The landslide Republican victory, the House and the choice can some strong conservative in the Senate as a mandate to reduce government spending and especially ObamaCare lift are interpreted as these questions clearly behind the large turnout were. It is still a very real possibility for the Supreme Court unconstitutional the "individual mandate" to buy private insurance. When this provision is raised, it is difficult to see how the law survived because the mandate is necessary to finance it.
Now a conservative alternative vision for real reform is our health care delivery an excellent time to konstruieren.Da the current problems with the health care system by Government stem, a conservative plan should look to reduce their role.
It goes without saying that the patient protection and affordable care must act since be lifted, as all the laws passed by this administration, it does exactly the opposite of what his name andeutet.Durch massively increase health care bureaucracy at the expense of the actual providers of care, make it more difficult and expensive care access. Early retirement takes many doctors and the great physician shortage is exacerbated.
The law is too large and complex to waste time to save food items. There is a large risk left behind hidden mandates and rules, which harmful werden.Besser be scrap the whole thing.Running Democratic Senators fear for their jobs in 2012 it is possible that the Senate for lifting (Harry Reid notwithstanding) würden.Aber vote not even the most generous view Barack Obama's ideological flexibility has given him signing a waiver is Bill, and a veto override in question for now.
It can be possible to adopt positive measures making ObamaCare irrelevant.Here are some common sense, free market proposals, of which many were proposed and discussed, but ignored by the President and the Congress leadership in leading to the adoption of ObamaCare.
1. Transfer the tax deduction for the health care expenditure by employers to individuals. This the absurdity would purchase health insurance on the "company store," a practice, the limits of individual choice and freedom, nourishes a sense of dependency and the overuse of care promotes policy beenden.Diese an accident which was WW II wage and controls, the "original sin" in health care financing; Away with it would empower consumers to shop for the best plan for their families, reduce premiums.
2. Remove barriers, the interstate sale of Krankenversicherung.Es wide consensus on this statement. It would mandate that drive you to choice and competition between insurers and reducing premiums increase by effectively stopping State.
3. Deregulate and allow greater contributions to health savings accounts. This fabulous tax havens give individuals more control over your health spending, and paired with a cheap insurance to cover the catastrophic disease (i.e. true insurance) are all most people need.Hampered by returning immediately slow down most purchasing decisions for consumers, health care expenditure is and prices.This conservative, free market is already tested and proven way to "The cost curve stoop."
4. Consequences you the recommendations of the bipartisan Breaux Commission giving Medicare beneficiaries a means-tested scholarship, private insurance to kaufen.Diese solution came during the Clinton era, but was also free market place with Bill and Hillary passed. With Medicare it should return moments from bankruptcy a bipartisan consensus to reform these giants.
5. Transfer (gradually) all Medicaid responsibility in the Staaten.Federal allows support for Medicaid much bigger issues than usual occur.It forces economical States lavish coverage in New York, California, and elsewhere to subventionieren.Staaten your Medicaid systems along their own priorities in Exchange should complete freedom for lose maybe five years have organized federal subsidy. This would encourage countries, innovative ways of providing of health insurance for the poor, such as individual health accounts or subsidies, buy private insurance.
The latter the mammoth would two points to Center for Medicare and Medicaid Services, be mothballed, allow although Medicare expensive, chronic diseases could keep a role as an insurer of last resort for those with already existing.
6. Institute a "Loser Pays" system for medical malpractice to cut frivolous litigation.The ability to start a court action (and this applies in addition medical malpractice) with minimal financial risk is the reason for the explosion of misconduct litigation with all the associated costs.Reform at the federal level would require tort trial veto, to override lawyers that could be a problem.This reform should be pushed at the State level.
7. Finally, for true patient protection, let us guarantee a constitutional amendment to the individual the right to contract private medical Versorgung.Dies will eliminate time for all the threat to the private practice of medicine and assure that no matter what system is set up, patients always be allowed their own money for maintenance.
The above points are clear, simple and practical solutions. you authorize each and significantly reduce malicious government influence and the taxpayer to entlasten.Es is the conservative way forward on health care.
Richard Amerling, MD is a nephrologist City.Er practice in New York is an associate professor of clinical medicine at the Albert Einstein College of medicine in New York and Director dialysis at Beth Israel medical patient Center.Dr.Amerling studied medicine at the Catholic University of Louvain in Belgium, graduating cum laude in 1981.Er graduated from a medical residency in wrote New York Hospital Queens and nephrology fellow at the Hospital of the University of Pennsylvania.Er and taught extensively on health care issues and is a Director of the Association of American physicians and Surgeons.Dr.Amerling Declaration of independence (http://www.aapsonline.org/medicare/doi.htm) is the author of the doctors.
It's hard top believe that Medicaid take responsibility best practice in various health programs search wird.Seine before you reach this position.
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