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Started By
Message
re: Healthcare cannot be fixed
Posted on 7/6/25 at 6:18 pm to TigerDoc
Posted on 7/6/25 at 6:18 pm to TigerDoc
My ideal system
Everyone has barebones catastrophic insurance
No insurance through your employment
All non catastrophic/non emergency care is paid for in cash/out of pocket
Low income folks are given the previously mentioned catastrophic coverage plus cash funds they can use to buy other types of health services (aka convert Medicaid into cash payments)
Supply side reform that increases supply of providers/hospitals
Everyone has barebones catastrophic insurance
No insurance through your employment
All non catastrophic/non emergency care is paid for in cash/out of pocket
Low income folks are given the previously mentioned catastrophic coverage plus cash funds they can use to buy other types of health services (aka convert Medicaid into cash payments)
Supply side reform that increases supply of providers/hospitals
2
Posted on 7/6/25 at 6:19 pm to TigerDoc
quote:
but I wouldn't trade my job or income to go in the opposite direction just because I support a universal system. I'll take the perks of our system until it arrives (
If you really support it you could offer universal care right now in your circle of influence. What’s stopping you?
Posted on 7/6/25 at 6:27 pm to HailHailtoMichigan!
quote:
My ideal system Everyone has barebones catastrophic insurance No insurance through your employment All non catastrophic/non emergency care is paid for in cash/out of pocket Low income folks are given the previously mentioned catastrophic coverage plus cash funds they can use to buy other types of health services (aka convert Medicaid into cash payments) Supply side reform that increases supply of providers/hospitals
Appreciate you providing a framework. I don’t know if this would work - hell I don’t know if what I prefer would either - but there are a lot of good ideas to chew on.
Posted on 7/6/25 at 6:28 pm to SmackoverHawg
quote:
I keep waiting for all these "free healthcare" people to go to med school or nursing school...anything. Volunteer to do PA's and pre-certs at an office or be a receptionist. Anything will help. Be the change you want.
Nah. They'd much rather vote medical professionals into wage slavery.
Posted on 7/6/25 at 6:37 pm to TigerDoc
quote:Yep. Sacrifice is always for “others”.
LOL. I blame not the myriad foreign doctors that suffer through two residencies to make it in the land of the milk and honey, but I wouldn't trade my job or income to go in the opposite direction just because I support a universal system.
Posted on 7/6/25 at 6:39 pm to Diego Ricardo
quote:Nope. Emotion driven policy is almost guaranteed to suck.
Feeling like something should be some way instead of another is the whole point of politics.
quote:”Muh feels”
There is no economic basis nor historical evidence that high tariffs will help the US economy but many US citizens feel that economic isolationism is the right thing to do because they want to bring back the mid-century industrial zenith.
Posted on 7/6/25 at 8:23 pm to Taxing Authority
You must be confusing sacrifice with masochism, baw. 
I’m willing to earn less to fix the system (just not until then).
I’m willing to earn less to fix the system (just not until then).Posted on 7/6/25 at 8:39 pm to HailHailtoMichigan!
There's a lot that I like about that. It shows some openmindedness and is coherent. Universal catastrophic coverage is a huge step forward compared to what we have now, and I agree that tying insurance to employment makes about as much sense as tying it to your gym membership. Supply-side reform is long overdue too. NP's and community clinics could be doing a lot more with less red tape.
Cash-based care would work fine for the well-organized and financially stable, but for a lot of my folks juggling two jobs and a chronic condition, “pay out of pocket for everything but a heart attack” gets close to “just don’t get care” and I'd be more for a medicaid-style program as bottom tier (sort of like Singapore's system with a HSA-+subsidies main program). I’m all for personal responsibility, and the goal should be freedom with guardrails.l.
Cash-based care would work fine for the well-organized and financially stable, but for a lot of my folks juggling two jobs and a chronic condition, “pay out of pocket for everything but a heart attack” gets close to “just don’t get care” and I'd be more for a medicaid-style program as bottom tier (sort of like Singapore's system with a HSA-+subsidies main program). I’m all for personal responsibility, and the goal should be freedom with guardrails.l.
Posted on 7/6/25 at 8:40 pm to Flats
Not sure what you mean. In what sense can a single physician provide universal health insurance?
Posted on 7/6/25 at 9:37 pm to TigerDoc
quote:
Not sure what you mean. In what sense can a single physician provide universal health insurance?
You don't understand qualifiers when used in a sentence? Or you don't understand the concept of "circle of influence"?
Posted on 7/6/25 at 9:47 pm to Flats
I work as an employee which is because I prefer not having to do any aspects of practice but medical practice. I could directly employ people in practice for myself, but I don't think I'd be adding net to folks who'd be covered and I'd probably be detracting from their mental health by being a grumpier boss.
Posted on 7/7/25 at 2:23 pm to Grim
quote:
As for "aesthetic" surgeries, in most cases no, they should be paid for by the individual.
Why? Healthcare is a human right.
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