Free Republic
Browse · Search
News/Activism
Topics · Post Article

Skip to comments.

Is Kaiser the Future of American Health Care?
Los Angeles Times ^ | October 31, 2004 | STEVE LOHR

Posted on 10/31/2004 7:19:39 PM PST by liberallarry

It may seem unlikely, given Kaiser's past image as a ham-handed H.M.O., but plenty of others are reaching the same conclusion. High-level visitors from across the political spectrum - the Bush administration and National Health Service of Britain, for example - are coming to California these days to look at Kaiser as an institution that is actually doing some of the things needed to improve health care.

Obviously, there is no single model for revamping the nation's costly, disjointed health care system, and Kaiser certainly has its share of problems. But according to economists and medical experts, Kaiser is a leader in the drive both to increase the quality of care and to spend health dollars more wisely, using technology and incentives tailored to those goals. "Quality health care in America will never be cheap, but Kaiser probably does it better than anywhere else," said Uwe E. Reinhardt, an economist at Princeton who specializes in health issues.

HEALTH care systems in most industrialized countries are in crises of one form or another. But the American system is characterized by both feast and famine: it leads the world in delivering high-tech medical miracles but leaves 45 million people uninsured. The United States spends more on health care than any other country - $6,167 a person a year - yet it is a laggard among wealthy nations under basic health measures like life expectancy. In a nutshell, America's health care system, according to many experts, is a nonsystem. "It's like the worst market system you could devise, just a mess," said Neelam Sekhri, a health policy specialist at the World Health Organization in Geneva.

(Excerpt) Read more at nytimes.com ...


TOPICS: Business/Economy; Culture/Society
KEYWORDS: healthcare; hmo

1 posted on 10/31/2004 7:19:40 PM PST by liberallarry
[ Post Reply | Private Reply | View Replies]

To: liberallarry

First step for cheaper health care is to make "organ transplant" a separate policy, buy it if you want to or buy only common coverage. Transplants at a half mil each are killing health care costs.


2 posted on 10/31/2004 7:28:45 PM PST by Uncle George
[ Post Reply | Private Reply | To 1 | View Replies]

To: liberallarry

When lifespan is controlled for ethnic origins, European and American counterpart populations have essentially the same lifespan, while non-European counterpart populations have greater lifespans in the US.


3 posted on 10/31/2004 7:29:44 PM PST by muawiyah
[ Post Reply | Private Reply | To 1 | View Replies]

To: liberallarry
"It's like the worst market system you could devise, just a mess,"

As compared to the French system which let 30,000 elderly people die of heat stroke one August? Or the English system where people pick up infections from unsanitary hospitals? Or the Canadian system where people die waiting their turn for lifesaving surgery? Or the Chinese system where the elderly who are unable to pay or produce party connections get a shot for their health which, by some strange coincidence, develops into a fatal complication within a few weeks?

4 posted on 10/31/2004 7:32:34 PM PST by Vigilanteman (crime would drop like a sprung trapdoor if we brought back good old-fashioned hangings)
[ Post Reply | Private Reply | To 1 | View Replies]

To: liberallarry

Please, I don't need to have nightmares tonight.

We had Kaiser for two years. After waiting in the ER lobby for 8 hours for stitches for my 9 yo we quit Kaiser. BTW After 8 hours they can no longer do stitches, so they had to steristripped it. I blew a fit after about 6 hours of waiting, their response was to call security on me.

A few months after we had quit, a friend was in their ER waiting. A lady had stopped breathing while she was waiting to be seen. When the front desk clerk was told that the lday wasn't breathing she told the family that "She had to wait her turn". The family dialed 911 and let the 911 operation know their location. A minute or two later a nurse came flying into the waiting room to help the non-breathing lady.

I hope that the front desk clerk is not working in the medical field any longer.

BTW the lady's family had the presence of mind to get witnesses name, address and phone number. That lady has one smart family.


5 posted on 10/31/2004 7:37:16 PM PST by notpoliticallycorewrecked (Another military family for Bush;)
[ Post Reply | Private Reply | To 1 | View Replies]

To: liberallarry
$200 a day hospital co-pay, $250 a month copay, $20 doctor visits, $100 ER visit co-pay... and I'm sure it'll go up next year. How about months waiting to see a urologist? How about months for gastrointerologist to do a colonoscopy?

It's not all that comforting especially when you find Kaiser's among the top rated HMOs in California.

6 posted on 10/31/2004 7:41:59 PM PST by newzjunkey (Keep crime down: NO on CA Prop 66. Pray for America and Vote BUSH!)
[ Post Reply | Private Reply | To 1 | View Replies]

Comment #7 Removed by Moderator

To: liberallarry
I was a staff physician for Kaiser Northwest Permanente (Portland Oregon) my first year out of training in the early 1990's. If my only choice for clinical practice was to go back there, I would quit and pursue some non clinical career.

In addition to working there, I got to experience Kaiser as a patient, after I broke my shoulder. Kaiser was set up so that it was nearly impossible for me to do physical therapy during non-working hours. However, I couldn't take any time off during the work day to do therapy. I finally hired a personal trainer at the gym I belonged to help me rehab my shoulder.

