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Colorado Medical Society president calls for Seismic Shift for Healthcare

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Ann Imse
Colorado Public News
Michael Pramenko

With America already short $38 trillion needed to pay for Medicare insurance for the elderly over the next 75 years, the nation must focus on controlling healthcare costs, according to Dr. Michael Pramenko, president of the Colorado Medical Society.

The U.S. economy simply can’t afford to see the share of gross domestic product (GDP) spent on healthcare spiral from today’s 17 percent to a projected 34 percent in a generation, Pramenko said in a presentation at Colorado Public News.

“Other countries – not socialist – are covering all citizens and doing it for half the cost,” said the family doctor from Grand Junction. The United States spent an average of $7,290 per person on healthcare in 2009, while nine other major developed countries spent $2,581 to $4,417 per person.

Click here to listen to excerpts of Parmenko commenting on how to control the costs of healthcare.


Pramenko, who became president of the Colorado Medical Society in September, is also a spokesman for the healthcare system in Grand Junction, which is rated as one of the highest-quality and lowest-cost in the nation. That has given Pramenko a role in working out the details of change being created by the healthcare reform act. He’s on the committee overseeing creation of healthcare cooperatives.

He sees a major opportunity for cost control by using scientific research to determine the most effective and lowest-cost treatment. As an example, he cited studies that show most back pain can be treated better without expensive spine surgery.

“That’s not rationing. That’s being smart. It’s using good science to determine where your dollars should be spent,” he said.

As costs continue to climb, he warned, the alternative to intelligent choices actually will be rationing health care. He cited the recent decision in Arizona to cut people off organ transplant lists for lack of funds. “Medical professionals should decide, so legislators aren’t forced into making decisions like that,” he said.

Speaking to a group of health care and other community leaders, Pramenko called for a wholesale shift in the American healthcare system from treating health problems to preventing them. In Grand Junction, he noted, all pregnant women have access to prenatal care, regardless of circumstance. In addition to resulting in healthier babies, the practice saves a fortune in expensive intensive care for babies born too small and too early, he noted.

“We’ve got to change the whole system,” he said.

Colorado Public News is created in partnership with Colorado Public Television 12, Denver’s independent PBS station. It is led by editor Ann Imse. Others on the Colorado Public News team include:Cara DeGette, managing editorNoelle Leavitt, recruiting and social media directorSonya Doctorian, video journalistDrew Jaynes, webmaster and photographerJournalists Bill Scanlon, Dennis Huspeni, Jody Berger, Sara Burnett, Jerd Smith, Michele Conklin, Andy Piper, Lauren Rickel, Raj Sharan, Amanda TurnerRobert D. Tonsing, publication designer and entrepreneur