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Many, many questions at health-care forum

CORNWALL — The changing landscape of health-care costs, quality, coverage and availability drew 70 area residents to a forum in Cornwall on Thursday, Oct. 26, at Cornwall Consolidated School. They shared their own stories and concerns about the present health-care climate and what the future holds.

The forum, titled “A Cornwall Conversation on Healthcare,” was co-led by Ted Doolittle, who is the State Healthcare Advocate, an office established by Gov. Dannel P. Malloy to help citizens negotiate health-care concerns, including billing; and Janet Carlson, executive director of Health Pathfinder, a Cornwall organization that assists people in finding affordable health insurance, as well as affordable medicine. The assistance is offered at no cost.

Holding the forum at Cornwall Consolidated School was for Doolittle a homecoming, because he attended the school.  He explained that he is holding a series of these forums, called “Connecticut Speaks Out.” They are being held throughout the state; Doolittle said he wants to hear about the effects of current health-care regulations on the people who are living under them.  

At the outset, Carlson presented the questions to be answered during the meeting: “What healthcare options do Cornwall residents need?” and “What is the meaning of the national debate over health care?”

Doolittle explained that his office, which is staffed by attorneys and nurses, offers advice to state residents who are having trouble with billing disputes, among other issues. His office is there to advocate for the people.

In Connecticut, only 8 percent of people are uninsured, thanks to the Affordable Care Act (ACA). Carlson said that there is help for getting any kind of insurance, no matter where or when it is needed.

Trade-offs are needed

Primary care physicians are in short supply in Litchfield County. Studies show that people in this county drive farther than average to find primary care providers.

Doolittle reported that the state currently has two insurance carriers: Anthem and ConnectiCare.

Per-capita health-care costs nationally average $10,000. By comparison, Japan’s per capita costs are $5,000, Doolittle said, adding that one focus of his advocacy is overly high health-care costs. One possible solution is universal coverage.  

In Connecticut, legislation was enacted years ago stating that health care is a right of every citizen. Doolittle said he is trying to determine the financial pain points in regard to health care and these forums are a way to do that.

“We need a mature, honest discussion about healthcare costs. What trade-offs are you willing to support?” he asked.

Why is it so expensive?

Residents’ questions and comments included why billing statements of charges to Medicare show such high amounts for service. Another question asked was why costs are rising, even after passage of the ACA. One cause, according to Doolittle, is the uncertainty over the future of the ACA.

The cost of medications and procedures has been increasing for decades, Doolittle said. People are distrustful of the ACA because physicians have long feared corporate takeover of their profession.

All of the hospitals in the state are now not-for-profit, Doolittle said, but the distinction between nonprofit and for-profit is largely insignificant for the patient.

Malpractice insurance costs represent 3 percent of the cost of health care,  Doolittle said, “You could end the right to sue, but it wouldn’t save money.”

Disparity in costs came under discussion as Doolittle noted that in U.S. cities with multiple hospitals, each hospital may charge differently for the same procedure. A more expensive hospital may have greater corporate costs.  

“There is little correlation between the cost and the quality of care,” he said. 

One resident argued that the difference in cost might stem from whether the hospital is accepting Medicaid patients, which would drive up their overall costs.

A new Governor’s Health-Care cabinet has been formed to develop proposals to control pharmaceutical costs, Doolittle announced. He said that there must be greater transparency in drug costs.

Both Doolittle and Carlson invite residents to visit their websites:  www.ct.gov/oha and www.healthpathfinder.org for updated information and to find out how to contact them.

 

 

                                                                      

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