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PTA Blog Talk

Future Care

Published April 3, 2013 5:50 PM by Jason Marketti

I've read about social security running out of money, reduced reimbursement rates, a decrease in the number of qualified providers, quicker discharges and supposedly better recovery after surgery. Where does this leave everyone?

Social security has to be there to provide care for the blind and disabled; a reduction in reimbursements will always strain the health care system but will not put it out of business, there will be ways around the reduction. I can see a decrease in the number of qualified providers because there are more lucrative ways to make a living than doing therapy and certainly more opportunities out there to graduate with less debt. Patients will always be discharged before they and we want them to be, but that's life. Recovery rates are faster as technology improves in surgical techniques. How many remember that a THA stayed in the hospital for two or more weeks?

What I want to know is when will insurance companies start paying for replicated organs and tissues? There is technology that can replicate organs but I've yet to see any insurance company pay for the new technology; they probably consider it experimental like they do with taping a joint, despite any evidence provided. Maybe we could replicate me so I can stir up twice as many people with my ideas. I could irritate twice as many organizations and have twice as many complaints against me. And in regard to any complaints against me, I'll paraphrase rapper Chief Keef, "That's that stuff I don't like."

As for the future of healthcare, that's still an unknown. I see changes that are slowly eroding how we do business and I see that eventually we'll comply with how the rest of the world performs healthcare. Imagine how easy it is for an insurance company to deny payment just because you're injured and out of the country. Why do our current healthcare policies stop at the US border? The insurance industry would probably accept my check drawn from a foreign bank but may not reimburse for care provided in a foreign country.

I currently pay more than $600 a month for medical insurance for a family of five. I also have co-payments with every visit. The bills are unending sometimes. It would be nice to not have a medical bill and still have the care my children require. I can see this coming but very slowly and maybe not in my lifetime. I can still dream the dreams that no mortals ever dared to dream before.


Most policies stop at the border. In the US because most managed care companies don't have networks beyond their coverage area. Even the NHS of England doesn't provide care beyond the UK (however there is agreement among the EEU to provide care to residents of member countries so that British citizens are treated free of charge in Spain, Italy, etc). While living in Britain, I purchased travel insurance which included health insurance, on an annual basis. For myself and my spouse the cost was £145/year or $220.00/year.

Yes, it would be nice to have healthcare like the rest of the world as you stated. I've just had an experience with the US system this week which I can compare to experience with the UK system. Watch for next week's post!

Dean Metz April 3, 2013 4:11 PM

Great column!

Charlonmond, PT - Director, The Chamber April 3, 2013 1:55 PM
Muskegon MI

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About this Blog

    Jason J. Marketti
    Occupation: Physical Therapist Assistant
    Setting: San Jacinto, CA
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