Ok, there’s been so much talk of “Health Care Reform”. It’s on of President Obama’s signature initiatives. It’s also the biggest and most horrid boondoggle to be proposed in this nation since the Great Society.
Fortunately, as per usual, I have the answer. I know, you’re all shocked!
And guess what, my solution doesn’t involve the Federal government at all. I know, I know, I’m just shocking your socks off here.
The first thing to realize about health care is that the Government does not provide it. The government CANNOT provide it. Health Care is provided exclusively by the doctors, nurses, pharmacists, etc that actually TREAT the patients. It’s a highly specialized skill set.
Here is the recipe for true health care reform that will allow us to keep health care that provides us with survival rates that are the envy of the world.
First, we repeal the Health Maintenance Organization Act of 1973.
Then, we make a law that Health Insurance is treated like insurance on anything else. You have insurance and you get a deductible. Most sane people will have a reasonable deductible and pay for visits to the doctor out of pocket. This will recreate the association people have with the cost of health care. Also, when Doctors don’t just get to assume that the big nameless faceless health insurance company is going to pay for it, they will only recommend procedures and tests that their patients REALLY need.
We ENCOURAGE Health Savings Accounts. Saving your money for a when disaster strikes is a virtue. People should squirrel a little money away instead of immediately blowing it on a big screen TV.
And finally, we will allow cooperatives to form where people can pool their money to provide health care for each other. This is the option that is most like the current “spa” option that most people are envisioning for their health care. Just as internet companies went from offering a set number of hours a month, to unlimited hours with a set transfer threshold, to unlimited packages, the same sorts of economics will work on health care. I imagine that such a system would be especially useful for the older folks who need much more care. I can easily see doctors offices springing up to provide care for the senior citizens with different tiers of care depending on the ailment (we already frequently do this. If a patient needs monitoring they don’t necessarily see a doctor every time. They frequently see somebody who is qualified to take their blood pressure et al with a doctor in a supervisory role).
Oh yeah. Lets also ban doctors offices from filing insurance claims. In the immortal words of Dr. Leonard “Bones” McCoy, “Jim, I’m a doctor! Not a bureaucrat!”
What we absolutely do not need is a thousand page bill that nobody reads until it’s been signed that dictates how much a doctor will be paid and who he may or may not treat and what treatments he will be allowed to prescribe. This is the inevitable end result of a single payer system and it’s what a lot of the left wing of the Democratic party is determined to pass.