health care ideas.....long

[aris2chat]

Ideas for heath care..... rough ideas to build on and discuss



Video visits with nurse practitioners. More online chat for smaller health matters. Connections to apps that monitor health so nurses can record things like blood pressure, heart rate, EKG, etc. for some patients.

Group buying of some meds for doctors to dispense from office.

Groups with all major specialties and urgent care in one building. Reduce the need for referals and get faster care to prevent major issues.

More urgent cares instead of emergency room visits.

More nurse visits for home-care patients instead of doctor or hospitals.

More home-care for older and disabled patients instead of nursing home and hospitals.

Video online PT and exercise for home bound with ropes, pulleys, rubber bands and simple exercise at home instead of expensive PT visits and equipment where possible.

Online study free for Alzheimer and those with mental disabilities to exercise their brains and keep them mentally active.

Free book and video delivery with online orders for mothers with infants and elderly for self help information with online orders. Volunteers to deliver within a few miles and pick-up.

Partial pay of food delivery of hot meals and meals on wheels with food stamps.

More senior and community centers for elderly and disabled with bus pickup for day care and interaction with others, and support groups. They will have better health and fewer hospital stays.

Incorporate insurance “groups” so they have more coverage and choices.

More free or reduce fee clinics. It will reduce urgent care and emergency visits and costs.

Encourage businesses to open clinics in corporate buildings, factories, etc. where possible to reduce days off and insurance costs for the companies.

More options for certain preconditions including alternative, herbal, cannabis meds for some conditions through their primary and specialist and/or as added packages in some insurance coverage.

Require/encourage doctors to “cure” not just treat patients where possible. Some doctors just treat symptoms to keep patients coming back frequently so they can keep getting paid by insurance.

Give patients prices of doctors and specialists with a cap on routine visits per year so they can shop around and decide what they need most during the year. They can decide how much insurance they need to buy into and which doctor to use to spread they allotment further. Shopping hosptial cost for outpatient needs as well to save money as well. If they travel three mile more they might get two extra visits for the same price.

Better rating for insurance packages, doctors, hospitals, etc. so patients know what they are getting for the money.

Some cities and counties might have lower cost for business rents and medical insurance for doctors that reduce cost. Patients might be willing to travel to those doctors for non emergencies and get more service, less wait times and lower costs.

Let some insurances share or exchange patient referrals and costs in some areas and offer more services to patients where there are less options and fewer patients.

Coupons for patients that require special diets so they can buy the right foods, that would normally be more expensive or only found in specialty stores, so they can stay healthier.

More park group exercise for those with certain preconditions or gym memberships like silver sneakers.

More options, including alternative medicine for those with major pain conditions to reduce addition and abuse of meds.

Doctor conferencing and communication to prevent over use of meds and better treatment of patients.

Control legal over use against doctors and medical hospitals. More mediation and limits on compensations.

Lower medical insurance rates to reduce doctor costs.



Lets have more suggestions and modifications. We can come up with a complete list and send to Trump and/or our congressmen to work on

 

[aris2chat]

I'm sure some legal eagle will call it racist but I'd like to see some jobs or whole businesses that can use disabled so any special needs can be for all workers and not have every business have to build special access for just one or two workers.

All equiptment could be for left arms only in one place and all right arm only at another business instead of special equiptment for each individual.

more disabled in one place will give them more support with those that have the same or similar needs.

I'd like to see work share for those with limitations and certain preconditions instead of each with set hours. Give those that can only work short period or that cannot be held to set times so they can still feel productive.

Let those on disability also supplement with extra work when and where possible part time.

Make those on government social service doles require to volunteer so many hours in some way. Preferably to help children and those with disabilities.

Make to easier to hire help at veteran medical centers, even just to help with filling out paper work and walking patients though halls. Give them more options to see local doctors in their area instead of traveling so far and wait so long.

