re-engineering effort that can be easily run via a defined methodology. To take advantage of all of the intellectual capital available in the United States and around the world, either via public discourse, benchmarking health care systems around the globe, public testimony of experts, etc. And, by public testimony of experts, I don't mean from doctors, lawyers and insurance companies. While I respect everyone's right to speak their opinion, it is really less about their opinion that matters. We generally know their opinion. It is our current health care system. Instead I mean from people who know how to transform a business. Health care and process experts from McKinsey, Accenture, IBM and from academia? Health care experts from Germany, Japan, Switzerland, France and other countries who can share their perspectives? Doctors, lawyers and insurance companies would have an input into the methodology but these inputs would be logically used to improve a process where it made sense rather than used to buy a Congressional vote.

This may sound like an overwhelming process but it really isn't. It just means we would need to decide as a country this is what we are going to do and that all politicians agree in advance to support a nonpartisan expert effort to fix the problems and attempt to keep what is working. In the interim, if politicians are concerned about uninsured or underinsured citizens, simply offer then the Federal government insurance as a stopgap.

Why is it that Congresspeople want to control the health care debate? It's really quite obvious. Because they are able to take advantage of the nearly $2 million a day spent by hundreds of lobbyists seeking to get protect their special interests. Because winning support and using influence is an extremely lucrative process.

I thought our country was about one person, one vote. It seems instead we have a system where if you have, say, $1 million to give, you get all of the votes. There are over 300 former Congressional aides and Congresspeople lobbying on the health care bill alone.

Link here.
posted by TimingLogic at 9:54 AM