This idea (proposal) is for cutting cost and providing better care for Medicare and Medicaid recipients. I see this idea benefiting those of us outside Medicare, Medicaid by creating competition, maybe stabilizing and possible lowering our tax rate in the future. Limiting liability claims a must. I believe they call it Tort Reform. We have (We the people) Social Security Offices, Welfare offices I propose we build our own Medicare, Medicaid, Hospitals for our Medicare, Medicaid recipients in each and every County, Parrish, and District. All medical records networked from one Medicare, Medicaid Hospital to the next. There are about 3114 Counties Parishes, Districts ect .. in the United States. If we could build a forty five bed 15,000 square foot Medicare, Medicaid Hospital at 200 dollars a square foot. It would cost three million dollars for one Hospital. Add say 500,000 for the property and soft costs. Now add another three million to complete it. It has cost us Six and a half million dollars for our hospital. Should be enough there to have an ambulance, and computers to boot. If our Medicare, Medicaid hospital with 45 beds comes in at six and a half million dollars. We could build a Medicare, Medicaid Hospital in every county, parish, district in the entire United States for 20,241,000,000 Lets call it Twenty One Billion with the leg work. One architect, one low cost design. Now some counties will have more population than others. Im aware of that. So for fun lets double the number of Medicare Medicaid Hospitals and spread it out later. We now have 30,000 Square foot and ninety beds per county. Cost to build, Forty Two Billion Dollars. Perhaps we could use some of that Stimulus Money for construction and set this up. It would put a few people to work, even for just a short time in every county, parish, and district. Now I dont know what the true average cost for nightly care in a public hospital or what we might be paying for it is. But I know this. If we saved 415 dollars, per day, per patient, per room with our Medicare, Medicaid Hospital we would save us 42,452,383,500. Thats Forty Two Billion paying for itself in one year. Double these numbers again if you like in order to get where we need to be. We could have our own diagnostic equipment and pharmacy right there in our own Medicare, Medicaid Hospital. No more paying two, three times the cost for medication. Now lets build our own manufacturing plant in say Michigan? We build our own Hospital Beds, Wheel Chairs, Walkers, ect. We now ship them to our Medicare, Medicaid Hospital to distribute, and be returned when no longer needed. We just did away with rental costs and who knows how much fraud. Now about staffing the thing. How many I wonder have the gifted IQ to become a physician and not the funds. My idea would be to give free education along with room and board. Same goes for the nurses. You can quit us to go to work elsewhere only with all educational and boarding moneys up front, in full, and with interest. For now we staff it best we can. What our hospital cant take care of could be outsourced. The out source could log in and upload the medical records and bill to the local Medicare, Medicaid Hospital for review and payment. Once approved the Local Medicare, Medicaide Hospital could pass it on to the peoples big check book office. All in all Medicare, Medicaid Reform can be had here. No telling how much money could be saved. Records kept on all patients at all Medicare, Medicaid Hospitals. Now think dialysis and nursing homes. When you own the store the goods come at cost. Dale Stoltz Jacksonville Texas. American.