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It's fairly obvious we need to rejigger our Healthcare in the US. Liability insurance plays a part, but so do many other things and it would almost require an A
by mc32 4y ago
It's fairly obvious we need to rejigger our Healthcare in the US. Liability insurance plays a part, but so do many other things and it would almost require an Authoritarian to re-arrange things.
My naive proposal would be to have a two-tiered system. One public where most preventive things are taken care of along with your ordinary emergency care --but allow private care for those who want above and beyond what everyone else gets. Also you get the public care by default when you turn 18. Obviously this is ultra-simplistic and there are many things one has to consider such as rare diseases, or things that arise from poor lifestyle choices. Where is the cutoff, and when does private insurance take over, etc.
- beebmam 4y ago>it would almost require an Authoritarian to re-arrange things This presumes that an authoritarian wouldn't simply just pocket all that money for themselves and their friends, which is exactly what happens in all authoritarian countries around the world.
- mc32 4y agoYeah, true, but I meant the power necessary to make it happen, rather than the tendency toward corruption.
- maxerickson 4y agoImproving baseline access is a worthwhile goal, but you aren't describing changes to the system. Like how do you provide better emergency care to everyone without figuring out how to make the provision cheaper? The only answer to that question is that you spend more money.
- mc32 4y agoOr remove unnecessary things that add cost. Ability to buy drugs on the open market (including India), capping insurance payouts, reducing intermediaries, adding more people to the service side of things and removing people from the administration side.
- maxerickson 4y agoThe "Medicare can't negotiate drug prices" is about Health and Human Services not being able to negotiate prices. The companies they contract with to operate Medicare Part D are free to establish formularies and negotiate prices on the open market.
- yencabulator 4y ago> Like how do you provide better emergency care to everyone without figuring out how to make the provision cheaper? > The only answer to that question is that you spend more money. You assume that the only costs are from the actual care provided. Eliminating all the middlemen and complications of billing, insurance coverage, etc, should already shave off plenty. One time, I needed emergency care in a Nordic country. I had strong acid in my eye. I stayed for just under two hours, but didn't need much more than saline solution, regular pH tests and a nurse that wondered in & out. When the eye's pH stabilized, they let me go. They never asked for my ID, and I didn't pay anything beyond taxes. The cost of that visit to the department was a bag or two of saline solution, some pH measurement strips, tape, gauze for drying things, some labor, and a bed that was occupied for two hours. Now imagine the "billed cost" and overhead labor in the US system.