In addition to being the founder of DrScore.com, I’m a dermatologist. We dermatologists have an annual educational meeting — the American Academy of Dermatology meeting — which will be held this year in early March in Miami, Fla. One of the honorary lectures this year caught my eye. Dr. James J. Leyden is going to present a lecture entitled, “An Inconvenient Truth: Comprehensive Medical Insurance is the Problem, Not the Solution.”
Our current system is extraordinarily costly. Some 20 percent of government spending is for Medicare and Medicaid, with projected growth to 50 percent by 2050 if something isn’t done. Despite the high cost of care, more than 40 million Americans may be uninsured. Tackling the problem is tough, because we have to do several things that may not be mutually compatible:
- Insure the uninsured.
- Lower costs.
- Do the first two without ruining the great care the insured are getting now.
The conundrum reminds me of that poster hung in so many offices: You can have it done fast, you can have it done well, and you can have it done inexpensively. Pick two.
Dr. Leyden believes that our current insurance system contributes to the high cost of care. I agree with him. Leyden asserts that the alternative of a “consumer-driven” system of health savings accounts coupled with catastrophic insurance deserves our support. I look forward to hearing more at his lecture! To hear another viewpoint on overhauling our health care system, visit my podcast radio program, “Getting Better Health Care,” on webtalkradio.net (http://webtalkradio.net/index.php/show-podcasts/156-getting-better-health-care-with-steve-feldman) and download show number 11.