Reminder:
1. Single payer (or universal healthcare) is the only thing that has no chance of being the correct answer. Single payer revolves around what is “approved by this single payer”, a.k.a. by people who don’t know any single patient enough to overrule, set up boundaries or dictate to his/her physician.

2. The portion of healthcare, that someone else provides, is not and never will be a human right. Why? - Well, because someone else provides it.

3. “Cherry-picking” and “lemon-dropping” are patient selection-related terms that are self-explanatory and they will ALWAYS be associated with pay-for-performance (P4P) and value-based care (VBC) schemes. 

4. Such schemes also encourage well-meaning overspending on the development and administrstion of cumbersome and yet still often arbitrary compliance reporting elements for healthcare practicioners. This leads to less time spent on the patients’ needs and more time on electronic medical/health record (EMR or EHR) clicking/writing. More importantly, such administrative cost has yet to show solid evidence of better healthcare outcomes. 

5. Fee-for-service (FFS), albeit flawed and dated, is much more likely to preserve reasonable health equity as long as we figure out how to HELP THE NEEDY pay for healthcare services and insist on improved health literacy and cost transparency. The patients’ own informed assessment should be the main determinant of what’s appropriate and needed. The governmental agencies (HHS, CMS) can help fill healthcare savings accounts (HSA) for qualifying individuals (Medicare/Medicaid) and assist them by reviewing withdrawals when itemized spending triggers red flags 🚩but that and funding for the development of guidelines should be it. All other individuals should be allowed pre-tax HSA contributions regardless of insurance plan and decide INDIVIDUALLY, not through their employer, on which insurance plan and at what level to purchase.