Posted on 11/30/2016 5:24:18 PM PST by WENDLE
I would like to put forward a comprehensive solution to heath care in this country. I invite fierce peer review because I'm just a Freeper like you. I have no apparition of truth. And, from this, many smarter than I, can build. I just see this working.
You will get more action on this thread if you format what you posted to be more readable.
Oh thank you, teacher. Too hard for you? sorry!!Get a damned life.
Just trying to be helpful a$$hole. Shove it.
Eat me.
I found this for you, son . I am sur you can follw the story line.http://readcomicbooksonline.com/
Another mistake. Standards and quality goes down.
You got the message. F off.
Paul Starr published a great book in 1978. Fantastic reading.
Several important things that any ‘fixing’ of health care -
1. Allow everyone to get money (pre-tax) put into a Health Care Savings Account. Maybe $4,000/year. Money not spent accumulates year to year...not tax on any growth. Money only spent on personal/family medical needs. [NOTE: with individuals paying...they have the option to request MORE or FEWER tests. The person starts assuming liability for outcomes...no longer can they sue that the hospital didn’t run certain tests..because they get the opportunity to request more tests...AND PAY FOR THEM.
2. Allow people to buy ‘catastrophic health care’ - where the person might have a $5K deductible before insurance covers the first dime.
3. POSTED PRICES. No more of this hidden prices until the work is done. The Surgery Center of Oklahoma DOES provide “posted prices”. (And in Mexico, a hospital was shut down because it didn’t have posted prices.) With price transparency - people can shop around for best value for their ‘buck’. AND - post what ‘discounting’ is allowed. It is one thing to allow a 10% discount for prompt pay within 30 days...but to allow 1 insurance company to have a 30 or 50% discount while someone else pays full freight is unethical and should be illegal.
4. END any ‘monopolistic practices’... If someone wants to open up a Prompt Care Clinic or any other clinic - no longer allow the clinic to be stopped unless it gets a ‘Certificate of Need’. [Basically - allow the same rules that most other companies already have to live to be applied to the health care companies.]
5. End the pharmaceutical monopoly practices....if a drug is sold in Canada or Hong Kong or elsewhere for much less....allow anyone to buy the drug and re-import the drug to compete with “US” pricing. Again - POSTED prices for drugs...no longer allow some customers to be charged HUGE prices while other customers get huge discounts. Same thing to discounts - all discounts must be revealed.
6. End the FDA’s ability to block modern drugs that are already approved elsewhere in 1st world countries like in Europe or Canada, and allow importation of these drugs to compete with American drugs. (This would END the screw job on Americans when Epi-Pen pricing went from around $50 to $600....for a dispensing system that delivers a dose of epinephrine that costs less than 50 cents.)
7. Limit litigation. Allow arbitration. If arbitration is rejected, then allow “Loser Pays”...and the lawyer and client are both held responsible for the ‘loser pay’ fines if the case is lost (or thrown out.) Disallow ‘stupidity’ ....if the posted warnings are ignored - no suit. If a drug indicates that there are risks of something bad happens and it happens...the client MUST accept the risk rather than expect to be made whole by a ‘legal lottery system’.
Any illegals using health care - and not paying fully for all costs should be reported to ICE...and deportation proceedings started.
Repeal the health care law that MANDATED treating of people without insurance....give hospitals the option to set up their own charitable fund to aid/assist those who show up and need help....but anything a government mandates - the government should fund. If a STATE mandates hospitals provide care, then the state should be prepared to pay - IN FULL - all billable costs that are incurred. (The 13th Amendment outlaws slavery; compelling a business to provide a service for free is a violation of the 13th Amendment.)
WONDERFUL!!!! I am on with that!!
I will commend you for THINKING and caring— Let’s fix this problem!!
1) Yes go back to free enterprise, but I like Trump’s idea of having providers publish stated prices so consumers can compare before there is a crisis.
1b) Allow insurance to cross state lines as long as they conform to the state insurance requirements. That’s in Trump’s plan as well. You don’t want a lot of companies marketing insurance in your state that doesn’t conform to the State’s insurance requirements. Doing so, makes everyone have to become lawyers to read the fine print. You could possibly do it if there are bold warnings that the plan doesn’t conform to state requirements and there fore could be a scam, or have severe limitations. But then the insurance commission isn’t going to want to deal with the complaints, so no.
2) Agree Public option...allow illegals to go to public option, not ER’s.
3) Agree disband VA and place them on Medicare. Nation pays premiums and/or copays to make compatible with current VA benefits.
4) Agree the VA could convert to public option. But that means you still need to clean it up. And limitations on legal remedies on public option seems reasonable.
5) Need to bring back the anti-trust litigation prior to HMO’s that said they couldn’t charge different fees. The differential in fees paid to insurance companies vs prior pay is rediculous. Goes to the pricing transparency in Trump’s plan.
6) You might want to shore up the Profit/Risk profile of Hospitals. Reason being, is that you want capacity to handle epidemics. You don’t want Hospitals to manage capacity to tightly.
7) There should be an emergency Equipment and supplies stockpile plan. Something to bring additional equipment into an area in a crisis.
Sorry for the brief posts last night. I do longer posts in the AM.
Doctoring is a business unlike most others in many respects. I was not kidding when I recommended Starr’s book. The tittle is an unfortunate coincidence. I have a copy on my bookshelf. I STRONGLY recommend that anyone who has thoughts on improving healthcare start by reading this book. “He who does not know history is doomed to repeat it.”. Starr goes through the history of Medicine from the first Doctor and the first hospital in America. But it reads well.
The bottom line is that there are so many Unintended consequences of attempts to “fix things” that have been tried in the past that one needs to tread very carefully. It took over one hundred years of persistent, dedicated effort to take doctors from the despised “saw bones” and quacks to the miracles we had seen until just a few years ago. A century of work can be undone quickly, as we have seen.
There are some things that can be done and perhaps should be done and some of the things that at first glance would be catastrophic for everyone very quickly. Massively increasing the supply of physicians is about the worst answer. In ten years we would be back to the “sawbones” and lodge doctors. In fact, we are just about there already.
Fact is, doctors are not educated in any way about “business” in spite of the fact that until this generation of doctors they were expected to run one. This is why as recently as ten years ago half of new doctor businesses were bankrupt in a few years. In the last generation almost all doctors are employees. I submit this is not good for anyone.
Eliminating the gummint burden would be a good first step. Folks would have to ignore the media caterwauling. Create an environment in which a new doctor has a chance at succeeding at his own business would be a step consistent with conservatism, IMHO.
Many years ago some old doctors advocated the “new” concept of preventative medicine did not fit in the disease model. They were sneered out of the debate. I would submit they were right. Let technicians perform Health Maintenance and free physicians from this to focus on disease.
These are just a few suggestions barely outlined that I think would be critical goals to return the practice of medicine to something near what it was when it was at it’s best. I doubt that any of them will take place, too many other parties have elbowed their way to the table now. It may take another hundred years to sort out what has been done.
I agree with your points on free market vs anti-trust laws. If we abandon antitrust laws though, we need to abandon all the ways the government interferes in the market too, because they are essentially enabling collusion and monopolistic behavior through the tax code, regulations, congressional favors, etc ;-)
The sec designate is a physician and has a plan. there are numerous republican plans.
From all the available strategies an agreeable plan will emerge. That’s the way things work. If you are not satisfied you must convince your congressman that your idea has merit.
Wow!! I never knew that!!!!
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