Bob LeBow, M.D., M.P.H. See book keywords and concepts | The principal converging factors: (a) a rapidly increasing number of uninsured and underinsured, (b) a marked rise in health insurance premiums and the cost of health care, (c) a worsening economy (which may be temporary, but will likely affect low-income people more), (d) a growing number of unemployed people, and (e) a demand for relief from employers. With all of the above conditions, state governments, which are already facing soaring expenditures for the Medicaid safety net, are likely to reach a state of fiscal panic. | Simon Mills and Kerry Bone See book keywords and concepts | One only needs to review the social history of obstetrics in the modern world, the move by women in many countries to reclaim home births, the move to less medicalized labour wards in hospitals, the increasing restoration of the midwife as arbiter of labour management, the exceptionally high professional liability insurance premiums required of obstetricians, to see that medicine has not always served women's needs well. There appears to be a case for a different approach to their healthcare, one ideally that involves them better. | J.D. Kleinke See book keywords and concepts | When adopted in conjunction with the standardization of benefit plans described in the next section of this chapter, this long overdue legislating of marketplace realities will result in one thing: drastically lower health insurance premiums, more small employers providing coverage, and more uninsured people brought back into the system.
Despite the ambitions of the nation's state insurance commissioners, state-based regulation of health insurance is not only counterproductive but ultimately self-defeating. | Cynthia A. Foster, M.D. See book keywords and concepts | Since the insurance pays for it, everyone who pays medical insurance premiums pays for it. What for - so the baby can live for a few more years in and out of a hospital, sick and with a horrible quality of life?
At first glance, we tend to think these surgeries are so wonderful and miraculous, and we do not see them for the horrors that they really can be. We see on the news more brainwashing about how a transplant is such a breakthrough and so important for saving people's lives. We forget to ask, "What are their lives like after the transplant? | Alan Keith Tillotson, Ph.D., A.H.G., D.Ay. See book keywords and concepts | I liked to think I was a pretty good driver and therefore had little to fear on the road, so I was taking the course merely to save money on my car insurance premiums. In the first class my instructor said, "When you turn on your engine, imagine you will be driving through a pit of snakes . . . and if you are not afraid of snakes, you should be." I would recommend heeding this same advice any time you initially encounter anyone or anything, human or electronic, that sells herbs and vitamins. | Bob LeBow, M.D., M.P.H. See book keywords and concepts | Their plan is paid for through taxes, as opposed to insurance premiums, and it eliminates the co-pays and deductibles for certain—and in the original draft, all—primary care services. Conceptually, their original proposal could be looked at as having included (i.e., paid for up front or prepaid) the co-pays and deductibles as an integral part of the coverage package. The original plan did away with these payments at the time of service for the express reason of eliminating the financial barriers that lead people to delay or altogether skip primary care visits and preventive services. | Jane M. Orient, M.D. See book keywords and concepts | Out-of-pocket costs have to be paid with their own after-tax dollars, while their insurance premiums are paid with pretax dollars by their employer. And when people cannot use benefits for any purpose other than medical care, they tend to receive more medical care than they otherwise would.
Tax-free medical insurance is only available to some workers. Others (including the self-employed and the unemployed) have to pay their own way with after-tax dollars. | Martin L. Cross See book keywords and concepts | All this on your health insurance premiums. (At the last moment, the Superintendent of Insurance of New York State ordered a "suspension" of Wiggins's departing package, but it's not clear if officials can interfere in the executive compensation of a stockholder corporation.)
Managed Care is big business, with a gross annual revenue of an estimated $250 billion. Profits in the field vary year to year, but in most years HMOs—including their offshoots, the Preferred Provider Organizations (PPOs) and Point of Service groups (POSs)—took profits of some $20 billion out of the medical care pile. | Samuel S. Epstein, M.D. See book keywords and concepts | A measure of this concern and evidence that the petrochemical industry itself can no longer cope with the risks of its own operations is the industry's skyrocketing insurance premiums, with renewals sometimes fifty times higher than old rates. We are living in a new era of organic chemicals, not just familiar ones, but exotic ones which have never previously existed on earth, and to which no living thing has previously had to adapt. Organic chemicals containing carbon, hydrogen, and chlorine (or other halogens) are
Table 1. | E. D. Hirsch See book keywords and concepts | AK-chooh-air-ee) A mathematician who uses statistics to calculate insurance premiums. affluent society A society in which scarcity of resources is not the predominant condition, and a general level of economic well-being has been achieved by most members of society. The term was made current by John Kenneth Galbraith in The Affluent Society (1958), which described conditions in the United States after World War ii. fa Conventional economic theory is based on the assumption that resources are scarce. | Larry Trivieri, Jr. See book keywords and concepts | The higher the risk, the higher the insurance premiums. In 1992, medical doctors in the U.S. paid nearly $42 billion in malpractice premiums, while chiropractors paid only $62 million.2
A study known as The Manga Report conducted under the auspices of the Ministry of Health, in Ontario, Canada, reviewed all available international evidence on the use of chiropractic for back pain. Pran Manga, Ph.D., the lead researcher, concluded that "many medical therapies are of questionable validity or are clearly inadequate. | G. Edward Griffin See book keywords and concepts | Never mind that the cost eventually must be paid by the consumer, either in higher insurance premiums or higher taxes.) And so this is merely another example of using the power of government to eliminate competition and increase costs to the consumer.
