Since nobody in DC has been able to forward any kind of plan that doesn’t cut into their campaign funding from Big Insurance, I thought I would put forward my plan to address several issues related to national healthcare and put a nice bow on top. Feel free to add your thoughts, just remember this is a family-friendly blog, so keep things polite and constructive.
Issue 1: Myth: “Doctors make too Damned much money.”
They also carry a ton of student debt, malpractice insurance, and other peripheral costs associated with being in practice. All of this gets passed to the consumer/health insurers.
Issue 2: We don’t have enough doctors, nurses, and other health professionals to go around. this especially impacts rural communities and inner-city areas.
Issue 3: Citizens lack access to healthcare.
(Before people start spouting off about this plan being limited to Citizens, let’s face the fact that there is only just so much to go around, and our Citizens MUST come first, last, and always. When I visit other countries as a tourist, I must provide proof of medical insurance in order to get a visa. Just because I get a work permit in another country, I am not automatically eligible for non-emergency healthcare. Let’s be FAIR about this.)
Solution 1 & 2: Anyone that goes to medical school and obtains their state mandated license as a physician, nurse practitioner, RN, LVN, etc, etc ad nausea can volunteer to be assigned to work in a Federal Healthcare Outlet (FHO) that generally mimics the form of a Quack Shack/Minor Emergency clinic. All licensed medical and mental health practitioners are eligible to participate in the FHO program.
In exchange for their employment, an FHO practitioner will be paid a flat salary of $50,000 per year for Doctors (MD or MSW in the case of Social workers), $45,000 per year for everyone else so they can keep body and soul together. In addition to this, the government will forgive $25,000 of student debt per year worked, and cover the costs of the practitioner’s malpractice insurance.
FHO practitioners can receive free treatment through the FHO system or VA hospital system.
Solution 3: These FHOs can be put up wherever they are needed, and will offer the medical services required to cover 80% of the services required by the public. This brings healthcare to the places where people need it, and makes qualified practitioners available in all areas.
FHO staff members will be assigned to an FHO location based on local needs, and relocation assistance will be provided in the same form that military relocation services are handled.
The cost of medical services through the FHO will be based on the patient’s Federal Income Tax bracket using a percentage of annual income as reported in the last year. (Easily accessible since this is a Federal facility. I’m sure some smart programmers can set this up for less than $10,000 and keep it HIPPA compliant. In fact I know several people who could do this in their sleep.)
Medicaid and Medicare recipients are handled under their existing benefits schedule.
Veterans can access services through their local FHO the same way they can through the VA.
The upshot of this plan is a Citizen only needs to carry insurance policies for catastrophic medical events, and if they choose to, they can carry long-term disability/care. This eliminates the personal mandate that so many find objectionable, and makes care universally available without all of the fraud and graft associated with medical insurers.
People (Citizens and Non-citizens) who want to carry their own insurance, and employers who wish to offer coverage to their employees are free to do so.