After reading the article by Sen. Barack Obama, I pose these questions and observations to him:
1) I believe it is time to limit the profits of the pharmaceutical industry and the supply manufacturers, including implant makers, to bring down the cost of care in the hospitals. Why is this never addressed?
2) Cap the profits of the insurance industry and bring down the insurance premiums to make coverage more affordable. Instead they have shifted the burden to their members, with large copays and deductibles. This has led to more free care by the providers, since the patients cannot afford to pay. The younger employees choose not to have insurance at all, since the premiums are high, so once again, that becomes free care for the providers. Why is this never addressed?
Providers spend a great deal of time and resources bogged down with paperwork, rules and policies put upon us by the insurance industry, so insurers can stall or deny payment. That has greatly increased our costs. We have to hire physicians and nurses to spend their day on the phone with the insurance company justifying medical decisions and care to someone who no longer practices medicine!
This is the only industry where we give a service, but must jump through hoops to get reimbursed; and it takes months. Denials for medical necessities are through the roof, and the public should be made aware. The insurance companies hold us hostage, and limit us from giving this information to their members, trying to make the providers look greedy. Its a disgrace.
In New Jersey, 50% of the hospitals are operating in the red, yet the insurance companies have high profits, as well as the pharmaceutical and other suppliers. Why is this never addressed?
Mary TaylorDirector of patient finance and managed careSouthern Ocean County HospitalManahawkin, N.J.