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Published - Monday, April 23, 2007
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Prescription for change? State lawmakers working slowly toward universal health care

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La Crescent — Dave Forest can tell you about the problems with the U.S. health care industry.

When the retired IBM worker switched insurance companies for prescription drug coverage, he spent, by his estimate, some 12 hours on the phone with about 22 people — on top of faxing and refaxing forms — to straighten out a glitch.
Forest was one of several people who shared their health care nightmares at a Sunday afternoon forum

at La Crescent High School: being diagnosed with cancer while uninsured, getting denied insurance coverage

for stroke treatment because you went to the wrong hospital.

David Krenz, the superintendent of La Crescent-Hokah Public Schools, said half of the school district’s extra state funding next year will be eaten up by employee insurance costs — and that’s with a high deductible plan that leaves employees on the hook for $2,000 to $5,000 of their own money.

Dr. James Hart, a physician and a program director at the University of Minnesota’s School of Public Health, blamed the problems on an inefficient health care system where too much of the money goes to administration costs.

In the United States, health care spending accounts for 16 percent of the gross national product, the equivalent of $7,500 per person each year, he said. Much of that goes “just to move the money around.” And in spite of our spending, disease rates for problems like diabetes are higher in America than in countries like the United Kingdom.

Hart’s diagnosis: “It doesn’t pass the common sense test.”

His prescription: a single plan to cover all Minnesotans.

Such a single-payer plan may be a long way off, but state lawmakers are already taking small steps to get there.

The House last week approved a $10 billion health and human services spending bill that included a provision by Rep. Ken Tschumper of

La Crescent to create a committee to study how Minnesota could create a voluntary statewide pool to purchase health care services. The Senate passed a companion bill with a similar clause coauthored by Winona Sen. Sharon Erickson Ropes.

Both the first-term Democrats addressed about 25 people who turned out for Sunday’s forum.

Erickson Ropes said when she was campaigning door-to-door last summer, her constituents were receptive to the idea.

“People get it,” she said. “Universal health care is not free. But if we all pitch in together we’re going to be paying less than we are now and we won’t be leaving people behind.”

But, Erickson Ropes said, universal coverage is still far in the future. “We can’t get there overnight, but I think we can keep moving there one step at a time. Hopefully it won’t take 10 years.”
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Berley wrote on Apr 24, 2007 9:45 PM:

" I come down on the common sense side of this health care issue. The single payer side. We know that medicare (ask your mom or grandpa how that works for him/her) costs aprox 7 % to administer. While the insurance companies spend 30% on adminstrative costs, including, 7 figure salaries for the top admoinistrators. Couldn't the savings in administrative costs under a single payer plan across the whole state help a whole bunch of citizens get health care? "

Health Care Provider wrote on Apr 24, 2007 1:10 PM:

" Let's define humanitarian. "

Wait 'Til It Gets Personal wrote on Apr 24, 2007 5:12 AM:

" We all, especially middle income, are facing higher premiums and higher deductibles (out of pocket expenses) and we all face the risk of unexpected accidents and medical problems that are not preventable. That meeting was not a business meeting and was a way for the community to seek ways of helping all of God's children. Access to health care is a right already. The cost of that access is born by all of us who pay premiums, bills and taxes. In emergency situations hospitals admit and treat people for legal and ethical reasons. There is no way to pass judgment on whether a person is worthy (even if that were the right thing to do) when someone is brought in on a stretcher from a terrible car accident. "

Oh...poor you! wrote on Apr 23, 2007 9:43 PM:

" On the hook for $2000 to $5000 of their own money? Boo hoo... It is time that the folks in the public sector start sharing the burden of paying their own way like the rest of us. Why, its only fair that they help shouder the burden of increasing health care costs. The poor down-trodden working stiff makes way less and has to contribute to his or her own in the private sector. Sorry to break it to you, but health care is not a right, and it never will be no matter how many times the DFL, Democrats or liberals tell us it is so. "

NO!!! wrote on Apr 23, 2007 9:38 PM:

" No socilaized medicine!! The bolsheviks of the DFL are no going to succeed with this one. And if they do, me and my business are leaving this state. It is the place of my birth, but I am not responsible to pay for healthcare for anyone but me. Its time for have nots to realize that their is a price to be paid for doing nothing. The gravy train is over. "

Sunday??? wrote on Apr 23, 2007 1:00 PM:

" Why was a business meeting held on Sunday, the Lord's Day? Forums such a this should never be held on a Sunday. "

CaptnTony II wrote on Apr 23, 2007 8:56 AM:

" What has to change are the expectations we have on the healthcare system. It's not an inane right to live healthy. It's a privelege that we in a free society are offered. There are no guarantees. I am offended to think that me working hard, living a semi-healthy lifestyle, eating an apple a day to keep the dr away, is now in jeapordy. I DO NOT want to be "on the hook" for every other person's health (or lack thereof). If you don't want your kids to have bad hearts, take time to make some healthy meals, quit going to McWherever's. Stop smoking, start running/riding bike/swimming. Don't_pass_your_individual_problems_off_to_society. I'm sick of it. You want universal coverage, be ready to be told to quit drinking, smoking, riding your bike w/o a helmet, climbing trees, etc. It's_about_personal_responsibility.__If_healthcare_is_that_important_to_you,_give_up_the_evenings_out_and_pay_for_additional_healthcare_coverage! "

CaptnTony I wrote on Apr 23, 2007 8:54 AM:

" YEAH! The gov't is coming to make my life better! Not. Address the problem before lumping us all together as one 'insurable class'. For those of us that don't use/abuse the system, it's working fine. I don't think 2-5k for medical costs is out of order for the level of care provided. It's no different than the gas tax the gov't wants to increase - it's a 'tax' on those that use the system. It's there to make sure the consumer doesn't abuse the system. "


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