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flashl Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jun-22-08 06:56 AM
Original message
Let Wal-Mart fix US health care
By Jim Jubak

The discount retailer already has made major inroads into accessible, affordable care through lower drug prices, walk-in clinics and electronic record-keeping. Why stop there?

I know who can fix our broken health care system -- and who can't:

* Not presumptive Republican nominee John McCain. He proposes a tax credit of $5,000 per family to encourage us to buy private health insurance.

* Not Democratic presidential candidate Hillary Clinton. She proposes universal health insurance supported by tax credits.

* Not Democratic presidential candidate Barack Obama. He proposes a mix of public and private health insurance with government subsidies to those who don't qualify for government insurance plans such as Medicaid.

I say, let Wal-Mart Stores (WMT, news, msgs) do it. Hold your guffaws. Stifle your impulse to scoff. Control those sputters of rage.

...

Government programs, rising costs

The goal, everyone agrees, is to maximize coverage, heighten competition and cut costs. Good goals, all. About 47 million Americans now lack health insurance. Health care costs are rising far faster than general inflation. And health care is on track to consume 25% of U.S. gross domestic product by 2025. That would be up from 16% today and 5% in 1960. (For more on the health care squeeze and the candidates' proposed fixes, see our multimedia package "The Middle Class Crunch.")

...

Industry 'consultation' narrows competition

But it hasn't worked out that way. A recent survey by the federal government of the private Medicare Advantage plans found they charge the government 17% more, on average, than it would cost Medicare to provide the same services. From 2009 to 2012, the government projects, the extra costs to the federal government will amount to $50 billion.

...

Letting Wal-Mart run the health care system would fix many of those problems. It's a company that understands how low prices can build market share and thus increase profits. Furthermore, it's a company with a culture of cutting costs that has shown no compunction in pushing suppliers to the wall over price. The Wal-Mart motto ought to be, "Make it cheaper, or we'll find someone who can." I'd love to see that attitude brought to bear in health care.

Moneycentral
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peacebird Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jun-22-08 07:45 AM
Response to Original message
1. The Wal*Mart solution - if it costs more to cure you than you can afford to pay, drop dead
Edited on Sun Jun-22-08 07:45 AM by peacebird
Can't have people messing up the profit margin after all.

The bottom line is everything.
:eyes:

This has to be one of the absolute worst ideas I have ever read.
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frogcycle Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jun-22-08 07:59 AM
Response to Reply #1
2. you are correct w/respect to literally letting Wal-Mart run it
as a metaphor for universal single-payer healthcare (without the profit motive) though, it makes a few good points.

All of the "plans" that involve using the status quo with a few tweaks to get more people covered by insurance are basically bullshit.

Healthcare provision should not be a for-profit business. That is it in a nutshell. The providers themselves should be compensated, and the highly-skilled and hard-working should be rewarded. I have no problem with the individuals doing the work making money, but they should be working for a not-for-profit. Having capital markets involved, with people investing in corporations that run hospitals, provide insurance, etc. and expecting a big ROI is obscene. Paying tens of millions to CEOs of such corporations is obscene. Making decisions about people's healthcare based on the quarterly earnings statement is obscene.

But if that not-for-profit used the bargaining and supply-chain expertise that Wal-Mart has developed, well, I'm, all for that.
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calmblueocean Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jun-22-08 08:24 AM
Response to Original message
3. 'Cause getting a brain operation is just like buying a gallon jar of pickles.
All the examples he gives of Wal-mart's "success" in the health industry are just nibbling around the margins, which is what Wal-mart does best. They take straightforward, uncomplicated transactions -- like buying a jar of pickles -- and make inroads either by offering their own versions at low prices, or pressuring their suppliers to lower their prices if they want their products on Wal-mart shelves.

But putting pressure on a brain surgeon or a hospital to lower prices is not like putting pressure on a picklemaker. You know what you're getting when you buy a jar of pickles, for instance. If the supplier cuts corners, you know it. There are less pickles in the jar. But if you don't get the right tests or the right treatments because someone thought they could pawn off a cheaper alternative (or nothing at all), you will likely have no idea until it's too late. If even then.

Most of what Jubak's article here celebrates is the power of being able to negotiate prices lower by representing large numbers of people. Isn't that what universal health care is all about? That he doesn't get this seems amazing. It's a good example of the cultish double-standard we see so often from those on the right that anything done by big business is fantastic, while the same things done by the government are terrible.

