U.S. health care crisis and reform

Our health care crisis is twofold.  Primarily, the rampant cost of both critical and excessive services is totally out of control due to the largely unregulated third-party payer system that has evolved. All the players (hospitals, labs, insurance companies, doctors)  are trying to maximize profits, and free market principles don’t lead to efficiencies or economies when the consumer is not paying the bills.  You cannot argue with this; just compare U.S. health care pricing with any other industrialized nation.   It is flat out ridiculous.

Secondly, access to those third-party payer privileges is not available to a large segment of  Americans, and the majority of us are subject to financial ruin in the event of a health care crisis.  The Affordable Care act really only addresses this second issue, by making access to (our overpriced) care more equitable.  There is a minority who will be penalized or disadvantaged by the specifics of this act, but that doesn’t mean it isn’t sound public policy based upon the presumption that health care is a legitimate human right.

But IMO, the more critical of these problems is the out of control costs and that can only be addressed by dismantling the current powerful health care insurance industry.  Obama was not able to do this.  Just my 2 cents.

Bob R.