russ_watters said:
However, those first two years included the failure to nationalize healthcare. So it isn't like he didn't try to massively increase spending.
That's a canard, Russ. Nationalizing health-care would cut costs, not increase them, and it would put our businesses on a more equal footing with foreign competitors that have the luxury of being free from maintaining private health-care plans for their employees.
I was the IT guy for a large ophthalmic practice for years, and I know that doctors and hospitals could afford to charge much less for their services if they didn't have to constantly fight the insurance companies to be fairly paid for medically-necessary procedures, diagnostics, and treatments. We had to constantly watch the agings of receivables to keep our line of credit with the banks viable, and some insurance companies are horrible about delaying and denying payment for months on end. The insurance companies make money primarily in two ways - taking in more in premiums than they intend to pay out (refusal to pay) and interest on the float (money that they might intend to pay eventually, but delay, delay, delay). Banks got in trouble years back for refusing to clear checks in a timely fashion, because they were making tons of money off the float. Nobody has put health insurance companies under the same scrutiny, and they are far worse offenders.
Also, one reason that we over-pay for tests and diagnostics in the US is that if the doctors don't provide such documentation to the insurance companies, they will only pay a portion of the bill or none of it at all. I have friends in Canada, including a lady who does medical lab-work in Canada presently, and did similar work here in the US for a number of years until her visa expired. She wouldn't trade the Canadian insurance system for the US system on a bet, nor would any of my other Canadian friends. She and her daughter live in Ontario, and my other closest friends live in Nova Scotia with their children, running a small garage-repair-gas station. If they had to buy private health insurance, they would be in big trouble.
The GOP constantly tells us that public health-care insurance would be "disastrous" as if the present system is not already a protection racket that is stealing from our economic growth. The truth is that the US pays a higher % of GDP than any industrialized country, and leaves a FAR higher percentage of our citizens with little or no coverage. That forces poorer people to forgo checkups and preventive treatment until their conditions get bad enough to warrant an ER visit and perhaps lengthy hospitalization - the cost of which comes back on all of us.