This is so obvious George. All those poor people will now all start going to the doctor so the rest of us will never be able to get our fair share of healthcare. We'll be waiting 12 months just to see a doctor when we get sick. This is horrible George. And nobody will want to become a doctor because they will have to see too many patients. Who would want to see all those sick people anyway. We are in so much trouble George. Can't you see this?
That is a valid concern. But during the course of problem-solving once this AHC program gets under way it is possible government will be forced to consider an obvious solution, one which should have been considered long ago and which I will outline as follows.
I have a problem with fingertip infections. The slightest cut or deep scratch results in infection. Typically, when it happens I go to my GP, wait an hour or more, and get a prescription for an antibiotic. I believe that costs Medicare about $75 for the visit.
Some years ago I noticed an infection starting on a Friday afternoon, too late to go to my GP. So I went to a hospital emergency room where i waited for two hours, was interviewed for fifteen minutes by a social worker, waited another two hours, was taken to a ward, told to lie in a bed and even though fully clothed was covered with a sheet. I waited another hour there to finally be seen by a tired, clearly overworked intern who seemed annoyed with my relatively minor complaint (a swollen finger). And although I told him all I needed was an antibiotics prescription, the intern insisted it was necessary to open and drain the finger, which he did. That adventure occupied more than six hours and cost my insurance company (GHI) over
five hundred dollars, (for "surgery") plus my $45 co-pay.
When I was in the military I had finger infections three times. Each time it happened I would stroll over to Sick Bay, where an enlisted Hospital Corpsman would take a look at my finger, ask me a few questions, hand me a little box of penicillin tablets and tell me how to take them. That's it. Ten minutes. No surgery. No need for an MDs attention. No waiting. No long interview. In and out!
Another time, during field maneuvers in the Philippines, a huge, wickedly painful boil arose on an inner thigh, effectively disabling me. A Field Corpsman in a squad tent applied a topical anesthetic, injected something, lanced and drained the boil, dressed it and gave me a little box of penicillin tablets. Next day I was back on full duty.
The question I have is inasmuch as the simple level of treatment I received for a relatively minor medical problem was (is?) good enough for our military personnel, why isn't the same level of treatment for minor medical problems dispensed to civilians by former military medics, EMTs, and Nurse Practicioners in place of the usual redundantly bureaucratic rigamarole, long waits, outrageous cost, and unnecessary need to be "seen" by an MD?
If there were some sort of walk-in clinic available to me when I have a minor infection, as well as to many millions of others with common, equally minor medical problems but who have no choice but to be "seen" by MDs and to endure the unnecessary and costly ordeal of an emergency room, the problem of insufficient medical services could be solved.
What it would take to accomplish this is legislation aimed at eliminating dominance of medical services by the legal profession -- which lies at the root of the problem.