Where possible, create hour(s)/day care for children while patients see their doctors or get tests. Make it a small fee if necessary or a sliding fee in some cases. One place for the whole building and give the child and parent each a tracker so they can leave separately from the building. Parents can check on children via their cell phone with a live camera app. in the day care. Parents can sing to or talk to kids to calm them till they can return when not actively with doctors.

medical savings account for major medical expense, hospital cost and deductibles through employment like 401Ks and able to reduce on income taxes.

Walk in care clinics like they have in tourist areas for smaller care outpatient items like an urgent care only lower cost.

Create electronic medical records online or on a flash drive for patients to access and/or carry. Doctors can be given passwords to access patient records and update information. Especially important for those with speech difficulty or memory problems so doctors can get a full picture of health.

reduce paperwork with medical info on a credit card like check in, slide the card and all info is right there in the system. Link to medical records can be included with electronic encrypted password for security.
reduce need for repeat tests and extra visits in many cases. Links to all doctors and medicines in emergencies. Perhaps with a thumb print verification that records/card match patient to reduce fraud.

Co-op cost so more small businesses can buy affordable health insurance for their employees, or buy part of and employee can pay part, and/or special options to add to basic insurance.

Make options for open groups so self employee can buy packages. Options combos for health and employment protection in case of accident so people can pay their bills with laid up.

 

[Penelope]

No the R(fro Republicans) want to get rid of expanded Medicaid, the ACA, and any excess spending. We have all the above. Lets face facts, before the ACA, my husband paid in 2013 BCBS 938 a month , 550 deduct, and 5100, max or or out of pocket max (not included copays). Same policy today is about 1100. They will also do away with employer and individual mandates. ER is all there is.

PS: the above was for one person , on no meds, just eye drops, no eye prescriptions or hearing aids, and large copays on his eye drops, cost 80 a month.

Everyone that has just voted for Trump, unless he does a 190 has really just screwed themselves unless they are wealthy.

 

[miketx]

No the R(fro Republicans) want to get rid of expanded Medicaid, the ACA, and any excess spending. We have all the above. Lets face facts, before the ACA, my husband paid in 2013 BCBS 938 a month , 550 deduct, and 5100, max or of pocket. Same policy today is about 1100. They will also do away with employer and individual mandates. ER is all there is.

Everyone that has just voted for Trump, unless he does a 190 has really just screwed themselves unless they are wealthy.

LOL!

 

[aris2chat]

No the R(fro Republicans) want to get rid of expanded Medicaid, the ACA, and any excess spending. We have all the above. Lets face facts, before the ACA, my husband paid in 2013 BCBS 938 a month , 550 deduct, and 5100, max or of pocket. Same policy today is about 1100. They will also do away with employer and individual mandates. ER is all there is.

Everyone that has just voted for Trump, unless he does a 190 has really just screwed themselves unless they are wealthy.

LOL!

instead of laughing, contribute

offer other options

 

[Penelope]

No the R(fro Republicans) want to get rid of expanded Medicaid, the ACA, and any excess spending. We have all the above. Lets face facts, before the ACA, my husband paid in 2013 BCBS 938 a month , 550 deduct, and 5100, max or of pocket. Same policy today is about 1100. They will also do away with employer and individual mandates. ER is all there is.

Everyone that has just voted for Trump, unless he does a 190 has really just screwed themselves unless they are wealthy.

LOL!

You think this is funny, please explain the humor about it?

 

[Penelope]

No the R(fro Republicans) want to get rid of expanded Medicaid, the ACA, and any excess spending. We have all the above. Lets face facts, before the ACA, my husband paid in 2013 BCBS 938 a month , 550 deduct, and 5100, max or of pocket. Same policy today is about 1100. They will also do away with employer and individual mandates. ER is all there is.

Everyone that has just voted for Trump, unless he does a 190 has really just screwed themselves unless they are wealthy.

LOL!

instead of laughing, contribute

offer other options

You know when I was going through your listings , very good ones, most is what we have now. It will be a bit too socialize for the GOP. We have many volunteers in our area. We have the public health for wic programs for children. We now have Medicaid and Medicaid help, which means that people who get low SS checks, can have the other 80% not covered by Medicare covered by Medicaid, but its 323 for medigap for those under 65 (the disabled) and about 200 for those over 65. Also Medicare is about 124 a month.
Section 8 housing vouchers are few, and also subsidized housing for seniors have about a year wait, and they pay 30% of income. I know many people through no fault of their own, are in dire straits, one illness can take everything, people had no insurance as they could not afford it, so the er is the only place for most to go.

