They are also afraid of healthcare reform and would rather stick with a flawed system than change to something new, the poll by the Deloitte Center for Health Solutions found. People with private insurance are more worried about medical bills than people on Medicare or those using the military healthcare systems, the poll found.“They are generally not happy with what they have but they are more comfortable with what is known than not known,” economist Paul Keckley, executive director of the center, said in a telephone interview.What is known is precious little, by their own admission, said Keckley, whose team interviewed 4,000 people for the survey.“In spite of all the (news) coverage healthcare gets, people seem to be pretty confident that they know enough to get by and that’s a little bit about their doctor and a little bit about their hospital and no more,” Keckley said.In March, Congress passed a healthcare reform bill requiring almost all Americans to have health insurance and President Barack Obama signed it into law. The new law also aims to make insurance companies cover more people. Not a single Republican in Congress voted for the bill and polls show mixed opinions among the public. Keckley said the survey showed people may have strong opinions, but they were not based on any good understanding of the law itself.
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National health insurance is gaining favor among docs. Heck, they’ve been fighting the managed care system now for more than ten years. All but a few of the docs that I work with claim that their income has dropped dramatically. It seems to me that they now perceive Medicare as “OK”. They know what to expect and it takes less follow-up work to get reimbursed.

But, in my mind, national health care will only make things worse. There remains the issue of malpractice premiums continuing to rise. The “new” national health care insurer, like Medicare, will continue to do what it can to limit reimbursement.

For example, Medicare just implemented a rule that stipulates that if a patient develops a pressure ulcer while in the hospital, it will not reimburse that hospital for the prolonged stay due to that pressure ulcer. The responsibility will now rest entirely with the hospital. Now, while this may help reduce the incidence of pressure ulcers, it certainly will not stop them. Many patients enter the hospital with extremely poor circulation and are at very high risk of developing ulcers regardless of the type of care they receive. This will cost the hospital additional monies as these patients now require more frequent intervention. And so reimbursement will continue to fall. Not only for doctors but for all other health care workers.