I will do the best I can to explain something better....but I suspect Any Rand, government teet when she was sick, morally repugnant pile of human refuse would disagree with it....I sure hope so. It's a sign that you have a soul.
- All healthcare should be state-run, 100% of it. There is no reason, no constitutional backing, for the federal government to be involved....all states must, by law, keep a balanced budget. They cannot run trillion-dollar deficits like the feds can.
- This would force all of the states, especially some of the southern states with healthcare costs that are astronomical, to actually pay for it. Texas requires almost double what Colorado does per patient, with lower taxes. That is only permissible by the current system.
- Single-payer, but ALL in-state single-payer. This would force politicians to look at COST, rather than the red herrings we have now.
- General tax money would not be used. Instead, a separate tax would be levied that people would get taken directly out of their checks, like medicare is now. This would incentivize, again, pushing down COST.
- No more hospital admins getting paid 7 figures (very common), equipment costs that increase every year, etc. All admins would be elected by the state-legislatures, by congressional district.
- All drug costs would be negotiated by these state panels. Generics being allowed into some key areas, such as in emergency care and hospice, would on its own save millions.
It has to be remembered that the only people that NEED to get paid in all of this are the actual medical staff. There is no legitimate reason why hospital networks, Big Pharma, and equipment companies are able to take the bulk of the money. They are simply middlemen that often contribute little, or are even detrimental in some areas.
Overall, pushing it all back to the states would guarantee innovation and pressure to lower costs. This would lead to things like nutrition and prevention taking a front seat more, with procedures on the way down.....what if the incentive for the hospital administrator was to keep taxes low by innovative care, rather than on the endless expansion of revenue as it currently is?
It is actually very much fixable, because the problem is very much a simple one: everyone along the line of care is incentivized to make more money....so it should come as no surprise that costs continue to explode.
The ideological stuff is pointless. What could we DO differently, in the real world, that would actually help people?
It's like an exchange I saw on a political site once:
Man #1: "We need to find a way to make sure our healthcare costs stop going up."
Man #2: "That is a conservative starting ethos. I reject statist control into inherently democratic affairs."
Man #1: "Ok. Whatever the hell that means. What do you suggest we do?"
Convo ended right there Awesome.
Last edited by TheyCallMeLazarus; 10-06-2013 at 06:18 PM.
"Educating oneself is the paramount of liberty; otherwise mass franchise will only lead to mass deception. A citizen of our republic, and therefore an entire people, cannot be both ignorant and free." -- Thomas Jefferson
"Trying to convince every woman to love her body sounds like a lot of work.....can't we just find the ten women that do and emotionally destroy them?" - Me, while inebriated on homemade mead