I doubt this NYT "journalist" would enroll at Kaiser if he had a choice. I am sure J.F'n.K . and Madame Tereza would never join it, but would think it is great for all of us little people.

8 posted on 10/31/2004 7:44:19 PM PST by eeman
[ Post Reply | Private Reply | To 1 | View Replies]

To: newzjunkey

I'm a Kaiser, uhmm, "customer". Kaiser is the Department of Motor Vehicles with cute white coats. Let's bring on government controlled heath care immediately - modeled after Kaiser. I suspect most of the beds will be filled with Govt health care workers shot by impatient patients.


9 posted on 10/31/2004 7:48:42 PM PST by daguberment ("Kin I git me a huntin license here?")
[ Post Reply | Private Reply | To 6 | View Replies]

To: newzjunkey

You have mail and I would like a response.


10 posted on 10/31/2004 7:51:36 PM PST by notpoliticallycorewrecked (Another military family for Bush;)
[ Post Reply | Private Reply | To 6 | View Replies]

To: notpoliticallycorewrecked
I'm sorry you had such a negative experience with Kaiser. It's hard to imagine that you had to wait 8 hours for a stitching job--why did you go to the ER instead of to one of their urgent-care centers, if the case had to be taken care of after hours? My son needed stitches about three nights ago. I called Kaiser at 8:30 p.m. and was told to be at the urgent care center at 8:50, which is just about as fast as I can drive there. We were seen immediately and, with the requisite stitching and tetanus shot, were out in an hour.

I've been a Kaiser patient for 22 years and I adore them. Two $40,000 C-sections, a surgical biopsy, tons of medication and treatments, tons of doctor face-time, emergency care all over the US, numerous lengthy inpatient stays, home nurse visits, giving me machinery I needed--no additional charge. Kaiser has made no money at all on us. I never had trouble choosing the doctor I wanted or getting the care I needed, or my kids needed. They never hesitated to send us out of plan to see some specialist they didn't have on staff.

But as with any other system, you have to know how to deal with the bureaucracy.

11 posted on 10/31/2004 7:52:38 PM PST by Capriole
[ Post Reply | Private Reply | To 5 | View Replies]

To: Capriole
I'm glad that their system worked for you. In our case the urgent care was closed since it was a Sunday night.

BTW my husband was diagnosed with a brain tumor about a year after we quit Kaiser. I am so thankful that we didn't have to deal with the Kaiser bureaucracy while we had to deal with the emotional aspects of his diagnosis.

Since we had BS-BX He was referred to the number one ear/brain surgery team in the world. The House Ear Group in Los Angeles. This is the same group that did Rush Limbaugh cochlear implant. The House Ear Group invented cochlear implants back in 1959.
12 posted on 10/31/2004 8:03:10 PM PST by notpoliticallycorewrecked (Another military family for Bush;)
[ Post Reply | Private Reply | To 11 | View Replies]

To: notpoliticallycorewrecked
God bless you and your family. I hope your husband's health will be totally restored, and I'm glad that you were able to find that wonderful group of surgeons to help you.

The truth is, as a divorced mother I could never afford Blue Cross/Blue Shield, even through my employee plan. Kaiser is less than half the price. You are fortunate you have that alternative.

13 posted on 10/31/2004 8:11:53 PM PST by Capriole
[ Post Reply | Private Reply | To 12 | View Replies]

To: Capriole

Thank you for your blessing. I know that we are blessed beyond measure for the insurance that we have.

My husband is doing great. He was released from the hospital 5 days after his surgery. He went back to work part time 8 weeks later. Was back to work full time 3 months after his surgery.


14 posted on 10/31/2004 8:18:25 PM PST by notpoliticallycorewrecked (Another military family for Bush;)
[ Post Reply | Private Reply | To 13 | View Replies]

To: All

It seems Kaiser is not the solution.


15 posted on 10/31/2004 8:34:12 PM PST by liberallarry
[ Post Reply | Private Reply | To 14 | View Replies]

To: liberallarry

You forgot the "Barf Alert."


16 posted on 10/31/2004 9:34:09 PM PST by Weirdad (A Free Republic, not a "democracy" (mob rule))
[ Post Reply | Private Reply | To 1 | View Replies]

To: liberallarry
I have been selling and servicing health insurance plans in California for more than 2o years. I have been personally involved with 2 separate malpractice lawsuits concerning kaiser and numerous replacment policies to help people get other insurance than Kaiser.

Kaiser is the largest insurer in California.

Kaiser is sued more often than any other insurer in the state. Kaiser has paid out larger settlements for malpractice than any other insurer in the state and has more complaints than any other health provider I know of in the state.

An individual may recieve poor care from many place, but at Kaiser they have raised inadequate care to an art form.

17 posted on 10/31/2004 9:55:23 PM PST by Nachum (Kerry spells "Fine Dining")
[ Post Reply | Private Reply | To 1 | View Replies]

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
News/Activism
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson