FRONTLINE: Sick Around America

Last night I watched an investigative documentary by FRONTLINE on the current state of the American health care system. I was completely shocked and saddened to find out that America is neglecting its citizens and treating them as if they are a liability. A few questions that come to mind--Where has the Federal Government been for so long? How can the leaders running our country stand for this? Are they so blinded by lobbyists, self interests, free markets, and a philosophy of self reliance? Why aren't the poor and middle class coming together to form a movement for change? Now that change has arrived with the Obama administration, is it possible for America to finally get a comprehensive and affordable health care system for all Americans? This report suggests some helpful solutions and opens our eyes to the difficulties we face ahead. Additionally, FRONTLINE has produced another report called Sick Around the World--for those interested in solutions other developed countries in the world have found. Enjoy and I look forward to any comments or debate.

Statistics on American Health Care System-
How under-65 Americans are insured:
* + 60.9% -- get health insurance through their employer
* + 11.8% -- through Medicaid/SCHIP
* + 5.5% -- buy private health coverage (self-employed; those who retire at 55 and won't be working for the next 10 years until qualifying for Medicare; those between jobs/coverage due to divorce, being widowed, laid off, etc.)
* + 17.2% -- have no insurance
* + 1.3% -- covered through Medicare (65 or older; some disabled people under age 65; or all who have end-stage renal disease)
* + 1.2% -- covered through the military

America's various government health care systems:
* + one for people over 65
* + one for veterans
* + one for active military
* + one for members of Congress
* + one for Native Americans
* + one for under-16 people with 120 percent of poverty income
* + one for people with 200 percent of poverty income

Sick Around America

As the worsening economy leads to massive job losses—potentially forcing millions more Americans to go without health insurance—FRONTLINE travels the country examining the nation's broken health care system and explores the need for a fundamental overhaul. Veteran FRONTLINE producer Jon Palfreman dissects the private insurance system, a system that not only fails to cover 46 million Americans but also leaves millions more underinsured and at risk of bankruptcy.

At its best, American health care can be very good. For Microsoft employee Mark Murray and his wife, Melinda, their employee health plan paid for eight years of fertility treatments and covered all the costs of a very complicated pregnancy. "If it wasn't for our health insurance," Murray says, "we wouldn't have a baby boy right now." The Murrays' medical bills totaled between $500,000 and $1 million, and their plan covered every penny.

But beyond large, high-wage employers like Microsoft, FRONTLINE learns that available, affordable, adequate insurance is becoming hard to find. Small businesses face a very bleak outlook for finding and keeping coverage. Coverage is becoming more expensive and less comprehensive, with high deductibles, co-pays and coverage limits. Georgetown University Research Professor Karen Pollitz explains that for many people, the current system is "like having an airbag in your car that's made out of tissue paper: I'm so glad that it's there, but if I ever get in a crash, it's not going to protect me."

Outside of employer-based health care plans, matters are even worse. Americans seeking insurance in the individual market must submit to "medical underwriting," and if they have a pre-existing condition, they will likely be denied. Kaiser Permanente Chairman and CEO George Halverson says frankly: "I could not get insurance. I've had heart surgery, and so I am completely uninsurable in the private market. So it's important that I keep my job."

Around the world, other developed democracies offer universal health care, requiring insurance companies to cover everyone. People are mandated to buy it; insurance for the poor is subsidized; and governments control prices by setting the cost of everything from doctors' salaries and hospital rooms to drugs and MRIs. But efforts to implement similar policies in the U.S. have proven unsuccessful. In 2006, Massachusetts implemented reforms mandating everyone be covered by health insurance, but there are still problems of affordability. FRONTLINE profiles the Abramses, a Massachusetts family of four earning $63,000 annually, who found that although they were too prosperous to receive a health care subsidy, they could not afford to buy a health care insurance policy at around $12,000 a year. "What we're finding out in Massachusetts," says veteran insurance industry executive and consultant Robert Laszewski, "you can mandate that people have health insurance, but if it costs more than they can afford, it doesn't matter."

As President Obama launches his plan for reforming health care, Kaiser Family Foundation President Drew Altman tells FRONTLINE: "This is the first big opportunity for health reform since ... [the] early 1990s. And a question is again, pointedly, whether we will blow the opportunity again this time or [whether] we will actually get it all done or get something significant done." But consultant Laszewski wonders if Americans have the will to make it happen. "Every doctor I meet says he's underpaid. I've yet to meet a hospital executive who thinks he or she can operate on less. I have yet to meet a patient who is willing to sacrifice care. So we have this $2.2 trillion system, and I haven't met anybody in any of the stakeholders that's willing to take less. And until we're willing to have that conversation, we're just sort of nibbling around the edges."