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Out of the Box Healthcare Ideas
Posted on 3/28/17 at 11:06 am
Posted on 3/28/17 at 11:06 am
Regardless of what side of the aisle you sit, everyone should recognize that we have a major issue with healthcare in this country on different levels. In terms of government, Medicare, Medicaid, CHIP, etc. seem to be incredibly inefficient methods of healthcare delivery.
Is there a better answer out there?
The federal government spent $980 billion in tax revenue on direct healthcare distribution systems in 2015. Would it be possible to block grant that same amount of money to the states with the sole purpose of creating charity hospital and clinic systems that offer no-cost care? This eliminates the overhead of government-managed insurance and allows local systems to determine the areas in greatest need.
Is there a better answer out there?
The federal government spent $980 billion in tax revenue on direct healthcare distribution systems in 2015. Would it be possible to block grant that same amount of money to the states with the sole purpose of creating charity hospital and clinic systems that offer no-cost care? This eliminates the overhead of government-managed insurance and allows local systems to determine the areas in greatest need.
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Posted on 3/28/17 at 11:15 am to Antonio Moss
Americans should be more comfortable with dying if you are really really really sick.
I fear death terribly, and feel bad for suggesting this, but none of us live forever. We should provide a semblance of healthcare for everyone, but if you take federal money for your care, you must conform to all standards of that care...diet, medication, smoking cessation, etc. I know this sucks but we cant continue to sink this country over this issue.
I fear death terribly, and feel bad for suggesting this, but none of us live forever. We should provide a semblance of healthcare for everyone, but if you take federal money for your care, you must conform to all standards of that care...diet, medication, smoking cessation, etc. I know this sucks but we cant continue to sink this country over this issue.
Posted on 3/28/17 at 11:16 am to Antonio Moss
I'm of the opinion of using private insurance paid by the government. The way it would work is get rid of medicare, Tricare and Medicaid. Anyone not able to afford insurance or qualify for retired insurance through the government can apply to either the government or private company directly in which the government covers the premium. It'll get rid of the massive beauracy the government runs. Why have a huge government beauracy just to write a check to hospitals and doctors when just going to insurance company would be more efficient. Give private insurance companies interstate commerce and tort reform and give the citizens a patient's bill of rights.
Posted on 3/28/17 at 11:23 am to tigerfoot
quote:
Americans should be more comfortable with dying if you are really really really sick.
We waste millions on single patients who are terminal. I believe over 50% of Medicare expenditures occur in the last year of an EEs life.
We are reimbursing doctors now for having an end of life discussion. I think that should help some. But som patient financial skin in the game for heroic life saving care for Medicare should probably be considered.
Posted on 3/28/17 at 11:25 am to Antonio Moss
The system is adjusting to new realities. Doctors going into direct primary care. Get a high deductible plan and pay your doctor a retainer for unlimited visits.
Posted on 3/28/17 at 11:25 am to Antonio Moss
quote:Allow the free market to cater to its citizens.
Out of the Box Healthcare Ideas
Posted on 3/28/17 at 11:28 am to Antonio Moss
I posted about this idea the other day. It also provides competition for private hospitals and insurers, which could reduce costs. I really think it's the best solution.
This post was edited on 3/28/17 at 11:29 am
Posted on 3/28/17 at 11:31 am to the808bass
quote:
But som patient financial skin in the game for heroic life saving care for Medicare should probably be considered.
This would help a lot. The amount of money we spend on end-of-life care is insane. It's like 25% of Medicare costs.
Doctors and hospitals have the financial incentive to recommend every life prolonging treatment available and families are inclined to try to prolong life. If they were financially responsible for some of that care, they may start questioning treatments more often and have honest and productive end of life discussions with the patient.
Posted on 3/28/17 at 11:31 am to the808bass
quote:
Get a high deductible plan and pay your doctor a retainer for unlimited visits.
Fat people and smokers will not be allowed by a private doctor on a retainer fee.
They will be sued for fat shaming. We need to go back to fat shaming.
Posted on 3/28/17 at 12:37 pm to Antonio Moss
Repeal EMTALA, "let people die" and watch charities jump in and help everyone.
Posted on 3/28/17 at 12:47 pm to NOFOX
quote:End of life discussions occur all the time. They are routine. DNR orders are routine. At the same time, when a family says they want everything done, in this country the medical team has one of two choices: (1) Do as requested, or (2) line John Edwards' ambulance chasing pockets.
