what would you all agree with?
How about I start with Pharma Reform.
- I absolutely love Trumps idea about opening up the negotiating process between medicare/medicaid and the drug companies when it determines how much they will pay. Right now, Pharma is like the govt contracter who simply names the price. if Pharma (which is international) says "no", then opening up regulations allowing new companies to come in and offer a quality product at a cheaper price.
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Equal tax treatment for employer provided and individual health insurance
Empower individual groups to pool together and negotiate insurance rates
Greatly reduce useless paperwork burdens for physicians
Increase the supply of doctors and nurse practitioners
Eliminate taxes on medical devices
Also not a bad idea to try to allow insurance companies to operate across state lines, as the GOP suggests.
But also they should
1) raise the penalties for not registering
2) force companies to take part in the exchanges
3) close the loophole that allows governors to opt out
Those changes, with the big pharma changes you suggest, would go a long way toward fixing things.
That's morally indefensible.
Eliminate the requirement for Electronic Medical Records in offices.
The EMR companies charge more egregiously than Big Pharma. And the IT overhead costs go up and up not even counting the skyrocketing price for internet security in a system designed to share to begin with.
Govt penalties for not implementing EMR has driven small Dr's out of business and into the folds of the large hospital systems. These systems cannot deliver cheap care. In fact the incentivise behavior that results in more hospital profits. Where these same doctors were incentivised previously to perform a less invasive in office procedure, they are now granted far more "RVU's" for doing a big surgery in the hospital.
Bigger yet y far is the gross waste and glut of middle men and bureacracy in these hospital systems that rivals the government and costs incredible amounts.
I could name more - but just trust me, the care that was given in those smaller private offices was just as good, and far,far cheaper.
If these regs were eliminated, doctors would be able to open practices again - EMR regs were the biggest reason private medicine has almost disappeared.
It would re-introduce competition into the market with the hospital systems. It would also force the EMR companies to offer a lower price (i don't want to be the only doctor using paper charts, but I do want an EMR that is at least reasonably affordable,
Also, the EMR's are presently designed for billing capture first which makes them ridiculous for documenting a health exam and slows productivity so much that it creates the relative need fro more providers to provide the same care .
World of Warcraft can offer a server for 15 bucks a month that is infinitely more complex than the junk that they offer for $60,000 per doctor to start and then $30,000/year in maintenance.
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Seems like we are drawing up a bipartisan healthcare solution here on UHND.
up on their specific interests (except the EMR people and the hospital administrators).
IT is by far the single biggest cost of every hospital system in the country right now.
It;s nice, but it's not necessary, and we can't afford it until they bring the price down.
Two things - Pharma reform and EMR mandate/regulation reduction - that is all that it would take.
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