Democrats’ “Better Deal” Must Include Universal Healthcare
Nick Cassella
102

In the name of saving the planet, I have recycled an earlier comment on healthcare:

“We can’t get EU levels of health care costs unless our medical professionals make their level of pay. For what research I have done, a General Practitioner in the UK makes on average $105K/yr (which is among the highest pay in the EU). Specialists do make more.

Driving US doctor pay is the cost of a medical education. A four-year degree plus medical school costs $200k+, even if we “subsidize” it with tax money the cost is still 200k. Both PA’s and Nurse practitioners can diagnose and prescribe, so why don’t we push for more of them? Less than 50% of the cost of doctors.

Hospitals cost so much because they are the “primary care” doctor for poor. It gets passed on to the rest of us. If they were smart, they would consider “free clinics” staffed with the PA’s/NP mentioned earlier (adjacent to the ER) to provide basic healthcare. If someone had a truly serious illness, the ER would be next door.

And get rid of liability. Mistakes happen. Fix it and be done with it. Again, the US version of liability is missing in the EU. It also adds to costs, as doctors pay an amount equal to their salary (more if OBGYN) in liability insurance. And guess wh0 really pays for it?

So, there we have it. Just a few simple (LOL) ideas to greatly reduce healthcare costs.

The problem with the ACA, or even single payer is that in itself it does nothing to cut real costs. One could argue the taxpayer subsidies of the exchange again subvert the market and keep costs high. For example, those hypothetical savings form the ACA never came. My insurance simply doubled (100% increase) the first year it took effect, as opposed to the standard but excessive 10% annual increase.”

The same principle would apply to education. We need more vocational training (especially for women). We need to leverage online training and pass that saving on to the students. Few classes need live instructors (history, etc). More on line = less classrooms or more admissions (pick one or do both). Would eliminate the EEOC issues entirely if anyone could take a low-cost on line course until they got a degree. Single parents. People with jobs that can’t attend regular classes. As long as the standards remained the same (same exams, for example) then a lot of issues go away.

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