samboct
Posts: 1817
Joined: 1/17/2007 Status: offline
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Let me throw out a few ideas on a workable health care system. 1) Eliminate the word insurance. Insurance is for catastrophes, not paying foreseeable bills. This also eliminates a large chunk of executives, paper pushers etc, none of whom contribute to the delivery of medical care. Like education, our taxes will pay for a basic level of medical care that everyone recieves. Want more- you're free to pay for it- same as education. Will this cost more money? Hardly- if medical costs fall, then the increase in taxes will be more than offset by the elimination of medical insurance payments. Take your pick- an increase in taxes of $2k to save $5k in medical insurance premiums? I suspect most people would make that trade in a heartbeat- I sure would. 2) Eliminate medical malpractice- which also falls under step 1. With malpractice insurance now up to what- 30% or more of the expense of running the office- that's a quick savings. It'll also eliminate a lot of unnecessary tests, because doctors will be able to practice good medicine, rather than defensive medicine. I'd expect that medical costs would fall to 1/3rd of present levels with the elimination of malpractice. 3) Malpractice arose because patients were angry that their doctors could make mistakes with impunity. The start of the whole spiral should be laid at the door of the AMA. By allowing doctors to not testify against each other and rubber stamping medical review boards actions which rarely resulted in a doc losing his license (back then it was likely a he- these days its nearly as likely a she) the public grew not to trust doctors. It's the old problem of the fox guarding the henhouse. Use a review board made up of outsiders to see that doctors can lose their license for egregious errors such as leaving a scalpel in a patient or operating drunk- and there is no need for malpractice. If you're worried about it- there's an insurance industry out there that will be happy to write you a policy to cover damages from medical mistakes- but you get to pick up the tab. No more lottery lawsuit payouts. 4) Allow states to band together to recieve some federal support for major hospital facilities, similar to educational facilities. Don't try to centralize medical care decisions, let individual states pick what will work best in their regions. Let's face it, facilities requirements in South Dakota, with a limited, dispersed population are very different than around NYC or other metropolitan regions. This will probably need tweaking. 5) Medical records should be digitized and handed to individuals without allowing any access to the federal gov't unless specifically signed over by either parent or individual. Doctors need to maintain patient confidentiality with the exception of infectious diseases. The way AIDS was handled initially was a terrible mistake, it allowed the disease to get a much larger foothold than it should have. 6) Eliminate the ability of consumers to sue pharma companies. Having FDA approval should provide shielding- it costs so damn much to get. Increase the resources of the FDA to allow monitoring of drugs once being prescribed. Rewrite the Pure Food and Drug Act to remove the language of "safe and effective"- any drug that's effective is by definition, also somewhat hazardous. Life involves risk-deal with it. Industries that are threatened or wiped out by these changes- Legal industry- getting rid of medical malpractice claims will eliminate a bunch of jobs here. Insurance industry-having the gov't provide health care will eliminate employer held policies. There will be opportunities, but they will be smaller and more niche. Big pharma- the handwritings been on the wall for these companies for decades. Since they are largely sales and marketing firms at this point, science based drug needs will eliminate a lot of their competitive advantage over smaller firms. We should see the development of more new personalized drugs tailored for smaller populations- but the FDA is going to have to change here too. Will we see higher taxes? Yup, but overall, the hit to our pocketbook should be smaller, by eliminating lots of waste and corruption that has nothing to do with medical care. Sam
< Message edited by samboct -- 1/3/2008 6:32:01 AM >
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