Been thinking about how to create an healthcare system with minimal bureaucracy that would help everyone involved at least a little bit. Whether that would be necessarily better than other systems isn’t the point this is a thought experiment:-)
Give everyone a medical credit card loaded with a grand each year that rolls over and gains interest. Require catastrophic healthcare to be purchased. Eliminate employer based healthcare and make sure that individuals have the same right to use pretax dollars to pay for insurance. Basically treat it like car insurance. The thousand dollars would allow working poor and lower middle class folks a chance at preventative medicine and if they are sick they can actually go to the doctor and get medicine. Often people don’t go because the deductible is too high even when they have insurance. By giving everyone the same thing you get rid of the bureaucracy and red tape (sometimes it costs more to decide who to help then it does to help which is a major problem for charities which often provide less than ten percent of the donations to the target of the aid) and free people from the trap of not being able to quit their job because of healthcare and pure existing conditions. It also frees employers by letting them provide compensation in another way.
For certain life events you could have a fund for things like childbirth and continued support for the disabled or end of life care to provide some help to the poor.
A major issue now is that medical providers have to hire experts to make sure that every t is crossed and every I is dotted making some unwilling to provide service to those on assistance. This costs money and more importantly time. People with critical skills could be out helping people instead of doing paperwork while people wait two weeks to get an appointment. Instant payment from the medical card and no bureaucracy beyond minimal quality of service requirements means business runs smoother and powers operational costs for the business which can often mean lowered costs to the customer.
By gutting medicare for all but the most needy the huge crony capitalism of big pharma goes out the window with the tens of billions of wasted taxpayer money since the government can’t negotiate drug prices.
A low income government insurance could be provided that would operate at a loss but would help with drug prices for the elderly like medicare but without the paperwork and complexity. If health insurance was as easy as car insurance and cleanly explained what was covered and how much with forums discussing any points of contention or confusion the insurance companies would save money on labor and with people spending a little bit on preventative medicine then less sick people and more early intervention which saves lives and fortunes.
Also things like glasses would find their prices plummet. You can buy online at ten percent the cost at a store because young poor people buy online while those with insurance by retail and since part or all the cost is paid by the insurance company they don’t care that the glasses cost the insurance company 500 for sixty dollar glasses.
What do you think?