a new “healthcare” paradigm suggestion

*******If you’re returning, See addendum at end.********



I write this just in case I’m still wrong that America is toast, that the Fat Lady is warming up backstage, and that the cliff toward which we rush at warp speed in now in sight.  The subject last time was government pre-k-through-12 schools.  This time it is America’s “healthcare system”.

The first thing that must be accomplished is repeal of the Healthcare Affordability and Patient Protection Act of 2010, aka “Obamacare”.  It is  disaster that, even if the cliff weren’t already in sight, and even if Kate Smith weren’t waiting in the wings stage right, would sink this the greatest nation and economic powerhouse in the history of Planet Earth.  The second thing that must be accomplished is repeal of Medicare Part D, the largest entitlement program in human history, unfunded and unsustainable.

Next, Medicare and Medicaid, along with SCHIP must be sunsetted.  Medicaid should be sunsetted to accommodate work-in-progress, though not to exceed sixty days.  Ditto SCHIP.  Medicare Parts A and B should be remade into a cash prebate from the U.S. Treasury to those currently subscribed at equal value.  Recipients of said prebate would have 100% control of those monies with freedom to spend or not spend any way wished.  Those aged fifty and above should have the same arrangement less five percent per year or part year less than age sixty-five.

Next, there should be no federal tax consequences for any expenditures on medical care, pharmaceuticals, or related insurances.  All must be repealed.  Also, any state or national requirements of what must or must not be included in insurance policies, or where insurers may or may not do business should be challenged in federal courts, based on the “necessary and proper clause” strict test for proscribing the unalienable right to liberty.  And finally, neither a state nor the U.S. Government may be allowed to license any person as condition of practice.  Nor may any state nor the U.S. Government interfere with the free sale or purchase of human tissues or organs.

When all of the above have been accomplished, boys and girls, what we will have is a free market.  Each human being — whether doctor, pharmacist, dentist, ophthamologist, prospective patient, biological scientist, engineer, entrepreneur, insurance executive, employer, or whatever else — will be able to act in his own self-interest.  The answer to fixing the “healthcare system” is to eliminate the “healthcare system”.

The practice of companies providing “benefits” started to get around something government did to interfere with liberty between employers and employees.  FDR froze wage rates.  Then to compete for a depressed workforce, that because so many left to fight in Europe and Asia with the U.S.  Military, companies offered to pay for medical expenses to offset that they could not offer more money.

When folks suffer some calamity and face hunger, they should go to a food pantry, a charitable establishment.  There are people from sea to shining sea who set up such and people who contribute to them.  If folks suffer some calamity and face a catastrophic and unaffordable medical emergency, they should go to a charitable medical clinic.

If someone faces a life-threatening injury or condition or disease, and if they have not budgeted for and purchased high-deductible major-medical insurance, and if overwhelming financial largesse isn’t forthcoming from anywhere, the truism that life isn’t fair will be personally experienced.  As retiring-radio-talkmaster Neal Boortz has said, “Sucks to be you.”

Fact is that many people cannot now and will never be able to afford 2012 medical, dental, ophthamological, and pharmaceutical state-of-the-science care.  They won’t be able to afford big yachts and private jets either.  Some folks will have to settle for, say, 197os state-of-the-science care . . . and a rowboat and a used clunker.  Oh wait, those aren’t available any more.

Wanna see where we’re headed?  Look through the yellow pages of a metropolitan  telephone directory from Canada.  Look first under “physicians” and second under “veterinarians”.  The former is about system, the latter about unsystem.  The former is government, the latter free-market.  The former is tiny, the latter huge.

So, if we follow my prescription for changing paradigms, with what will we end up?  Only the individual choices and behaviors of 300+ million Americans acting in their individual best-perceived-interests will tell.   Just havin’ fun here, boys’n’girls, while watchin’ that there cliff.  It be approachin’, dontcha know?




