I haven't been on in a while, but I've been busy. Frankly I don't care who, if anyone, reads this but I do feel like I want to write; correction type, something. I've been getting the itch to write again and so I guess now is as good a time as ever to start.
We all, well most of us, have jobs. At these jobs, we make errors all the time. Many of these mistakes are small: serving regular coke instead of diet coke, filing Greene in front of Garcia, switching two numbers in a figure, placing the wrong grade in the gradebook for a different student, shipping something to Columbus, Georgia, instead of Columbus, Mississippi. These gaffes usually don't crush us but they can cost us time and money.
If someone is a doctor these tiny mistakes are a little more serious; they can be fatal. Because doctors are humans just like you and me, they can, and will, make mistakes. These mistakes can be tiny, but they can lead to devistating consequences. We are also living in the sue-happy age when lawyers rule the world. When anyone with a gripe about anyone else can sue them, doctors need to be protected when they do make a boo-boo. Therefore doctors subscribe to what is called malpractice insurance. This insurance is offered by just a few large insurance agencies that few people outside of the medical field have ever heard of. If one is a yoga therapist or a phlebotomist, the risk of death of a patient from a mistake is rare so the liability is low. The yoga therapist can therefore afford liability insurance for $130 bucks a month.
If you are a surgeon, pediatrician, or OB/GYN, the chances are greater that what you encounter could be life or death; therefore, the liability is higher, and the chances of being sued is higher. This then makes a surgeon's malpractice insurance premiums higher. Hospitals know that these doctors have to pay this insurance and so some medical facilities will pay some or all of the insurance. Others will try to encourage doctors to work at their hospital by paying them more in general so that the insurance premiums will be covered.
These premiums used to be fairly reasonable until the CEOs of these insurance companies looked more toward making money instead of just making sure that the doctors are covered. These companies stressed profit margins more than they did service or customer satisfaction. With many of these insurance agencies going public, investors jumped to invest in companies that made a healthy profit. These insurance companies pushed their premiums up to make more money and then the doctor or hospital is forced to pay these higher premiums. This money doesn't just come from the sky, it comes from the patients. This is the reason why a Tylenol is twelve bucks at a hospital. This is why this procedure or that costs eighteen thousand dollars. This is also why we as consumers can't afford any procedure without insurance today. The insurance that we pay goes to cover someone else's surgery that is also a customer of the same provider.
The idea of universal healthcare is a great idea. We would have a healthier, happier America if everyone was covered by the government. Sadly, I fear that as soon as the government begins to cover the average American, large companies will begin to drop high-risk clients (those that cost the insurance company a lot of money). The problem isn't that we shouldn't better American lives, it's that regulation has been lacking in the areas of keeping insurance companies competitive and viable. Regulation, or lack thereof, has led to the economic crisis and it is what makes the cost of healthcare so ridiculous today.