seans health care ideas 


Health Care I have sent into politicians with little notice

If you like the ideas please let your politicians know about them

even if you send them the link for this page 

awareness and fundraising site

aunties hope ropes

my blogs

sean's poems and stories

sean's ideas and commentary

my other idea sites

mass transit ideas

education ideas 

ideas on water desalinization

Social Security ideas

please tell me what you think

Paper 1

 

My commentary and ideas for children’s healthcare reform

 

When it comes to the nation’s healthcare system trying to provide for the poor children of this nation, there has to be some degree of socialization to standardize the care of the children.  The country by nature is capitalistic which causes a disparity between social classes based on the level of income which is growing larger with time.  Like any other part of our society, each social class has its own ideas of what is affordable and treat others like they can which poses a dilemma for the people who cannot live up to a higher social classes ideas of affordability on anything.

 

Health care especially for our nation’s children should not be subject to the social distortions of what is considered affordable and therefore has to be standardized in the care itself.  What we as a society have done is put a price on a person’s overall health based on what type of medical serviced that can be rendered given the money that they can pay out for it whether it be out of pocket or through an insurance company.  Even with going through an insurance company which provided health insurance the insurance company still dictates what services can be rendered based on the health insurance plan you can afford.

 

We need to do a few different things to bring all health care for children up to a minimum standard regardless of whether or not the child’s family can afford the care and have a safety net of some sort for those who cannot afford the medical costs.

 

Here is what I think should be done:

 

  • Create a minimum standard that must be adhered to by all medical personnel regardless of whether or not the patients family can afford the medical treatment or not, letting the doctors have a direct say in the minimum standards.
  • Research what those standards would cost families and the government for when the families cannot afford the costs, then set up the needed measures to pay for the medical costs rather than blindly funding anything that can be misconstrued into something that it is not. 
  • Find ways of getting people to utilize preventative care when ever possible to ease the costs and waits of emergency room visits, which eat up a lot of both government and private insurance money.  Do this even if it means setting up and/or expanding clinics in neighborhoods where the people can go to if it isn’t an emergency situation, where they can have a primary care doctor and possibly a triage unit to determine whether or not they should be seen in an emergency room or by their doctor there.
  • Rather than looking at a person’s or families income as the only deciding factor in affordability for health insurance especially for children we need to look at each region of the country and factor in the cost of living in that specific region to gain a better understanding of what is affordable rather than a blanket set of rules for the country as a whole since each region has its own unique pay scales and costs of living.
  • When determining what is affordable with minimum standards of medical care we have, we would need to look at the price of the healthcare itself, the pay scale of the region and the cost of living for that region to see what is affordable in that area and set the requirements for government assistance accordingly.

 

A family in Louisiana has a far different cost of living than that of a family in New York, and just because the family In New York does make more doesn’t mean that they will be able to afford more than the one in Louisiana this is due to the fact that the costs of living are different in each region.  If you look at the medical costs in each individual region the healthcare costs are reflective of the cost of living for that individual region which in turn will scale up the pay to meet the costs and therefore medical costs should not be subject to the social distortions based on income that are common through out our country. 

 

________________________ 

________________________ 

Paper 2

 

Healthcare and Health Insurance

 

Where there are more and more people finding it impossible to afford Healthcare and Health Insurance due to the costs attributed to both, something has to be done to make it affordable while allowing the healthcare system to do its job along with keeping it viable and profitable enough to keep and attract people in the profession.  The only way that healthcare and health insurance can be affordable and viable is to do certain things to remedy the inability to afford healthcare both real and perceived.  With what appears to be unreasonable healthcare costs and the marked increase of health insurance premiums for fewer services along with larger co-pays and deductibles something has to be done.  We as a society need to make an honest attempt to give the best possible medical treatment to people as possible for the best possible price.

