Lack of health insurance coverage for over 41 million Americans is
one of the nation's most pressing problems. While most elderly Americans
have coverage through Medicare and nearly two-thirds of non-elderly
Americans receive health coverage through employer-sponsored plans, many
workers and their families remain uninsured because their employer does
not offer coverage or they cannot afford the cost of coverage. Medicaid
and the State Children's Health Insurance Program (SCHIP) or HAWK-I
here in Iowa help fill in the gaps for low-income children and some of
their parents, but the reach of these programs is limited. As a result,
millions of Americans without health insurance face adverse health
consequences because of delayed or foregone health care and extending
coverage to the uninsured has become a national priority.
The number of people that are forced to go
without health insurance is nothing less than a crisis in this country
today. We have fallen into a vicious cycle over the last few decades in
which health insurance premiums have become too expensive for even a
middle class family to afford. This in turn results in the inability of
the uninsured to cover medical costs which often times results in the
financial ruins of the family, and in turn results in the continuing
loss of income by the medical community, which in turn drives the cost
of medical expenses higher, finally cycling back to the insurance
company which then must drive the premiums of health insurance higher to
help cover the rising cost of health care.
Many proposals have
been tossed around by politicians on both sides of the isle ranging from
socializing health care comparable to the Canadian system, to endorsing
health savings accounts and cracking down on frivolous law suits
against the medical community. Many of these proposals have good points,
but along with whatever good points they bring they also bring major
downfalls. For instance; a socialized national health care program would
eliminate the need for health insurance all together and the cost would
be taken on by taxes, which in theory doesn't seem like a bad idea.
However, the downfalls to this system include a deficit in new doctors
willing to get into the field due to the inevitable decline in income
while the demand would grow due to no personal responsibility. In short
if people didn't have to worry about deductibles or copays that would
normally keep the person from seeking medical treatment for minor
things, they would simply go to the doctor every time they had an ache
or pain. So now we have waiting lines for people with major health
problems since everyone is scheduling an appointment while at the same
time we are losing doctors due to lack of incentive.
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