Health forum sends message to Obama
Maine care providers agree current system is ‘broken’
AUGUSTA, Maine — About 75 doctors, nurses and other health care providers along with a few patients met at the Augusta Civic Center Tuesday to provide their views on the American health care system for President-elect Barack Obama.
During the free-wheeling discussion many concluded that the health system can’t be fixed, because there is no real health system to fix.
“I don’t think you can find a doctor in this room that thinks anything but that the system is terribly, terribly broken, if there was a system at all,” said Gordon Smith, executive vice president of the Maine Medical Association.
The Maine Medical Association, the Maine Osteopathic Association and the Downeast Association of Physician Assistants held the meeting on behalf of the Obama-Biden Transition Project. That effort is holding hundreds of such forums across the country to provide the basis for health care reform legislation in 2009.
“The incoming administration is reaching out to hear from people all across the country,” Smith said.
Gary Dickinson of South Gardiner said he does not have health insurance and cannot afford it. He said the cost of coverage is beyond the reach of most Mainers and he believes most Americans.
“I strongly feel the biggest single problem with American medicine is the for-profit motive,” he said.
Dickinson singled out the high salaries and bonuses paid by many health insurers, including the parent company of Maine Anthem Blue Cross Blue Shield, as an example of excessive profits.
Dr. Stephen Nemeroff of Poland agreed that for-profit insurers are the biggest problem with today’s health system, if a real system exists. He said patients have told him they would not agree to have some needed tests because the insurance company had told them they would not cover the cost.
“They have helped destroy the traditional patient-physician relationship,” he said. “That needs to change.”
No representative of the insurance industry attended the two-hour meeting.
Joan Sturmthal of Hallowell put the blame for the lack of a real health care system squarely on health insurers. She said health is too important to be a profit motive.
“We have to get the [expletive] insurance companies out of the mix,” she said.
Dr. David Thanhauser of Belfast said there are fundamental policy decisions that need to be changed by the new administration. He said doctors need to be making preventative health care decisions, not insurers.
“We’re just putting money into technology, and we are not putting it into the care of the human patient,” he said.
Others complained that there is little transparency in bills from any health care providers with hospitals particularly criticized for sending out several bills for one hospitalization. Several at the forum complained they had received bills over several months from many different providers from a single hospital visit with no explanation of the services provided and how they were different from the bill sent by the hospital.
Rep. Lisa Miller, D-Somerville, said lawmakers have tried to improve transparency in all aspects of health care, but have been defeated by the health industry lobby.
“We have tried to do work with pharmaceuticals, and that was labeled anti-business,” she said. “It is very difficult to get the kind of transparency that we want. We need consumers to rise up and say they want that transparency.”
Joel Kase, the president-elect of the Maine Osteopathic Association who moderated the session, surprised many with his announcement that the University of New England is ending its family residency program because it no longer can meet all the “hoops and hurdles” of bureaucratic federal rules that he hopes will end with a new administration.
“The school has decided it can no longer deal with the possible exposure from the program,” he said.
Kase said the loss of the program will have a long-term impact on providing family care doctors all across the state.
The session was recorded on video, and the video is being sent to the Obama transition group. Videos from other such forums from across the country are also being sent to the team. The president-elect has said health care reform will be a priority in his first year in office.
















