US Universal Healthcare: How are we going to pay for it?

[Dodece]

The reality is that the medical industry in the United States is not functioning under the influence of capitalist pressures. If functions as a monopoly and a conspiracy at the same time. That is what is driving up the costs too many people exploiting the system to their maximum benefit. The system needs to run like any other business where providers must vie for patronage.

Five things that need to be done.

Legal reform there is no getting around it fuck the malpractice lawyers. What we need is medical arbitration botched procedures need to be corrected, and lost income needs to be recovered. The lawyers contribute nothing to the situation and spur on costs for insurance. No lawyers, and you can start to save shit loads of money on red tape. The paper work alone will start to vanish. It is only there to cover asses in the eventuality. Malpractice suits need to be made illegal for the public welfare. There you cut ten to fifteen percent right off of the top. Shit nurses will be able to spend more time treating patients then doing paper work. The same for doctors. By the way the Republican party has pushed this forever they should be pushing this now. They can make this happen.

Maximum wage legislation for medical practitioners. Some of these hourly rates are simply put unethical. You can't be providing a needed service that people must purchase, and abuse the situation to this extent. Your not competing with one another. Your functioning as a monopoly. This is where we are really taking the hit at hospitals and doctors. I am sorry how the hell does a ten minute checkup equal out to a hundred dollars. We have a minimum wage it is obvious we need a maximum one for necessary providers.

Insurance lets face it you don't have a choice who your provider will be. Your employer is trying to cut the best deal possible, but they can't possibly evaluate the quality on a personal level. We need to make package deal health care illegal, and impose a don't ask don't tell mandate. What we need is a voucher system to enforce competition. I get a voucher he gets a voucher, and then we get to individually choose our provider. Let health insurance be sold out of a store front on main street. I show up with my work voucher or my government voucher, and say what do you got for me to choose from. I guarantee when they have to compete like that their margins will slim way down. No more management making ten billion dollars a year. You rip customers off, and they will tell their family, and friends. You won't be in business for long doing that.

Prescription filling needs to be both specific and chronic. It is one thing to write a script for a drug that will only be needed for a short time, but those with chronic conditions are going to be taking these drugs for years or decades. They are perpetually trapped in the comeback. How many doctor visits does this cause per year. How many phone calls must be fielded as a patient with a chronic ailment needs to get a refill. It is obviously recommended that you visit a doctor for a annual checkup, but once a patient is diagnosed chronic they need to be given a permanent refill on their medication. Be it once a month or whatever. We are wasting time and money here.

Equipment certification through the government. Just run this shit through the FDA. There is a lot of profiteering going on here. I am sorry but a pair of crutches cannot cost as much as a guitar. I say if I can make it for less then twenty bucks how the hell are your selling it to me for $150. You are gouging plain and simple. Once again these aren't luxury items. They are necessities. When they submit their product to the FDA, and honestly much of it won't need to be tested. They will also have to provide price documentation. Then the justice department can go after gougers.

There is a lot of places to save money where the system is being abused for personal gain, and by doing so you make it a lot more efficient. Do things to kill the red tape, and doctors can treat more patients. Limit the necessity of going to the doctor, and the doctors time will be even more productive. Force providers to compete, and that will drive costs down. Drive out the leaches that contribute nothing, and drive up the costs and you save even more money.

The system is just so full of waste, and it will keep piling up until you gut it of some these really antiquated practices that just don't work.