While the Republican race seems to shift from candidate to candidate with each primary, it seems to be a two horse race between Mitt Romney and Newt Gingrich. Here’s a brief look at how they compare on the complex issue of health care.
Mitt Romney on Healthcare
Mitt Romney has had to do a peculiar dance regarding health care. In his home state of Massachusetts, Romney has presided over a successful state-run health care plan, but since state-run health care is not a popular stance with the Republican base that will get him the party nomination. It’s probably the main sticking point as to why he hasn’t already shored up the nomination. Read Full Post >
Usually, when candidates make television appearances, the objective is to win over viewers, not insult them. However, Ron Paul took a different approach in this clip from The Morton Downey Jr. Show, a right-wing talk show that aired from 1988 to 1989. When Paul appeared on the show, it would have been in between the terms he served as a member of the House of Representatives. It should be noted that Paul’s actions are apparently not out of line with the show’s tone, as host Morton Downey Jr. reportedly yelled at audience members frequently.
The rising costs of health care is one of the biggest issues faced by Americans today, as health insurance becomes a costly benefit many employers don’t feel they can afford to offer. Doctors equally feel dissatisfied with large managed-care systems that allow them little time per patient and require them to treat as many as 2000 people per year.
Concierge medicine–also known as insurance-free, direct pay or boutique medicine–offers an alternative to large-scale hospital systems. Typically, these practices do not take insurance, and patients pay an annual or monthly fee. This allows doctors to cut down on the overhead associated with accepting insurance while seeing fewer patients. Patients, in turn, receive more personalized care and services, such as same-day appointments and the ability to call their doctor directly to ask questions.
“As part of being a concierge patient, you’re going to get unrestricted access to your primary care physician,” says Dr. David G. Edelson, MD, FACP, who is the director of HealthBridge, 4-doctor primary care internal medicine group in Great Neck, New York. “I’m only going to keep 250 patients under concierge, and that allows me to spend much more time with patients.” Having fewer patients also means that doctors are simply more available to answer questions. “They get a private number to me, so they don’t go through the voice mail system,” says Dr. Edelson.
If you are a smoker, overweight, or have been diagnosed with high cholesterol, you may end up paying more for health care as many employers are following a new trend: penalizing those employees who have unhealthy lifestyles instead of rewarding those who have healthy lifestyles.
In the past two years, the percent of American employers who impose some sort of financial penalty on their employees has doubled, making it now 19 percent. This number should double again in 2012, according to Towers Watson, a benefits consultant company.
So why are these people being penalized for their lifestyle choices? It is common knowledge that those who smoke or are obese usually have higher health risks, which in turn leads to increased health care costs. As a result, some companies are now requiring these employees to pay more for their health coverage because it makes sense that these people will end up costing the company more in health care coverage. Read Full Post >
It’s the latest, and some say the fastest growing, career for individuals interested in health and nutrition. The health coach is a new breed of healthcare professional whose job is to guide individuals through the minefield of dietary and lifestyle change. They support clients to make behavioral changes by utilizing techniques such as goal setting, identifying obstacles, and just good old positive reinforcement and support. It is kind of like having a best friend to discuss why you went back for that third helping of double Dutch ice cream; but with no judgment and plenty of sound advice.
A common complaint is thatbusy doctors spend little time helping a patient make better dietary choices. They are needed to provide a diagnosis and then treat according to an allopathic, pharmacological protocol. A good doctor might mention that the patient should cut down on saturated fat, but offer no further instructions as to how this should be done.
Enter the health coach who provides the assistance that the medical establishment cannot. This is accomplished by partnering with a client to create an individualized program based on achievable goals, regular contact, motivational encouragement and the understanding that each individual is unique and no dietary program is one-size-fits-all.