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First, we need a philosophy of public-private partnerships. Australia is a good example of this works excellently. That the public and private means, and not just private. America's main business and social philosophies are based on capitalist principles so that any new approach to health care must combine the need for profits in certain sectors of the health system, with the need to develop a series of basic public health services that may be less likely never make a profit.
Of course, all parties are exaggerating and taking extreme positions. All of them in the transaction time and we hope to some agreement. The sad part is that now seems not to be thinking of the person at the center of it all – patient. It is widely recognized that health care costs far too much in this country, while at the same time, at least 47 million Americans are uninsured. So from the perspective of patients, if you have health insurance, you're paying too much for him, and get poor value, and if you do not, then just continue to suffer. What a horrible choice. What an indictment of America.
The financing of care has the participation of the election and must be provided in many cases by paying annually for all or episodic care of individuals, rather than on individual piece rates as at present. These capitation payment systems work well for Kaiser Permanente, and in Britain. The main benefit of this approach is that it tends to force more resources to disease prevention and wellness promotion instead of treating diseases that have already begun.
The private component would be financed with the help of tax incentives or similar instruments broader financial resources to encourage most people (or companies) to private insurance. The aim should be for at least 80-90% of the population must have insurance private if it is safe to be comprehensive, top-up insurance to support the central government provides the insurance.
It is important to achieve this level of insurance to ensure that we are all financially responsible for at least a reasonable proportion of our health care costs.
As a physician who has lived and worked in the U.S., Australia and Britain, and has an interest in how they organize health services, I believe that America can move forward in a relatively simple since always keep the patient in the center of any health system we plan. It is essential that we can not design a health system primarily to protect benefit levels for some or all of the various components, whether providers, health insurers or pharmaceutical companies.
Employees expect to work well, have minimum sick leave, give your best performance, and earn good money from his workplace.
The workplace or the employer wants healthy employees well care. Human Resources divisions of several companies in California have realized that by offering California Health Insurance Group of the teams in your organization you are providing additional benefits for employees who in turn can keep them motivated.
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