patches70 wrote:Phatscotty wrote:For the buildings we would have to start from scratch, but I am pretty certain the government can turn over some of their buildings or open up some places in foreclosure or take advantage of distressed properties.
I haven't read any other replies, so forgive me if this has been mentioned already.
Starting from scratch would not be necessary. Since your system is deemed for public use, immanent domain can be invoked to acquire property and such.Phatscotty wrote:Okay, so here it goes. Overall, the general idea is a public healthcare system, totally free for anybody who needs it. Public hospitals and doctors offices which are run by students, trainees, interns, volunteers, as well as professionals who are more interested in helping than making money.
There are already teaching hospitals. Lots of them. In Richmond is one and is about one of the best hospitals in the nations for juvenile diabetes care.
Phatscotty wrote:Now, as for who is going to staff these facilities. Many of you know I am favor of closing ALL loopholes in the tax system as it exists today. However, the reality that this is highly unlikely to happen must take precedent and it's important to realize that we have to work with the tax system we have, not the tax system we want. The point about the loopholes is that doctors and nurses and specialists would be incentivized to volunteer by earning a write offs or credits or any number of different things that could be considered a benefit. Students would need serve a certain amount of time in an array of different ways as part of their graduation program. Trainee's and interns would serve time as well.
The government controls virtually the entire student loan business now. Students could work in such facilities and be compensated against the money owed on their loans.
The biggest problem is becoming overwhelmed. There is just not enough doctors. Let me amend that, there are too many specialists and not enough general practitioners.
The real way to fix healthcare and the costs related, or should I say, the most important first step, is having a sound currency. Without that, everything else is doomed to never meet goals and fall behind as the value of what everything (including healthcare and everything related to it) is priced in keeps falling. That is as the unstable fiat currency keeps losing value it requires more and more of in relatively short order. Once there is a sound currency for which a solid, and stable, foundation can be built on then the rest of what needs to be done becomes much easier. And doable. IMO.
Money, fix the money system, the rest will fall into line.
I know there aren't enough doctors, which is why there will be a wait for non-emergencies. I suggested removing the government, insurance on both sides patient and provider. That really should drop the costs. I don't have any numbers but I think we all know insurance and government underpayments for compensation are big factors in driving up the cost. So is tort law, and that could be handled by patients signing a waiver that they understand they are getting care for free but cannot sue. The sound currency, as you know that is a whole other beast, but.....if this worked and healthcare came under control, that would be a positive (albeit a small one) to the currency since we would not need to borrow/overspend money that we do not have, and healthcare along with medicare/aid is actually a major driver of our debt if not thee biggest driver. Good one though I did not think about the currency.