For instance, Wal-mart sees a product that is they think is being sold at too high a profit margin, so they take it off their shelves and contract to produce a store-brand version at a lower cost. If Wal-mart does it, it's competition in action, and will get ceaseless praise in articles just like this. But when government does it? It's eeeeeeeevil socialism! The government, actually competing against private industry for the benefit of the public? The horror!

If our government used the same kinds of cost-cutting measures and pressures as Wal-mart does, I can guarantee you that this guy would be one of the first people on the complain train.

Frankly, my biggest gripe about Wal-mart's low, low prices is that Wal-mart is a mess. Whenever I've been there, I'm always astounded by how cramped and crowded everything is, with random pallets of crap shoved in the middle of their main aisles, making it impossible to get around. There are always too few checkers at the registers, which means I have to wait and wait. And the customer service? Ye gads. No one knows anything about anything. Getting someone to answer a simple question is like pulling teeth.

This is what Mr. Jubak wants to be the health care experience of the future? God help us all.
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unapatriciated Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jun-22-08 11:15 AM
Response to Reply #3
6. the true cost of the gallon of pickles....
Edited on Sun Jun-22-08 11:54 AM by unapatriciated
bankruptcy

http://www.larouchepub.com/other/2003/3046wal-mart_pricing.html

and then there was Levis an "American Tradition"

http://www.commondreams.org/headlines03/0926-03.htm

wonder how they would out-source our health care?

We are so unwilling to embrace true Universal Health Care, yet we would trust the job to one of the most sued companies in the world regarding human rights.:banghead:
It took a few seconds to find these links- it would take you years to read all the lawsuits filed against them
http://laplaza.org/~totem/humanrights.html
http://www.progressiveu.org/182354-wal-mart-a-violator-of-human-rights
http://media.www.bsudailynews.com/media/storage/paper849/news/2003/10/02/Opinion/Outside.The.Box.WalMart.Guilty.Of.Human.Rights.Violations-1302183.shtml

and your biggest complaint is?:

"Frankly, my biggest gripe about Wal-mart's low, low prices is that Wal-mart is a mess. Whenever I've been there, I'm always astounded by how cramped and crowded everything is, with random pallets of crap shoved in the middle of their main aisles, making it impossible to get around. There are always too few checkers at the registers, which means I have to wait and wait. And the customer service? Ye gads. No one knows anything about anything. Getting someone to answer a simple question is like pulling teeth."
:banghead:
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flashl Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jun-22-08 01:41 PM
Response to Reply #3
8. Pssst ....
400 Health Clinics to Open in Wal-Mart Stores During Next Three Years

Up to 2,000 Could Open Over Next Five to Seven Years

WASHINGTON, D.C. – April 24, 2007 – Wal-Mart Stores, Inc., (NYSE: WMT) intends to contract with local hospitals and other organizations to open as many as 400 in-store health clinics over the next two to three years, and if current market forces continue, up to 2,000 clinics could be in Wal-Mart stores over the next five to seven years, Wal-Mart president and CEO Lee Scott will say in a speech later today at the World Health Care Congress in Washington, D.C. The clinic program’s expansion is just the latest in a series of moves by Wal-Mart to help implement customer solutions to America’s health care crisis, including the $4 generic drug prescription program, health information technology and participation in a major coalition supporting comprehensive healthcare reform by 2012.

“We think the clinics will be a great opportunity for our business. But most importantly, they are going to provide something our customers and communities desperately need – affordable access at the local level to quality health care,” Scott says.

Scott’s speech at the World Health Care Congress is the closing keynote for the three-day gathering of 1,600 CEOs, senior executives and government officials. His speech focuses on the need for action, instead of ideological bickering and finger-pointing, in order to make quality health care accessible and affordable in America.

“The fact is the time for politics in today’s debate on health care is long past. The time for real and meaningful change has come,” Scott says, adding later, “Yes, this is about economics. But above all, it is about our health. It is about all of us -- all 300 million Americans -- living the fullest and best lives we can.”

WalMart
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unapatriciated Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jun-22-08 10:43 PM
Response to Reply #8
9. Pssst... is for doing something not enabling. Just ask Greenwald about the high cost of low prices.
I can't help you understand if you buy into it the lie no mater what the cost.
The 4-5 dollar generic drug price has been around for a long time RiteAid, Vons and many others were offering it long before Walmart made it a commercial to boost sales. I will not entrust my health care or anyone else I care for to a company who has so little regard for human rights. The bottom line is Walmart will make a profit and they will do it in their usual fashion on the backs of the poorest amongst us. Those with little or no voice.

