I determined a lovely post on health care full of wild ideas at market-ticker.Org. You won't consider all of the proposals -- wild even by using my requirements. But it's far full of exciting element on what is incorrect with the microeconomics of health care transport, rather than the same old attention on medical insurance, and who will pay, ignoring the giant dysfunction of the underlying market.
A few preference prices to whet your appetite
All vendors must publish, in their workplaces and on a public web website with none requirement to sign in or in any other case perceive oneself to get entry to it, a full and complete fee list which shall observe to absolutely everyone....
All clients must be billed for actual fees at the identical rate on an immediate basis at the time the product or service is rendered to them. This straight away and completely decouples "coverage" from the availability of care. The modern-day device of an "clarification of blessings" that regularly capabilities a "negotiated cut price" of some 90% is not anything apart from an extortion racket and is arguably felonious... All clinical statistics are the property of, and shall be introduced to, the patron on the time of service in human readable shape (a PDF furnished on common patron pc media which includes a "flash stick" shall comply with this requirement.) Any coding or other symbols on said chart have to include a key to equal in English delivered on the identical time....
All surgical providers of any sort have to submit de-recognized technique counts and account for all headaches and results, up to date no much less often than month-to-month. Consumers have to be able to keep no longer handiest on rate, but also on outcome...
Auxiliary services (e.G. Medical or dental Xrays, lab trying out, and many others) may not be required to be purchased at the factor of use. If you want to shop for your tests from the lab down the street (which additionally need to publish a rate) this is up to you....
Any check or diagnostic that contains no publicity to capsules or radiation, neither is invasive beyond a blood draw, may be purchased with out medical doctor order or prescription...
No government funded program or authorities billed bill might be paid for clinical remedy in which a lifestyle alternate will provide a substantially equivalent or advanced advantage that the consumer refuses to implement. The poster baby for this is Type II diabetes, where cessation of consuming carbohydrates and PUFA oils, except for slight amounts of complete inexperienced greens (including broccoli) will immediately, in almost all sufferers, go back their blood sugar to close to regular or regular tiers. The authorities presently spends about 25% of Medicare and Medicaid bucks on this one situation on my own and clearly all of it's far spent on folks that could make this life-style exchange with that final results but refuse...
Health insurance companies ought to promote actual coverage to sell any fitness-associated policy in any respect. A authentic coverage coverage is defined as one which (1) does no longer cowl any circumstance you have acquired remedy for during the last 24 months...
And so on. For my tastes it suffers from the same old vagueness about the difficulty of all these sentences. Is transparent pricing, for example, a brand new set of regulations? Why do not hospitals already submit fees, not like airways which achieve this voluntarily? Which regulations are preventing hospitals from competing on rate, and maybe we need to remove those in preference to bypass new guidelines? But other than the query whether that is new policies or just a imaginative and prescient of ways things ought to be, it is an thrilling and fresh and absolutely out of the box view.