How to Fix Healthcare

bestFirst understand that there has been no free market health care system in the United States in over a century.

Free market healthcare ended  when doctors were first required to be licensed. That did not completely eliminate free market influences. Restricting entry into a field doesn’t destroy all competition. It does artificially elevate the incomes of those who are required to be licensed. For decades government also served as a sales force for the healthcare industry.  Government began paying the bills of certain citizens and eventually all of the healthcare bills of citizens over 65.  By 2000 health insurance companies learned how to extract money out of the system by calling payment management systems health insurance. Eventually having health insurance became synonymous with healthcare. With laws like Obamacare, insurance companies had figured out how to  to use government to extract a part of every dollar spent on healthcare. That has not worked to their satisfaction.

There is no doubt in my mind that returning to a free market system would be the best option the country could take. That won’t happen. Americans don’t trust free markets so it is politically impossible.

Here is a plan that will work. Certainly it is not my idea. It is so simple that certainly someone somewhere has thought this through.

First allow registered nurses to practice medicine. They already do but a doctor who never sees the patient has to sign the prescription. The doctor is dead weight and really gets paid to do nothing. If necessary, registered nurses could team up with pharmacists.

Citizens are going to insist that poor people don’t have to pay. There is not a society in the world that will let people die in the street because they can’t afford a doctor.

Issue everyone in the country a plastic health insurance card. It will work like a credit card.  The card is good for any healthcare expense including drugs. Doctors, hospitals, pharmacists  and others accept the card and are guaranteed payment by the government. Everyone who has a card gets a bill. Payment is on a sliding scale where some with no income pay zero. The very rich above a certain income level pay the entire bill.

Doctors will not know the income status of cardholders and since most pay something, there will always an element of price competition.

There is no way to provide free healthcare. One thing I am sure of, is that it would be hard for anyone to pay more for healthcare in a year than what insurance premiums plus drugs and copays cost now.

Having government pay for healthcare is not complicated. The more simple and direct the system is, the less it costs taxpayers. The system I describe is far more effective than any single payer system that is being offered.

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About Fantasy Free Economics

James Quillian independent scholar,free market economist,and teacher of natural law. Who is James Quillian? Certainly I am nobody special, Just a tireless academic and deep thinker. Besides that, I have broken the code with respect to economics and political science. Credentials? Nothing you would be impressed with. I am not a household name. It is hard to become famous writing that virtually no one in the country is genuinely not in touch with reality. But, if I did not do that, there would be no point in my broking the broken the code. If you read the blog, it is easy to see that there are just a few charts, no math and no quantitative analysis. That is not by accident. Given what I know, those items are completely useless. I do turn out to be highly adept at applying natural law. Natural law has predominance over any principles the social science comes up. By virtue of understanding natural law, I can debunk, in just a few sentences , any theory that calls for intervention by a government. My taking the time to understand the ins and outs of Keynes General Theory is about like expecting a chemistry student to completely grasp all that the alchemists of the middle ages thought they understood in efforts to turn base metals into goal. Keynesian theory clearly calls for complete objectivity. Government can only make political decisions. Keynesian techniques call for economic decisions. So, why go any further with that? Fantasy Free Economics is in a sense a lot like technical analysis. Technical analysis began with the premise that it was impossible to gain enough information studying fundamentals to gain a trading advantage. Study the behavior of investors instead. Unlike technical analysis, I don't use technical charts. What I understand are the incentives of different people and entities active in the economics arena. For example, there is no such thing as an incentive to serve with life in the aggregate. In the aggregate, only self interest applies. It is routinely assumed otherwise. That is highly unappealing. But, I am sorry. That is the way it is. I can accept that because I am genuinely in touch with reality. Step one in using Fantasy Free Economics is for me to understand just how little I really know. A highly credentialed economist may know 100 times what I do based on the standard dogma. Compare the knowledge each of us has compared to all there is to know and we both look like we know nothing at all. There is always more than we don't know than what we do know. I am humble enough to present myself on that basis. Why? That is the way it is. I am not bad at math. I have taught math. What I understand is when to use it and when to rely on something else. Math is useless in natural law so I don't use it. While others look at numbers, I am busy understanding the forces in nature that makes their numbers what they are. That gives me a clear advantage.
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