How Would You Create The U.S. Health Care System?

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Jun 30, 2007
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First, my thanks to Officer Crowley for his part in derailing the health care legislation.

Instead of taking a top-down approach, let's suppose we could build a health care system from the ground up. To that end...

- Medicare doesn't exist
- Medicaid doesn't exist
- anything else you can think to eliminate in order to create a true tabula rasa.

How would you build the U.S. health care system? What items would you include or exclude?
 
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Id offer free trials for acai + resv.
Everyone would be in shape and healthy so they wouldnt need health care.
 
I'd get rid of all the warnings on fucking everything.

After all the retards would have gone, 95% of the problem'd be solved.
 
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Rough draft of my proposal, needs some work though :costumed-smiley-087

- Eliminate the AMA.
- 0% education loans for doctors and nurses.
- Any hospital that has a special section that offers free health care to people who can't afford it gets a 50% tax reduction and no property taxes.
- Big tax cuts to medical supplies and pharmaceutical companies who provide discounts for said areas of hospitals.
- Doctors/nurses who volunteer there for 3 months out of the year only pay 10% income tax, any doctor who volunteers for 6 months pays no income tax.
 
- Eliminate the AMA.

I'm almost with you on this one. I'd prefer to make medical licensure a "nice to have" rather than "need a have." That would cut the legs out from under the AMA and inject a healthy dose of competition into the field in the process.

Let the consumer decide who they want to hire for the job. If I want Bubba with the rusty power tools to stitch the gash in my arm for $11.97, so be it. That is, unless Jack a few doors down will do a reasonable job for $9.97. For open heart surgery, I'd pay more and go with a licensed guy (maybe).

Kinda like haircuts. I don't need someone who went to cosmetology school and received a state license to give me a trim. But, I might want that person to have a license for the chemical work (perms, colors, etc.). *Might.*
 
I would militarize the medical field. Like the nuclear navy I would only let the best of the best be able to enter the medical field through a militarized training program. Once completed, doctors would get free housing, an attractive salary and paid greens fees at a local country club. If they fuck up, they go to Leavenworth and get sodomized by Marine Corps rejects.

As long as people can sue for any stupid fucking reason there will NEVER be an affordable health care system. Before a doctor steps out of his/her car for the day he/she will have most likely spent close to $600 in malpractice insurance for the day before he/she had a chance at a coffee and a shit.
 
#1 Make lobbying completely illegal with serious punishment.
#2 All politicians must agree to to have bank accounts and net worth constantly monitored.

Then healthcare and a lot of other shit would prob start working out well.
 
#1 Make lobbying completely illegal with serious punishment.
#2 All politicians must agree to to have bank accounts and net worth constantly monitored.

Then healthcare and a lot of other shit would prob start working out well.
Ok. So I'm going to explain why you're wrong. I'm going to start with point #2 since it's the more simple of the two: You can't expect politicians who don't enjoy freedom to create laws that keep us a free people; when the system itself is designed around and involved inrestricting freedom, the laws are going to reflect that. It puts our ultimate "faith"(the path we take when we're serious) in constant monitoring rather that freedom and nearly any other base our civilization was found on. It's crap.

For point #1 I'm going to explain why lobbyists are necessary. And I'm going to do it with Acai Berries.

So once upon a time Acai Berries were easy as piss to run, so a lot of people ran them. Competition escalated to the point where it was pretty fierce; and whoever had something original(and generally more shady) were the ones truly kicking ass. This is upsells. This is increased monthly fees. The use of Oprah. The obviously copied landing pages of photoshopped girls who changed names every flog.
Regulation was quite obviously going to come. And sure enough, the FTC dove in headfirst with their updated guidelines for Testimonials and whanot.

So this is how democracy works; people get pissed, the government reacts. Now, here's where the bullshit comes in:
Worked into the act is something that says the commercial/page/whatever has to include the "average" results. This is impossible. even people with identical lifestyles don't lose weight or anything else at the same rate. Not even close. Add in the fact that people have drastically different lifestyles, and it becomes completely-mother-fucking impossible to have an average.
In addition, the legislation really bites off the head of a true innovation in internet advertising...our version of the infomercial. It's debatable what had to be done there, but the fact is that it weakens many less shady emerging ideas (getting a product to test out for free to build buzz for example), and additionally puts restrictions on us not generally present on television. We have a lot more emphasis on how much attention has to be drawn to disclaimers, etc (if you want to be strictly FTC compliant). So it's taking swings at a young industry that was one of very few to produce a profit in the economy. Oh yeah, and it's quite international. So the practice will likely continue, just with money going offshore.
So this is why lobbyists are needed. The politicians are obligated to serve the people. No matter what they do, they have to get re-elected. But when something needs to be reigned in so it doesn't put undue restrictions (that will be ignored internationally), the lobbyists serve as the voice of the business interests (who employ a lot of the voters by the way) to make sure the industry gets treated fairly at least.
Keep in mind overregulation also serves to kill the low barrier for entry of any business (legal advice is expensive)

So summarizing:
So businesses with absolutely no control will abuse humans. So they must be reigned at some point before it becomes a race to the bottom.
But at the same time: people are stupid, and won't read the bolded price above the "order button". We can't expect them(the consumer) to be able to not run businesses into the ground.
Which is where lobbyists step in.

And that mother fucker, is how a capitalist democracy works.
 
Though I disagree with it fundamentally, a hybrid system is likely the best solution seeing we have masses of people who enjoy leeching off the system and bleeding heart liberals abound that want to take care of everyone.

Keep the current system where private practices get to charge whatever they want and give far superior medical services.

Roll up gov't health care into a military like environment where the government provides education in return to 4-8 years of mandatory service. "Baby doctors" who take this route can get training and experience working for the government (giving far inferior service to patients) which provides living expenses + a pitiful salary.

Once their "term of service" is up, these guys have the opportunity to join the real world or stick around and train/teach then next round of baby doctors.

I get that it's expensive, but sometime in the next 20 years this stuff will consume > 60% of our federal budget anyways.




or we can just turn over the health care system to this guy so we all get the shaft.

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