 

Here are some ideas I have for Health Insurance:

 

·         Looking at the amount of people that are receiving free care (when and where available) and/or some sort of Medicaid or Medicare (Masshealth in Massachusetts) find out who would be willing to pay into and be able to afford to pay a minimal cost into the system.  Do this to reduce the out of pocket expenses the federal government and/or the individual state(s) have to pay out in healthcare costs.

·         Looking at the specific medical needs set up group healthcare plans that will encompass enough people with similar medical needs to make it affordable for the uninsured and underinsured. 

·         Where screening and preventative measures are in most cases cheaper for insurance companies that provide healthcare insurance they should show why customers are being forced to pay higher premiums and deductibles while providing fewer services that are geared for screening and preventative measures. 

·         Looking at all of the known illnesses from mild to severe look to see how common each specific line of illness is and see how common each variant in that line of illness is. Then find out the costs of screening and the preventative measures that can be taken versus the costs of treating the illness.  Then determine under what circumstances, which is better for the patients and most cost effective for the industry.

·         When determining the pricing of premiums, base them on getting people to take advantage to preventative measures when it is better for the person and more cost effective for the health insurance provider. 

·         Try to standardize the co-pays and the deductibles; co-pays should be standardized to reflect the service or test used, the deductible should be standardized to reflect the severity, the cost of dealing with the specific illness and how common the illness is.

·         Use the same criteria for the people who have health insurance or are capable of paying the normal health insurance premiums to reduce the cost of their insurance costs also.

 

The actual costs associated with giving proper healthcare needs to be addressed before real savings for the individuals, for companies and for the government can be attained. 

 

Here are some ideas:

 

·         Treat the medical research and medical technology involved like any other form of research and technology in regards to how it comes down in price as research and technology gets better and more widely used.

·         Base the costs of treatment on more than just the cost of buying and maintaining equipment and the cost of having someone operate the equipment.  Base it on the equipment, the technicians pay, how involved the procedure is, how long the procedure is and how many times per day they can perform that procedure.

Every doctor’s office and hospital has to recoup the cost of materials.  The materials that are common to both doctors and hospitals should have a standardized price when buying from the manufacturer and charging patients based on product, actual need and usage.

____________________________________

____________________________________ 

 

Paper 3

Health Care Reform

 

In my opinion there is at times more management than care in managed care.  At least that is the way it looks when you talk to the patients and the doctors.  I understand that there has to be some degree of management in healthcare to make it cost effective.  At the same time there should not be such a degree of management that it compromises the health of the patients and the viability of the doctors office.  The health care system does need help but no one seems to want to take a good hard look at the healthcare system as a whole and then look at what needs to be done to fix the system.

 

Suggestions:

There are many things that factor into the costs associated with medical care ranging from preventative care all the way to major medical services.  Things such as,

·         Pharmaceutical companies should start a research library/clearinghouse so that way they can share information so that way the same exact research isn’t duplicated many times on the same compounds to save both time and money.  At the same  allowing other pharmaceutical companies to do research on the same compounds whether it be in a new direction for the same condition or for a total different condition as long as the proper proprietary are established.

·         Prescription drugs should be stabilized and standardized to prevent people from buying those same prescription drugs that are far cheaper from other countries so that they can afford them.

·         Find ways of getting the uninsured or underinsured to utilize preventative care rather than using the emergency room as their doctors office.  This would include finding out why the uninsured and underinsured prefer the emergency room over having a primary care doctor that could prevent many of the emergency room visits for minor things that a primary care doctor could have dealt with.

·         In areas where it’s gotten noticeably cheaper to provide those services, find ways of getting those service providers to bring down the prices that the patients and the insurance companies pay while making sure the providers are still able to provide the services and make a living.

·         Look at the managed care industry as a whole to see what is right with the healthcare industry.

·         Going Company by company, look at how much of the care they are providing matches up with the findings for the industry as a whole.

