A Socialized Health Care System Requires Population Control and Impeccable Registries

In a nationalized health care system, you need to know who is who – otherwise the system could never be able determine who is entitled. The structure depends on how the system is created and designed, but with a nationalized health care system you will be tracked by the state where you reside and how you move in a manner that is unseen in America. The nationalized health care system becomes a vehicle for population control.

If you leave the United States and are no longer a resident of the state, even if you are a citizen and might maintain a driving license, you will have to report immediately if you want to avoid the 13% health care tax. I use the number 13% as it is in Sweden to exemplify the actual tax pressure that is laid upon you for the nationalized health care.

Let’s say you moved and you do not want to pay the 13% tax for services you do not receive, can receive, or want to taken out from the tax roll. The mammoth entity has no interest to let you go so easy. You will end up having to reveal your private life – partner, dwellings, travel, money, and job to prove your case that you have the right to leave the public health care system and do not need to pay the tax. If you have to seek an appeal, your information could be a part of administrative court documents that are open and public documents. As soon as you return to the United States, you will be automatically enrolled again and the taxes start to pile up.

Public universal health care has no interest in protecting your privacy. They want their tax money and, to fight for your rights, you will have to prove that you meet the requirements to not be taxable. In that process, your private life is up for display.

The national ID-card and national population registry that includes your medical information is a foundation of the nationalized health care system. You can see where this is going – population control and ability to use the law and health care access to map your whole private life in public searchable databases owned and operated by the government.

By operating an impeccable population registry that tracks where you live, who you live with, when you move and your citizen status including residency the Swedes can separate who can receive universal health care from those not entitled. The Swedish authorities will know if you have a Swedish social security number, with the tap of the keyboard, more information about yourself than you can remember. The Swedish government has taken sharing of information between agencies to a new level. The reason is very simple – to collect health care tax and suppress any tax evasion.

It is heavily centralized and only the central administration can change the registered information in the data. So if you want to change your name, even the slightest change, you have to file an application at a national agency that processes your paperwork. This centralized population registry makes it possible to determine who is who under all circumstances and it is necessary for the national health care system. Otherwise, any person could claim to be entitled.

To implement that in the United States requires a completely new doctrine for population registry and control. In an American context that would require that every existing driving license had to be voided and reapplied under stricter identification rules that would match not only data from Internal Revenue Service, state government, municipal government, Social Security Administration, and Department of Homeland Security but almost any agency that provides services to the general public. The reason why a new population registry would be needed in the United States is the fact that lax rules dating back to the 1940s up until the War on Terrorism, and stricter identification criteria following 9/11, has made a significant percentage of personal information about individuals questionable.

If America instead neglects maintaining secure records, determining eligibility for public health care would not be possible and the floodgates for fraud would open and rampant misuse of the system would prevail. This would eventually bring down the system.

It is financially impossible to create a universal health care system without clearly knowing who is entitled and not. The system needs to have limits of its entitlement. A social security number would not be enough as these numbers have been handed out through decades to temporary residents that might not even live in the United States or might today be out of status as illegal immigrants.

The Congress has investigated the cost of many of the “public options”, but still we have no clear picture of the actual realm of the group that would be entitled and under which conditions. The risk is political. It is very easy for political reasons to extend the entitlement. Politicians would have a hard time being firm on illegal immigrants’ entitlement, as that would put the politicians on a collision course with mainly the Hispanic community as they represent a significant part of the illegal immigrants. So the easy sell is then that everyone that is a legal resident alien or citizen can join according to one fee plan and then the illegal immigrants can join according to a different fee structure. That assumes that they actually pay the fee which is a wild guess as they are likely to be able to get access to service without having to state that they are illegal immigrants.

It would work politically – but again – without an impeccable population registry and control over who is who on a national level, this is unlikely to succeed. The system would be predestined to fail because of lack of funds. If you design a system to provide the health care needs for a population and then increase that population without any additional funds – then naturally it would lead to a lower level of service, declined quality, and waiting lists for complex procedures. In real terms, American health care goes from being a first world system to a third world system.

Thousands, if not a million, American residents live as any other American citizen but they are still not in good standing with their immigration even if they have been here for ten or fifteen years. A universal health care system will raise issues about who is entitled and who is not.

The alternative is for an American universal health care system to surrender to the fact that there is no order in the population registry and just provide health care for everyone who shows up. If that is done, costs will dramatically increase at some level depending on who will pick up the bill – the state government, the federal government, or the public health care system.

