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Tuesday, August 1, 2017

A SIMPLE SOLUTION FOR UNIVERSAL HEALTH CARE

The U.S. Senate and White House couldn't repeal Obamacare.  Is the effort dead?  Hardly.  They will try again and again, but will fail to do much, for Republicans are just trying to eliminate the term Obamacare  without getting to the root of the problem.  No matter what they do,  they will never be able to cover more people at lower cost if they avoid the source of the ultimate dilemma.

On 17March2017 I posted:


Essentially, I said:

The bottom line is that within a decade we will have a plan not too dissimilar to the Canadian version, largely enacted a third of a century ago.  Everyone will be covered, except the American program will have two tiers:  for the "poor" people (quality will be low and it will be difficult  and certainly take a long time to see a doctor), and an upscale system (the more you can pay, the faster you will be seen) for those who can afford it.

What is the "root of the problem?"  The high cost of medical care in the USA.  We are a relatively affluent nation where free enterprise is the economic system, and maximum profit is the goal.  The medically-related professions now expect to gain exorbitant profits at the expense of the public.

Again to quote from that posting:  Cost?

Dark red is very high (% of GDP/year/capita).  In fact, our $8,608/year/capita is second only to Switzerland at $9,121.  The bottom line is that Americans pay more for poor medical service.  So is Congressional meddling in this field warranted?  Absolutely.  But politics have a way of producing an imperfect product that begs to be continually improved.

Doctors make more money than any other profession.  A Bureau of Labor Statistics report shows that nine of the top ten occupations are different types of physicians.  #10?  Chief executives.  Dentists rank next, then managers...finally, petroleum engineers at #18.  Teachers?  Don't ask.

So the medical field is littered with highly paid people, for you need to add insurance executives and the full range of individuals and organizations, including pharmaceuticals, feeding at this trough.  If we don't do something about this group of people, we will never solve the problem.

Of course, this is the USA, so we never will, returning to this simple solution for universal health coverage:

The bottom line is that within a decade we will have a plan not too dissimilar to the Canadian version, largely enacted a third of a century ago.  Everyone will be covered, except the American program will have two tiers:  for the "poor" people (quality will be low and it will be difficult  and certainly take a long time to see a doctor), and an upscale system (the more you can pay, the faster you will be seen) for those who can afford it.

Don't waste your time getting frustrated over Congress and the White House making fools of themselves trying to provide universal healthcare.  Sure, 20 million were able to sign on through the Affordable Care Act.  However, 27 million remain without health insurance.  It will take a couple more Presidents, but I still think that within a decade everyone will gain coverage, with two, and probably more, tiers.  If you're poor, you will get the worst doctors after a long wait.  But how different is this from where you live?  The rich are in penthouses and mansions, the less able in slums and streets.  This is the American way of life.  We don't want socialism nor communism.


The Dow Jones Industrial Average flirted with 22,000 and closed up 73 at 21,964, again breaking its all-time high.  Corporate earnings have been uniformly terrific, exceeding expectations.  The market was worried about the Trump effect, and it turned out that while he is getting dumped on, the economy has mystifyingly continued to improve. 

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Typhoon Noru keeps fooling the experts.  Now at 105 MPH, he will strengthen to Category 3 strength and probably ease south of Kyushu towards South Korea:


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