Health reform will empower families against market constraints
Kathleen Sebelius
For decades, Washington has talked about fixing a broken health care
system. And for decades Washington failed to act, allowing the special
interests to stall reform while the cracks in the system turned into
crevices, then craters.
But today, we are closer than ever to the change we need. Key
committees in Congress have reached a striking degree of consensus about
how to control costs, guarantee coverage, and provide more choices for
every American. America’s doctors and nurses have announced their
support. And even hospitals, drug and insurance companies have pledged
to do their part to control costs.
In this file photo, Kansas Gov. Kathleen Sebelius prepares for
the Democrat response to the State of the Union at Cedar Crest,
the Kansas Governors’ mansion, in Topeka, Kan. AP Photo |
Change is never easy and recently, some defenders of the status quo
have made themselves heard. One Republican Senator said, “If we’re able
to stop Obama on this, it will be his Waterloo. It will break him.” And
a leading political strategist urged fellow Republicans to “resist the
temptation” to be “constructive or, at least responsible,” and instead
work to “kill” health care reform.
These opponents of change may understand how to score political
points in Washington, but they don’t seem to understand the stakes for
the country. The health care status quo is unacceptable and
unsustainable for our families, our businesses, and our nation as a
whole.
Today nearly 46 million Americans are uninsured and are one illness
or accident away from losing everything. Millions more are
under-insured. Since 2004, the number of under-insured families, those
who pay for coverage but are unprotected against high costs, rose by 60
percent.
Even Americans with insurance find themselves paying more and getting
less. In the past decade, premiums have doubled, rising three times as
fast as wages and leaving families scrambling to close the gap.
Last year, more than half of Americans skipped their medications or
postponed medical because they couldn’t afford it. Businesses,
especially small businesses, aren’t faring much better. Skyrocketing
health costs are making it even harder to compete in today’s global
economy and forcing business owners to choose between staying afloat and
providing health care for their workers.
At the same time, health care spending today consumes 30 percent more
of state and local budgets than it did 20 years ago, forcing governments
to choose between cutting services and raising taxes. And our national
budget faces the same threat, with health care costs representing the
single largest contributor to exploding long-term deficits.
America can’t afford to wait any longer for health care reform. Some
opponents of reform will try to scare Americans into thinking they’ll
lose what they already have.
Millions of Americans are happy with the coverage they have now, so
let’s be clear: under any plan the Obama administration will support, if
you like your health insurance you can keep your health insurance; if
you like your doctor you can keep your doctor.
In fact, the real threat to what works in our system comes from doing
nothing. Without action, prices will continue to spiral out of control.
More Americans will not be able to afford insurance at all, and those
who can will continue to pay more for less.
So what will reform actually look like?
First, to provide Americans with more affordable choices, we’ll set
up a marketplace where you can compare plans and pick the one that’s
right for you. None of the plans would be allowed to deny you coverage
because of a pre-existing condition. And one of the options should be a
public plan that would increase competition and keep private insurance
companies honest.
Second, we have to align incentives for doctors and hospitals so that
they’re rewarded based on the quality of care they provide, not on how
many tests or procedures they prescribe.
Third, we need to move from a sickness system to a wellness system.
By investing in prevention and emphasizing healthy lifestyles, we can
save money while improving health.
Finally, reform must not add to our deficit over the next ten years.
To that end, we have already identified hundreds of billions of dollars
in savings, savings from money that’s already being spent on health
care, but is funding waste and overpayments to insurance companies.
Put together, these changes will make quality, affordable coverage
available to every American while bending the cost curve so that we
don’t bury our children in debt. Fixing the system has never been so
critical, and it has never been more squarely within our reach. Now it’s
time to make reform a reality.
The writer is the Secretary of Health and Human Services in President
Barack Obama’s Cabinet. She was the Democratic governor of the state of
Kansas from 2003 to 2009.
AP |