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Started By
Message
A modest healthcare proposal...
Posted on 6/22/17 at 1:04 pm
Posted on 6/22/17 at 1:04 pm
You completely repeal Medicaid and take the $$$ that is spent on Medicaid and cut it by 45% (an actual cut, not a reduction in the increase). For FY 2016, that would be $179,674,000,000 (2016 Total Medicaid spending for FY 2016 was $326,680,000,000 source ).
You take that $$$ and establish a nation broke-arse health care system. If you don't want to pay for insurance, but you want health care, that's where you go. PERIOD.
Non-participating hospitals/medical providers would be given the legal authority to refuse service/care beyond what was necessary to stabilize the person for transfer.
The persons/medical providers that work in the system would be recent medical school graduates who would have their student loan debts reduced by 15% for each year they work in the system, up to a 90% forgiveness (6 years). They would have absolute immunity from tort litigation for the entire time they work there.
Private specialists could "volunteer" their services in exchange for a credit on their income taxes and would have the same tort immunity for the service they provide.
There would also be prescription dispensaries for ONLY generic drugs. If a generic is not available, tough shite...get a job or beg the drug company.
You take that $$$ and establish a nation broke-arse health care system. If you don't want to pay for insurance, but you want health care, that's where you go. PERIOD.
Non-participating hospitals/medical providers would be given the legal authority to refuse service/care beyond what was necessary to stabilize the person for transfer.
The persons/medical providers that work in the system would be recent medical school graduates who would have their student loan debts reduced by 15% for each year they work in the system, up to a 90% forgiveness (6 years). They would have absolute immunity from tort litigation for the entire time they work there.
Private specialists could "volunteer" their services in exchange for a credit on their income taxes and would have the same tort immunity for the service they provide.
There would also be prescription dispensaries for ONLY generic drugs. If a generic is not available, tough shite...get a job or beg the drug company.
This post was edited on 6/22/17 at 1:21 pm
12
Posted on 6/22/17 at 1:14 pm to udtiger
That basically sounds like an optional single payer healthcare system open to everyone that operates alongside a private system. Plus a few loan forgiveness and income credit sweeteners to lure in certain providers.
This post was edited on 6/22/17 at 1:16 pm
Posted on 6/22/17 at 1:15 pm to cahoots
quote:
That basically sounds like an optional single payer healthcare system open to everyone that operates alongside a private system. Plus a few loan forgiveness and income credit sweeteners to lure in certain providers.
That's exactly what it is.
Posted on 6/22/17 at 1:23 pm to udtiger
What about the truly disabled? Those that really and truly can't work. They go to the single-payer system?
This post was edited on 6/22/17 at 1:25 pm
Posted on 6/22/17 at 1:26 pm to Jorts R Us
quote:
What about the truly disabled? They go to the single-payer system?
Unless they want to pay to access the private system, yes.
My plan is non-discriminatory. White/black, gay/straight, able/disabled, poor/rich. If you don't want the "burden" of paying for private insurance or fee-for-service private healthcare, here you go.
Posted on 6/22/17 at 1:26 pm to udtiger
Interesting.
Tell me how this system convinces insurance companies to bring their premiums back down to earth so that the working class and those that buy private policies stop getting screwed because of the former free-riders?
Don't think they'd just do it out of the goodness of their hearts.
Tell me how this system convinces insurance companies to bring their premiums back down to earth so that the working class and those that buy private policies stop getting screwed because of the former free-riders?
Don't think they'd just do it out of the goodness of their hearts.
Posted on 6/22/17 at 1:26 pm to udtiger
This is exactly what I have proposed on here multiple times. I think free hospitals w/ basic services is the solution.
Posted on 6/22/17 at 1:27 pm to Snipe
quote:
Tell me how this system convinces insurance companies to bring their premiums back down to earth so that the working class and those that buy private policies stop getting screwed because of the former free-riders?
That's where 50 commissioners of insurance come in. There's got to be an actuarial basis for premiums charged and they have the authority to audit them and fine them for overcharging.
Posted on 6/22/17 at 1:29 pm to udtiger
quote:
My plan is non-discriminatory. White/black, gay/straight, able/disabled, poor/rich. If you don't want the "burden" of paying for private insurance or fee-for-service private healthcare, here you go.
So how do you prevent everyone from just going there? Is healthcare guaranteed?
Posted on 6/22/17 at 1:31 pm to udtiger
quote:
That's where 50 commissioners of insurance come in. There's got to be an actuarial basis for premiums charged and they have the authority to audit them and fine them for overcharging.
OK, OK
I smell what you're stepping in....
Posted on 6/22/17 at 1:31 pm to cahoots
quote:
So how do you prevent everyone from just going there? Is healthcare guaranteed?
The level of care won't be as good. You get what you pay for. I'm not the OP but that's my thought.
Posted on 6/22/17 at 1:32 pm to cahoots
quote:
So how do you prevent everyone from just going there?
People with the means to stay within the private system will do so (more specialists, lesser wait times, access to better medications, elective procedures).
quote:
Is healthcare guaranteed?
There will be access. Now, will you get the same access as someone in the private realm? No. You will accept the charity that is given and you will like it.
Posted on 6/22/17 at 1:34 pm to udtiger
quote:
modest healthcare proposal
quote:
completely repeal Medicaid
quote:
They would have absolute immunity from tort litigation for the entire time they work there
This post was edited on 6/22/17 at 1:35 pm
Posted on 6/22/17 at 1:35 pm to Draconian Sanctions
quote:
There's more to it than that
Posted on 6/22/17 at 1:35 pm to udtiger
i know, see my edit
Posted on 6/22/17 at 1:38 pm to Draconian Sanctions
quote:
i know, see my edit
Posted on 6/22/17 at 1:40 pm to Draconian Sanctions
quote:
They would have absolute immunity from tort litigation for the entire time they work there
Are you laughing at this piece? This already exists in some form.
This post was edited on 6/22/17 at 1:41 pm
Posted on 6/22/17 at 1:42 pm to udtiger
quote:
There will be access. Now, will you get the same access as someone in the private realm? No. You will accept the charity that is given and you will like it.
But how are you going to control the costs? There are going to be millions and millions of people at the door. It's gonna get expensive in a hurry even if you don't offer name brand drugs and elective procedures. It's just gonna be completely open enrollment for 50 million? 100 million people?
Posted on 6/22/17 at 1:46 pm to udtiger
I would have a triage system in which you have private, Medicare (a little better than your bare nuckle plan), and the plan you have for the poor. I'd allow people with a very, very limited number of "pre-existing conditions" to join this Medicare group in 3 month window after they are born if the condition is present then, or another 3 month window after their 24th bday, when they're kicked of parents insurance. Now we can say we're being "humane" all the way around!
Posted on 6/22/17 at 1:47 pm to udtiger
Scenario:
I get cancer shortly after being laid off. What are my options under this proposed system?
I get cancer shortly after being laid off. What are my options under this proposed system?
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