2 ms·
I think of healthcare problems in America like a watershed: the issues are not the result of any one problem but a concentration of small, medium, and large pro
by HelloMcFly 2y ago
I think of healthcare problems in America like a watershed: the issues are not the result of any one problem but a concentration of small, medium, and large problems that all drain into the same humongous river. Things that could happen (and let's just take more socialized medicine off the table since it will never happen):
1. Increasing caps (funding) for advanced education
2. Allowing Medicare to negotiate drug prices, it's preposterous that they cannot do this
3. Increase price transparency at hospitals to enable some downward pressure on prices. This is much harder than it sounds, not that it's my problem to solve.
4. Limit hospital system monopolies that given them too much leverage in price negotiation (though have to be careful not to give insurers too much negotiating power, delicate balance)
5. Cap out of pocket expenses, though I'm not sure how.
6. Standardize and simplify billing codes across the US, with more public visibility into them. Medical billing is currently an art, it should be a science.
7. Offer loan forgiveness to medical practitioners that serve for 10 years post-advanced training in a low-healthcare access communities. For what it's worth, I'd also place income-to-debt ratio restrictions on doctors' eligibility for public service loan forgiveness as well.
8. Sadly, if we won't let immigrant trainees stay and obtain citizenship in the US after training, we should stop allocating training spots to them.
9. Increase use of mobile clinics and/or transportation services. This would almost necessarily need to be government funded.
10. Reform malpractice insurance and litigation in a way that doesn't remove physician accountability but doesn't require such high overhead to be paid by everyone down the line.
The above would help, but I don't know how much.