All healthcare systems, world-wide, are socialized and universal; some simply less efficient or equitable than others. Second, there are three levers in healthcare, all of which operate in lockstep: cost, access and quality. Used separately, they counter each other. In the American system, according to our own NIH, access comes way short, costs are astronomical, and quality ranks near the bottom in comparison to other first world countries. If you adjust access without considering cost or quality outcomes, as Obamacare did, you drive cost up and quality down. The same goes with the other two levers, taken individually.  There is only one way to guarantee quality medical care for every American: give it to them, without conditions, insurance requirements, co-pays or pre-approval.  Let the rich have their boutique, unregulated, insurance based healthcare system.  Most Americans need publicly financed and operated clinics, hospitals, hospices, doctor and dental offices—medical service on demand, just like Canada, even if there is a wait.  In the end, costs will go down, dramatically, and outcomes will improve, incrementally.The reimbursement system, both private and public, is the main obstacle to cost effective medical care. It gobbles up a third of the 3.3 trillion dollars this country expends, all to people who do not know how to operate a stethoscope. The solution is to eliminate the middleman, private insurance companies and government agencies.

All healthcare systems, world-wide, are socialized and universal; some simply less efficient or equitable than others. Second, there are three levers in healthcare, all of which operate in lockstep: cost, access and quality. Used separately, they counter each other. In the American system, according to our own NIH, access comes way short, costs are astronomical, and quality ranks near the bottom in comparison to other first world countries. If you adjust access without considering cost or quality outcomes, as Obamacare did, you drive cost up and quality down. The same goes with the other two levers, taken individually.  There is only one way to guarantee quality medical care for every American: give it to them, without conditions, insurance requirements, co-pays or pre-approval.  Let the rich have their boutique, unregulated, insurance based healthcare system.  Most Americans need publicly financed and operated clinics, hospitals, hospices, doctor and dental offices—medical service on demand, just like Canada, even if there is a wait.  In the end, costs will go down, dramatically, and outcomes will improve, incrementally.The reimbursement system, both private and public, is the main obstacle to cost effective medical care. It gobbles up a third of the 3.3 trillion dollars this country expends, all to people who do not know how to operate a stethoscope. The solution is to eliminate the middleman, private insurance companies and government agencies.

user
yes
assistant