This is how they treat their workers at their clinics someone who is part of the "walmart family" I wonder how they would treat a stranger like you and me.
http://blog.wakeupwalmart.com/ufcw/2006/03/former_walmart.html

If you think they are any different than what Kaiser was in the beginning you are either naive or could care less about your fellow man. I'm going for naive.
http://www.youtube.com/watch?v=9QkgUkM0o6Q

Pssst... really do something other than push the Wal-mart corporate lie.
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flashl Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jun-22-08 11:45 PM
Response to Reply #9
10. The pssst is to inform you that WallyWorld is in the healthcare delivery business not supporting it.
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unapatriciated Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-23-08 09:29 AM
Response to Reply #10
13. Unfortunately your post does not provide the negatives.....
Edited on Mon Jun-23-08 09:32 AM by unapatriciated
of Walmart going after our health care dollars. They are just starting to expand in this direction so the horror stories are yet to come, and come they will. There are too many people who don't see that Walmart cares only about their bottom line. They will sacrifice the health of the sickest and poorest in the same way they have sent suppliers (Vlasic) into bankruptcy or forced American Companies (Levis) overseas in order to put all of the profits in their own coffers. . What needs to be understood is they are using Kaiser's early model of HMO's with little or no regulations. When they have control of the market much the same as they have done with their stores in rural communities, then they will dictate who gets care and who does not (much like they dictate which third world country will have the privilege of being enslaved by them}.


Glad to hear you don't support it........Psst! do something,

Inform others the true cost of doing business with Walmart
http://www.walmartmovie.com/

support true Universal Health Care
http://www.hr676.org/



"If not us, who? If not now, when?"


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flashl Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-23-08 11:02 AM
Response to Reply #13
15. No negatives, WallyWorld rant exhausted. nt
:thumbsup:
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antigop Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jun-22-08 08:53 AM
Response to Original message
4. In an odd sort of way he's right -- let me explain-- corporations self-insure
Edited on Sun Jun-22-08 08:54 AM by antigop
If you take a look at how Wal-Mart (and most other large companies), I'll bet you will find that Wal-Mart is self-insured for its employees.

Corporations self-insure for one reason -- it's CHEAPER.

THIS IS THE ARGUMENT FOR SINGLE-PAYER!!! Everyone needs to start using this argument in single-payer discussions.

Why do corporations self-insure? Because IT'S CHEAPER.

We should self-insure as a country (no insurance company underwriting).

<edit to add> That's not what the author meant, I realize. But we can use the argument of "Looking to Wal-Mart" (or any large corporation) for the answer.

Large corporations self-insure because it's cheaper.
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salguine Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jun-22-08 08:55 AM
Response to Original message
5. Their solution would very likely be
to charge you pennies but send you to China to see a doctor. And it wouldn't work.

40% of Wal-Mart's workforce (not the suits, of course) lives below the poverty line. Yeeeah...that's the ethics I want in my health-care system.
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lame54 Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jun-22-08 11:52 AM
Response to Original message
7. Great idea then we can let McDonalds run the FDA
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Phred42 Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-23-08 09:40 AM
Response to Reply #7
14. ...And the Oil Companies can run the War in Iraq!....... Oh, wait.......
:crazy:
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tucsonlib Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-23-08 12:15 AM
Response to Original message
11. Oh My God, You Mean This ISN'T a Satire?
"The goal, everyone agrees, is to maximize coverage, heighten competition and cut costs."
Um. No. I, for one, couldn't disagree more. Only lobbyists for the Insurance and Pharmaceutical Industries would espouse such cynical and half-assed "goals". The only way to fix our health-care mess is to remove the profit motive using a universal/taxpayer-funded single-payer system. You know - something along the lines of what they have in every other civilized country. Would you want your police and fire protection to be privatized and profit-driven? Of course not. So why do you tolerate it when it comes to your family's health? And all those arguments opposing universal coverage are, for the most part, bullshit propaganda circulated by those same mega-corporations. We DO have the money to cover everyone. You would have MORE choice under a single-payer system.(Choose any doctor/any hospital.) The government would NOT dictate what is covered (as the Insurance Companies do now.) You and your doctor would determine your course of treatment - as it should be. We'll be seeing lots of "news" articles like this one in the months to come - brought to you by those lying, money-worshiping bastards who rely on the public's gullibility to fund their 8-figure salaries.

Some good stuff here:

http://www.alternet.org/healthwellness/88744/?ses=e985439ec0d630bd232dba7837c4a577
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Sherman A1 Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jun-23-08 02:51 AM
Response to Original message
12. I'm all for it!
And I believe the author of the piece should be the first to sign up for the test program. If this is such a good idea, I am sure they would have no problem in doing so.


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