For health care, bring on market force:
1. Break most hospitals into two highly competitive entities.
2. Convert other hospitals into real estate leasing entities with competing surgical suites and nursing wings.
3. Separate out drug coverage so hospital systems can run care coverage systems and cut out insurance company overhead and meddlers.
4. Create interstate drug plans that don’t have to pay what the drugmaker wants for every drug. To qualify for exchange listing and federal subsidies, they would have to most (~80% or more) in all important types (large volume recombinant, small volume recombinant, breakthroughs under patent, etc.). Group and exchange plans to offer time-limited vouchers at plan set amounts for out-of-formulary drugs. Voucher plans would have variable premiums. Plans without minimums (or vouchers) could be vended directly to individuals and families.
5. These plans would be all the doctors (and AI) prescribe for formulary drugs with co-pays equal to manufacturing cost
6. Have drug patents limited by government sourced product revenue and overall domestic government health care spending and not by time [so drug companies have an incentive to minimize government health care funding].
7. Require Kirchoff patent collapse to a single entity upon FDA marketing approval of a covered entity.
8. Reform medical education, breaking down medicine and dentistry into simpler chunks and start it in the first year of college
9. Replace most primary care doctoring with AI.
(Insurers would pay human doctors to confirm AI diagnosis, orders for expensive tests[MRI, genetic], prescribe radiation imaging[CT, PET, X-ray]/treatment, and voucher/government co-pay drugs. Other human doctor care would be private pay.)
10. Radioisotope-related care would be at international airport centers
Add to your list:
MANY prescription drugs are only prescription so pharma and doctors can make money. There is NO RATIONAL MEDICAL REASON for this.
Yes, AI could do a quick screening (make sure there are no issues), informational session (how to use, manage expectations), and record keeping.
Insulin (someone that has been shooting insulin for 20 years knows what to do), Antibiotics, proton pump inhibitors, GLP-1... all this stuff should be as simple as scanning your ID (over 18) and chatting with an AI assistant for 5 minutes.
Think about this irony. Big pharma get many of their precursors chemicals and biological substances from China. Much of our medication is made with things that come from China, the ingredients so to speak. But firms in China, Brazil, Mexico, Turkey can’t sell the pharma in the US directly.
Example: https://www.renalandurologynews.com/news/u-s-drug-supply-deeply-dependent-on-chinese-ingredients/
Could you imagine what sort of pressure that would be on costs if you had international movement of medication no differently than a T-shit or swimming trunks sold on Amazon? https://worldpopulationreview.com/country-rankings/cost-of-insulin-by-country
The costs of medication would plummet!
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The reason why we have never seen TRUE solutions to rising health care costs is because DC is controlled by money / special interests.