·         After finding what is right then tackle what is wrong with the healthcare industry with going to the doctors and patients to get their opinions on how to fix what is wrong with the industry as a whole.  With this I mean ask two very specific questions that will hopefully get very specific answers that are detailed enough to get what’s needed done for the patients and doctors.

·         Going question by question, see how closely the answers from the doctors and the answers from the patients match up.  After that if there is enough answers that are closely related then try to implement new guidelines for the industry based on the findings if possible without hurting the patients, the doctors or the providers of the healthcare industry.

 

Here are the questions I was mentioning. 

·         Is there anything listed in the findings listed as being flawed, inadequate and etc… that has the ability of being changed so that can do what it was meant to do and if so can you elaborate on in what ways?

·         If there is anything that cannot be changed enough to do what it was intended then should it completely taken out and if so can you suggest or help with new rules and guidelines that would be capable of replacing the out going rule or guideline with making sure that the intended job can be done?

_______

_______

Paper 4

 

Healthcare and Health Insurance

 

Where there are more and more people finding it impossible to afford Healthcare and Health Insurance due to the costs attributed to both, something has to be done to make it affordable while allowing the healthcare system to do its job along with keeping it viable and profitable enough to keep and attract people in the profession.  The only way that healthcare and health insurance can be affordable and viable is to do certain things to remedy the inability to afford healthcare both real and perceived.  With what appears to be unreasonable healthcare costs and the marked increase of health insurance premiums for fewer services along with larger co-pays and deductibles something has to be done.  We as a society need to make an honest attempt to give the best possible medical treatment to people as possible for the best possible price.

 

Here are some ideas I have for Health Insurance:

 

·         Looking at the amount of people that are receiving free care (when and where available) and/or some sort of Medicaid or Medicare (Masshealth in Massachusetts) find out who would be willing to pay into and be able to afford to pay a minimal cost into the system.  Do this to reduce the out of pocket expenses the federal government and/or the individual state(s) have to pay out in healthcare costs.

·         Looking at the specific medical needs set up group healthcare plans that will encompass enough people with similar medical needs to make it affordable for the uninsured and underinsured. 

·         Where screening and preventative measures are in most cases cheaper for insurance companies that provide healthcare insurance they should show why customers are being forced to pay higher premiums and deductibles while providing fewer services that are geared for screening and preventative measures. 

·         Looking at all of the known illnesses from mild to severe look to see how common each specific line of illness is and see how common each variant in that line of illness is. Then find out the costs of screening and the preventative measures that can be taken versus the costs of treating the illness.  Then determine under what circumstances, which is better for the patients and most cost effective for the industry.

·         When determining the pricing of premiums, base them on getting people to take advantage to preventative measures when it is better for the person and more cost effective for the health insurance provider. 

·         Try to standardize the co-pays and the deductibles; co-pays should be standardized to reflect the service or test used, the deductible should be standardized to reflect the severity, the cost of dealing with the specific illness and how common the illness is.

·         Use the same criteria for the people who have health insurance or are capable of paying the normal health insurance premiums to reduce the cost of their insurance costs also.

 

The actual costs associated with giving proper healthcare needs to be addressed before real savings for the individuals, for companies and for the government can be attained. 

 

Here are some ideas:

 

·         Treat the medical research and medical technology involved like any other form of research and technology in regards to how it comes down in price as research and technology gets better and more widely used.

·         Base the costs of treatment on more than just the cost of buying and maintaining equipment and the cost of having someone operate the equipment.  Base it on the equipment, the technicians pay, how involved the procedure is, how long the procedure is and how many times per day they can perform that procedure.

·         Every doctor’s office and hospital has to recoup the cost of materials.  The materials that are common to both doctors and hospitals should have a standardized price when buying from the manufacturer and charging patients based on product, actual need and usage.

