The Health Insurance Dilemma

I cannot imagine anyone wants another human being to go without health care. We all need it at some point in our lives. However, health care has become an incredibly polarizing subject in America and that is a shame.

We’ve been discussing health insurance in the United States for many years now. If you are curious, I am not a proponent of Obamacare primarily because it was more about the government overseeing and taking over the total health care industry than in covering the 30-40 million uninsured. When has the government ever done anything efficiently over a long period of time without becoming bloated and hugely inefficient, and without growing far beyond their intended scope and purpose.

I would be happy if the government had formulated a more simple plan to figure out how to provide services to the uninsured and let the rest of the health care industry alone. We have had the best health care in the world and Obamacare is likely to reduce our quality of care. If you disagree, we will simply have to wait and see.

Perhaps one exception to the above comment is our need to reduce the cost of prescription medicine. Anytime you can drive across the border into Mexico and buy the same drug for far less there is a problem. Of course you hear and read about political parties being in bed with the drug industry. Does anyone believe that likely is not accurate?

Anyway, no matter how you land on this difficult subject there is no arguing the impact health insurance or lack of health insurance has on our nation and people.

Back in 2002 the Institute of Medicine figured that around 18,000 U.S. citizens between the ages of 25 and 64 die annually due to a lack of health insurance. The following information is not rocket science yet still informative.


Uninsured adults without health insurance:

…are far less likely to receive preventive services

…and with cancer are generally in poorer health and die more prematurely than those with insurance primarily due to delayed diagnosis issues.

…and with diabetes are less likely to receive recommended services, which causes uncontrolled blood sugar levels which puts patients are greater risk

…and with hypertension or high cholesterol are less likely to be screened, less likely to receive prescription medication and are at greater risk

…and with end-stage renal disease receive dialysis later than other patients

…and with HIV receive medication later that can improve odds of survival and die sooner

…and are hospitalized are more likely to die in the hospital, receive fewer services after being admitted and experience more substandard care.

…and experience a trauma injury are less likely admitted to hospitalization, receive fewer services and more likely to die as a result

…and with acute cardiovascular disease are less likely to receive hospitalization to receive angiography or revascularization procedures and more likely to die

Again, nothing in this that would shock your world. It’s still important to remember that we have lot of people who forgo health care and the basic services they need.