Posted Tuesday, August 4, 2009 by
Joy Fischer
William Corley – Panel Member at the July 9 CEO Breakfast and Discussion
President, Community Health Network
During the panel discussion there were several questions written by attendees that I wasn't able to answer because of time. I'd like to address those now.
1. If the numbers are correct, there are about 47 million uninsured in the U.S. How does the cost of the current proposal really come out favorable over an expansion of Medicare/Medicaid or other existing programs?
With nearly 47 million Americans without insurance the Obama administration has proposed a universal health care insurance plan. This would require all Americans to be covered by a health insurance plan much like automobile insurance. The cost of this health care reform plan will cause health care cost to increase. Much like the state of Massachusetts plan enacted in 2006. The cost of this plan has exceeded estimates by 300 percent.
Signed into law on April 12, 2006, Massachusetts health care reform launched the effort to reach near-universal coverage of the state’s population. Currently, Massachusetts is looking for ways to reduce the cost of care. Since 2006, the increase in demand for health care services in Massachusetts is associated with the shortage of primary care physicians (internists, family medicine and pediatricians) and has caused many people to seek health care services in emergency rooms—driving up the cost of care.
My recommendation is that if you do not have a primary care physician that you seek one before the Obama universal health insurance plan is enacted. There are insufficient numbers of primary care physicians in Indiana.
2. With the potential for universal health care on the horizon and the implications of rampant cost increases due to lack of primary care physicians, shouldn’t the providers provide more alternative avenues of service for non-life threatening emergencies such as expanded med-check facilities and the use of nurse practitioners?
Community Health Network is implementing more health care access points to try to improve access to health care services in central Indiana. We have over 200 primary care physicians, six MedChecks for non-appointment health care, nurse practitioners through Wal-Mart stores and Infinity where we provide employer health clinics and wellness coaches to improve the health and wellness of Hoosiers.
3. Health care represents 20 percent of our GDP. If not universal health care, what is the solution?
We believe that universal coverage is one answer but it must be linked to an increased number of primary care physicians, nurse practitioners and physician assistants to improve the access issue. Also all Americans should be provided a small incentive to take responsibility for maintaining healthy life styles of eating right, exercising and reducing stress levels.
4. Primary care physicians have had major shortages for 10 years or more. What is the solution for this shortage?
We need to provide financial, and other, incentives to induce people to become primary care physicians.