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Dior I want to paint it |
Sounds like you think the proposed Medicare For All is the best way.Weell—it's not the way that I'd completely re-tool the US health care system if I was king for a day, but it's a step in the right direction. In my opinion, our for-profit system is immoral and everyone who works in it is required to behave unethically.
Sounds socialist.
Yees. It is. Maybe you don't know the term you're throwing around like an idiot. Makes you sound stupid. Are you?
What?
Arre yoou Duumb?
Sounds like you want to pick a fight.
Yuup. I'm pickin' a fight with an idiot who's never had an original thought. Ever. Who bows at the alter of FOX on a daily basis, who probably was grateful to be able to stop reading books after graduation, is proud of that ignorance, and who's willing to defend that ignorance, rather than learn anything, . . . with your fist.
Soo, hit me—I won't hit you back. Instead, I intend to just call the police.
Theey'll come and arrest you for assault, and you'll begin a journey thru the US legal system. All of which can be paid for by our government. A court appointed attorney is paid a flat fee. The judge, jailers, bailiff, all get a government salary; 'course your fines will go to the government—so it's not all paid by taxes.
Umm, you might choose to hire a lawyer who'll charge by the billable-hour. He or she will find any-and-every imaginable reason to up their price, because—by hiring them—you've declared that money is paramount and you don't want a public attorney who chose to work, to help people. If you're found guilty and go to jail—you'll still pay your lawyer anyway. Refuse to pay the tens of thousands of dollars they'll charge and they then will sue you into bankruptcy. One punch. Risk losing your job, getting a felony record and a 550 credit score.
Sounds like you are trying to make a point.
Annd. What's that point I'm tryin' to make?
Sounds to me that you think hospitals can be run like the legal system. But that has never been a thing and would never work.
Ahh bit of honest advice? Me to you? Not pickin' a fight—just sayin'—that, from now on, you should try twisting every statement you're plannin' on makin' into a question. So your last idiotic statement would be changed into: Are you sayin' the US health care system could be run like the legal system? Has that ever been a thing that's worked? Can you hear how my voice raises at the end of the sentences? That upraising tone of voice doesn't make you sound like a fool making factless-statements, it makes you sound like you're interested in learning. Get it?
Ohh, before you say anything, I'll answer those questions. Yes. That's what I'm sayin' and yes, that system currently works in hundreds of countries. It also has worked and currently works on every US active duty military airbase, on every ship, on every post, in every Bureau of Indian Affairs hospital and clinic and in every Veterans Affairs hospital.
But that's just a ...shit... OK. How would you switch over the tens of thousands of hospitals and clinics and pharmaceutical companies and drug stores and insurance companies and ambulance companies and hell — I don't even know how many hundreds of different companies currently make stuff designed to be SOLD for health care. Are you saying all those jobs become government jobs?
Noo. Our legal system buys the products it needs. The government buys uniforms and vehicles and bullets and handcuffs. It buys land and hires construction engineers to build court houses and jails and prisons.
Are you saying the government would buy all the hospitals or build new ones of their own?
Weell — king for a day — I'd pass a law which made it illegal to profit from providing any service in any way related to health care. I'd also make it illegal to profit from the criminal legal system, which would make private prisons illegal and the only lawyers able to work in the criminal courts would be government salaried professionals.
Yea, but you didn't answer my question.
Wiith my new law it would be impossible to profit from providing health care without going to prison, so every doctor running a private practice, every clinic, to every hospital-conglomerate would have three choices: either they become a non-profit organization with set prices and salaries; or they donate their entire operation to the government who would take it over and run it like a VA hospital; or they could turn their hospital into a resort-spa-hotel for non-health care type services, which would not be banned: like elective surgeries, drug rehabilitation, autopsies, and the like.
Abortions?
Aahh. I don't know. Hadn't thought about that. Off the top of my head, all birth control is immediately free because it's health care; but, since most people who terminate a pregnancy are doing so as an elective surgery, I think that'd, mostly, not be covered. So you can add abortions to another service available at the resort-spa-hotel option.
You said — see, I'm asking questions — the hospitals would be able to become non-profit and then they would post prices, but the government hospitals in the same town would be free, right?
Riight.
How would nonprofit hospitals or doctor's offices get any business? Even with posted prices and set salaries they could never compete against free.
Buut, how do non-profit museums or zoos or civil rights organizations or medical clinics survive today? There are tens of thousands of them.
I don't know. Donations?
Yess, memberships and donations are a big part. But, I suspect the most successful ones provide a unique service not available elsewhere. A standard government VA hospital is going to triage, prioritize, schedule, and provide satisfactory health care for all. Key word there was satisfactory. Think DMV. Think police station. Think county jail. Is the picture becoming clearer?
Not a pretty picture.
Noo. I suspect that there are millions of wealthy people who'll be willing to pay an annual membership fee and then pay out of pocket for health care at a non-profit hospital in order to not stand in line and only receive the standard and satisfactory health care available to every person in the country. Just like at Disneyland, money makes it possible to not wait in line.
When you said out-of-pocket I remembered health insurance companies. Are your new laws going to make them illegal?
Absoolutely not. No company would be banned or forced out of business or seized by the government. The only thing that would happen is people or corporations who make any profit from providing any form of service related to health care would be guilty of the felony crime of intentional harm toward the greater populace, punishable by up to ten years in prison and a ten million dollar fine for each individual whom they profit from. I suspect a limited amount of non-profit health insurance companies might be created, probably affiliated with the few non-profit hospitals, but most health insurance companies would decide to re-tool to become life-home-car insurance companies.
And pharmaceutical companies?
Soo, there are already a couple nonprofit drug companies out there, but they only make generic drugs. My new law would make it illegal for any company to profit from creating a patient on a new drug, as well as selling patients they already own. The federal government will set all drug prices, not the pharmaceutical companies, so if they wanted to stay in business, big-pharma would—obviously—have to become completely non-profit. Or, they would have to separate and only work on research and production of non-health care medications. They could still profit from 'elective drugs' like recreational drug production, penis pills, vitamins.
I'm sensing a theme. Your law would mostly change executive pay, bonuses and stocks. Non-profit companies don't have stocks.
Thaat's correct. Not for profit agencies are focused on the best product for people or on people themselves. At the end of a profitable year, nonprofit organizations invest all their profits in structural improvements, logistics, expansion, or saving for a future non-profitable year. Think military—a commander doesn't get a bonus when the soldiers under their command successfully accomplish a mission.
Wheen soldiers get paid bonuses or are promised more money for more efficient killing they are mercenaries. Soldiers for hire. Or, pirates. Any job which is best filled by people with no moral code or who are not required to adhere to ethical behavior, should never be one related to providing constant and consistent health care to the entire population of a country regardless of income. My law would force that to happen. I would call it the Every Community Health Organization and the slogan would be: Every ECHO is your ECHO where you're an ECHO member.
Why?
Eveentually asshats will say it or hear it enough to learn the difference between your and the abbreviated form of you are. Don't ya think? King for a day!
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