Unless a women has a child, there will be no aid for low income workers, adults with no children. For most there is no incentive to work, because 1 dollar over the amount cuts one off.

I do hope Pres. Obama is explaining this stuff to Trump, because Trump at one time in the distant past was pro universal healthcare, but now is going to appeal the ACA and expanded Medicaid.

The homeless, once again, most through no fault of their own, come into the hospital with frostbite, and just to have a bed to lie in and warmth in Mi. Many take to the drink, who can blame them.

You sound like you care, check out Texas healthcare system. Most of the GOP don't care, die in the street. Most of the homeless in MI move down south, warmer down there. Our state has expanded Medicaid, but that will be a thing of the past now I suppose.

 

[Mac1958]

I would love to know how many people who think that HSA's are the answer actually know how they work.

I wonder if they know that HSA's are based on PRECISELY the same kind of ridiculously high, high deductible health plans that make the ACA such a joke.

Anyone?
.

 

[Penelope]

HSA are for the wealthy to lauder tax free income. So they pay for healthcare with tax free income, while most of the people in the US live paycheck to paycheck with little savings.

 

[Coyote]

I'm going to preface this by saying - many of these ideas were part of Obamacare, where were you people then (you as in a more general you, not you specifically)? When that was being discussed and when the other side flat out refused to participate in any aspect of it because it was Obama? And yes, I'm admittedly still bitter at the blatent hypocrisy of those who are suddenly floating ideas like "let's fix the infrastructure!" as if they were brand new when instead they were a core part of Obama's plans when he first came into office but the Republicans just obstructed? I'm still working through my anger here (too soon after the election to simply put them aside), but I will leave them after this paragraph.

Ok...moving beyond that - I like a lot of the ideas. I think a number of them could fall under the idea of the federal government supporting/promoting/funding community initiatives as opposed to directly controlling them. I really applaud the wide ranging ideas you have here and some of them hit home because many communities in my state are under served by doctors.

I'd like to see an expansion on community clinics and women's clinics, that don't necessarily have to have an MD attached to them. Many things can be done by PA's, nurses etc. and they can be in walking or easy commuting distance. And increase in urgent care centers would fall in this as well for things that can not be handled by clinics. I think everyone should have access to a facility where preventive care can be taught and practiced before it becomes emergency care. I think education must be a critical component. An area might not be able to keep a doctor, but maybe a clinic can prevent people from having to travel 50 or 60 or more miles to get at least basic care.

Not sure how to catagorize this one but I want to say a more holistic attitude to health care. This comes from a radio program talking about the aftermath of recent flooding in my state. You have a woman come in suffering from terrible headaches that just didn't seem to be getting better after repeated visits. The doctor only spends a minimal time with her - that is the way it is - 15 mins and you're done. That's hardly enough time to figure out what is REALLY going on. This particular clinic had other non-medical staff working with patients - not dispensing care, but handling other things and spending time talking to patients. What they found was there was a variety of non-medical issues that were making it difficult to actually treat the illness itself. The aftermath of the flooding had left this community devestated, destroyed a lot of housing and damaged more. Her home survived the flooding, but was damaged. She had little to no income, her job disappeared with the floods and the community was not prosperous anyway. There were other things I can't recall but what this woman, who took the time to talk to this patient did was more effective then anything the doctor had been able to do. She did some research - found resources that could come help her. She found a free service that would come and check this woman's house for unhealthy conditions (like mold) that could be contributing to the headaches. She found other services that could work with her to remedy the problems in the home. She connected her with free mental health counseling service, something she needed but had no idea how to find or what was available. In and of themselves these things are not expensive - many of them involve someone just taking the time to find information and make connections. Think of it if every clinic could have someone like that on their staff? Expand it a bit to allow for HOME VISITS, for particularly vulnerable patients. Just someone who can run rounds, visit particularly vulnerable clients and show them that here is a person that cares, make sure home conditions are not contributing to the health problems. You don't need medical expertise or advanced degrees for this - you need someone who knows the community, who genuinely likes people, cares, is observent, and knows who find what help is available and make connections. Highschool students who need to perform community service projects could be incorporated into this perhaps.