Here again is one of those road signs along the way reassuring us we have not become lost in a maze of meaningless information with no bearing on cancer therapy. Although many otherwise well informed persons are totally unaware of it, cartels do exist. They have completely dominated the chemical industry for decades. | Dr. Gary Null See book keywords and concepts | One study of hospitals in New York state covering approximately 60,000 cesarean deliveries showed a clear relation to physician malpractice insurance premiums, the number of claims against obstetric staff per 100 doctors, and the number of claims against a hospital per 1000 patients discharged.
A. Localio et al., "Relationship Between Malpractice Claims and Cesarean Delivery," JAMA 269, no. 3 (January 20,1993): 366. circumcision
Many third-party payers have started refusing to cover the cost for male circumcision, which may lead to a reduction in the number performed, an article notes. | John Robbins See book keywords and concepts | The insurance industry has consistently not been willing to place insurance premiums on the potential for loss that is involved.68
The European Community has expressed a few concerns as well. In 1999, London's newspaper, the Independent, announced that "European governments are drawing up contingency plans for a nuclear fallout-style emergency involving genetically modified organisms (GMOs). A five-point Emergency Response Plan has been formulated by the European Commission, designed to cope if genetically modified plants result in widespread illness or the death of wildlife. . . . | James A. Duke, Ph.D. See book keywords and concepts | Instead, our taxes and health insurance premiums go to finance approximately 300,000 coronary artery bypass operations each year at a cost of about $30,000 each, or $9 billion total.
Bypass surgery is only a temporary fix. The bypasses themselves usually clog up after a few months or years. If the $9 billion spent on bypasses went instead into natural therapies and preventive approaches, the U.S. health system would be better off. | Elson M. Haas, M.D. See book keywords and concepts | Also, we can save a lot of money in three ways: 1) no cost of cigarettes, which are costing more and more, 2) reduced health and life insurance premiums, and 3) lower medical expenses with improved health.
Stopping smoking may require a major change in our whole relationship to ourselves and our health. We will need to decide to love, support, and nurture ourselves in the best way possible. Often, changing our attitude first makes it easier for us to give up our health-denying habits, such as smoking. If we want to be optimally healthy, we just cannot smoke. | E. Richard Brown See book keywords and concepts | We pay for these costs through our taxes, health insurance premiums, and directly out of our pockets. Public expenditures—four out of every ten dollars spent on personal health services—come out of our taxes. Private health insurance and direct out-of-pocket payments each account for about three out of every ten dollars. No matter what form it takes, the entire $200 billion originates in the labor of men and women in the society. President Carter estimated that the average American worker works one month each year just to pay the costs of the medical system. | Jane M. Orient, M.D. See book keywords and concepts | If the breadwinner became unemployed, the money could be use to pay insurance premiums so that the family did not become uninsured. If the family remained healthy, there would be a substantial nest egg at retirement. For people who are young today, this is extremely important: Social Security and Medicare may be long gone by the time they reach age sixty-five. Or, if we were really radical, we would let people spend their savings any way they wanted. They might start a business or move to a less dangerous neighborhood or send their children to a better school. Or they might waste the money. | Richard Leviton See book keywords and concepts | The study announced that 47% of those polled were willing to pay increased insurance premiums to get coverage for alternative modalities, and, even more impressive, that 67% believed that the availability of such care is a key factor in how they select a provider.
• Growth in usage in Canada has consistently exceeded that of the U.S. An August 1997 telephone survey of 1,200 adult Canadians (conducted by the Angus Reid Group of Toronto) showed an 81% growth in the usage of alternative medicine by
Canadians since 1992. | Jane M. Orient, M.D. See book keywords and concepts | They have paid their insurance premiums, and they want to get something for their money. They might have signed a contract that specifically excludes routine maintenance. Still, they feel they have been defrauded by the insurer and are thereby justified in extracting from the insurer whatever they feel they should be entitled to.
For a long time, there was little or no risk in shading the truth on insurance claims—only the risk of angering a patient by being too honest. Insurers try to teach patients that the doctor is to blame if a claim is not paid. | | But what if the basic problem (the outrageously high cost of medical care and hence of insurance premiums) is caused by laws that we already have? We'll consider that hypothesis.