A survey of 700 physicians found:

  • 90% say the medical system is on the WRONG TRACK
  • 83% say they are thinking about QUITTING
  • 61% say the system challenges their ETHICS
  • 85% say the patient-physician relationship is in a TAILSPIN
  • 65% say GOVERNMENT INVOLVEMENT is most to blame for current problems
  • 72% say individual insurance mandate will NOT result in improved access care
  • 49% say they will STOP accepting Medicaid patients
  • 74% say they will STOP ACCEPTING Medicare patients, or leave Medicare completely
  • 52% say they would rather treat some Medicaid/Medicare patient for FREE
  • 57% give the AMA a FAILING GRADE representing them
  • 1 out of 3 doctors is HESITANT to voice their opinion
  • 2 out of 3 say they are JUST SQUEAKING BY OR IN THE RED financially
  • 95% say private practice is losing out to CORPORATE MEDICINE
  • 80% say DOCTORS/MEDICAL PROFESSIONALS are most likely to help solve things
  • 70% say REDUCING GOVERNMENT would be single best fix.

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Filed under America implodes, business, culture, economics, health and wellness, law and jurisprudence, morality versus law, politics

9 responses to “a new “healthcare” paradigm suggestion

  1. I have threatened to go to the veterinarian for my own medical care many times. They are better diagnosticians due to the fact that their patients cannot tell them where it hurts. Plus, they wouldn’t attempt to take over the rest of my life just because I had a belly ache.

    I like the answers you rolled out. I would be tempted to add a clause that individuals who have been sucked into this stupid system and fell for the promise of government largess should be able to sue the Federal Government for running a ponzi scheme of such magnitude and then stealing from it.

    • I understand the temptation, flyoverhere, but every American has been sucked in — It’s required — so for everyone to sue the U.S. Government is for everyone –including those who pay no federal income taxes (almost 50%) — to in effect sue those who do pay taxes. Sorta counterproductive?

      • I know, it would be counter productive. It just irks me that Congress gets away with what I would be in jail for. Maybe we just sue Congress critters as individuals, LOL! I know I am dreaming!

      • Try this image, flyoverhere. We set up in front of the Capitol about 100 yards from the bottom of the steps with microphones. Meanwhile we force the Sargeant-at-Arms to evacuate both the House and the Senate down those stairs.

        We briefly announce that what is to follow is expression of our assessment of this current legislative branch and most of their predecessors, though we acknowledge that there are worthy exceptions, albeit few. Then, two 747-like fuel tankers from Tyson AFB here about 10 miles from my home arrive on the scene, loaded with green-tinted water. From two-thousand feet each dumps his load of thousands of gallons of green water as a direct hit on the entirety of the 535 members.

        Within an hour the Youtube of the stunt has 18 million hits.

      • sounds like a PLAN! Since tar and feathers and running them out of town on a rail would probably cause problems…..with the EPA, Chicken Lovers of America and the Sierra Club…..

  2. BrianR

    I mostly agree. I think we differ on the idea of licensing.

    Using your own example, veterinarians are licensed. So are pilots, btw (I know; I am one). The idea is that there’s a standard level of knowledge that must be proved, and the license shows the person passed the test. It really doesn’t interfere with the free market.

    • The licensing of, say, physicians, optometrists, barbers, beauticians, morticians, and on and on is collusion between government (which charges a fee for testing and licensing) and current licensees (who restrict supply, thus permitting the raising of prices) in restraint of trade.

      You may argue for a priori proscription of liberty to fly an airplane — as in, say, shouting “fire” in a crowded theater — using the “necessary and proper clause” test. If, however, you so argue vis-a-vis doctors and lawyers, etc., I think, if the test is administered strictly and properly, you’d lose the argument.

      Think of wanting to offer a taxi for hire in NYC. Something that a minimally-educated young person might do. Oooops, sorry. First, you gotta fork over a quarter-mil for a medallion (license) for the vehicle.

  3. Interesting drpete. I think yanking all these benefits in such a short time however would cause massive chaos. Perhaps a bit longer phasing out of these programs. I agree with the licensing part.
    My doctors are not saying a word about obamacare. If we ask, they don’t answer. Hard to see why unless they are being threatened in some way.

    • I’m thinkin, pepp, that Wisconsin and Greece are early-indicators of “phasing” works. As long as you’ll have chaos and anarchy in the streets and in government buildings with “phasing”, why not just git’r’dun?

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