Description

Book Synopsis
America's Health Care Crisis Solved highlights the major pitfalls of our current health care system and shows why, without changes, health care costs will soon demolish the American economy as well as the opportunity to receive quality care. However, contrary to the increasingly popular idea of a government health plan, the alternative presented by authors J. Patrick Rooney and Dan Perrin brings the self-interest of you, the American consumer, into the equation.

Trade Review
"A welcome addition to the literature. Unlike many books written on health care these days, this one provides concrete assistance to real consumers. Pat Rooney and Dan Perrin should be congratulated for taking us to the next level of patient empowerment."--Consumers for Health Care Choices

Table of Contents

Preface xiii

Introduction xvii

PART 1 REALITIES

Chapter 1 No Money, No Health Care 3

Who Can Afford to Get Sick? 3

A Helicopter View of Health Care Financing 4

The Good Bad News 5

No More Business as Usual 6

Chapter 2 Why the Money’s Running Out 9

No Room at the Inn 9

Standard Operating Procedure 10

The Motive Is Profit 11

The Problem Is Greed 12

On the Front Lines with Nora Johnson 13

Chapter 3 A New Scarlet Letter 21

A Lady in Red 21

Who Are the Uninsured? 22

The Danger of Secondhand Smoke 23

Injustice for All 23

Chapter 4 Why Nationalized Health Care Is No Cure-All 27

The HMO Idea 27

An Idea Rejected 28

Phoenix Rising? 28

HillaryCare II 29

O Canada 33

The Cost of Inefficiency 35

God Save the Queen 36

Look No Further 37

New York, New York 37

Florida, Here We Come 38

The Evidence Speaks 39

PART II STRATEGIES

Chapter 5 Fair Care 43

Three Keys to Make Fair Care Work 45

Congressional Action 47

Two Crucial Points on Fair Care 48

Fair Care Effect on Employers 48

Fair Care Effect on Employees 48

The State of the Union Proposal 48

Chapter 6 Give Seniors What They Want (and Save Money Doing It): An Innovative Approach to Medicare 51

Part D of Medicare: Prescription Drugs for Seniors 52

The Future of Medicare 53

Defining the Terms 53

Drug Money 54

An Unfunded Mandate 55

A Bureaucratic Snafu 55

Cost Comparison 56

Saving the U.S. Treasury Money 59

How Much Could Our Country Save? 60

Give Seniors What They Want 61

Too Good to Be True? 61

How Much Money in Each Senior’s Hands? 62

Chapter 7 Give Control to Consumers through HSAs 65

Back to the Future 65

One Experience 66

HSAs Today 67

A Quick Overview 67

Health Care Freedom 69

A Dollar-for-Dollar Comparison 70

The Best Interest of the Consumer 70

An IRA on Steroids 72

The Truth Be Told 73

A Word about Family Deductibles 76

Republicans versus Democrats 76

A Legitimate HSA Weakness 79

Three Mistakes Employers Make 79

A Response to Mr. Rangel 81

What Does the Evidence Say? 82

A Side Note 83

What Congress Still Needs to Do 83

Chapter 8 Establish Fair Medical Prices 87

Which Price Tag? 87

What’s a Reasonable Price? 89

What Can We Conclude? 91

How to Defend Yourself against Hospital Harassment 91

What’s a UB-04 or a UB-92? 95

Where to Get the Medicare Information 96

Now You’re a Royal Pain 97

Sounds Good, But Does It Work? 98

Do You Need a Lawyer? 99

The Key to Health Care Reform 99

Chapter 9 Make Medical Prices Transparent: An Innovative Approach to Pricing Health Care 101

Between a Rock and a Hard Place 101

Why Not Be Honest? 102

Cost Reporting 102

Truth Detector 103

Do Hospitals Lose Money on the Uninsured? 103

Who’s Losing Money? 104

Are We Really Too Dumb to Understand? 104

What Needs to Change 105

Legislation Now Pending 106

Medicare Starts to Move 107

And Not Just the Hospitals 107

Chapter 10 Build Risk Pools: An Innovative Approach to Individual Health Insurance 109