Illegal immigrants that have arrived within the last years and make up a significant population would create an enormous pressure on a universal health care, if implemented, in states like Texas and California. If they are given universal health care, it would be a pure loss for the system as they mostly work for cash. They will never be payees into the universal health care system as it is based on salary taxes, and they do not file taxes.

The difference is that Sweden has almost no illegal immigrants compared to the United States. The Swedes do not provide health care services for illegal immigrants and the illegal immigrants can be arrested and deported if they require public service without good legal standing.

This firm and uniform standpoint towards illegal immigration is necessary to avoid a universal health care system from crumbling down and to maintain a sustainable ratio between those who pay into the system and those who benefit from it.

The working middle class that would be the backbone to pay into the system would not only face that their existing health care is halved in its service value – but most likely face higher cost of health care as they will be the ones to pick up the bill.

The universal health care system would have maybe 60 million to 70 million “free riders” if based on wage taxes, and maybe half if based on fees, that will not pay anything into the system. We already know that approximately 60 million Americans pay no taxes as adults add to that the estimated 10-15 million illegal immigrants.

There is no way that a universal health care system can be viably implemented unless America creates a population registry that can identify the entitlements for each individual and that would have to be designed from scratch to a high degree as we can not rely on driver’s license data as the quality would be too low – too many errors.

Many illegal immigrants have both social security numbers and driver’s licenses as these were issued without rigorous control of status before 9/11. The alternative is that you had to show a US passport or a valid foreign passport with a green card to be able to register.

Another problematic task is the number of points of registration. If the registration is done by hospitals – and not a federal agency – then it is highly likely that registration fraud would be rampant. It would be very easy to trespass the control of eligibility if it is registered and determined by a hospital clerk. This supports that the eligibility has to be determined by a central administration that has a vast access to data and information about our lives, income, and medical history. If one single registration at a health care provider or hospital would guarantee you free health care for life and there is no rigorous and audited process – then it is a given that corruption, bribery, and fraud would be synonymous with the system.

This requires a significant level of political strength to confront and set the limits for who is entitled – and here comes the real problem – selling out health care to get the votes of the free riders. It is apparent that the political power of the “free” health care promise is extremely high.

A promise that can not alienate anyone as a tighter population registry would upset the Hispanic population, as many of the illegal immigrants are Hispanics – and many Hispanics might be citizens by birth but their elderly parents are not. Would the voting power of the younger Hispanics act to put pressure to extend health care to elderly that are not citizens? Yes, naturally, as every group tries to maximize its own self-interest.

The risk is, even with an enhanced population registry, that the group of entitled would expand and put additional burden on the system beyond what it was designed for. That could come though political wheeling and dealing, sheer inability from an administrative standpoint to identify groups, or systematic fraud within the system itself.

We can speculate about the outcome but the challenges are clear. This also represents a new threat to the privacy and respect for the private sphere of the citizenry as an increased population registration and control empowers the government with more accurate information about our lives and the way we live our lives. Historically, has any government when given the opportunity to get power taken that opportunity and given that power back to the people after the initial objective was reached? Governments like to stick to power.

To ensure the universal health care system is designed to function as intended it, would require procedures that would limit fraud, amass a significant amount of personal information, have access to all your medical data, and also determine who you are beyond any doubt. Just to be able to determine if you are entitled or not and, track the expenditures you generate.

The aggregation of these data could also open the floodgates for any data mining within these data under the pure excuse that it would help the universal health care system to better “serve you” and lower the costs.

To lower the costs also means to identify which procedures should not be done on which type of patients as it is not viable based on the government’s interest to optimize your productivity under your life cycle. The collection of data has a tendency to look inviting and good when we start to collect it but aggregated data and personal information creates a deep intrusion in our privacy.

Jon Kallberg is a Ph.D. Candidate in Public Affairs and has his private political blog http://kallberg.blogs.com/kallberg/ and has written the book “How Socialized Health Care Will Radically Change America” [http://kallberg.blogs.com/kallberg/2010/02/how-socialized-health-care-will-radically-change-america-why-universal-health-care-will-create-a-pol-1.html].

Article Source: http://EzineArticles.com/expert/Jon_Kallberg/624317

 

National Health System

One of a fairly fundamental subsystem of the National Health System (SKN) is a health care financing. The absence or no funding in the administration of optimal health efforts and other programs, is one of the main causes of not achieving health development goals that we want. Why not, almost all activities in development can not be denied, requires funding and costs. Some important factors in health financing must be considered include:

* The quantity of health development budget provided by government and private sector donations.
* Level of effectiveness and efficiency of use (functionalization) of the existing budget.

