Sunday, December 1, 2013

Ideal Healthcare in the USA

Ideal Healthcare – Part 1
Can we handle the truth?



With all the current controversy about healthcare, it’s time to point out what could be the best possible solution to Health care in America. The Affordable Care Act (a.k.a. Obamacare) may hold an ideological solution to healthcare, but not a practical one. Regardless of party affiliation or current mental paradigm, we have moved too far across the divide to turn back to the old ways. The two dirty little truths are that we must face up to the fact that good healthcare comes with sacrifice and that money doesn’t grow on trees. It is vital we set aside our sacred cows, realize the common goal, then get to problem solving.

It’s well known that our society is a benevolent one. We send financial aid to every corner of the globe and most often we are the first physically available to assist. We also do the same for our own citizens, but unfortunately not to the extent we wish to. Our government is in a pickle, because it must act before current healthcare policies are too entrenched and bogged down by a cumbersome expensive new system.  

The ACA/Obamacare website has already been experiencing roll-out inefficiencies, and soon it will have to contend with huge cost overruns (see link below). This has the ire of a large majority of people, with the list getting longer everyday. Nevertheless, I would risk it to say that everyone in America truly wants to help out those less fortunate. The key question is how will it work, still be efficient, and stay within reasonable costs?

I believe there are three key elements to good cost effective healthcare.
1) Healthcare must be provided for all U.S. citizens.
2) Medical professionals must be able to work in a profitable environment.
3) Insurance companies should be excluded from healthcare.

1.  For many years the United States has led the way in areas such as economics and freedom. The U.S. has also led the way in medical innovation, but it hasn't trickled down to all its citizens to accomplish true healthcare leadership. Even though every man woman and child is provided emergency care, whether they could afford it or not, millions of dollars are wasted addressing the illness at the latest stages of the illness. Preventative healthcare could reduce emergencies and serious conditions before trauma and expensive medical costs spiral out of control. I have to admit that this is one promising goal of Obamacare.

2.  Doctors, hospitals, and pharmaceutical companies must be able to function with a profit. It is my contention that once healthcare becomes only a benevolent institution it will fail. The reason is that there are only a few medical professionals bred with internal philanthropic motivations but there are many more with monetary motivations (see link below). If the system becomes a non-profit system, incentives and motivation will vanish. Not only would the quality of care be lost, but quantity of caregivers as well (think of long lines). Doctors and other healthcare professionals provide a service that should be rewarded for their talent. Just like the rest of us in our jobs. Unfortunately, Obamacare will hinder this process.

3.  Insurance companies that facilitate the operation of healthcare should be obsolete. I believe we must ask ourselves why we need insurance companies in the mix. The easy answer would be that by grouping healthy people with sick people it will lessen the burden on all people. But the insurance companies are only middlemen who don’t really help with this process. Insurance companies make a profit speculating the risk of those who will be sick and pocket the profit off that speculation. Where is the direct health service?
          I assert that the real insurance providers should be the citizens of America. This means that we would still utilize the grouping mentality as stated before, but instead our group plan is all of us. In other words, we Americans are the one big group plan paid for by us in the form of taxation.
          After enacting the Affordable Care Act, we inadvertently backed into what is known as a “single payer” – or more accurately, a single-fund system. Since the government has been given authority by the Supreme Court to tax every citizen (that pays taxes) for healthcare, the IRS can now charge or penalize Americans through taxation. There is no longer a need to involve an insurance company to profit from that same process.
          An example of implementation would be as follows: The sick person sees the doctor for free, the doctor and his/her clinic attends to the needs of the sick, the doctor sends the invoice to a local branch of the HHS (health and human services), the HHS sends the invoices to the IRS, and the IRS makes a yearly adjustment in our taxes if required. That is where we ultimately pay the bill. In our progressive tax system, the rich pay the most and the poor pay little or nothing.
          Those concerned with overspending might say, “Hey, the doctors and hospitals will get away with sending in huge overblown bills, burdening the taxpayer with astronomical increases.” The solution to this is where I pointed out that the doctors would send the bill to the local HHS. It would be a branch that is run by the local community; it would oversee funds, critique and monitor any excessive income, and even provide rewards for those who stay healthy. This would be much like the committees that handle a local utility company profits…adjusting rates periodically due to extenuating circumstances related to the region. It’s not perfect but it’s the best check on overreach.


These are three key elements for good healthcare that would ultimately produce good service at a fair price, and it would provide care for the sick in a timely fashion (since more doctors would choose to enter the system knowing they can make a living). Billions of dollars (see link below) could be used for real health needs rather than absorbed by insurance companies; not to mention the freedom from the monetary headaches and hassles dealing with insurance.

A final bonus to this plan is that by default Medicaid and Medicare (and their associated inefficiencies) would no longer be necessary. All people, rich and poor, young and old, with any type of medical issue would bring it to their doctor to be appropriately dealt with. If someone wishes to pay for custom or unique medical situations, such as cosmetic surgery, these services would be available for clients to be paid out of their own pockets. In fact, if a doctor can survive without sending the bill to the government for reimbursement, he/she should have the freedom to operate as they choose.

If you want an efficient healthcare system at a good price, I believe this is the most effective one available. However, I did mention some sacrifice. At the turn of the 20th century, it was assumed that the horse and buggy suppliers would be sacrificed as the automobile grew in popularity. What’s not mentioned is that many of these companies didn’t die. Sure, buggy whips were out, but the 1890 style roller wheel bearings were easily adapted to automobile wheels. So too will the insurance industry find other opportunities to keep their business afloat.

If we choose not to fear change for the things we love we will always be successful. We do not have to do what other countries have done, but we should learn from their mistakes - then do what is best for the United States of America. This is the time to make a great sacrifice for an even greater healthcare system…one that will allow us to once again be known as the country with the best most affordable health care in the world.



Healthcare increases

Sample of Insurance company profits.


 High-quality medical graduates leave Canada for better-paying careers in the U.S http://www.cmaj.ca/content/161/8/1028.full

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