New York State of Mind 109

No Picnic in the Garden State 110

Ferrari Pricing 113

One Way to Cope 114

Compassion versus Common Sense 114

Casting the Net 115

Double Incentive 115

The Problem for Small Businesses 117

A Future Answer for Small Businesses 117

A More Immediate Answer 118

List Bill 118

The Rest of the Story 119

Chapter 11 Build a National Marketplace: An Innovative Approach to Individual Health Insurance 121

Do You eBay? 122

Nothing Matters More 122

Roadblocks to Freedom 123

Health Care Choice Act 124

Not in My Backyard 124

An Idea for the People 125

Let’s Get It Done 125

Chapter 12 Make Basic Health Care Cheaper and More Convenient: An Innovative Approach to Health Care Delivery 127

What Is a Quick Care Clinic? 128

The Customer Is King 129

Calling Dr. Nurse 129

“You’ve Got Care” 130

Chapter 13 Do It Right the First Time: An Innovative Approach to Wellness 131

Dr. Paul Ellwood 131

The Right Goal 132

The Right Kind of Competition 132

It Is Your Health 133

Lose the Gatekeepers 133

Get Well Soon 134

Chapter 14 Wrapping It All Up 135

Appendix A Public Testimony of Dr. Gerard Anderson 137

Appendix B Memorandum of Case Law Precedents Showing Hospitals Can Charge Only Reasonable Prices 151

Appendix C An Example of a Legal Complaint against a Hospital for Unreasonable Charges 155

Appendix D Executive Order: Promoting Quality and Efficient Health Care in Federal Government-Administered or -Sponsored Health Care Programs 169

Appendix E S.173, Medicare Savings Account Legislation Introduced by U.S. Senator Inhofe (R-OK) and U.S. Senator DeMint (R-SC) 173

Appendix F The Common Sense Guide to Health Savings Accounts by Roy Ramthun 179

Notes 227

Index 237

Americas Health Care Crisis Solved

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    A Hardback by J. Patrick Rooney, Dan Perrin

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      Trusted by thousands of customers. See 2,385+ Customer Reviews

      View other formats and editions of Americas Health Care Crisis Solved by J. Patrick Rooney

      Publisher: John Wiley & Sons Inc
      Publication Date: Publication Date: 23/05/2008
      ISBN13: 9780470275726, 978-0470275726
      ISBN10: 0470275723

      Description

      Book Synopsis
      America's Health Care Crisis Solved highlights the major pitfalls of our current health care system and shows why, without changes, health care costs will soon demolish the American economy as well as the opportunity to receive quality care. However, contrary to the increasingly popular idea of a government health plan, the alternative presented by authors J. Patrick Rooney and Dan Perrin brings the self-interest of you, the American consumer, into the equation.

      Trade Review
      "A welcome addition to the literature. Unlike many books written on health care these days, this one provides concrete assistance to real consumers. Pat Rooney and Dan Perrin should be congratulated for taking us to the next level of patient empowerment."--Consumers for Health Care Choices

      Table of Contents

      Preface xiii

      Introduction xvii

      PART 1 REALITIES

      Chapter 1 No Money, No Health Care 3

      Who Can Afford to Get Sick? 3

      A Helicopter View of Health Care Financing 4

      The Good Bad News 5

      No More Business as Usual 6

      Chapter 2 Why the Money’s Running Out 9

      No Room at the Inn 9

      Standard Operating Procedure 10

      The Motive Is Profit 11

      The Problem Is Greed 12

      On the Front Lines with Nora Johnson 13

      Chapter 3 A New Scarlet Letter 21

      A Lady in Red 21

      Who Are the Uninsured? 22

      The Danger of Secondhand Smoke 23

      Injustice for All 23

      Chapter 4 Why Nationalized Health Care Is No Cure-All 27

      The HMO Idea 27

      An Idea Rejected 28

      Phoenix Rising? 28

      HillaryCare II 29

      O Canada 33

      The Cost of Inefficiency 35

      God Save the Queen 36

      Look No Further 37

      New York, New York 37

      Florida, Here We Come 38

      The Evidence Speaks 39

      PART II STRATEGIES

      Chapter 5 Fair Care 43

      Three Keys to Make Fair Care Work 45

      Congressional Action 47

      Two Crucial Points on Fair Care 48

      Fair Care Effect on Employers 48

      Fair Care Effect on Employees 48

      The State of the Union Proposal 48

      Chapter 6 Give Seniors What They Want (and Save Money Doing It): An Innovative Approach to Medicare 51

