Healthcare for some, Part 2

July 31, 2006

shockThe proposed budget for Escambia County (2006-2007) is available on their website. It’s not the easiest to read. However, I see no increase in public health expenditures

The public health unit proposed budget $395,000 – down from $398,993.

Health & Life insurance of County Employees (excluding the Consitutional offices) is up $589,760 to $7,206,860.

Let me summarize:

  • County property tax revenue up $31 million.
  • Budget increases $15 million.
  • Reserves increase $17 million.
  • County employee health insurance increases to $7.2 million.
  • Public health spending decreases $4000.

Can any one figure out why Escambia is the unhealthiest county in the state?

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12 Responses to “Healthcare for some, Part 2”

  1. Raymond Says:

    Heres an Idea. If you have a crappy job here in this county, and have no health Insurance….Either better yourself by becoming more qualified to earn more, or…. Move to where you can get these things??
    I say this not to be like those who are going to respond to this with name calling, But to ask a question.
    What gives ANYONE the right to sit here and collect welfare generation after generation and expect ME to work and pay for that welfare, Instead of them moving somewhere else to find a good job and health care??
    I know that that always isn’t the easy way, but nothing worth while is. I know it’s easier to sit here and let me pay your bills then to move away and seek these things for ones self.
    ( but try it, when you earn it for yourself it lets you sleep rel good at night). If not having either of these things faced me, I would( and have) relocate.

  2. routzen Says:

    You assume that all people without health insurance and who can’t afford medical care have been on welfare for generations. Maybe true of some, but not the majority.

    Most of the uninsured are working – as proven by our low employment rate.

    Telling 64,000 people to move isn’t a solution.

  3. Raymond Says:

    Neither is taxing me to pay for it. And it truely wasn’t ment as a total solution, just an example of other options.

  4. WanderingHoo Says:

    You already are paying for it – you pay more in both increased costs for medical care and insurance as well as overcrowded hospitals and emergency rooms to cover the costs of those who don’t carry coverage and use the ER as their primary care facility.

  5. routzen Says:

    We’re also paying for it in our criminal justice system. Sheriff McNesby’s budget is over $71 million.

  6. Raymond Says:

    Well I can’t comment on ronny macs budget, I don’t have it in front of me, and have worked in that feild many years, It is a thatnkless job, that lawyers and politicians are making even harder to do by taking the powers away from the cops.
    But I can conciede to this, I would agree that the health care system is broke and people need help, But Not at my expense.
    Here is another solution, why not get an organization( perhaps PYP) to sponsor and broker a deal with an insurance company( or companies)to come in and provide inexpensive health coverage for those 64,000 people? This would serve atleast three purposes, 1. show that PYP IS concerned about those not covered 2. how powerful/skillful PYP is( or whoever champions it)3.Gives those 64,000 people some self asteam in being able to provide thier own health care to themselfs and thier families.
    Instead of relying on a already bloatted and highly ineffceint local government?

  7. Raymond Says:

    Typical, came up with a PERFECTLY good solution for you, but because it takes effort on your sides part , it is ignored.

  8. Rick Outzen Says:

    You have a great idea – but there aren’t any insurance companies interested. They’re raising rates and dropping coverage – not helping the poor.

    Maybe we could set up a self-insurance fund of some type – people pay in something and at least get some coverage. We could even tie higher benefits who are actually working. It would need some initial capital to get started – don’t know whether needs to come from government or not.

    Wouldn’t be easy to put together – but it might work.

  9. Raymond Says:

    BRAVO RICK!!! I Knew you were just a little misguided. See how things can get done W/O involving the Government?
    I’ll make a deal with you, you are Obviously more “connected” in this county. (let’s just keep this on a county level for the time being)
    I solemnly swear to you, that if you want to undertake this, that I WILL get actively involved!!! I think that if we keep this on a local level( for now) we could get enough capital DONATED (not extracted) from people!!
    BUT it will take the effort of ALL of US! See, we can be on different sides, but STILL come together as AMERICANS!!!

  10. Heather Says:

    Obviously Raymond does not work in healthcare or the insurance industry. Listen carefully……YOU ARE ALREADY PAYING FOR IT! You pay for it everytime you pay your insurance premium or pay for your hospital visit. Both have increases built in to cover the cost of this area’s uninsured. We also pay for it through taxes going into Medicare & Medicaid. All major carriers such as Blue Cross or United base their rates for people in this area on the number of uninsured as well as many other factors. Look at areas of the state where they have some type of tax going to preventative healthcare for the working poor. You will see lower rates from insurance companies and more employers willing to come into the area providing more jobs.

  11. Jim McClellan Says:

    Of the more than 60,000 people who are uninsured in Escambia County, over 80 percent are workers and their family members. These aren’t welfare cases, they are simply people trying to make ends meet. The reason it costs Raymond — and everyone else — is that people don’t get preventative care to head off problems. Rather than having a family doctor prescribe blood pressure medication, for example, they show up at the emergency room with stroke. The difference can be hundreds of thousands of dollars in treatment costs. The hospitals bill the insurance companies and the insurance companies pass the costs along to everyone else who pays premiums — like Raymond, or more likely, Raymond’s employer.

    People who are receiving health care through the military or through Medicare/Medicaid might not notice these increases as severely. But many businesses do. My business has seen 50-percent increases in each of the last two years. Right now, 10 percent of my total monthly revenue goes to insurance premiums. That’s a hell of a tax increase to swallow each year.

  12. WanderingHoo Says:

    And while your business premiums increase (and BTW – thank you for being the type of employer who takes on the cost of health insurance for your employees) the copays and coverage limits deteriorate for the insured.

    At some point, we’re going to have to do what every other industrialized nation has done – go to a single payer system with a focus on preventative care as a major component of cost savings.

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