Mental health. Mental health feeds into the above. Mental health has always been the red haired step child of the medical profession and still has so much stigma attached on top of the fact that often, a really ill person is incapable of seeking help. It's the first thing cut from budgets yet, when communities go through stressful times - job loss, economic failings, violence - it's probably the most needed profession. I know people will ding me for more "big gubmint" freebees but this is one area where I think we need far far more low cost and federally supported initiatives because there is not enough. It could be done as grants given to states and/or local municipalities, leaving it up to them to figure out how best to use it. The federal government's role would be in enough regulation to make sure it can not be misused and put into other projects. If it doesn't get spent - it can not be used for anything else.

More focus on preventive health care - healthy habits, eating, exercising, finding ways to help people who's situation might not allow much of that (which also goes into the point I made several paragraphs above). For example a single mother, working multiple low wage part-time jobs and trying to raise a child in a crime infested neighborhood has so many things going on that preparing a "healthy" meal is less important then simply making sure her kids are fed with SOMETHING. Exercise - easy to say just get off the couch and walk - but if it's at night, in an unsafe neighborhood - then what? For her, many factors come together that make it almost impossible for her to achieve a "healthy" lifestyle. Perhaps there are workarounds that can be found - but you need someone who is creative and knowledgeable, who can do this on a community level.


I'd like to see an expansion of clinics that serve women - pregnancy counseling, FREE BIRTH CONTROL (if you want to stop abortions then for god sakes make birth control easily available!), pre-natal care, nutrition, etc.

That's my brain storm list

 

[Coyote]

I would love to know how many people who think that HSA's are the answer actually know how they work.

I wonder if they know that HSA's are based on PRECISELY the same kind of ridiculously high, high deductible health plans that make the ACA such a joke.

Anyone?
.

HSA's are a joke.

 

[jknowgood]

No the R(fro Republicans) want to get rid of expanded Medicaid, the ACA, and any excess spending. We have all the above. Lets face facts, before the ACA, my husband paid in 2013 BCBS 938 a month , 550 deduct, and 5100, max or or out of pocket max (not included copays). Same policy today is about 1100. They will also do away with employer and individual mandates. ER is all there is.

PS: the above was for one person , on no meds, just eye drops, no eye prescriptions or hearing aids, and large copays on his eye drops, cost 80 a month.

Everyone that has just voted for Trump, unless he does a 190 has really just screwed themselves unless they are wealthy.

Obama Care is imploding.

 

[Penelope]

I would love to know how many people who think that HSA's are the answer actually know how they work.

I wonder if they know that HSA's are based on PRECISELY the same kind of ridiculously high, high deductible health plans that make the ACA such a joke.

Anyone?
.

HSA's are a joke.

Great post above, but speaker Ryan and Trump are in favor of block grants, none of what you said is going to happen, unless we go back to living on communes. Mental Health clinics will be the first to go. It will affect women with a child, they will have to be so poor to receive aid, they will be living in the dumps. I am sorry but heck I say screw the infrastructure , which Obama wanted to do but Rep did not, and make sure everyone has healthcare.

The riots will only gets worst if this happens, look Texas as an example. To tell you the truth, I am appalled at some of my family members who make a good living and live high off the hog, vacations etc, and they voted for Trump. I just can't be near them. I see them as totally different from me now, and man they can't miss Sunday Mass for fear of having to go to confession to receive the host. Its just unbelievable.

 

[aris2chat]

It should be more of state organization, but some central medical record system should be federal.

Costs from different counties and towns should allow for bids to patients for lower priced health care, even across state lines in some cases.

The more options patients have for their money the more competitive insurance will be forced to be, so will doctors.