Therefore, health policy reform in a country should provide an important focus for health financing policy to ensure the adequacy, equity, efficiency and effectiveness. Planning and adequate health financing arrangements will help the government in a country to be able to mobilize financing sources, rationally allocate and use it efficiently and effectively. Health financing policy that prioritizes equality and pro-poor would encourage the achievement of universal access. In a broader aspect is believed that the financing in this field has contributed to social and economic development.

Health service itself in recent years become very expensive both in developed countries and in developing nations. Excessive Use of health services with high technology is one of the main causes. Another cause is the dominance of health care financing with cash payment mechanisms and weak capacity in the management of resources and services itself. WHO provides the focus of health financing strategy which includes key issues, challenges, the main objective of policies and action programs in general are in following areas:

* Increasing investment and public spending in health,
* Arranging the achievement of universal participation and strengthening permeliharaan poor health,
* Development praupaya financing schemes including social health insurance, excavation
* national and international support, strengthening of regulatory frameworks, and functional interventions,
* Developing policies based on scientific fact and data,
* Monitoring and evaluation.

Implementation of health financing strategies in a country is directed to a few basic things namely; sustainable financing of priority health programs, a reduction in cash funding individuals, eliminate the cost barriers to access health services, equity in access to services, improving efficiency and effectiveness of resource allocation and quality of services adequate and acceptable to service users.

MOH Strategic Plan 2005-2009 stated that improving health care financing is one of the four main strategies the health department in addition to mobilizing and empowering people to live healthier, improve public access to quality health services and improving surveillance systems, monitoring and health information.

The target of the main strategies to improve health financing that is;

* The development of health gain adequate budgeting by central and local government,
* Preferred government health budget for prevention and health promotion and
* Establishment of system of guarantee for financing in this sector, especially for the poor.

madagaox

Article Source: http://EzineArticles.com/expert/Madagaox_Mokondo/624478

 

Stress Health Instead of Letting Health Stress You

Health is everywhere these days. You can’t open a newspaper or turn on a television without seeing health in the news. Like it or not, health is all around us. Why is this? Well, for starters, it is important. Most notably, health is a hot topic because we have let it become an area of stress in our lives.

Think about the news stories that we see along with health. What else is on the news? There is war, political scandals, crime and crisis. All of these subjects have one thing in common: Stress. When we see these stories they evoke emotion and cause us to feel anxiety.

How did health get on this list? Shouldn’t we be feeling good about health and healthy living? Well, we should be, but unfortunately that isn’t the kind of story we are getting. We are getting the lack of health in most news stories. One can argue that this is simply because that is the state we are in now. Our health has gotten so bad that there is only bad news to report.

One can say that. In fact, I’ve said that we are in a serious situation regarding our health. I see the news, so I know that there are general problems. More importantly, I work with people, so I see that there are personal problems.

I see that we all want to be healthy. I also see that it is difficult for the average person to be as healthy as they want to be. I see that the status quo is actually causing more and more problems for us and making it more and more difficult to live healthy or even to avoid declining health in our lives.

What can we do? It is important that we emphasize the word DO. If we do nothing, we will continue to go down the path of poor health. By closing our eyes and taking what is given, we will not get where we want to go. By eating what is offered at the cheapest, most convenient foods, we will not get where we want to go. By letting our schedules be made for us and going with the flow, we will not get where we want to go.

The only way to take the stress out of health is to switch things around. We have to stress health. By stressing health, we can stop letting health stress us. This is more than just a play on words.

Think about it:

When we see the stories about health on the news, what are they telling us? They are telling us that the health of the world is in jeopardy and we are all heading the wrong direction. They are telling us that what we are doing is killing ourselves and our kids. They are telling us that we are not doing it right and are suffering the consequences now and in the future.

As we continue to hear messages like this, it gets easier to believe them. It gets easier to look at our own routine and say, “Wow, I am unhealthy.” While it may be true, it doesn’t mean that things have to stay this way.

That is the first step in turning things around. We need to understand that health is ongoing and long-term. Health is not a one day or one week topic. The studies and reports that we see are done over many months and even years. That data may point to negative trends, but that doesn’t mean we can’t change them.

That is the next step in turning things around. We have to change. If you are going with the flow and taking only what’s given, you are likely part of the trends that we are reading about and seeing on the news. If you are not actively focused on your own health, you are likely stressing about it.

By looking long-term at the life you really want, you can start to make changes to make it a reality. By doing nothing, you can only give yourself more issues to stress about. No one wants to be unhealthy. No one wants stressed out. But for some reason that doesn’t seem to be enough to motive us to change.

