Hawaii is a laboratory for health care as an employer to buy insurance

The question one of the toughest in health care is whether the debate to ask the employer to buy insurance for their employees.

But if members of Congress can overcome their fear of the accusation visit junketeering and effectively, Hawaii, they would be irrefutable evidence on how such a system really works, and they should not have a number of terms absolute, if not notice.

More than 96 percent of health care, Hawaiians. Employers, regardless of the size of their work forces to pay for most of them. However, they argued, despite the disappointment on strengthening benefits and increasing costs.

In addition, Hawaiians seem to be in better health and more satisfied with their health care than other Americans.

Recent surveys by Northwestern National Life Insurance Company and the American Public Health Association general health are better in Hawaii than in any other State. The Federal Department of the Centers for Disease Control and Prevention place in Hawaii or near the peak in the lower infant mortality, life expectancy and early death of cardio-pulmonary diseases and cancers.

Two surveys sponsored by the Kaiser Family Foundation revealed that 82 percent of Hawaiians, compared to 71 percent of Americans were generally satisfied with their health care. Only 18 percent of Hawaiians, compared to 39 percent of Americans said health care systems of their system malfunctioning.

There are no comparable surveys by doctors, many of whom complain that less money in Hawaii, they can by the way. But Jonathan R. Won, the executive direcfor Hawaii Medical Association, said that in a portable very few professionals have been far doctors. Doctors really say: “I choose to practice here,” he said. “Nobody has a better idea, as always,” he said.

Hawaii is also the only country where the USA a visit to the Chamber of Commerce poll of its members are mostly small businesses, took place behind a majority of compulsory payments.

Hawaii is the only country with experience with this system, but it is not a laboratory used. Only a subcommittee of Congress who come here in this year of negotiation. There are also important scientific research, even at the University of Hawaii.

Still, 20 years’ experience Hawaiian provides support for employers to pay, as President Clinton pushed, but also for some of the concerns raised by the proposal in small businesses.

It is clear that the “employer mandate” as compulsory insurance for the purchase of workers is well known here and in Washington, he reached in Hawaii, the threshold for health insurance Universal. This seems to have helped limit inflation in health care, a serious problem here, but less critical than on the mainland: health insurance premiums, about 30 percent cheaper, while almost anything that is more expensive in Hawaii.

The government health director, John C. Lewin says that the system has more than that. “In stressing Primary Care, it has improved the health of humans in Hawaii,” he said. As an example, he said that early detection of breast cancer - despite a high level in Hawaii - has enabled the state to achieve the nation’s most low mortality disease.

But the bubble Hawaiians seem rather by the fact that something unique. Thus, they can not be free to observe the land concerned that denounce their employers, a plan of health, or medical conditions, or they blocked in their work force, their rates or deny insurance as a whole.

There is also an echo of the intense lobbying “argument in Washington that most employers must pay the insurance cost millions of jobs and force thousands of companies of the operation. This is not the case when the mandate of Hawaii occurred during the year 1975, during the worst recession in 1980, nor in recent years, as a temporary insurance premium inflation has reached two figures.

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