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Source: Fred Brock, 785-532-3958, feb2@k-state.edu
http://www.mediarelations.k-state.edu/WEB/News/MediaGuide/brockbio.html
News release prepared by: Erinn Barcomb-Peterson, 785-532-6415, ebarcomb@k-state.edu

Thursday, October 12, 2006

K-STATE PROFESSOR'S NEW BOOK OFFERS TIPS ON LOWERING HEALTH CARE COSTS

MANHATTAN -- Fred Brock, a Kansas State University professor and New York Times contributor, can tell the tale of the status of the United States' health care system with a few statistics:

* At least 46 million people in the United States don't have health insurance, and it's a growing middle-class problem affecting people who make $75,000 a year and more.

* The United States has a worse infant mortality rate than Cuba.

* It is estimated that 18,000 people die every year because they don't have health insurance.

* General Motors spends more money on employee health insurance than on the steel that goes into its automobiles.

Such sobering statistics led Brock, R.M. Seaton Professional Journalism Chair at K-State's A.Q. Miller School of Journalism and Mass Communications, to write his new book about how to get the most health care for the money. "Healthcare on Less Than You Think: The New York Times Guide to Getting Affordable Coverage" is set for release Tuesday, Oct. 17, by Times Books/Henry Holt.

There are some major problems with health insurance in the United States, Brock said. It's too expensive for many people, and in all but five states pre-existing conditions prevent many Americans from purchasing their own health insurance. This leaves them to rely on their employers -- if they are employed and their employers provide insurance, he said. Many employers are wondering why they got stuck with the expense of insuring the majority of the nation, Brock said, and many of them are cutting back or eliminating coverage. This affects all workers, regardless of their income.

"When lack of health insurance was mainly a problem of the 'poor,' it didn't get the kind of attention it's getting now," he said.

With many Americans priced out of health insurance, Medicaid becoming increasingly dysfunctional, Medicare facing growing problems and the national agenda focused on terrorism and the war in Iraq, Brock said the health care crisis is going to get worse before it gets better.

"One of the things I do with the book is briefly discuss the history of health insurance and how we're in the mess we're in and ways to get out of it, but the main focus is how to reduce health costs and cope with the current system until things get better," he said.

One of the best ways people can reduce their health care costs, Brock said, is by looking at prescription drugs. He advocates using generic drugs when possible or ordering expensive brand-name drugs from Canada. Although illegal, Brock said authorities almost always turn the other way. However, he discourages anyone from buying drugs from Mexico because of the risk of fake or substandard medicines.

Brock said patients also can "split" their drugs. For instance, medications may come in 20 and 40 milligram tablets for the same price. He said it's wise for patients to buy the 40 milligram tablets for the same price and make them last twice as long by cutting them in half. However, Brock emphasizes checking with your physician before doing so, especially because not all drugs can or should be split.

When it comes to insurance, Brock said patients should use all of the options to their advantage. For instance, people should look for insurance with a high deductible and lower premiums if they're generally healthy and don't expect their costs to meet the deductible anyway. Those with expensive health problems should look for lower deductibles but higher premiums, assuming their costs will easily surpass the deductible.

Those without insurance can consider Medicaid, Brock said, but its limitations vary from state to state, and it often is restricted to children and individuals with children. Health discount cards offer an alternative. Brock emphasized that the cards aren't insurance, but they do offer lower prices at pharmacies, hospitals and clinics. The uninsured also can try to cut a deal with health care providers to lower prices in line with what insurers pay. Uninsured patients usually are billed full sticker price for services, while insurance companies pay much less for their clients who receive the same services.

"But all of this is a Band-Aid -- none of this is really solving the problem," Brock said. "What I'm offering is a way to muddle through until we have a health care system that is fairer and more rational. Hopefully this book will help people understand the issues facing us and help them begin making smarter decisions."

Brock is the author of "Retire on Less Than You Think: The New York Times Guide to Planning Your Financial Future," published by Times Books/Henry Holt in 2004, and "Live Well on the Less Than You Think: The New York Times Guide to Achieving Financial Freedom," published by Times Books/Henry Holt in 2005.

 

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