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BBHQ Boomer Essays:

Health Care – Part 1: The Best System on Earth

Our Boomer-In-Charge at BBHQ, Hershel Chicowitz, writes about boomer memories and current events... from a boomer’s perspective. He is sometimes funny, sometimes provocative, some-
times a little of each. We hope you get a kick out of our Boomer Essays.

My question is why your employer should be responsible for administering your health care plan. Administration consists of negotiating with a health insurance company, comparing plans, running the numbers, signing the contract, informing the employees, deducting money from paychecks and paying the health care provider, holding your hand through the claim process, and getting involved in disputes, et cetera, et cetera, et cetera — ad infinitum.


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My analysis and recommendations on health care not do not consist of tinkering with the system, or just pouring money into it, as others have done. But I am not going to suggest that we rip apart the best health care system in the world and start from scratch. Instead, I am going to challenge some of the basic foundations of the health care industry in the U.S., and try to spark a debate on how to make it work better.

Let me start, though, by knocking down one of the primary attacks on our health care system. We do not have a "health care crisis" in the U.S. We have the best health care in the world. If enough of you challenge that premise, I may present my case sometime down the road. But when you analyze the facts and the reality, the conclusion is inescapable. What our country has done with health care in the past century is stunning... bordering on miraculous... and unmatched anywhere in the world! Taken as a whole, the health care we provide to our citizens is fabulous; it far surpasses any other country.

So, What's the Problem?

No, we do not have a health care crisis in America. Oh, we have problems; but we do not have a crisis. But what we do have for certain is a health care DELIVERY and ADMINISTRATION problem. The method by which health care services are delivered, administered, and paid for is inefficient, nonsensical, and cannot be sustained. So, I'll place the majority of my attention on that.

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