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Proposal to Fix America's Health Care System

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A Proposal to Fix America's Health Care System For years, U.S. health care has bred a culture of inefficiency and ineffectiveness. Ask any American - doctor, patient, or insurer - about the current system, and they'll no doubt run through a long list of complaints. The US ranks 37th in overall performance in a World Health Organization examination of the world's health care systems (7). The doctors and medical technology that go into American medicine are most certainly the best in the world, but the care that is provided to the American consumer is full of incompetence, enough bureaucracy to make anyone's head spin, and so many mistakes that medical error is the third-leading cause of death in the US, behind heart disease and cancer. (2) Comprehensive national health care reform is coming. The only questions are "When?" and "What will it look like?" There will be many reform proposals put forward during this process. The key to a true, victorious reformation will be the combination of the best attributes of each proposal and the successful implementation of the resulting plan. This proposal suggests a one-payer system that promotes wellness and prevention. ...read more.


To be affordable, contributions toward health insurance premiums should permit individuals and families to pay for the other basic necessities of life, such as rent and food, and to pay any deductibles or co-payments required when using health services. Bankruptcy due to health care will become a thing of the past under his proposal. Both employers and employees will have a tax liability. Health care coverage is already heavily subsidized by federal, state, and local taxes. (4) Under the single-payer plan, employers would pay a small payroll tax, but this tax would be in lieu of the health care premiums that most employers pay now. Nearly every employer that currently offers health insurance would actually save money. Small businesses would no longer be at a disadvantage in providing adequate health coverage for their employees and would be better able to compete for the best candidates. Technology can help doctors and hospitals invent new ways to care for patients that are safer, more effective, and cheaper. This proposal provides for an integrated Health Information Technology system that can improve quality of care and help to control costs. ...read more.


This proposal will also expand coverage for many people that are already insured by removing high deductibles to encourage early intervention. It will provide services that may often be excluded, such as mental health or substance abuse and provide comprehensive access to wellness programs, including health promotion, prevention and protection. By providing governance access to the whole system, the consumer and the provider will be empowered to have more of a voice in their care. The U.S. health care system is the subject of much polarizing debate. At one extreme are those who argue that Americans have the "best health care system in the world", pointing to the freely available medical technology and state-of-the-art facilities that have become so highly symbolic of the system. At the other extreme are those who berate the American system as being fragmented and inefficient, pointing to the fact that America spends more on health care than any other country in the world yet still suffers from massive uninsurance, uneven quality, and administrative waste. The goals of this proposal are to achieve universal health coverage, improve access and quality of health care, and contain costs while preserving roles for government, employers, providers and individuals/families. This plan is a simple, fair, accountable, and affordable system to fund necessary health care for all citizens of the United States. ...read more.

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