Paper 5

Health care plan

 

Health care standards and care:

 

  • Standardize basic care and set it as the minimum standard every person receives regardless of their ability to pay, making sure that that the care is geared for the general population and to some degree age, gender, race, and lifestyle.
  • Standardize specialty care at a minimum standardized level for everyone based on age, gender and race regardless of the individual’s ability to pay.
  • Develop ways of getting low - moderate income communities to use the preventative medicine that would normally be covered under what is considered basic care, even if it means expanding on the concept and role of the community based health centers. 
  • In low and moderate income communities set up classes to teach people how to deal with their health better even if it means masking them  as social events that allow the people in attendance to learn about health issues without the fear normally associated with it.
  • Increase the availability of programs like WIC (women, infants, children) and food pharmacies making sure that the income requirements and limitations are based regionally instead of nationally along with increasing the maximum age of the eligibility of children.  Also define programs that work as WIC and the food pharmacies do to be listed as medically necessary and nutritional where nutrition levels can cause various ailments.
  • Set up electronic medical records for everyone that can be accessed by doctors regardless of where they go in the country for medical care so that they can be treated without fear of giving treatment that can further hurt the individual.  When the system is being designed make sure to design it so that it can only be accessed by legitimate doctors even if it means using their medical license number (if there is such a number) as the log in for accessing the medical record.

 

Prescriptions:

 

  • Bring the pharmaceutical companies together in a way that requires them to create a universal research library that would show research done for reference only regardless of copyright or patent for compound or technique while still protecting the rights under the copyright and patent.  Do this to limit duplicate research on the same compounds that is done using normal industry methods and to show the results while using those compounds. 
  • After creating the universal research library if another pharmaceutical company wants to take a specific piece of research in a new direction, permit it to happen with proper permissions, acknowledgements and part of the profits if the research pans out.
  • Understandably the pharmaceutical companies need to recoup the cost of their research and turn a profit, but if the traditional thinking of buying bulk works in the pharmaceutical then the health care insurance companies both public and private need work together with out restrictions on negotiations in buying prescription drugs in large enough quantities that bring down the cost to a level that everyone can afford them or be paid for through the individuals health insurance.

 

Paying for healthcare:

 

  • Base the ability to pay for health care on the defined regional differences in pay rather than the national average which would give the federal poverty line, given the disparity with the cost of living in each section of the country.
  • Require all companies to offer health insurance that goes beyond the established minimum standards for care.  For those companies that cannot afford to offer health insurance or don’t have enough employees to make it affordable to them, set up health insurance policies that would permit multiple companies in a given area to create group policies that would cover a minimum amount of companies much like how a policy would cover the employees of a single company.
  • For those who genuinely cannot afford the company sponsored health coverage even if they are above the poverty line, allow them to join the government sponsored healthcare products like Medicaid and Medicare even if it means giving them a managed care version of the product that would have a nominal cost to the consumer.  The ability to pay should not just be the individual’s income as the deciding factor, there should be other factors included that would be just as important as income as a deciding factor, some factors should be the individuals rent/mortgage and the regionally needed utilities and if these prove that the person cannot afford to pay for their healthcare then they should be allowed to receive free care.
  • Basic care in emergency situations should be free when and where possible regardless of an individuals ability to pay.  Non-emergency related basic care should not require any out of pocket expenses of people who are covered under public or private health coverage and should have a nominal cost for those who don’t have coverage so that they are not saddled with bills that force them to choose between paying their medical costs an paying for necessities.
  • Do not permit any type of tactics that would intentionally inflate the price of medical coverage and prescription drug coverage.  The only exception would be the natural inflation of the cost of living for which the rise in cost of coverage cannot be greater than that of the natural inflation of the cost of living. 
  • It is a proven fact in many industries that as current any new technologies become more widespread and the technologies have proven themselves, the price normally comes down to some degree.  If this fact can be applied to the medical industry then the medical industry should be required to take a periodic look at the cost associated with purchasing and actually running the equipment to see if specific types of care and tests are capable of being done cheaper.  This should include both medical care and prescription drugs.