Vanity: My Plan to Fix Healthcare

Me ^ | 10/17/2019 | Me

[Ohioan]

The Federal Government has no Constitutional role in civilian health care. The enormous effect of meddling where ther is no right has given us the most expensive health care on earth--or is there any place more expensive?

Health Care

There are few things more inherently local & personal than the relations of doctor & patient. Bureaucratic meddling & mudling is a gross over-reach.

[stylin19a]

#2 - no mention of having to be a citizen ?
#3 - no fairness there ? average may be more than I currently pay, plus these things are already fee categorized via location - in the private as well as the CMS sectors.
#4 -
1. new tax on people and business
2. additional new tax on business that is means tested
3. as long as you are going the lock box route via an amendment, might as well include SS & Medicare taxes into their own lock box

bottom line, anything stated as “permanently capped” via a constitutional amendment...
How can the Constitution deny what it expressly allows ?

so, how much and where does it come from, to finance the research that has to be done to even put the plan in writing ?

[TangledUpInBlue]

Agreed :)

But in this case all they’re doing is acting as a payor. They are paying providers based upon a scale for services that private industry would come up with.

[Attention Surplus Disorder]

My basic reaction is (and I have a somewhat similar/dissimilar plan that I don’t have time to detail here/now)

It would force most docs to become the insurer. They would get their nominal medicare reimbursement (which as you imply is el cheapo, and it is) but they would in essence be forced to accept ALL THEIR BUSINESS in this format.

[ProtectOurFreedom]

“Constitutional Amendment to be permanently capped”

Sorry, to Democrats, the Constitution is nothing but a rag on which to wipe your feet.

In my opinion (and many others), the Constitution is a legal framework for governance. Not everything should be an Amendment to the constitution, and certainly we shouldn’t have amendments to grant goodies to the people.

No sale.

[Alberta's Child]

The only way to "fix" health care is to have people pay directly out of their own pockets for every medical procedure.

Any product or service that is purchased through a third party is inevitably going to get more expensive over time, because the three-party transaction has no mechanism in place to constraint the prices.

1. When you are insured and you need medical care, you don't care how much it costs because you're "insured."

2. The insurance company doesn't care how well the procedure is done because they don't have to live with the results.

3. The doctor is caught in the middle because he has a patient who wants Lamborghini-level care, but an insurance company that only wants to pay for a Chevrolet.

This here captures the essence of the problem perfectly. We don't have a health care problem in this country. We have a health care payment problem.

If you want anything to get less expensive, the best approach is to make people pay for it directly and incentivize the producers to develop economies of scale in producing it.

[TangledUpInBlue]

First, yes you would definitely, absolutely, 1000% have to be a US Citizen to access.

As for the rest, I know :(

But I’m trying..

[TangledUpInBlue]

You are spot on and I agree.

I’m just not sure that’s feasible either. If it were, I’d support it.

I guess the final question is: Is the genie really out of the bottle? Is the industry so bloated, established and large that it cannot be fixed? Maybe it is.

[Alberta's Child]

Is the industry so bloated, established and large that it cannot be fixed? Maybe it is.

Which "industry" are you referring to -- health care, or health insurance? The answer to the question might differ, depending on which one we're discussing.

[PGalt]

A citizen starting a conversation that could lead to solutions. HOW DARE YOU! Thanks. Good tune.

https://www.youtube.com/watch?v=y4VwQXoyodk

Check out this beautifully lyriced and voiced song...

https://www.youtube.com/watch?v=1ST9TZBb9v8

[DannyTN]

My idea is better.

1. Give every house household a general purpose robot.(127 million households)
2. The robot will be trained to do the following:
   • General household chores (laundry, cleaning, etc)
   • Cook with a preference towards healthy recipes and incredients.
   • Order groceries delivered and unpack them.
   • Perform basic health assessments, including temperature, blood pressure, blood sugar, Oxygen stats and diagnostic questions. Including patient imaging for transferal to doctor upon patient's approval.
   • Occasionally make healthy suggestions on eating, smoking, nutrition and excercise.
3. Non recreational drugs, such as antibiotics, diabetic medicines, antihistimines, will be available for order with a properly reviewed report from a certified robot.
4. We can spend up to $100,000 per robot. This will result in a cost of $12.7 Trillion.
5. US Healthcare currently costs $3.5 Trillion per year.
6. If we can save $500 billion a year, through avoidance of doctor visits, preventative care, healthier habits, etc, this system will pay for it self in 25 years, and we will have a healthier and more productive populace and society.

[CJ Wolf]

Finally a real solution. The cost of the robot will go way down in a few years I would think.

I want the option to cook for myself and would like to add a gardening option to go out and laser weeds and ensure proper watering. It should also be able to fix my 1977 ford pickup.

[kaila]

The average nurses salary is $32 an hour, sometimes less. The average physician salary is in the $200,000 range, maybe more. People with no insurance would not be able to afford to pay for their time. Nurses and physicians are not going to work for less, it is stressful and backbreaking work.
The real issue is the administrative creep.It sucks the money out of the system. Billing needs to be simplified. Hospitals do no need utilization review, coders, nurses who review charts for hidden words that increase billing, diversity , corporate compliance. It goes on and on. I worked in one of those departments. It was not needed.
When that is eliminated, then lets talk about healthcare costs.

[jonose]

1st step would be tort reform. Looser pays fees.
1/3 of all healthcare costs is unneeded test and liability insurance for providers.

[DannyTN]

Yeah, I don’t think you should be forced to let the robot do anything you don’t want it to do. The Amish should have the right to reject it as should anyone.

And I agree with you on the basic watering and minor repairs.

It needs to be hack proof, but an sdk should be available for adding new routines and skills.

[DannyTN]

And I’m just guessing at $100,000. If we could get by with $30,000 or $10,000 per robot, but still have the skills, it would be that much better.

Enhancements could come in downloads, Hardware add ons, etc.

[CJ Wolf]

I think rental robots for specific tasks would be nice. You dont really have to have a robot clean every day.

[TangledUpInBlue]

I’m in.

Now, where do we get the robots?

[TangledUpInBlue]

Really I meant both taken as a whole, but your point is taken.

[Magnum44]

Please let it be fembots, please....