As we observe the wonderful heavy wet snow today, my attention is drawn to the snow job that both House and Senate are attempting on health reform.
I have personally waded through hours of testimony regarding the needs of the health system by those who are operating and profiting from the current arrangements.
I have watched as a former vice president of a health corporation has testified in favor of some jigging here and some snake oil there in the form of “Accountable Organizations.” I thought that community non-profit hospitals were already accountable to both the community and the Banking and Insurance department.
I for one think of these AO’s as sons of HMO’S that were supposed to (in late eighties and nineties) keep health care costs in line. But they have shown to be a bust.
Why do we suppose that these new organizations will work? In spite of all else, the insurance companies will continue to charge as they will and collude with each other to fix prices. Remember that the only other organizations exempt from a law that prohibits price fixing are the professional baseball clubs.
Why are we shocked and horrified as to the behavior of health insurance companies, when the game is set up for them to do exactly what they do? Why is it so hard for our House and Senate health committees to understand that until we do away with health insurances companies as the portal through the majority of working Vermonters get health care, they will continue to milk the public for all they are worth?
Last week yet another consultant told the health committees that the State could save over a million dollars a year if they would manage the Catamount health system.
The State already spent over a million dollars to develop Catamount and then turned it over free to Blue Cross to peddle to Vermonters. The State then spent another million to “educate” Vermonters to the benefits of Catamount. And of course the Blues make a profit in handling this insurance product.
So if your head is spinning as to just what the House and Senate Health committees are up to, join the crowd.
There will be no useful “product” to stem the ever-rising price for health insurance in this state this year, for there is a complete lack of leadership in both houses of the legislature.
Unless the people raise hell with the legislature at town meeting and demand accountability, no bill that deals with controlling healthcare costs will be made before adjournment.