The cost of meds, w/ and wo. delectable of co pays can be a major hardship and price from pharmacy to pharmacol can be dramatic. The more patients actually know, the better choices they will make if they know it will reduce their over all expenses and amount of service.

"life saving" meds should be capped, at least by states if not by fed. 2000X profit, just because, is wrong. The idea of research and development only goes so far. It depends on if they are researching a new Rx for a new disease or just the 100,000th new headache meds to add to the consumer market.

Office, documentation, filing and storage cost, even transcriptions can add greatly to doctor costs. Direct speech to text and electronic records might have a start up cost but will save money in the long run and make medical histories fast, more explicit and accurate. A few years ago I made medical scans of my medical records from every doctor and patient that would let me along with all meds and a running record of standard things like blood pressure, diet, over the counter and herbal meds on a flash drive. Every new piece of paper I need to request and scan myself, other wise most doctors like when I hand them a thumb drive.

I cannot speak easily, so I normally type out a page to hand to the doctor for them to read. This way my questions and all items of concern get addressed. Then I only have to strain to reply to the last few question they have and not a whole speech. The idea of a nurse patient of caretaker of getting a few dollars more to keep a weekly phone or written diary of sorts give a much better visual of pattern the patient might not think to speak of. For those with memory problems this is an excellent idea as well. Teach patients how to manage their own health and well being to make doctor visits more one on one time and efficient.

Phone, online and video "visits" with practitioners makes maintaining health much easier and faster, and moire complete. It can also eliminate unnecessary "panic" ER visits. Sometime patients just need to feel someone is listening to them even if it not face to face and calming them when needed. There are a lot of simple things someone can do, especially off hours at home for treatment till regular office hours without running to pharmacies at 2am.

Ideally I love to see doctors, chiropractors and acupuncturist working together in the same office or building for chronic pain conditions instead of highly addictive meds with horrid side effects.

Health care directives and doctor assisted options should be part of every patient with serious condition and elderly. I don't advocate mass termination but bankrupting cost for prolonged live support with no hope of ending or for those suffering should be an option if they request. I've had my options made for decades, I know my pain limits, and seen the suffering of those dying with heavier and heavier doses if morphine type drugs leaving them mentally and socially dead already with or without machines. There is a peace, even a joy for those who are able to exit with "grace" on their terms. Hospice instead of hospitals is also a necessary for all states, most of which is already at no or low cost where available.

I'd highly encourage those who need a little extra monitoring and have an extra bedroom to rent out their extra room and help the renter with exrta money as homecare a couple of hours a week or day to make sure they eat, take meds and just have someone near by to help if there is a problem. They can get paid from things like IHSS or insurance companies for giving phone weekly reports. It might only be an extra $50-100 a month but it can be a lifesaver and tremendous peace of mind. Shared home expenses can mean more money for food and insurance as well.

 

[aris2chat]

No the R(fro Republicans) want to get rid of expanded Medicaid, the ACA, and any excess spending. We have all the above. Lets face facts, before the ACA, my husband paid in 2013 BCBS 938 a month , 550 deduct, and 5100, max or or out of pocket max (not included copays). Same policy today is about 1100. They will also do away with employer and individual mandates. ER is all there is.

PS: the above was for one person , on no meds, just eye drops, no eye prescriptions or hearing aids, and large copays on his eye drops, cost 80 a month.

Everyone that has just voted for Trump, unless he does a 190 has really just screwed themselves unless they are wealthy.

Obama Care is imploding.

in some states and areas that is a past tense

 

[Silhouette]

Lets have more suggestions and modifications. We can come up with a complete list and send to Trump and/or our congressmen to work on

Universal healthcare with private opt-outs for the rich as they like.

UH goes like this:

1. Article I, Section 8 allows us to impose taxes for our general Welfare. We tax for police to save lives, military to save lives, firemen to save lives and we can do so for doctors to save lives.

2. Taxes gathered from each sale of tobacco, booze or sugared products (the three main killers). So the People who need healthcare the most, will actually be paying for it after all.