      Part D of Medicare: Prescription Drugs for Seniors 52

      The Future of Medicare 53

      Defining the Terms 53

      Drug Money 54

      An Unfunded Mandate 55

      A Bureaucratic Snafu 55

      Cost Comparison 56

      Saving the U.S. Treasury Money 59

      How Much Could Our Country Save? 60

      Give Seniors What They Want 61

      Too Good to Be True? 61

      How Much Money in Each Senior’s Hands? 62

      Chapter 7 Give Control to Consumers through HSAs 65

      Back to the Future 65

      One Experience 66

      HSAs Today 67

      A Quick Overview 67

      Health Care Freedom 69

      A Dollar-for-Dollar Comparison 70

      The Best Interest of the Consumer 70

      An IRA on Steroids 72

      The Truth Be Told 73

      A Word about Family Deductibles 76

      Republicans versus Democrats 76

      A Legitimate HSA Weakness 79

      Three Mistakes Employers Make 79

      A Response to Mr. Rangel 81

      What Does the Evidence Say? 82

      A Side Note 83

      What Congress Still Needs to Do 83

      Chapter 8 Establish Fair Medical Prices 87

      Which Price Tag? 87

      What’s a Reasonable Price? 89

      What Can We Conclude? 91

      How to Defend Yourself against Hospital Harassment 91

      What’s a UB-04 or a UB-92? 95

      Where to Get the Medicare Information 96

      Now You’re a Royal Pain 97

      Sounds Good, But Does It Work? 98

      Do You Need a Lawyer? 99

      The Key to Health Care Reform 99

      Chapter 9 Make Medical Prices Transparent: An Innovative Approach to Pricing Health Care 101

      Between a Rock and a Hard Place 101

      Why Not Be Honest? 102

      Cost Reporting 102

      Truth Detector 103

      Do Hospitals Lose Money on the Uninsured? 103

      Who’s Losing Money? 104

      Are We Really Too Dumb to Understand? 104

      What Needs to Change 105

      Legislation Now Pending 106

      Medicare Starts to Move 107

      And Not Just the Hospitals 107

      Chapter 10 Build Risk Pools: An Innovative Approach to Individual Health Insurance 109

      New York State of Mind 109

      No Picnic in the Garden State 110

      Ferrari Pricing 113

      One Way to Cope 114

      Compassion versus Common Sense 114

      Casting the Net 115

      Double Incentive 115

      The Problem for Small Businesses 117

      A Future Answer for Small Businesses 117

      A More Immediate Answer 118

      List Bill 118

      The Rest of the Story 119

      Chapter 11 Build a National Marketplace: An Innovative Approach to Individual Health Insurance 121

      Do You eBay? 122

      Nothing Matters More 122

      Roadblocks to Freedom 123

      Health Care Choice Act 124

      Not in My Backyard 124

      An Idea for the People 125

      Let’s Get It Done 125

      Chapter 12 Make Basic Health Care Cheaper and More Convenient: An Innovative Approach to Health Care Delivery 127

      What Is a Quick Care Clinic? 128

      The Customer Is King 129

      Calling Dr. Nurse 129

      “You’ve Got Care” 130

      Chapter 13 Do It Right the First Time: An Innovative Approach to Wellness 131

      Dr. Paul Ellwood 131

      The Right Goal 132

      The Right Kind of Competition 132

      It Is Your Health 133

      Lose the Gatekeepers 133

      Get Well Soon 134

      Chapter 14 Wrapping It All Up 135

      Appendix A Public Testimony of Dr. Gerard Anderson 137

      Appendix B Memorandum of Case Law Precedents Showing Hospitals Can Charge Only Reasonable Prices 151

      Appendix C An Example of a Legal Complaint against a Hospital for Unreasonable Charges 155

      Appendix D Executive Order: Promoting Quality and Efficient Health Care in Federal Government-Administered or -Sponsored Health Care Programs 169

      Appendix E S.173, Medicare Savings Account Legislation Introduced by U.S. Senator Inhofe (R-OK) and U.S. Senator DeMint (R-SC) 173

      Appendix F The Common Sense Guide to Health Savings Accounts by Roy Ramthun 179

      Notes 227

      Index 237

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