I don't think you'll be able to rewind time here. This industry has been carving itself a bigger piece of the economic pie for decades. The hippocratic oath is already in place, and we already have proof that areas with the highest cost of care are often providing less effective care.
All you have to do is repeal or modify the tax code for Non-profit Insurers and Hospitals. Their tax rate can be reduced based upon charity spending each year. So for example if 10% of their spending is charity (that's covering the cost of a patient who couldn't pay) then they'd see an overall reduction of their tax rate. The higher % of charity spending, the higher reduction which can be applied to all products they sell.
Your wish that we could blindly rely on doctors to do the right thing is ridiculous. That was all before the admins were making $6,000,000+/year. Those people won't take a paycut lightly.
Wait, what? I don't understand this thinking. You want EVERYBODY to kowtow to other Doctors (Scientists) on other issues.. but a medical Doctor needs to have oversight over how he or she treats it's patient. So death panels?
We RATION healthcare also. And the way we RATION healthcare is that we provide less healthcare and worse healthcare than other developed nations at even greater cost.
All healthcare is rationed in some form.. that is true. But we actually provide the most healthcare in the world and we have better outcomes then the rest of the world in Cancers, Heart Disease.
The major problem when comparing US vs the rest of developed nations is lifestyle, behavior, and diversity. 1/3rd of US people population is obese. If you look at other developed nation it's 10% or less. So that's a major difference. Another is Smoking. US has the largest % of the people that over a 50 year period that smoked which plays a role as well. With Obesity and Tobacco use in the US, we have far higher worse outcomes because of those two things no matter how well it's treated outcomes will never be favorable. But that's a patient issues, not a care issue.
Yet despite that on the care side,
We have the top 2 or 3 success rates at treating all major cancers.
We are also the best when it comes to heart disease (when accounting for 35% of Heart Attacks in the US in smokers are fatal).
And yes, no country has ever bene a pure democracy, no country has ever been purely capitalist. What's the point of that meaningless distiction here? Are you incapable of appreciating the difference between when a government provides basic access to healthcare and when they let the wealthy **** their poor with healthcare?
So there has never been a single payer system, yet you are calling for it. That's my point. I am all for basic access in things like yearly check ups, vaccines, and coverage for children (and even college student), and mothers.
The 60% of "non-profit" hospitals are a big part of the problem. They just keep reinvesting additional revenue into administrator salaries until the "profit" is zero.
Non-profit hospitals can't survive if it just kept money into admin salaries. Non-profit hospitals save huge amounts money for expansion and increasing capacity. Salaries for admins is based on gross revenue.
Um, no, it's not about competition, that would require that those higher salaries are associated with better outcomes, which they are not.
It is about competition. There are 4 major Hospital systems in Columbus, Ohio. Ohio State, Nationwide Children's, Ohio Health, and Mount Carmel, they all compete with each other in someway. Only one that doesn't have competition is Nationwide Children's but its 10th best Children's Hospital in the US (according to the US News and is 6th in NIH funding).
You keep assuming that spending more money means a better product. In healthcare, in this country, that relationship is inverted.
The money being spent in expanding hospitals is for better research facilities, more hospital beds (which the US has a shortage of), new methods of treatment, new equipment that have come along in medical research and specific locations for medical treatments such as behavioral, heart and so on.
Exactly, the next highest is significantly lower.
US is 25%. Xonsidering what Admin and staff are required to do in the US compared to other countries.. Those costs should be going down as US hospitals, doctors and insurance companies upgrade their billing systems.
