A Healthy Debate?
posted by Lynn HanessianMonday, August 17th, 2009
I am all for a lively exchange. From town halls to pundits, from papers to blogs, lots of folks all are focused on how we are going to tackle health care. Just a few observations:
1) On July 23, Pres. Obama referred to “health insurance reform” when in Cleveland. While few noticed this substantive change in White House strategy back then, kudos to Cathy Arnst, BusinessWeek, for flagging it. The strategy is to assign blame to a segment (the insurance industry).
2) As has been noted by many, when Social Security was created, Americans tended to retire at 65 and die in the following year or so. Thanks to medical and health advances, we are living longer. The challenge is how to pay for our longer lives and the advances that help to make that happen.
3) Care of health care reform, I have learned a little something about Twitter: I commented on a tweet about health care being a right. I got a direct message back that was questioning my opinion. I tried to send a direct message back, but can’t until that person follows me. (This frustration further confirms my earlier blog that I am twitless.)
At the root of my health care reform post was that we need to consider the quantity of health care provided. Surely, this is very complicated. While “death panels” are a flash point, in fact, we need to do a much better job providing end of life care. Americans are optimists and we all hope for a miracle cure. I agree that a well informed physician and patient team should be in control of the decision. Ultimately, though, we need to become more realistic about the intended outcomes of care, the evidence that is available to guide the decision and weigh the options. By the time anyone reaches middle age, just like getting the invitation to join the AARP, we should also embrace the critical landmark of establishing a living will and ensuring we have done the very best we can to plan financially for long lives.