Doctors and hospitals have the financial incentive to recommend every life prolonging treatment available and families are inclined to try to prolong life. If they were financially responsible for some of that care, they may start questioning treatments more often and have honest and productive end of life discussions with the patient.
Posted on 3/28/17 at 1:05 pm to Kino74
quote:
I'm of the opinion of using private insurance paid by the government.
Private insurance is a massive portion of the problem. It's as bad as the government. Insurance operates like welfare. Many people pay large premiums for something that they don't use, which goes to subsidizing the massive payments made for the few people who do use it
We need to switch to a system centered around personal responsibility. Let the government give everyone X amount of dollars in an HSA when they are born. That money can be used for any procedure or medication recommended by a licensed doctor for physical health reasons (so no breast implants or gender switches, among other things). You can add money to it as a parent of the child or as an adult adding to your own account, tax-free and pre-tax. And when you pass away, the account balance can be willed to another person, just like the rest of your money
Posted on 3/28/17 at 1:06 pm to Upperdecker
quote:
Insurance operates like welfare.
LOL, no.
Posted on 3/28/17 at 1:08 pm to NOFOX
quote:
Doctors and hospitals have the financial incentive to recommend every life prolonging treatment available and families are inclined to try to prolong life.
This is a very broad statement and often times not true at all.
Posted on 3/28/17 at 1:09 pm to Upperdecker
quote:
Private insurance is a massive portion of the problem. It's as bad as the government. Insurance operates like welfare. Many people pay large premiums for something that they don't use, which goes to subsidizing the massive payments made for the few people who do use it
Posted on 3/28/17 at 1:10 pm to Antonio Moss
Wtf? That's pretty much the definition of insurance. It blows my mind how many people don't understand the difference between an insurance policy and a savings account.
Posted on 3/28/17 at 1:12 pm to NC_Tigah
quote:
End of life discussions occur all the time. They are routine. DNR orders are routine. At the same time, when a family says they want everything done, in this country the medical team has one of two choices: (1) Do as requested, or (2) line John Edwards' ambulance chasing pockets.
Routine end of life discussions are most often had too late. DNR's come ino play after big $$$ are already spent. Look at the amount of money spent on treatment in the last 5 years of life, year of life, month of life. Are you suggesting that doctors and hospitals would prefer not to render inefficient treatment at that time and forego the financial incentives to prolonging life? I am sure there is a spectrum there, but when prolonging life lines up with financial incentive, another option is rarely going to be suggested.
quote:
At the same time, when a family says they want everything done, in this country the medical team has one of two choices: (1) Do as requested, or (2) line John Edwards' ambulance chasing pockets.
The whole point of the post which went over your head is that you attach some kind of financial burden to those decisions so that the families have significant skin in the game making families and the patient actually think about the consequences of requesting everything be done.
This post was edited on 3/28/17 at 1:17 pm
Posted on 3/28/17 at 1:12 pm to Upperdecker
quote:
Private insurance is a massive portion of the problem. It's as bad as the government. Insurance operates like welfare. Many people pay large premiums for something that they don't use, which goes to subsidizing the massive payments made for the few people who do use it
We need to switch to a system centered around personal responsibility. Let the government give everyone X amount of dollars in an HSA when they are born. That money can be used for any procedure or medication recommended by a licensed doctor for physical health reasons (so no breast implants or gender switches, among other things). You can add money to it as a parent of the child or as an adult adding to your own account, tax-free and pre-tax. And when you pass away, the account balance can be willed to another person, just like the rest of your money
Why does this board so vehemently believe that everyone would be healthy if they just always made the "right choices?" Or IOW, we would all have similar health is we all made similar choices. This is a complex issue, and dumbing it down this much to give your argument more credence is a useless exercise.
Posted on 3/28/17 at 1:13 pm to onmymedicalgrind
quote:
This is a very broad statement and often times not true at all.
It is a broad statement and is often completely true.
Posted on 3/28/17 at 1:14 pm to onmymedicalgrind
quote:
Why does this board so vehemently believe that everyone would be healthy if they just always made the "right choices?"
No one actually believes that everyone would be healthy with proper decision making.
However, what percentage of medical expenditures are "wasted" on preventable disease states?
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