Mark Care
Fast-forward to the future where health-care has no connection to the economy or politics or the law. Here's what I see:
- An abundance of doctors & paramedical professionals who have mastered both preventive medicine & holistic medicine as well as anything that can help including traditional allopathic (AMA) through acupuncture etc.
- An abundance of hospitals & clinics that can handle both psychological & medical needs of communities.
- A healthier populace who has been trained since conscious to take positive control over their own health through proper nutrition, exercise & mental health.
- A grass roots, community level guild of healers & healing organizations that run the process of maintaining 1-3 above by being directly in touch with the consumers of health care themselves.
- A capital & economic system that provides for, but does not control #4 in a way that medical innovations & needs are provided as the population needs them. A dynamically balanced external economy will be able to do this out of the excess of it's success. (I'm specifically not talking about the present day mentality of tax the rich).
- The quality of doctors & para-medical personnel will improve as schools show up in abundance & the economic incentives of getting rich dissipate into history. Old World dynasties of families of doctors may or not tend to be things of the past.
- Correcting mistakes, lacking the incentives of a get rich fast lottery for lawyers notwithstanding, will be a matter of applying the required change at all levels of the community not just more legalese written into paperwork for patients to sign away.
- Life & Death will be treated with dignity in all cases - no longer a matter of money.
- The Hippocratic Oath will be observed & affirmed by all who are in the profession.
Tags
- not obamacare
- health care
- item 12235
- item 12267
- mark care
Comments
An abundance of doctors & paramedical professionals who have mastered both preventive medicine & holistic medicine as well as anything that can help including traditional allopathic (AMA) through acupuncture etc.


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If all taxes were to go away could that lack of taxation provide enough to free the healthcare industry from a condition of crisis & scarcity to abundance & dynamic equilibrium?

(1) Tort reform: As I wrote recently, our crazy system of casino malpractice suits results in massive and random settlements that raise everyone's insurance premiums and creates an epidemic of defensive medicine that does no medical good, yet costs a fortune.
An authoritative Massachusetts Medical Society study found that five out of six doctors admitted they order tests, procedures and referrals -- amounting to about 25 percent of the total -- solely as protection from lawsuits. Defensive medicine, estimates the libertarian/conservative Pacific Research Institute, wastes more than $200 billion a year. Just half that sum could provide a $5,000 health insurance grant -- $20,000 for a family of four -- to the uninsured poor (U.S. citizens ineligible for other government health assistance).
What to do? Abolish the entire medical-malpractice system. Create a new social pool from which people injured in medical errors or accidents can draw. The adjudication would be done by medical experts, not lay juries giving away lottery prizes at the behest of the liquid-tongued John Edwardses who pocket a third of the proceeds.
(2) Real health-insurance reform: Tax employer-provided health care benefits and return the money to the employee with a government check to buy his own medical insurance, just as he buys his own car or home insurance.
There is no logical reason to get health insurance through your employer. This entire system is an accident of World War II wage and price controls. It's economically senseless. It makes people stay in jobs they hate, decreasing labor mobility and therefore overall productivity. And it needlessly increases the anxiety of losing your job by raising the additional specter of going bankrupt through illness.
The health care benefit exemption is the largest tax break in the entire U.S. budget, costing the government a quarter-trillion dollars annually. It hinders health-insurance security and portability as well as personal independence. If we additionally eliminated the prohibition on buying personal health insurance across state lines, that would inject new and powerful competition that would lower costs for everyone.



The problem is that if we do that… we’ll still have the present healthcare system. Meaning that we’ll have (1) flat-lining wages, (2) exploding Medicaid and Medicare costs and thus immense pressure for future tax increases, (3) small businesses and self-employed individuals priced out of the insurance market, and (4) a lot of uninsured or underinsured people imposing costs on hospitals and local governments.
We’ll have entrenched and perpetuated some of the most irrational features of a hugely costly and under-performing system, at the expense of entrepreneurs and risk-takers, exactly the people the Republican party exists to champion.
Not a good outcome.
Even worse will be the way this fight is won: basically by convincing older Americans already covered by a government health program, Medicare, that Obama’s reform plans will reduce their coverage. In other words, we’ll have sent a powerful message to the entire political system to avoid at all hazards any tinkering with Medicare except to make it more generous for the already covered.
If we win, we’ll trumpet the success as a great triumph for liberty and individualism. Really though it will be a triumph for inertia. To the extent that anybody in the conservative world still aspires to any kind of future reform and improvement of America’s ossified government, that should be a very ashy victory indeed.





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