Friday, August 7, 2009

Health Care Rational or Rationale?

In the current debate on Health Care, there are still people who want to have rational discussions (like me), while others (Congress and the White House) appear interested in providing a "rationale" for why we must follow their plan (whatever it ends up being).

(See if you can make it through this paragraph without falling asleep) I've been involved several times with the design of complicated systems. We carefully analyzed the system requirements, documented the design, developed prototypes, reviewed designs with key stakeholders, redesigned, and implemented these systems. The design continued to evolve throughout the development cycle. The resulting system didn't look much like the original idea.

What does this have to do with Health Care Reform?

Health Care Reform is addressing a "system" more complicated than anything I have ever worked with and frankly this scares me. Especially based on a little research on my part.

My observations:

  1. Watch C-Span - After watching a portion of the debate on health reform by Congress, I absolutely do NOT want these people reforming my Health Care. I've been in two types of meetings as part of system development. Meetings with people who know exactly what needs to be done, and meetings with people who have NO idea, but still feel inclined to spew hot air. The debate in Congress reminds me of the later.

  2. Read the White House Health Reform Website. From the page "What People Are Saying", all of the articles referenced are pro-reform (and mostly from left-leaning publications), YET the comments are mostly negative and against health care reform.

  3. I followed the link to How Health Insurance Reform will Benefit California.

  4. I found empty promises like:

    • "Health insurance reform will also ensure that you will always have guaranteed choices of quality"
    • Improving our health care system.
    • Health insurance ... will become more affordable
    • Insurance Stability and Security: Health insurance reform will strengthen our system of employer-based health insurance

    I did find details that all translated to "Increase Taxes"

    • Ending the Hidden Tax
    • Covering the uninsured
    • Premium credits


Our federal government was designed to prevent the President and Congress from getting too much power. They have found loopholes to this design by creating pork-laden bills to entice votes. Such bills are in no way capable of managing complex issues like financial recoveries or health care reform. My solution would be for Congress to define goals: reduced cost, improved access and quality, etc. Congress should then ask the states to design health care reform and should work with states to remove any obstacles. States should then pass the responsibility to Counties and also work with them to remove obstacles.

My question for Pres. Obama:
Under what conditions would you veto a health care bill? I'm guessing there are no conditions.

I liked this article a friend sent me:
Utopia versus Freedom
From a liberal viewpoint Obama's healthcare horror
From Sara Palin "Death Panels" (Did she really write this?)
Health Insurance Profits Ranks #86
Some good insights from C4L (Read the comments as well)
Caroline Baum at Bloomberg

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