In order to understand how to reduce or eliminate the violence or uncivil behavior going on now at the town hall meetings about health care it is important to take into consideration things that are not happening as well as things that are. In fact the things that aren’t happening may be as important if not more important than the things that re happening. What should be happening is a discussion about how to improve health care that starts with the simple basics because that is where some of the biggest problems are. The reason people are getting upset is because their health care needs aren’t being fulfilled and for the most part as far as I can tell the high profile debate being presented on TV isn’t changing that.

In order to provide the best health care at the lowest cost one of the most important things is preventive medicine. There are many things that can be done to prevent people from getting sick in the first place without much cost to the public. Anti-smoking programs, weight loss programs and nutrition advice can be done mainly by better education the public. Some things like exercise can be done by the individual for nothing contrary to what advertisers want you to believe you don’t have to spend money to exercise. Some people think that buying equipment will help motivate them, this isn’t new but it has never worked before. Advertisers have been pushing this idea for years but most of the equipment they sell just winds up in the basement ore being used as an expensive clothes rack. The media has spent very little time discussing preventive medicine and when they do it isn’t always as productive as it could be for example CNN recently mentioned preventive medicine in relation to diabetes. It is important to mention a lot of different diseases and how to prevent them but they shouldn’t present them as isolated cases and ignore the rest. In this case they just mentioned one disease and addressed just that one, what they could have done is mention that there are many and started with on example providing a source to a longer list of other examples. This could have involved telling the public where they could go for more details on each subject.

Another important way to cut health care costs is to improve health care for children. This is where preventive medicine is most effective. If children get regular check ups and advice about preventive medicine they are much more likely to lead a healthy life with much lower medical bills throughout their lives. Good health care at the beginning of life is more important than at any other time, this should start before children are even born.

The health care debate seems to be spending little if any time reminding the public of the most obvious basics about how insurance works. The way insurance works is people who buy insurance pool their money by paying premiums to health insurance providers. The insurance providers pay their own expenses make some profit and put the remainder to pay for health care. This way if you have a sudden large health care expense you are covered in theory but if you are healthy you still pay even though you don’t need medical attention. This means the healthy help pay for the medical costs of the sick. It also means that insurance companies don’t actually provide any health care at all. What they do is organize the financing. The more expenses they have the higher premiums have to be to cover costs. This means that when they spend money trying to convince the customer that they are covered they may actually be taking away from the money available for treatment. Once the public understands this they will realize there is a serious problem with the way health care is currently being handled. This is important to consider when trying to cut costs. If the objective is to provide better service and care for the customer at less cost then expenses for the insurance companies should be kept to a minimum. The insurance companies spend an enormous amount of money to influence the way this is interpreted but their objective is to maximize profit not look out for the best interest of the customer. Once you understand this it may be clear that the capitalist way may not be the most effective way to accomplish this goal.

Another thing that is hardly being mentioned about health care is the patent laws. Part of the reason the cost of health care has sky rocketed is because when the public wasn’t paying attention the drug companies and politicians extended the length of patents to an unreasonable period of time. In many cases the research may have even been funded partly by tax dollars and the patents are still being extended. This is similar to what they did with copy right laws. Robert McChesney wrote about this in “The problem with the Media: U.S. communications politics in the twenty first century” It would be helpful to read a similar study on what they did with the patent laws, right now I don’t even know what they are just like most of the public which is part of the problem. It would be helpful to know what is happening in other countries where there are better patent laws. There was plenty of talk about people going to Canada to get their drugs much cheaper. It would help to know what Canada’s laws are. There was an attempt to make it sound like there was greater risk of bad drugs if people went to Canada. I doubt if there is much truth to this it was probably done by the same media that is misrepresenting the health care problem and gets advertising money from drug companies. This is part of the problem with the media that McChesney wrote about.

An important part of the health care debate will always include seniors of course. They are the ones that require the most health care. This is where some of the toughest choices need to be made and it doesn’t help if demagogues are trying to raise the emotional content of the debate. Like it or not at this point in life there may be a tough choice between the length of life and the quality of life. Making the most accurate information available to the public ion the most effective way possible is important to this situation. If important information is withheld for political or emotional reasons then decisions will be made based on a false sense of reality and this almost always leads to unnecessary mistakes. We need a serious discussion about hospice and how to make the end of life as pleasant and peaceful as possible. Demagoguery will not help this. Another thing to keep in mind is that excessive discussion about this will only distract from more important aspects of the debate like prevention and child health care.

It would also help to provide a list of other health care systems and let the public know where there are descriptions of them so they could compare them. In the USA there is a common assumption that we have the best system in the world but this is clearly not true and it would be foolish to automatically assume that socialist systems are bad without looking at how they work. The more organized the foreign programs are the easier it will be to understand and pick only the good aspect of these systems.

The media has contributed to the tension by simply not even trying to cover the subject well. All these simple basics could have been covered much better by the media if they wanted to. Instead what seems to be happening is that people are being divided into groups supporting different complicated plans that no one understands and they are being played off against each other. This is a classic divide and rule tactic being implemented by the politicians and media commentators. The people in the lower and middle classes are fighting amongst themselves and the corporations are making all the money while providing inferior health care at excessive costs.

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