It’s time now to focus on Arizona’s health-care system
Since last spring, the noisy and sometime rancorous health-care-reform debate has kept all eyes and ears on Washington. It now appears the probability is high that a health-care-reform bill will be signed by President Obama. Given what our state is contemplating with respect to the next round of budget cuts, I think some sharp focus on health care in Arizona is needed – now.
Gov. Jan Brewer has rightfully placed all options on the table in her difficult and, at times, bruising work with other state leaders to address what is approaching a $2 billion shortfall in our state budget.
This includes a request by the governor to all state agencies asking for plans that will cut each agency’s budget by 15 percent. A significant part of these reductions will come from the Arizona Health Care Cost Containment System (AHCCCS) and other state health programs. AHCCCS is Arizona’s Medicaid program.
At first blush, a 15 percent AHCCCS reduction may seem like a necessary although painful action that we must take. However, the math behind a 15 percent cut at AHCCCS isn’t so straightforward. It is critical that our state’s leaders and the general public appreciate the fact that every dollar spent in AHCCCS is matched by $3 from the federal government. The real formula that would quickly emerge from a 15 percent reduction by AHCCCS is cut one dollar and lose three more.
The elimination of Arizona’s KidsCare program also is being contemplated. If this insurance is eliminated for 47,000 children in Arizona, we will not save a dime for the people of this state. Once uninsured, many of these children will need health care, but they will become at-risk for delayed care due to the cost of that care.
Routine health care matters. Illness or injury left untreated can quickly evolve into serious or even catastrophic health-care issues. As a result, many of these children eventually will get their care in the most expensive health-care settings – ERs and hospital rooms. A great deal of the costs for this care will then be shifted to Arizona’s insured consumers.
If we assume that national health-care reform will significantly cover more people, we also should assume it will take many years for this coverage to be implemented. In my view, retaining KidsCare until another plan becomes available makes good sense for Arizona.
Another cut being proposed is a 30 percent reduction in the state’s contribution to Graduate Medical Education. This cut ultimately could reduce the number of physicians in the state.
Hard decisions must be made to address the state’s climbing budget shortfall, and all of us must be part of the solution. Our governor and Legislature deserve that support. However, decisions that look good on paper or even on a budget spreadsheet in the short term, can prove highly damaging to the state’s fiscal health and people’s physical health in the long term.
Watch the video related to health care reform bill
May 3, 2009 3:12 am 
By TomStar81, May 3, 2009 @ 3:26 am
Yes you are talking about TORT reform. the Democrats do not want to touch the Lawyers. it seems the Lawyers are in the democrats pocket.*
By Tracy Turnblad, May 3, 2009 @ 5:01 am
First of all, Obama wants to make insurance more available to all and change the system so that it is cheaper. He also wants change so that the insurance companies find it harder to get out of paying for treatment. The system he is proposing looks similar to that which works in Holland and Switzerland where private companies are involved in providing insurance.
Second, of course universal health-cover sucks. That is why we in Western Europe have it. We think, hmm, our healthcare system sucks. I know, lets keep it. I guess that is the same with Japan and Canada as well.
Third, Obama campaigned on reforming the healthcare system. He said he wanted to make insurance more available and he was elected by the American people to do this.
FACT – the US has higher death rates for kids both for kids aged under one and those under five than western European countries with universal health coverage.
FACT – American insurance companies push up prices and work to stop paying out claims on those they cover.
FACT – the USA spends more on healthcare PER PERSON than any other nation on the planet.
That means that a dead American four year old would have had a better chance of life if they were born in Canada, France, Cuba, Germany, Japan etc, all of which have universal health coverage.
Last of all if you do not like the policies that Obama was elected to bring in, he can always be voted out of office in 2012.
By Short, Fast, and Loud, May 4, 2009 @ 12:40 am
Obama does not have a bill. He has only given guidelines to what he wants. His last address made it more specific.
The bills in congress are not healthcare bills. They are health coverage bills. The government is trying to take control of a large portion of our economy. They are trying to make it so the government is a single payer source (I know i will get thumbs down for this, but follow hr3200 to its logical conclusion).
The current bills want to cover everybody in the US (Illegals too, there is nothing in these bills to prevent illegals from being covered. Amendments to ensure citizenship were tabled)
The federal government wants to punish you for not having insurance (they will get your money one way or another)
The government wants to regulate what care you will get. (When the system becomes overblaoted as any government system does, they will have 2 options increase taxes or ration care)
I know that there are a lot of people that will disagree with this. If they actually read the bills, and follow to there logical conclusions, in 10 years we will be a whole lot worse of than we are now. So doing nothing would actually be cheaper.
Reform must actually deal with the underlaying problems. HR 320o does not. Obama gave lip service to 1 of them.
By skinnyblink7, May 5, 2009 @ 4:18 am
the new york times has an interactive feature which is actually very clear to understand. check it out.
By The Conservative Resistance, May 5, 2009 @ 11:23 am
Under any Democrat President in history, the same M.O. emerges.
The Democrats "identify" a "crisis" and whip the people up into a frenzy about it. They proclaim themselves the carriers of the elixir that will heroically save all mankind from this "crisis.'' When Republicans seek to oppose the spending it will take for this elixir, they are automatically called hate mongers and obstructionists.
Clinton tried it with school lunch menus. He whipped that whole thing into some kind of "crisis." The Democrats wanted to raise the program by 10% and the Republicans wanted to raise it by 7%. That got reported in the media as a 3% CUT by Republicans. Only when a Democrat is President could an INCREASE be reported as a CUT. Just to make Republicans look bad, but too many people buy into the bullshit.
Al Gore, who wasn't even President, tried it with global warming and it didn't work. Today, it's health care. What'll it be tomorrow? The whole "world is ending in 2012" thing, or what?