America's
Health Care Crisis and
What You Can Do About It
Whenever
an election is approaching, politicians
talk about America's "looming
health care crisis" as if they
actually plan to do something about
it if and when they are elected.
Experts who study the cost of health
care say it is one of the most serious
problems the country faces in terms
of cost and quality of care.
Who
Provides Health Insurance?
The Government
Federal, state and local governments
insure 39 million workers (including
military), 39 million Medicare recipients
(a number destined to increase as
the first baby-boomers turn 65),
and 41 million on Medicaid. Of course,
governments do not generate any
revenue themselves. It all comes
from one place: taxpayers. With
an average of 7 health insurance
and pharmaceutical lobbyists for
each Congressman, it's easy to understand
why legislators drag their feet
when it comes to improving health
care for their constituents. (Anyway,
they all get free health insurance
for life. They're probably saying
"What's the big deal?")
Employers
Employers offer health insurance
to 120 million Americans. Those
who choose to accept the insurance
have hundreds of dollars a month
deducted from their paychecks as
their share of the premium their
employers pay to health insurance
providers. In 2005, the average
worker paid over $2700 for his or
her share of group insurance provided
through an employer. That doesn't
include annual deductibles and co-pays
for visits to doctors, prescriptions,
hospital stays, surgeries, and so
forth. The National Coalition on
Health Care reports that employee's
insurance premiums increased by
73% from 2000-2005. Compare that
to a cumulative inflation rate over
the same period of 14%, and a cumulative
wage boost of 15%. Obviously, that
1% difference doesn't come anywhere
near meeting the 73% premium increase.
Of
course, the employers' share of
premiums is increasing too. In fact,
the NCHC web site relates this troubling
information: "Health insurance
expenses are the fastest-growing
cost component for employers. Unless
something changes dramatically,
health insurance costs will overtake
profits by 2008." Since the
whole point of being in business
is to make a profit, employers have
some choices: (1) pass part of the
additional premium on to employees;
(2) pay new employees less and give
smaller raises to others; (3) charge
more for their products and services,
and/or (4) stop offering employees
health insurance all together.
Even
if you get your insurance through
an employer, you have to be very
careful that you read and understand
the fine print. Don't see a doctor
without prior authorization. Don't
see one out of the "network"
without expecting to pay a good
portion of the doctor's fee yourself.
Do you need to go to a hospital?
Let's hope you're conscious and
thinking straight, because you may
need to call the health insurance
company from the car or the ambulance
to get their OK. We've all heard
the horror stories of people who
rushed someone to the "wrong"
hospital in an emergency and were
denied coverage by the insurance
company because it didn't have "an
agreement" with that particular
hospital.
What
about "the uninsured"?
You might be thinking there must
be "some program" to help
the uninsured. The fact is that
if you have an income, you don't
qualify for a "program."
Even if you're a single mom making
only minimum wage, you can't qualify
for Medicaid. People without insurance
who do see a doctor often can't
fill their prescriptions, or they
take less than the amount prescribed.
When they get sick, they simply
hope to get better, and often the
condition spirals into something
more serious and more expensive
to treat. That's where the emergency
room comes in. The costs for the
slightest problem are mind-boggling-over
a thousand dollars to stitch up
a cut, for instance. The hospital
will try to collect. If you can't
pay, your credit rating could be
affected.
In
October of 2006, over 46 million
Americans had no health insurance.
Eighty percent of these are working
people and their dependents. Some
work for an employer who offers
no insurance plan, or they make
so little they cannot afford to
buy into the program. Many are self-employed,
and feel they simply cannot afford
the unreasonably high premiums for
individual insurance, or they have
pre-existing conditions and the
only policies they can get exclude
those.
What
You Can Do
1. Make a Choice.
The
health insurance crisis is a real
and growing problem. You can choose
to believe that the government or
your employer will cover increasing
costs or not hit you too hard for
your share of the premium, or you
can choose to go uninsured and hope
that you and your family will stay
well. It is not an issue where you
can take an ostrich attitude and
put your head in the sand. You need
to make a choice.
2.
Set Up an Emergency Account
Many uninsured workers have made
the choice to take control of the
problem themselves by setting up
their own medical savings accounts.
Instead of paying $600-$1200 a month
in individual-policy insurance premiums,
they choose to deposit the money
in an interest-bearing account,
CD, or other "sure money"
account. The funds are their own,
whether they are needed or not.
3.
Find a Way to Fund It
If you decide to set up a medical
savings account, you'll want to
deposit as much money as you can
as quickly as possible so it can
go to work for you making interest.
Even if you work for an outside
employer and have group health insurance,
that extra money in your medical
savings account will give you the
security of knowing that you'll
be able to meet deductibles, co-pays,
and other expenses your policy deems
"not covered." Many have
discovered that a great way to do
this is to open a home-based business.
You can work your own hours and
be your own boss as you accumulate
your medical-savings nest egg. You
just may find that you can also
open another account-one you might
label "things we've always
wanted" or "savings for
trips." A home-based business
may very well be your personal answer
to the health care crisis. For additional
free information, simply fill in
the form below.