Here's the rules of the game: How the world works today is irrelevant. How other countries have done it in the past is also irrelevant. If you wish to copy what some other country has done, you can't just say "I'd do it like the UK". You have to actually explain how that system works.
Be prepared to be challenged. Expect to be asked Why you think it would work, Why you think a particular policy element is important or not, and What other consequences there may be to your grand plan.
Other than that, have fun! The intent of this thread is not to argue ourselves blue in the face with insults and offence... but to compare ideas and consider novel approaches. At the end of the day, if we each incorporate something new into how we think about a complex system, then we're one baby step further down to the road to something worthwhile.
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If I were the queen of the world...
All doctors, nurses, and medical workers would be government employees. Perhaps at the state or county level, maybe city - much akin to police and firefighters. They would be paid on a salaried basis, rather than a fee-for-service. In this fashion, an efficient distribution of caregivers could be maintained - the right number of advanced imaging for the populace, so that the machines run at near full capacity, rather than at 1/4 capacity as many do now. An efficient ratio of generalists to specialists for the area could be achieved. Hospitals, labs, and clinics would be built based on the distribution of the population and the incidence rates of illness and accident.
Medical supplies and pharmaceuticals would be negotiated for in aggregate, as opposed to each carrier or provider trying to negotiate for small batches. Distribution would be centralized.
I would want an oversight committee for distribution of supplies, drugs, and medical providers, as well as salaries. The committee would be composed predominantly of doctors with significant experience in the field, but for balance should also include representatives from the government and from the general populace, since the decisions would affect cost - which would mean it impacts taxes. The citizens and representatives should act as trustees for the peoples' monies, to ensure that it is spent wisely and is not wasted.
I would like a second committee created specifically to design and maintain standards of practice. This group would be composed of doctors from several specialties, researchers, and academics. They would be responsible for keeping abreast of research and trials, and would ensure that all of the practitioners were making the best outcomes-based decisions with respect to treatment methodology and efficacy. The group would also define quality metrics by which the providers of care would be measured.
Medical care would be provided as a service to citizenry, in the same fashion that police, firefighters, and judicial proceedings are provided - based on need. It would be tax-supported.
The current health insurance industry would not provide access to care, nor would it handle direct billing of medical claims (as there would be none). Instead, it would provide indemnity benefits for specifies services, intended to cover the non-medical costs of illness - missed work, special foods, transportation, etc.
Be prepared to be challenged. Expect to be asked Why you think it would work, Why you think a particular policy element is important or not, and What other consequences there may be to your grand plan.
Other than that, have fun! The intent of this thread is not to argue ourselves blue in the face with insults and offence... but to compare ideas and consider novel approaches. At the end of the day, if we each incorporate something new into how we think about a complex system, then we're one baby step further down to the road to something worthwhile.
++++++++++++++++++++++++++++++++++++++++++++++++++ ++++++++
If I were the queen of the world...
All doctors, nurses, and medical workers would be government employees. Perhaps at the state or county level, maybe city - much akin to police and firefighters. They would be paid on a salaried basis, rather than a fee-for-service. In this fashion, an efficient distribution of caregivers could be maintained - the right number of advanced imaging for the populace, so that the machines run at near full capacity, rather than at 1/4 capacity as many do now. An efficient ratio of generalists to specialists for the area could be achieved. Hospitals, labs, and clinics would be built based on the distribution of the population and the incidence rates of illness and accident.
Medical supplies and pharmaceuticals would be negotiated for in aggregate, as opposed to each carrier or provider trying to negotiate for small batches. Distribution would be centralized.
I would want an oversight committee for distribution of supplies, drugs, and medical providers, as well as salaries. The committee would be composed predominantly of doctors with significant experience in the field, but for balance should also include representatives from the government and from the general populace, since the decisions would affect cost - which would mean it impacts taxes. The citizens and representatives should act as trustees for the peoples' monies, to ensure that it is spent wisely and is not wasted.
I would like a second committee created specifically to design and maintain standards of practice. This group would be composed of doctors from several specialties, researchers, and academics. They would be responsible for keeping abreast of research and trials, and would ensure that all of the practitioners were making the best outcomes-based decisions with respect to treatment methodology and efficacy. The group would also define quality metrics by which the providers of care would be measured.
Medical care would be provided as a service to citizenry, in the same fashion that police, firefighters, and judicial proceedings are provided - based on need. It would be tax-supported.
The current health insurance industry would not provide access to care, nor would it handle direct billing of medical claims (as there would be none). Instead, it would provide indemnity benefits for specifies services, intended to cover the non-medical costs of illness - missed work, special foods, transportation, etc.
via JREF Forum http://forums.randi.org/showthread.php?t=267087&goto=newpost
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