Maybe a new way of looking at health will help motivate people. Maybe we just need to change our focus. Letting health issues stress us is only going to lead to more stress. Physical, emotional, financial and all other kinds of stress will be the norm if we are not actively managing our health. All we have to do is reverse that model by stressing health. More importantly, we are stressing healthy habits. When we have health we are able to stress the important aspects of life: feeling good, having energy and enjoying our time. Without them we simply stress over the problems that come with poor habits.

It may be a play on words, but stressing health instead of letting it stress you can really be the key to changing the trends. By making health an emphasis at home, work and school, we can take control. That control allows us to stop stressing about the problems of poor health and start reaping the benefits of good health.

Business Health Expert Joe Byrd uses his passion and expertise to bring business and health together. He integrates health education in lifestyle topics such as Stress Management, Weight Management, and Smoking Cessation into businesses in order to accomplish the following:

Improving Employee Health

Decreasing Health Care Spending

Increasing Your Employee Productivity

Improving Employee Satisfaction and Retention

Joe applies his craft in the business world by making health part of business strategy. As he helps companies invest in their employees, together they create healthy and successful cultures.

Web: [http://www.ByrdWellnessconcepts.com]

Email: info@ByrdWellnessConcepts.com

Twitter: @josephrbyrd

Facebook: http://www.facebook.com/ByrdWellnessConcepts

Toll Free: 866.851.7961

Article Source: http://EzineArticles.com/expert/Joseph_R._Byrd/317444

 

Public Health Career Training Online

The general population has many needs that have to be met on a regular basis. Health is usually at the top of the list, which is why there are numerous health professionals working to improve and maintain health in society. Public health is a popular career because it allows professionals to work with a variety of people and areas. Online career training is becoming a prevalent way for students to earn a degree in public health.

The profession spans across a large range of areas and activities, but all the work focuses on the evaluation and regulation of health for the public. Professionals target general or specific areas, which can include nutrition or a metropolitan city’s healthcare system. It is highly common for professionals to handle complex problems involving overall healthcare services and systems. They contribute to keep communities free from outbreaks of infections. They also work with individuals, families, and communities by promoting healthy behaviors. The field can have graduated students entering careers that have them working for wellness programs in schools, hospitals, universities, and government firms. With the field being incredibly diverse students have many options to consider before deciding on an online degree program. Family health, health education, epidemiology, and environmental health are just a few of the options that students can choose to focus their schooling on.

Online training for public health is commonly only available at the graduate level, which includes a master’s or doctorate degree. This is because most careers need individuals who have more in depth training. Students can’t enter a graduate degree without first completing a bachelor’s degree. A bachelor’s degree provides students with a general education that can be applied to a graduate degree program. A health science degree is the ideal option for students to gain a broad foundation focused on the medical field. Student’s study includes biology, chemistry, health education, and healthcare administration, which provides the knowledge needed to succeed in a graduate degree program.

Graduate degree programs online include a master of public health or a doctor of public health. An MPH degree is a science-based program that incorporates specific information on how to use knowledge to improve public health, educate, and provide preventative measures. Education covers advanced training in health and administration duties. Environmental science, epidemiology, public health biology, management, health promotion, and disease prevention are some course subjects that are covered through a master’s program. Master’s degree programs prepare students to step into leadership roles as food safety inspectors, health inspectors, public health advisors, and more. Furthering education at the PhD level qualifies students for upper level management and roles in academia.

At the doctorate level students specialize in one specific area such as nutrition, behavioral science, child health, and epidemiology. Students enrolled in an epidemiology program will mainly study how diseases spread. The goal of education is to prepare students to contribute to the field by creating strategies to keep outbreaks in check. Courses that supplement specific fields of study include leadership, public health internship, and management. Students that want to be involved on the research side of the profession should consider entering an online training program at this level.

Searching out possible accredited online programs is the best way to begin the process of entering the profession. Utilizing the vast online resources to decide on a specific program helps students enter the field of their choice.

DISCLAIMER: Above is a GENERIC OUTLINE and may or may not depict precise methods, courses and/or focuses related to ANY ONE specific school(s) that may or may not be advertised at PETAP.org.

Copyright 2010 – All rights reserved by PETAP.org.

Renata McGee is a staff writer for PETAP.org. Locate Online Public Health Schools and Colleges providing the education you’re looking for at PETAP.org, your Partners in Education and Tuition Assistance Programs.

Article Source: http://EzineArticles.com/expert/Renata_McGee/575785

 

The Pros and Cons of Group Health Insurance

The health insurance marketplace is certainly challenging, but count your lucky stars that at least you have choices. To that end, this article is going to explore the pros and cons of group health insurance.