3. Small co-pays at regular checkups. This discourages overuse of the system. Helps pay for actual costs of the visit. Insures people don't wait too long to seek medical care if they are injured or sick, like they do now, winding up in extremely expensive critical care situations from what was originally a cheap fix.

4. Streamlining costs by regular audits of a universal system with public oversight. So, in short, "goodbye 10,000% markups on tylenol, bandages, IVs etc."
at hospitals. The 10,000% markup racket between hospitals and insurance companies will evaporate. If veterinary offices can charge $800 for an outpatient surgery, then so can hospitals. Only, veterinarians have more expensive, more intricate and longer schooling.

5. Completely reform malpractice lawsuits. The neglect or incompetence has to be obvious and obtuse. Example: doctor leaves a retractor or sponge in your abdomen after he sews you up: obvious and obtuse. Example: You remove your cast too early and rebreak your arm. Not the doctor's fault. Period.

************

This system allows anyone who wants to continue to seek out private healthcare as they like. Private healthcare is brought to heel on costs because they'll have to compete with a universal system that has cut expenses to the quick, while providing adequate care. Employers no longer having to spend oodles on insuring employees can hire more. Folks currently paying their own premiums that equal a second mortgage instantly have that money freed up each month to spend, spurring demand, and more jobs. The economy recovers. Nobody stresses out about going bankrupt because little Jimmy just broke his arm riding his bike. Less bankruptcies mean more eligible homebuyers. The housing market recovers.

If they do this system though, they should call it "Hillarycare". That's all I insist on. Or, maybe, "Sil-Hillary Care"...lol...

 

[Penelope]

My doctors office is fairly advanced, with bone scans , labs and xray and computer. The issue is it not connected to the two hospitals or other dr. offices. Many offices have patient portals now and labs as well. Its always good to ask for a hard copy of any labs, reports , etc, so you can bring them with you.

The issue will be people will be without health insurance again and will end up going to er at the hospital. The urgent care in my areas will not take Medicaid, unless someone comes in with a life threatening , and then they ambulance them to the hospital.

Yes dying with dignity should be allowed and here Dr. Kevorkian was in prison for aiding people in the end, and now its legal in some states.

I agree pain meds are highly addictive but sometimes necessary. Acupuncture is pretty good, but insurances do not cover it, most anyway.

 

[Penelope]

Lets have more suggestions and modifications. We can come up with a complete list and send to Trump and/or our congressmen to work on

Universal healthcare with private opt-outs for the rich as they like.

UH goes like this:

1. Article I, Section 8 allows us to impose taxes for our general Welfare. We tax for police to save lives, military to save lives, firemen to save lives and we can do so for doctors to save lives.

2. Taxes gathered from each sale of tobacco, booze or sugared products (the three main killers). So the People who need healthcare the most, will actually be paying for it after all.

3. Small co-pays at regular checkups. This discourages overuse of the system. Helps pay for actual costs of the visit. Insures people don't wait too long to seek medical care if they are injured or sick, like they do now, winding up in extremely expensive critical care situations from what was originally a cheap fix.

4. Streamlining costs by regular audits of a universal system with public oversight. So, in short, "goodbye 10,000% markups on tylenol, bandages, IVs etc."
at hospitals. The 10,000% markup racket between hospitals and insurance companies will evaporate. If veterinary offices can charge $800 for an outpatient surgery, then so can hospitals. Only, veterinarians have more expensive, more intricate and longer schooling.

5. Completely reform malpractice lawsuits. The neglect or incompetence has to be obvious and obtuse. Example: doctor leaves a retractor or sponge in your abdomen after he sews you up: obvious and obtuse. Example: You remove your cast too early and rebreak your arm. Not the doctor's fault. Period.

************

This system allows anyone who wants to continue to seek out private healthcare as they like. Private healthcare is brought to heel on costs because they'll have to compete with a universal system that has cut expenses to the quick, while providing adequate care. Employers no longer having to spend oodles on insuring employees can hire more. Folks currently paying their own premiums that equal a second mortgage instantly have that money freed up each month to spend, spurring demand, and more jobs. The economy recovers. Nobody stresses out about going bankrupt because little Jimmy just broke his arm riding his bike. Less bankruptcies mean more eligible homebuyers. The housing market recovers.

