4 Step Plan | 1:31 p.m. July 12, 2009
This is what I have been preaching for a long time. Excellent principles.

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.
Anonymous | 1:48 p.m. July 12, 2009
Nothing more that the cororations opinion. Every american has $10K burning a hole in his wallet to pay for his own healthcare. Let employers not pay healthcare and the number of the uninsured would skyrocket. This guy is clueless. We need one published price by insurance companies for all companies no discounts for larger companies. we need anyone to be able to buy insurace at the same price even individuals. We need no discounts by Doctors or hospital so that without insurance you pay full price while with insurance, insurance companies get discounts. We need to tax companies that dont provide healthcare to employees the amount plus surtax of what it would cost for a basic health plan and then force person to buy healthcare and then give them a tax criedit which is paid buy the empoyer through the tax. Therefore it is a zero cost to government. every insurace company publishing there price means they will compete for lowest price.
Simple Utah Mormon Politics | 5:33 p.m. July 12, 2009
Tanner provides excellent solutions, that, unlike more government meddling, would actually make things better. Governments already foster the monopolies that make health coverage so expensive in America.

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.
Comments continue below
Ultra Bob  | 6:56 p.m. July 12, 2009
One of the greatest principals of the American experiment is the Equal Justice For All concept.

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.
Ultra Bob  | 8:02 p.m. July 12, 2009
To Step Plan | 1:31 p.m.

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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