Newt Gingrich
Former Speaker of the House

Newt Gingrich

Newt Gingrich is the founder of the Center for Health Transformation and former speaker of the U.S. House of Representatives.

Focus on the Individual

Forty years of reforms have failed because they did not address what should be the foundational function of our system: the health and well-being of individuals and families. That means focusing on three key priorities. First, we must prioritize individual health. We can accomplish this by shifting the focus from acute-based, episodic care to wellness, cost-effective prevention, chronic-care management and personal responsibility. We need to design insurance products to reward and emphasize wellness. We need to create closer relationships between individuals and health-care providers. And we need to invest in research to combat today's deadliest and most prevalent diseases.

Second, we must deliver better quality care that focuses on the individual, not bureaucracy. We can accomplish this by improving the processes of care, using the best approaches that are based on evidence and proven to work. We need to get the most modern and effective tools, treatments, and technologies into the hands of doctors. And we need to pay doctors and hospitals, not based on the number of services they provide, like we do today, but based upon the quality of care they deliver to individuals.

Third, we must support a wide array of choices so that every American can get health insurance. We can accomplish this by creating a free, fair and functional private market for individuals and associations, alongside effective and efficient public programs. We need to make information more accessible to consumers, including insurance options, doctor performance, and cost information.

It's the individual's health, the individual's health care and the individual's insurance. If policymakers lose sight of this essential priority and instead focus on "the health-care system" or pleasing key interest groups or expanding federal power, we will lose a critical opportunity to improve the health of America and the lives of our citizens.

By Newt Gingrich  |  June 10, 2009; 11:00 AM ET  | Category:  Health Care Reform
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Focusing on the individual is all very well, but what about those individuals who are below the federal poverty line of $10,830 per year? 35% of uninsured Americans make less than that. What is the solution for them?

Posted by: olsonmarian | June 24, 2009 11:10 PM
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My family and I are among the fortunate individuals, as we are not among the 47 milion US individuals without insurance. But I can assure you that for most of the individuals (or consumers, as you wish)who do have health insurance, the insurance company is our enemy. Their primary goal is profit, and from my understanding, at least 1/4, (perhaps 35% by some estimates) of my insurance payments goes to paying for the systematic and skillfully-executed avoidance of making payments that the policy holder would reasonably expect to receive.

And individual physicians? we don't have one anymore because we won't pay $7200 extra a year for "concierge care."

So which individuals, Mr. Gingrich, do you represent with your views?

Posted by: artbarton | June 16, 2009 4:47 PM
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Does he really believe what he is saying? If so, he’s are either terribly deluded or living in the bubble of the elite; I suspect the latter as he is a man of intelligence and education. Pharmaceutical companies, medical assoc., hospital boards and insurance carriers contributed to his past campaigns, he KNOWS these people and, if he will admit it, he knows how greed has infiltrated every facet of the system. For most of his life he has lived in an elite, government welfare class with a great job benefit package at the tax payers’ expense. Why does he or any of the government employees enjoy better health care than the citizens they work for? Why do they think they are entitled? They work for us, not the other way around. It’s easy for someone who has it all to spew denial… he doesn’t know that he doesn’t know!
I’m glad Newt’s never had to forego treatment and I hope the future brings a time when we all can have what he has enjoyed at the tax payers’ expense. As he rails against a public system for us, he has had publically financed health care all the years he was in government. What a hypocrite! The Republican Party pretends it wants to be good stewards of our money, but they have legislated and continue to support a system of health care that skims 30% off the top for “Admin Fees” and CEO care packages. I wonder if we pay for those administrators to have good coverage as part of their compensation as well.
Let’s take each of his keys and examine them in the real world:
Key 1. Insurance will never promote care as long as it’s driven by profit & greed.
Key 2. True, until doctors are allowed to call the shots, care will be diminished. What he fails to say is that insurance providers, profit and greed are the major obstacles to prevent that from happening.
Key 3. The only choice he wants is the same one we have now. If providers were going to regulate themselves, they would be doing it now and we wouldn’t be in this mess.
Maybe in his Utopian bubble these keys are reality, but not in my world.

Posted by: kaetc81 | June 16, 2009 3:24 PM
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Having Gingrich adding to this debate is ridiculous! He is not a health expert and has special interests he is bound to serve. Why can't the Post find sources that report truth and facts without resorting to ideology?

Posted by: TeddyRoosevelt | June 15, 2009 8:22 PM
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do not side with big business and the insurance companies and pers drug companies.....side with the AMERICAN PEOPLE AND BARACK OBAMA .........THAT IS THE REASON HE WAS ELECTED...WHEN IT COMES TO HEALTHCARE IN OUR COUNTRY. Mr. Gingrich, there are so many people that have worked hard for our country their whole life that have contributed by taxes and hard work. do not turn your back on those people. Never turn your back on Americans, never just put business first. When you do that you cut the Fibers of AMERICA..which is its people...The business part is getting bail out after bail out...The people need their Healthcare and they need it now.

Posted by: STANTONCAROL | June 14, 2009 8:42 AM
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As a physician who switched from clinical medicine to administrative medicine, I have refocused my career on developing wellness programs. Hence emphasis on personal accountability, self-efficacy and individual and group capacity building is paramount in healthy living. However highlighting the need for individual focus does not let us off the hook for creating system-wide reforms.

Leading me to my next question? Why is a public option portrayed as misguided at best and undemocratic at worst? Should we be led to believe that government cannot be a vehicle for ingenious and efficient reform ever? Government is not always the solution but after years of unchecked abuses in the health care industry, government should be part of a multi-pronged solution.

In my childhood obesity initiative we teach as our slogan: We own the problem so that we can own the solution! This should be true of the individual and the government.

Posted by: chrispernell | June 11, 2009 2:20 AM
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