If they do this system though, they should call it "Hillarycare". That's all I insist on. Or, maybe, "Sil-Hillary Care"...lol...

Yes the ACA was working, except in those 19 states the gop didn't choose to expand Medicaid on. People fell through the cracks. Unless one is so low income, usually disabled, with the ACA one paid for premiums and copays. That is the good thing about it, it was not free like people thought. Clinton would of fine turned it, but no now Trump will toss it and do blocked grants most likely if not self impeached first. They say it will take 2 years to dismantle all of the ACA and by mid terms you can bet Dems will get the house and senate back.
If Trump is still in he can go golfing like Obama did since he will be lame. Trump just might change and do whatever he wants though. He is going to be a dictator when he gets the reins.

 

[aris2chat]

Lets have more suggestions and modifications. We can come up with a complete list and send to Trump and/or our congressmen to work on

Universal healthcare with private opt-outs for the rich as they like.

UH goes like this:

1. Article I, Section 8 allows us to impose taxes for our general Welfare. We tax for police to save lives, military to save lives, firemen to save lives and we can do so for doctors to save lives.

2. Taxes gathered from each sale of tobacco, booze or sugared products (the three main killers). So the People who need healthcare the most, will actually be paying for it after all.

3. Small co-pays at regular checkups. This discourages overuse of the system. Helps pay for actual costs of the visit. Insures people don't wait too long to seek medical care if they are injured or sick, like they do now, winding up in extremely expensive critical care situations from what was originally a cheap fix.

4. Streamlining costs by regular audits of a universal system with public oversight. So, in short, "goodbye 10,000% markups on tylenol, bandages, IVs etc."
at hospitals. The 10,000% markup racket between hospitals and insurance companies will evaporate. If veterinary offices can charge $800 for an outpatient surgery, then so can hospitals. Only, veterinarians have more expensive, more intricate and longer schooling.

5. Completely reform malpractice lawsuits. The neglect or incompetence has to be obvious and obtuse. Example: doctor leaves a retractor or sponge in your abdomen after he sews you up: obvious and obtuse. Example: You remove your cast too early and rebreak your arm. Not the doctor's fault. Period.

************

This system allows anyone who wants to continue to seek out private healthcare as they like. Private healthcare is brought to heel on costs because they'll have to compete with a universal system that has cut expenses to the quick, while providing adequate care. Employers no longer having to spend oodles on insuring employees can hire more. Folks currently paying their own premiums that equal a second mortgage instantly have that money freed up each month to spend, spurring demand, and more jobs. The economy recovers. Nobody stresses out about going bankrupt because little Jimmy just broke his arm riding his bike. Less bankruptcies mean more eligible homebuyers. The housing market recovers.

If they do this system though, they should call it "Hillarycare". That's all I insist on. Or, maybe, "Sil-Hillary Care"...lol...

BIG stars by 4 & 5

 

[Silhouette]

Yes the ACA was working, except in those 19 states the gop didn't choose to expand Medicaid on. People fell through the cracks. Unless one is so low income, usually disabled, with the ACA one paid for premiums and copays. That is the good thing about it, it was not free like people thought. Clinton would of fine turned it, but no now Trump will toss it and do blocked grants most likely if not self impeached first. They say it will take 2 years to dismantle all of the ACA and by mid terms you can bet Dems will get the house and senate back.
If Trump is still in he can go golfing like Obama did since he will be lame. Trump just might change and do whatever he wants though. He is going to be a dictator when he gets the reins.

Not if they stay tied at the hip to gay marriage and deranged males in women's showers and bathrooms; or jailing Christians for refusing to play along with motherless/fatherless (gay) marriage; created for kids. If they keep pushing that shit on people, they can kiss Congress goodbye in 2018. Best wake up and smell the working-class value system. It will be painful for dems if they keep their heads in the sand on these issues much longer.

Would be a pity for poor people to give up basic healthcare just because of butt sex. That's what it boils down to at the end of a stark and honest conversation.