Sunday, November 3, 2013

Another Med Reform post

0. Institute nation wide marketplace, that actually works. So insurers can sell across state lines.
1. Change the copyright laws on medical instruments to something like the pharmaceutical industry - 20 years and the copyright falls out of use.
2. Open up federally directed medical schools, and somehow find more places for residency. As of right now, it's a tightly controlled guild, when the nation is facing an immense doctor's shortage. It makes no god damn sense when the matriculation/acceptance rate to US medical schools is fucking 3%..
2a. Allow foreign international students to apply to those said new medical schools
3. Allow foreign doctors to practice in the US. Give Germans, Dutch, Belgians, French, English, and Canadians the ability to practice in the US. For other countries that's considered developed (+Cuba) give them a one year training at max.
4. Single Payer. Really. Get industry to publish their prices of operations. Then people don't have to fight the information asymmetry. And make the billing upfront. That is the person knows the cost of the operation before he steps in, and not 4 months later in letter in the mail.
5. Somehow come up with a system where the poor are automatically directed to clinics instead of hospitals.
6. Allow the right to die, by euthanasia. All propofol/ barbiturate clinical overdoses.
7. Legalize marijuana that replaces opiates as painkillers. The crux is that marijuana is more expensive as of right now, but not nearly as addictive as oxycontin.
8. Fucking make insulin a generic drug already. It costs families $100/week to get their insulin.
9. Fight medicare fraud by more auditing teams
10. Limit the cost of one's life to 1 million dollars. If a doctor fucked up, he should be punished, but not driven to bankruptcy.
11. Americans need to lose fucking weight. Diabetes kills over a long period of time. Costly shit.

 

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Allow insurance companies to sell across state lines to increase competition.
Give individuals comparable tax breaks and incentives to self-insure as companies get to insure their employees. This increases the incentive for individuals to shop for their own healthcare. This increases competition.
Reduce the regulations that give insurance companies less incentive to create tailored plans. This increases competition among insurance companies.
Encourage the use of HSA's in conjunction with high-deductible emergency plans. This encourages competition for those dollars and introduce price awareness among consumers.
Expand medicare-type programs for the poor and destitute so that they can afford health care. Have a means test to make sure that it's not being abused. This can also be done at the state level and not the federal level.
Introduce a voucher system for those who find insurance prices just out of reach. This can also be done at the state level and not the federal level.

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