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Michael Tanner: Good free-market approach would improve health care
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With all of the existing restrictions on health care and health insurance it boggles my mind that people think MORE government control would make things better.
All Americans should have the same opportunities for Health Care that any other Americans have. If we are to have a private health care system, all Americans should be required to use private health care.
That same principal, however, dictates that private health care should be of consistent quality for all. That means that “competition” should not be allowed in the quality of the health care. And competition in price always will translate into competition of quality.
So far as choice if concerned, my experience was:
1. Chose a young, really good doctor, and thought I was set for life. After a couple of years the young doctor quit his practice to go on a mission for his church.
2. Got a new doctor. Two years later he took a staff position at a large hospital.
3. Got a new doctor. One year later he moved his practice to another city to be closer to his “HIV” patients.
4. Returned to the Veterans Administration Health care. Get a new doctor every few years.
So much for choice.
Your post sounds a little like the Christmas wish list for Health Care entities who depend on government intervention to prevent competition and guarantee that real health care goes only to the very rich and powerful.
I’m quite sure the insurance companies would love for the government to pass laws preventing payments of their side of the health care wager. Insurance is simply a wager. You bet that you are going to collect soon and the insurance company bets that you will not. If you stay healthy, the insurance company gets your money and pays out littler or nothing. The way for you to win is when you get sick and the insurance company has to pay you.
When you use words like “prohibit”, are you not asking for the government to create special laws or is it that you expect the insurance companies to get together and decide how much they will pay. If the insurance companies do that, are they a monopoly and the concept of “free market” is totally lost.
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Four Steps to Health Care Reform
1. Prohibit insurance from paying greater than 80% of actual cost: patients need to have some skin in the game and will dramatically control costs when they are so motivated (actual experience). If the doctor discounts for the patient, the insurance company participates in the discount. Enforce with insurance fraud statutes.
2. Revive charity hospitals: this will give doctors a place to donate care, students to train, and provide for the needy without huge tax based entitlement programs.
3. Tort reform: prohibit any patient who has recieved discounted or free care from suing, and implement a loser pays system.
4. Remove the barriers to increased use of mid level providers such as Physician Assistants; they provide 80% of the care, at the same quality, and for far less money than doctors.
Results: Health Care costs drop like a rock, insurance premiums (including malpractice) become affordable, and access to care increases. Additionally, Medicare/Medicaid fade away, taxes go down, government budgets become reasonable.