Thursday, September 24, 2009

LETTER TO CONGRESS

Following is a letter I wrote to my South Carolina Representative and Senators:

Dear

All of the health care bills that are being considered create multiple bureaucracies, greatly increase reporting requirements, and generally increase administrative costs to all providers. Congress is basically trying to reduce what providers can charge while, at every level, greatly increasing their operational costs.

I read a 1998 CBO study that named the three largest contributors to increasing health care cost as: technology, administrative costs, and malpractice insurance. We don’t want to stifle new technologies, which leaves tort reform, and reducing reporting and administrative burdens as the best ways to reduce costs.

A large part of the admin burden comes from health care being tied to employers. As health care costs increase, companies begin changing plans every year, trying to find the cheapest one. As every plan has different negotiated terms with providers; doctors, hospitals and other providers have to hire multiple employees (and pay their benefits) to figure out and process all the claims.

Another part of the admin burden is created by the maze of government programs. Providers need to hire trained personnel to interpret and process the myriad rules, regulations and reporting requirements.

I know that our legislators and government officials live in a bureaucratic sea, which they probably don’t think about, any more than fish in the ocean think about the water in which they swim. However, those of us in private industry don’t have a bevy of clerks, paid for by the taxpayers, to interpret, manage and create all the paperwork mandated for us. We have to do it ourselves, at a great loss of productive time, or we have to pay someone to do it.

The massive increase in new programs, rules and regulations, layered over old programs will do to the Health Care System what “No Child Left Behind” did to education. That is, it will so burden the health care providers that many will retire early, or otherwise leave the profession, just as many teachers have. We don’t want our doctors and teachers spending all their time grappling with red tape; we want them doctoring and teaching.

Please look for simple, market based solutions, like Qliance in Seattle. Please consider the fact that the government and health insurance providers themselves are part of the problem. Please look to Mississippi, Missouri, Texas and California for tort reform solutions. Please, if there are billions of dollars of fraud and waste in Medicare and Medicaid, solve those problems first. This is the true responsibility of government.

As for the 10 to 17 million uninsured American citizens, we can figure out how to give them excellent care without spending trillions.

Please do not create a huge, government takeover, boondoggle plan that will destroy our country while it rewards special interests at the expense of the elderly, minorities and disadvantaged it purports to help.

On behalf of your Constituents:

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