|TWO WAYS TO FIX HEALTH CARE IN AMERICA|
There are only two ways to fix US health care, and you're going to hate them both!Seven years ago today the ACA, also known as Obamacare, was signed into law. Today is the first vote on the AHCA, a heavily debated replacement.
Here's the problem. Neither of them works. Here's the other problem, there is no perfect plan or compromise. Only two methods can fix the US healthcare system, and you're going to hate both of them!
100% CAPITALIST HEALTHCARE
Health care began as a service where doctors, medical professionals, and snake oil salesman offered services to those who could afford them. Pricing is based on what you could afford, the quality of the service, and the ability of the marketing person to convince you to part with your money.
It was a horrible system, however, it was also very fair. Pricing for services was low, lower than ever. Organize groups of capitalists got together and advanced medicine, albeit, extremely slowly. The first surgeries and drugs were developed under these conditions. Generally speaking, good doctors received more patients and made more money, and bad doctors were eliminated by the market gradually. There was no malpractice insurance, health insurance, and even life insurance was in its infancy.
Poor people couldn't afford healthcare, and rich people wouldn't go to the hospitals for fear of catching a disease from the middle class. Most health care was provided at a fair price to the largest segment of the population.
Children and the elderly received to the worst quality care because their value to society was the least. Small children were a burden, and one out of three died before adulthood. The elderly seldom lived more than 3 to 5 years after retirement, and many died while still of working age of preventable diseases and accidents.
It wasn't perfect, but it was very fair and value-based. Healthcare was cheaper per capita at this point than at any other in our history.
100% SOCIALIST HEALTHCARE
In some countries, the state provides health care for all. Healthcare is perceived as a right more than a privilege. You can purchase private health care, but very few do, and the services are not necessarily better.
An important distinction is that socialist medicine is free healthcare, but not free health insurance. Health insurance does not exist under this method.
This method used by many countries today is extremely fair. It provides the same quality of service universally. It also charges but, usually based on a percentage of income, the same ratio per capita. However, people with extremely high incomes pay a disproportionate quantity. People with very low incomes typically receive a disproportionate quantity of service. The vast majority of healthcare spending is focused on the very old, the very young, and the permanently disabled.
Advancement is slow but manageable. Medical advancements are focused more on curative medicine and preventative medicine than treatment. Value is created by preventing disease more so than saving the lives of people with disease.
Why we LOVE and HATE American healthcare.
American healthcare has advanced faster than any other in the world. Furthermore, we have layers of overlapping services and an excess of services so that we can have access to healthcare at virtually any time.
Health insurance, which was designed by companies with a desire to keep their workers working, gradually spread into the mainstream. Health insurance has never been a right. Health insurance was a benefit provided by employers to their workers.
Medicare and Medicaid were the results of a national program designed for retirees, the disabled, and children. The justification was that certain segments of the population could not afford the rapidly increasing costs associated with healthcare. Health insurance contributed to these costs because they were obligated to pay. Hospitals, doctors, and other health practitioners were able to raise prices because health insurance companies had to pay.
Health insurance is the de facto cause of increased medical costs per capita. Health insurance undermines both the capitalist and socialist models of healthcare.
Additionally, health insurance has created unrealistic expectations of value and entitlement.
Today in America we want:
- immediate access to care
- rapid medical advancement
- universal access to the most advanced medicine
- dignity and comfort during treatment
- as little pain as possible
- as little effort and prevention as possible
- and to make money
Capitalism isn't the enemy. Socialism isn't the enemy. Even health insurance isn't the enemy. The enemy is unrealistic expectations that three different models of healthcare have created in the United States.
Ultimately, we will never be universally happy with our healthcare system. The benefits, for which we pay exorbitant prices, for Americanized healthcare cannot be matched by either a capitalist or socialist model.
Our only choice, and it stinks, is compromise. Every other country on the planet manages their healthcare on a purely capitalist or purely socialist platform. Most of the modern industrialized nations have chosen the socialist platform.
In America we have an odd blend that isn't fair, has never been fair, and costs 200% more than the second closest competitor. The only reason it survived this long is because America also lives at a universal style that is nearly 200% more exorbitant than the rest of the world.
However, for the first time in our history, 2000 through 2017, we're at a tipping point where the cost of health care far exceeds the value we receive.
Compromise is the only solution.
Our only choice is compromise. Our leaders, Democrat and Republican, liberal and conservative, socialist and capitalist must learn to compromise.
The American people must also learn to trust. We have to let our leaders govern, let them do their job, let them come up with the best system possible. Finally, our only other option is to vote in our own best interest and replace the leaders who refuse to compromise.
I'd like to call on every member of the Senate and House of Representatives to go behind closed doors and create a unanimous plan with the best interest of the most people in mind, then approach us. It probably won't work and you may all lose your jobs, but frankly, that's the job.