I INVITE COMMENT AS THIS IS A PRELIMINARY EARLY DRAFT OF SOME OF MY CONCERNS:
Suggestions for Basic Aspects of New Health Care Plan for United States
by Linda Lorincz Shelton, Ph.D., M.D.
Part A – Place steeply progressive tax on all marketing of pharmaceuticals and high technology medical equipment.
Part B1 – Remove connection between employer and health care. Your health care should not be tied to your job. Tax companies 2/3 what they are paying for health care now and give half this money to the employee to use for whatever private plan they choose, with a little subsidy from government. Use the rest of the money to fund a public health care system and subsidies to families for private health care if needed.
Part B2-Place no tax on small businesses that now does not pay for health care employees for 3 years. Then gradually add in an appropriate size small tax amount.
Part C-Mandate that all persons in U.S. pay tax for public health care plan if they don’t buy their own private plan. It should be a steeply progressive tax where those below the poverty level pay nothing.
Part D-Put steeply progressive tax on all private health care plan, pharmaceutical company & high technology supply company executive salaries.
Part E-Place all physicians on salary like firemen and policemen or soldiers who provide service to society. This is already tested and known to increase quality of care and decrease cost: http://www.nytimes.com/2009/07/25/health/policy/25doctors.html?src=twt&twt=nytimes
Part F-Develop community rather than employer based private health care plans. Allow purchase of plans from other localities at a slightly greater cost than local community plan options.
Part G – Run the system as much like the VA system as possible but with careful view to efficiency, transparency, and convenience to patients.
Part H – Call patients “patients” and not “customers. We aren’t selling widgets.
Part I – Standardize all insurance forms and documentation in an electronic format as much as possible.
The following is an interesting analysis and thoughtful, referenced review of possible changes to the health care system by a young political science major in college: http://spacks.wordpress.com/2009/02/15/healthcare-america/
Mr. Spatholt’s new and revised article: http://spacks.wordpress.com/2009/07/23/socialized-medicine-in-the-united-states-real-and-precieved-obstacles-to-implementation/#more-94
Senator Kennedy’s comments on health care reform: http://www.newsweek.com/id/207406/page/1