Our Health Policy Matters

It is worth noting on this “traditional” Memorial Day of May 30 th that over 6,400 service people have lost their lives so far while fighting our two most recent wars. Unless we put more money into health and mental health care, many thousands more will eventually lose their lives fighting the physical and mental effects of these wars. This past weekend, we learned that 45% of returning Iraq and Afghanistan War veterans are seeking compensation for service-related injuries .  The challenge of finding the billions of dollars needed to treat these men and women will test us as a nation.  It will likely stoke the fires of yet another protracted battle about “public option” health care in America. This fight is about to take place because of two reasons. The first is that the percentage of veterans seeking compensation is twice what it was in past wars.  “Invisible” injuries with behavioral manifestations, like PTSD and traumatic brain injury, account for much of

An accurate but off-the-mark news headline this week proclaimed that health care costs for people insured in the private sector rose twice as fast as inflation in 2010.  But it didn’t mention that health insurance premium prices rose six times as fast. The Health Care Cost and Utilization Report, 2010 was released by the Health Care Cost Institute (HCCI).  It was based on claims data for 33 million people – one fifth of those with employer-based health insurance. The bottom line: the consumer price index rose by only 1.6% in 2010, but health care spending was up by 3.3% for the same year. The report summarized that “prices increased across all categories of service, with outpatient services experiencing the fastest growth.”  This is bad news for Americans with private health insurance already fed up with low and flat salaries and the high price of health.  The cost of health care now absorbs over one-sixth of our entire gross domestic product, and just seems to gro

If you run a small business in Florida, are self-employed in Texas, or work for a large corporation in New Jersey ( see an update below ), then your state insurance regulators probably haven't been working for you. The news that 15.8 million people can expect $1.3 billion in rebates from insurers this year because of the Affordable Care Act (ACA) underscores how weak health insurance regulation has been in states across the country.  It may come as no surprise that Florida and Texas, two leaders in the fight against ACA, have been exposed as anti-consumer.  But they are not the only states with an anti-consumer bias. First, the good news: last week, the federal government announced that three-quarters of us will get letters beginning on July 1 telling us that our insurance plans paid out at least 80 to 85 cents in benefits for every premium dollar they collected. This means that under ACA they met the minimum standard for a reasonable benefit payout (which is sti

President Reagan gave his first speech on the AIDS epidemic almost twenty-five years ago on May 31, 1987.  This was after 36,058 Americans had been diagnosed with AIDS, 20,849 had died, and over a quarter of a million had been infected with HIV. For years, he had been criticized for ignoring and underfunding the worst public health crisis of the late 20 th century.   So he began his speech with a joke: “A charity committee approaches the wealthiest man in town for a contribution.  ‘Our book shows that you haven’t contributed any money this year,’ they tell him.  ‘Does your book also show that I have an infirm mother and a disabled brother?’ he replies.  ‘Why no,’ they say, ‘we didn’t know that.’ ‘Well, I don’t give them any money.  Why should I give any to you?’” The bad joke was an inadvertent punctuation mark on a presidency too fondly remembered by both republicans and democrats today. On matters of health, Reagan took us backwards.  He was neither in touc

A newly released report found that hundreds of thousands of veterans experience excessive delays in trying to obtain mental health services from the Veterans Administration (VA).  This is especially sad to consider today, both because May is Mental Health Month and the President has just renewed our troop commitment to Afghanistan. William Hamilton was a 26 year old Iraq veteran when he died in May 2010. One of five siblings, he joined the army when he was nineteen. He experienced his first symptoms of mental illness while serving a tour in Iraq in 2005. He was diagnosed with PTSD and an anxiety disorder.  He was discharged honorably later that year and sought treatment at a VA Center. For four years, as his condition worsened, Hamilton bounced from one VA treatment setting to another.  In 2006, he was diagnosed with major depressive disorder.  Chemical dependency complicated his treatment.  He was hospitalized at the VA on several occasions over the next tw