Can we find some medical horror stories? Undoubtedly, we can. Does this mean we should put all doctors, hospitals, laboratories, drug companies, and others under strict government regulation of every move they make? That is the direction in which we are heading.
Would-be reformers are attacking every glitch in the system, trying to suppress every premature heartbeat. | Berkeley Holistic Health Center and Shepherd Bliss See book keywords and concepts | | In 1980, health insurance premiums alone consumed five percent of the total gross payroll, and represented an average yearly expenditure of $820 per employee. And this figure continues to climb.
Corporate medical care expenditures include both direct medical care costs and indirect costs, such as those related to absenteeism, substandard performance, employee replacement, training and non-productive time.
Linda Langan, M.P.H., "Corporate Wellness: Wave Of The Future." Bay City Business Journal, April, 1984, Vol. 2, No. 9, p. 25. | James Trefil, Joseph F. Kett, and E. D. Hirsch See book keywords and concepts | A mathematician who uses statistics to calculate insurance premiums. added value tax See value-added tax. affluent society A society in which scarcity of resources is not the predominant condition, and a general level of economic well-being has been achieved by most members of society. The term was made current by John Kenneth Galbraith in The Affluent Society (1958), which described conditions in the United States after World War ii. fa Conventional economic theory is based on the assumption that resources are scarce. | Dr. Gary Null See book keywords and concepts | One study of hospitals in New York state covering approximately 60,000 cesarean deliveries showed a clear relation to physician malpractice insurance premiums, the number of claims against obstetric staff per 100 doctors, and the number of claims against a hospital per 1000 patients discharged.
A. Localio et al., "Relationship Between Malpractice Claims and Cesarean Delivery," JAMA 269, no. 3 (January 20,1993): 366.
CIRCUMCISION
Many third-party payers have started refusing to cover the cost for male circumcision, which may lead to a reduction in the number performed, an article notes. | E. Richard Brown See book keywords and concepts | Like the "Blues," profit-making insurance companies, which collected about $20 billion in health insurance premiums in that year, depend for their existence on the market system for medical care. The traditionally close ties of Blue Cross and Blue Shield to hospitals and medical societies, respectively, have weakened in recent years because of public pressure over rapid rate increases which brought stronger regulation and formal separation from their parent bodies. | | But one man's or woman's freedom in health is now another man's shackle in taxes and insurance premiums." Knowles sternly warns that "the cost of individual irresponsibility in health has become prohibitive."110 Fuchs attacks what he sees as "a 'resolute refusal' to admit that individuals have any responsibility for their own distress."111 And Leon Kass, denying that health or health care is a right, proclaims that "health is a duty, that one has an obligation to preserve one's own good health. | John Robbins See book keywords and concepts | And when Los Angeles county doctors went on a work slowdown to protest soaring malpractice insurance premiums, the death rate dropped 18 percent. But when the slowdown ended, and the medical industry got back in gear, the death rate jumped right back up to where it had been before.8
THERE ARE ALTERNATIVES
I once believed that the medical establishment was unbiased and open-minded in its search for healing. I thought that the only people who would fall into disfavor with organized medicine would be charlatans and quacks who posed a danger to the public. | Richard Leviton See book keywords and concepts | New medical technologies breed more patient injuries; these produce more legal suits, higher insurance premiums, and higher physicians' fees, as the atmosphere of health care becomes permeated by alienation and distrust. This estrangement will only deepen if the marketing plans of Courtscan are successful. Beginning in late 1993, Philadelphia M.D.s were offered a computerized database service (for $80 a month) to screen the legal history of their patients; Courtscan could search through all 802,000 lawsuits and judgments filed in Philadelphia in the past decade and inform the M.D. | | The growing volume of claims and torts, coupled with the escalating costs of malpractice insurance premiums for conventional practitioners, is driving a financial and therapeutic wedge into the heart of the allopathic monopoly; when it cracks open, space will be created for the burgeoning empirical, holistic disciplines for whom the incidence of malpractice, in fact or allegation, is minimal.
One wedge that is helping to crack open the edifice is the $4 billion silicone breast implant settlement owed to about 400,000 women plaintiffs by Dow Corning and its insurance companies. | Patrick Quillin, PhD,RD,CNS See book keywords and concepts | Life and health insurance companies now refer to healthy intact women as "with organs" and at high risk, therefore forced to pay higher health insurance premiums.
And while breast cancer is tragic, prostate cancer is equally prevalent in men and even more lethal. The NCI spends one fourth the amount on prostate cancer research as on breast cancer research. There are no good early screening procedures for prostate cancer, which means that in 85% of the prostate cancers found, the cancer has spread beyond the prostate gland and is difficult to treat. |
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