By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Health Care Reform in 2 Short Sentences
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Health Reform > Health Care Reform in 2 Short Sentences
BusinessHealth Reform

Health Care Reform in 2 Short Sentences

DavidEWilliams
DavidEWilliams
Share
3 Min Read
SHARE

Foes of the Patient Protection and Affordable Care Act (PPACA) made a big point of complaining about the length of the bill. Personally, I think that criticism is unfair, because the law deals with a complex industry that’s almost one-fifth of the economy.

Foes of the Patient Protection and Affordable Care Act (PPACA) made a big point of complaining about the length of the bill. Personally, I think that criticism is unfair, because the law deals with a complex industry that’s almost one-fifth of the economy.

But today I read a brilliant two-sentence proposal in the letters section of the Wall Street Journal from David J. Gross, a Florida dermatologist. He was reacting to an article about the extensive cardiac care received by former vice president Dick Cheney.

Before any of Dick Cheney’s heirs get a nickel from his estate, Medicare should be reimbursed for the difference between what it paid out versus what he paid in all these years. This same paradigm should apply to all of us.

More Read

January 9-12, 2012 OneMedForum San Francisco
What Mental Health Parity Has Wrought
Delay of Care of Adults Closely Tied to Tighter Medicaid Eligibility Rules
Happy National Doctors’ Day!
Direct Primary Care – Isn’t It Too Expensive?

(Actually the essence is expressed in just one sentence.)

If we actually implemented that solution it would have significant salutary effects:

  • Make Medicare financially viable for the long run
  • Improve inter-generational equity
  • Instill cost consciousness in Medicare beneficiaries, thus keeping a lid on expenses
  • Reduce the need for an estate tax

Of course this proposal would have drawbacks and unintended effects:

  • It would cause Medicare recipients to spend down or gift their estate. This phenomenon is well known among patients trying to qualify for Medicaid payment for nursing homes
  • It would penalize those who are sickest
  • It might cause people to avoid needed care, harming health and ultimately driving up costs
  • In some families, it might lead to tensions among the generations
  • The rules to actually implement such a system would be lengthy in any case, so a simple solution would turn into a complex one

On balance I think this proposal deserves some serious consideration. Maybe a modified version, e.g., a 10 percent repayment could be tried at first


TAGGED:healthcare businesshealthcare reformMedicare
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

dental care
Importance of Good Dental Care for Health and Confidence
Dental health Specialties
October 2, 2025
AI in Healthcare
AI in Healthcare: Technology is Transforming the Global Landscape
Global Healthcare Policy & Law Technology
October 1, 2025
Choosing the Right Swimwear for Health and Safety
News
September 30, 2025
sports concussions
Concussion In Sports: How Common They Are And What You Need To Know
Infographics
September 28, 2025

You Might also Like

Telemedicine: CY 2015 MPFS Reportage and Dangers of the Echo Chamber

November 17, 2014
quantifying healthcare
BusinessFinanceHospital AdministrationPolicy & LawWellness

Quantifying Quality in Healthcare

November 22, 2013

Left Behind: Will Cutting Medicare Hurt Seniors?

December 31, 2012
colonoscopy screening
Policy & LawPublic HealthSpecialties

A Ludicrous Colonoscopy Rule and the ACA

October 16, 2013
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?