Posted by ChrisPalmer on 03/20/2010 at 11:52 PM in Where's Chris? | Permalink | Comments (0) | TrackBack (0)
Posted by ChrisPalmer on 03/20/2010 at 11:45 PM | Permalink | Comments (0) | TrackBack (0)
The tragic events in Haiti should serve as a reminder to everyone who travels internationally to be aware of the potential risks. The potential for natural disaster, unrest, terrorism and other risks can affect travelers around the world. How can you help protect yourself? Here are a few basic guidelines.
Medical Emergencies
While many countries have good quality medical care, in developing nations or in remote areas of even highly developed countries, medical care may be of poor quality or non-existent. Where State Department and/or CDC information indicates that medical care is substandard, consideration must be given to how serious illnesses or injuries will be treated. The embassy can provide names, addresses and phone numbers of English speaking physicians and clinics in the country. This information should be obtained in advance and kept with the traveler at all times, since locating this information in an emergency may be difficult due to language barriers or incapacitation.
In some cases, local medical treatment may be inadequate for serious illnesses or injuries and medical evacuation may be necessary. Again, the embassy usually has names and numbers for medevac companies and can recommend the nearest country with adequate medical facilities. Insurance for medical evacuation (also called ‘repatriation’) should be considered, especially if the location is remote or if the traveler has significant pre-existing medical conditions. The cost of repatriation can range from a few thousand to tens of thousands of dollars. Foreign Workers Compensation insurance often covers this expense for work related injury or illness - contact your risk management department or insurance broker for details. For individuals, there are also several insurance plans for this coverage - contact your travel agent or corporate travel department for information.
Posted by ChrisPalmer on 01/21/2010 at 12:14 PM in Travel Safety | Permalink | Comments (0) | TrackBack (0)
Posted by ChrisPalmer on 12/10/2009 at 01:39 PM | Permalink | Comments (0) | TrackBack (0)
Posted by ChrisPalmer on 12/10/2009 at 01:34 PM | Permalink | Comments (0) | TrackBack (0)
Posted by ChrisPalmer on 12/09/2009 at 07:56 AM | Permalink | Comments (0) | TrackBack (0)
Here's an idea. There are many costs that are driving the need for reform - the costs of care for uninsured people, malpractice, and problems of economies of scale.
Uninsured People
Those without insurance drive up the costs for those who have insurance. Because hospitals are not allowed to turn away those who cannot pay, those costs are absorbed when hospitals charge everyone more for their services to make up the losses. Real reform should compartmentalize those costs.
People who are in the country illegally should not have their medical care provided at no cost. From a humanitarian standpoint, we should not allow people to die needlessly. My suggestion is that illegal aliens should be deported but in the meantime, whenever they receive treatment, they should be required to pay in cash. The federal government should pay for only the most essential life-saving care and then charge these costs plus any administrative expenses to the person's home country. If the host country does not pay, these costs should be recovered by siezing assets of that country and cancelling any US foreign aid to that country. Any income or assets of the illegal resident should be taken to pay for the cost of their care. Legal residents and citizens without insurance should be required to pay up to 20% of their income towards their Medicaid premiums and coinsurance. That percentage would be withheld in the form of payroll taxes. The uninsured who could afford health insurance but have chosen not to buy it should be restricted to selected public hospitals. Medical and nursing students who receive government funding (grants or government backed loans) would be required to intern at one of these public hospitals for six months to a year based on the amount of taxpayer funding the student receives. The uninsured would lose any right to sue for malpractice. Would the care they receive at these public hospitals be of lower quality than elsewhere? Undoubtedly it would be, but the inconvenience of long waits and less attentive care - which we all experience now at an emergency rooms now thanks to this burden - would encourage those without insurance to obtain it.
Economies of Scale - Buying goods or services in quantity allows a company to obtain them at a lower cost. Health insurance companies are only allowed to write coverage in their home state. This stifles competition because a company must go through the cost of establishing a presencevib each state, dealing with fifty different state insurance department regulations and administrative filings. The laws need to be changed to allow each company to write nationwide.
Malpractice - As with all tort reform, runaway jury verdicts and defending frivolous lawsuits drive insurance costs higher and those costs are passed on to the consumer. Punitive damages need to be capped at a multiple of proven economic loss. Contingent legal fees should also be capped to reduce the incentive of the lawyer to 'swing for the fences' for a large verdict.
These ideas seem more prudent than creating another federal bureaucracy.
Posted by ChrisPalmer on 10/20/2009 at 09:04 AM in Current Affairs | Permalink | Comments (0) | TrackBack (0)
Posted by ChrisPalmer on 09/13/2009 at 10:02 PM | Permalink | Comments (0) | TrackBack (0)
Posted by ChrisPalmer on 09/08/2009 at 07:48 PM | Permalink | Comments (0) | TrackBack (0)
Posted by ChrisPalmer on 09/08/2009 at 07:45 PM | Permalink | Comments (0) | TrackBack (0)