I try to avoid politics. This post isn’t really about politics, though…it’s about common sense.
Now, I’m not against health care reform–there are, for example, far too many people going to the emergency room because they have the sniffles and don’t have insurance. Setting something up to cut those costs makes sense. What I don’t see is why that has to be fixed by something approaching a single-payer system, when a single-payer (or nearly so) system will make more problems than it solves because that payer will have too much of a say over how to cut costs. I am uninsured, and if I get hit by a truck I’d rather be paying the bill off until I’m 157 if that’s what it takes for all that expensive critical stuff to be waiting for me so that I don’t have to wait for it.
Here’s how to do it. I don’t expect Congress to come up with this or go for it because it’s too easy and requires no added infrastructure, but it would work.
Give doctors and medical clinics a tax deduction for each uninsured low-income person they give a free office to, with no limit so that they can actually work themselves down to zero tax liability for the year. Likewise, when the doctors write a prescription or a list of needed medical supplies (things like dressings for a wound, for example), let pharmacies take a tax deduction for supplying those things.
I’m not saying this would fix everything. However, hospitals will already write off a lot of other things for low income people, and if anything else needs fixed or smoothed out it’ll be obvious after we try this for a while–with more resources left for the complicated stuff since we didn’t waste all that on reinventing the wheel.
I stand by what I say
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