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[–]jgardnerReagan Conservative 0ポイント1ポイント  (0子コメント)

Short list:

  • End government licensing. If you want to demonstrate that you have the ability to perform medicine, go get licensed by a reputable third party. (See: UA). Hiding behind a state license and the good name of the government is criminal. You're stealing something that is not yours --- reputation.
  • End the FDA. If you want to ensure a medical practice or medicine is safe, use a third party. Again, hiding behind the reputation of the government is criminal.
  • End arbitrary restrictions on who is allowed to open medical schools where. Let supply and demand meet. Third parties can certify schools if they want.
  • End restrictions and zoning regulations on where medical facilities can be opened. Most of our cities have far outgrown the hospitals they have, but thanks to past laws they cannot open more.
  • End laws forcing hospitals to provide emergency care. This is bankrupting hospitals and provides perverse incentives. If you need help and don't have money, you can only beg for help. (There will be people to provide it, of course, because Americans are nice people.) You should have set aside some of your income and money for when you would be sick. It's not my responsibility to take care of people who don't take care of themselves.
  • Rewrite tort law so that doctors stand trial in front of a jury of their peers --- other doctors. Limit payouts to something reasonable. It makes no sense to award anyone more than a million dollars for bodily or emotional harm. I don't care what the legal fees are.
  • Eliminate all regulations surrounding health insurance, especially tax breaks for businesses that offer health insurance. (Replace it with a comparable across-the-board tax break.) If you want health insurance, go to the marketplace with everyone else. If everyone, including the elderly, the poor, the soldiers, the workers and the rich, all participate in the same market, costs will go down as volume goes up.
  • Allow the import of health insurance from out of state and out of country. If you want health insurance from the Bahamas, you can have it.
  • End funding of the VA and medicare / medicaid. Instead, write a lump-sum check to veterans and the elderly. If they want to spend it on medical care, they can. If not, then let them make their own decisions. We simply cannot continue with these unfunded mandates. It will bankrupt us. For veterans, it can be as simple as if you are found to have a disease or something related to your service, then you get cut a one-time check as compensation. Lose a leg in the service, get $500k. No long-term medical care, just the money.

The idea is basically this: When it comes to medical care, there is only you. If you want to spend your money on top doctors and treatment, you should be free to do so. If you'd rather spend your money on fast cars and booze and drugs, don't expect those of us who are saving for a rainy day to bail you out. If you end up wrapped around a tree, and it turns out the hospital has no hope of getting compensated for fixing you up, then you're going to die. All those bad choices about how you spent your time and money caught up to you, and it cost you your life. So take some time to get some health insurance so that when you do end up wrapped around a tree, there will be a team of doctors and nurses, staffed and supplied, ready to assist you. If that means you have to get a little more educated and work a few extra hours, or pour some more sweat, blood and tears into making money, then do it. Because there are a lot of people pouring sweat, blood and tears into developing cures and training themselves to be there when you need them most. Why should you get a free ride?

But don't worry: Once we get government out of the equation, health care and health insurance prices will drop like a rock.