Tired of this healthcare debate- or what I would do

enjoy the ride

Sufficient Life
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If I ruled the world-

1) A basic health care plan would be a requirement for all worker's employed full-time or close to full-time. For self, spouse and minor children. There would be many private and, if the states wish to participate, state run plans that would qualify for this requirement. The employer pays half- the employee pays half. The self-employed pay the whole premium.
2) The government would subsidize a public health clinic at every hospital - paying for mass days of health screenings and preventive serivces and routine doctor visits and house calls for physican assistants or nurses if needed. A requirement for hospitals to be certified. Available to all and guaranteeing to accept the basic insurance.
3) All plans, whether state or private, would have to meet minimal requirements to be allowed to be offered to the public. Anything more is a negotiation between employer, union, indiviual and the insurers.
4) The government should make scholarships, grants, loans, etc to those people studing in fields of use to the public before anything else. If you want an MBA or law degree, etc you come lower on the list than nurses, doctors, etc. A method of repaying loans could be service of a number of hours in one of the above mentioned clinic.
5) the various States can purchase these plans for coverage in the indigent with a Federal subsidy or can go on their own without one.
6) Any budgeted money for subsidized health care should include a percentage for validating the programs- checking for fraud and misuse.
7) A part of the National Health Service should engage in constant review of best practices and technologies to be considered every 2-3 years so that the health plans can be changed if need to include them.
8) All participants bear a share of cost for every visit or procedure which can be on a sliding scale. But no freebies for anyone except minor children.
9) All medical care for non-legally admitted persons, or visa admitted should be billed to their home countries insurance if they have it for any members of their popluation.
10) The additional costs to employers of providing health insurance
should be calculated and used to determine tariffs on imports. No emplyer should have to bare the cost of decent benfits to his employees while his competition hires the work done over seas. Or can simply be a tax on importers in general.

Oh-I forgot- no denial for pre-existing contions either.

Most of this is because I believe that a working person is a much better citizen and should be receive the fruits of their work, not milked for those who don't work. But neither do I want children or even fools starving in the streets- I just don't want selfishness and poor judgement to be rewarded as if it was a sacred cow.
 

sylvie

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I think #10 is a terrific suggestion!
 

Wifezilla

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If I ruled the world...

1) Doctors would have to post their rates on the wall and give written estimates before doing any procedure.

2) No employer would ever be forced to be involved in someone else's health and lifestlye decisions. Want to have a kid? Go for it! Want to eat nothing but twinkies and drink Mt Dew all day? Go for it! Just don't expect your coworkers to subsidize your lifestyle choices.

3) Make insurance no longer tied to your job. Each individual purchases their own policy like they do car insurance IF THEY CHOOSE.

4) Insurance companies would not be allowed to directly bill doctors and hospitals. All bills would come to the consumer. If the consumer has insurance, they would be the ones filling out the paperwork and getting any reimbursements covered by their policy. This way the consumer sees where every penny is being spent and doctors and hospitals must account for every penny billed.

5) End farm subsidies immediately. No more artificially cheap junk food which is the cause of most chronic illness in the first place. Employers should also be able to contribute to their employee's HAS if they choose.

6) Promote/simplify/strengthen non-taxable health savings accounts. I know they have improved over the last couple of years, but when they first came out, they were a total pain to use.

7) Anyone who racks up medical bills and doesn't pay get their income tax refunds attached until this bill is paid off.

8) No free health care for illegals. Anyone who is truly concerned about illegal immigrants and their health needs is free to set up a clinic and give away as many services as their little heart's desire.

9) Tort reform now!

10) Drug companies must pay back any public research funds received from their profits.


If anyone is really concerned about the sick, poor, starving, etc... you must give to them directly or through your favorite charity. Filtering that money through the government DOES NOT HELP THEM. It just allows money to be skimmed off and spent inefficiently. Charities must account for and publish where their money goes. Good luck figuring out what happened to the money once it gets to DC.
 

enjoy the ride

Sufficient Life
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Wifezilla- well- I like 1, 6, 7, 9 and 10.

Re: billing - it is a serious problem. I think that with some standardization of basic health benfits, doctors, hospitals and clinics could be able to use a standardized form which would simplify billing. And minimize insurance company reviews.

Those should be definite goes.

But however I hate illegals being hired by people who know they are commiting a crime, I would not be happy to see a person writhing in the street or a child dying because of their parents choice.
I would be open to making the cost of medical care a charge of the person who hired them. Some liabilty like that - I wonder if it would be collectible.
 

Quail_Antwerp

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What about the disabled? The people who want to work, but have physical handicaps preventing them from doing so?

What about Farmers...who work for themselves and don't have an employer.
 

ohiofarmgirl

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if i ruled the world there would be ice cream for everyone!
 

Farmfresh

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As long as the government does not have access to my health care records or input into my treatments I will be happy.

I think it is the lawyers that we need to be focused on. All of those stupid lawsuits do nothing but hurt the average person that needs health care. All they want to do is pad their pockets even more in most cases.
 

ORChick

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enjoy the ride said:
If I ruled the world-

1) A basic health care plan would be a requirement for all worker's employed full-time or close to full-time. For self, spouse and minor children. There would be many private and, if the states wish to participate, state run plans that would qualify for this requirement. The employer pays half- the employee pays half. The self-employed pay the whole premium.
2) The government would subsidize a public health clinic at every hospital - paying for mass days of health screenings and preventive serivces and routine doctor visits and house calls for physican assistants or nurses if needed. A requirement for hospitals to be certified. Available to all and guaranteeing to accept the basic insurance.
3) All plans, whether state or private, would have to meet minimal requirements to be allowed to be offered to the public. Anything more is a negotiation between employer, union, indiviual and the insurers.
4) The government should make scholarships, grants, loans, etc to those people studing in fields of use to the public before anything else. If you want an MBA or law degree, etc you come lower on the list than nurses, doctors, etc. A method of repaying loans could be service of a number of hours in one of the above mentioned clinic.
5) the various States can purchase these plans for coverage in the indigent with a Federal subsidy or can go on their own without one.
6) Any budgeted money for subsidized health care should include a percentage for validating the programs- checking for fraud and misuse.
7) A part of the National Health Service should engage in constant review of best practices and technologies to be considered every 2-3 years so that the health plans can be changed if need to include them.
8) All participants bear a share of cost for every visit or procedure which can be on a sliding scale. But no freebies for anyone except minor children.
9) All medical care for non-legally admitted persons, or visa admitted should be billed to their home countries insurance if they have it for any members of their popluation.
10) The additional costs to employers of providing health insurance
should be calculated and used to determine tariffs on imports. No emplyer should have to bare the cost of decent benfits to his employees while his competition hires the work done over seas. Or can simply be a tax on importers in general.

Oh-I forgot- no denial for pre-existing contions either.

Most of this is because I believe that a working person is a much better citizen and should be receive the fruits of their work, not milked for those who don't work. But neither do I want children or even fools starving in the streets- I just don't want selfishness and poor judgement to be rewarded as if it was a sacred cow.
I'm not sure I understand #9 correctly. Are you saying that legal immigrants to this country, with a valid green card should be treated like illegal alians? My husband has lived and worked in this country for 33 years, and payed taxes here, and (if it matters) has been married to an American citizen (born here, as were my parents, grand parents, and back a few more) for all of that time. He should have his medical bills sent back to his homeland? And what would they do with them? He hasn't earned any money there, or paid any taxes, in all the years he has been here. And I am sure he is not the only one who could say that. Is he/are they second class people? Are 33 years of work done and taxes paid to count for nothing? Please tell me that I have mis-read what you wrote.
 

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