Group Health Insurance Pros

  • Group health premiums are subsidized by the employer. Generally, an employer must contribute at least 50% of the “employee only” premium. As such, if you are the employee, you can likely get a richer health plan for less premium than you would pay in the individual health marketplace. However, the cost to add your dependents to the employer’s plan, may be cost prohibitive. In this case, and assuming that your dependents can qualify, then you may want to put them on an individual health plan.
  • Group health premiums for large families are the same as for small families; whereas in the individual market, you pay a separate premium for every family member. So, if you have a large family, you may be able to get a better deal by adding them to your employer’s plan. As with any insurance change though, don’t make any changes without consulting with an experienced insurance advisor in your state.
  • Group health insurance in most states is guaranteed issue – meaning that you can’t be turned down because of pre-existing health conditions. This is a real blessing if you or a family member has a medical condition that prevents you from qualifying for a individual plan. But, this is a double-edged sword. While being guaranteed issue is a huge benefit for those with pre-existing medical conditions, it does come at a price. This one feature alone accounts for most of the disparity between group and individual insurance premiums. Yes, that is right – in most states, individual health premiums are almost always less expensive than group health premiums.
  • Most group plans cover maternity. So, if you are planning on having more children, you should definitely consider hopping on to a group plan. While you can add a “maternity rider” to individual plans, these riders tend to be expensive, restrictive, and otherwise provide less value than the coverage you can get in a group health plan. That being said, if you are considering having more children, we recommend that you contact a health insurance advisor in your state for advice about what is best for your family. The right answer is different for each unique family.
  • Economies of scale can benefit employees of large employers. It is true that the larger the group, the larger the risk pool is in which to share the risk which CAN result in lower premiums than are available in the individual health market. However, the guaranteed issue “issue” CAN wreak havoc on this type of plan. For example, a large employer with good benefits tends to retain employees for long periods of time. Eventually, the average age of the group starts to creep up and so do premiums. In addition, people with large medical needs (expensive medical conditions) tend to be attracted to large plans because they are guaranteed issue with good coverage. And so, over time, not only is the group’s average age increasing, but the group is also attracting employees with large expected health costs. This is the dilemma that we see with large health plans like the U.S. auto-makers and even government plans. Eventually, those with lots of medical needs begin to outnumber those with little or no needs and so premiums are driven higher and higher.

Group Health Insurance Cons

  • Group health insurance can be more expensive than individual health insurance. ln fact, if you don’t factor in the employer’s contribution towards premiums, then individual plans are almost always more affordable than group plans. However, as we discussed earlier, not every one can qualify for an individual plan.
  • What happens if your employment is terminated (by you or your employer)? Yes, you will likely have some benefit continuation rights (through COBRA or state continuation programs), but these benefits can be very expensive and the term limited. So, eventually, you either have to secure another job with benefits, an individual health plan (assuming you are insurable), or possibly join a government health insurance program for the uninsured (if you are not insurable). Let me emphasize, that you should NEVER be without some form of major medical health insurance. Being without this insurance puts you and your family in serious financial jeopardy. In fact, a recent Harvard University study found that 50 percent of all bankruptcy filings were partly the result of medical expenses.ยน To the same point, every 30 seconds in the United States, someone files for bankruptcy in the aftermath of a serious health problem. Don’t let this happen to you.
  • Group health insurance premiums are rising faster than individual health insurance premiums. Why? Because most group plans are guaranteed issue and since they accept “all comers”, they tend to attract those with high medical costs. On the other hand, most individual health insurance plans are medically underwritten. This means that the insurance company can say “no thanks” to any application that it deems to not be in its interest. Put yourself in their shoes – would sign a contract to provide $30,000 in annual benefits to someone that was only going to pay $3,000 in premiums (for a net loss of $27,000) if you didn’t have to? Hmm…let me me think about that one. The answer is a resounding “NO!”. Because of this underwriting process for individual health insurance, insurance companies can control their risk and more effectively manage their profitability, resulting in more stable prices.

As you can see, there is no clear cut answer as to which type of insurance is the best. The answer depends on a number of factors and is different for every unique situation. The best advice I can give you as you consider your health insurance options — get good advice from an experienced health insurance advisor.

Tim Hebert is the Managing Partner with Sage Benefit Advisors ( http://sageba.com ), a Colorado health insurance agency specializing in individual health insurance, group health insurance and employee benefits, and HSA plans paired with health savings accounts. Tim has been serving the health insurance needs of businesses, families, and individuals in Colorado for over 10 years.

Article Source: http://EzineArticles.com/expert/Timothy_Hebert/637878