Archive for December, 2009

Avram Miller’s plan to save America and maybe the world

December 28, 2009

I have been pretty negative for some time about our government.  I think congress is disgusting and self serving.  I think the Obama administration is a great disappointment.  We need leadership.  So here I am with my own program to save America.

Health Care

  • We need to focus on prevention and early detection of disease. This means increase research, education about changing life styles and appropriate medical testing.
  • The amount of money spent in the last year of life needs to be decreased. A great deal of this money is wasted on taking care of patients that hardly know they are alive. The money could be better spent on prevention and early detection so that the last year of life would happen several years later (longer life expectancy).
  • Must phase into a single payer system. The best way to accomplish this is to decrease the age of medicare by two years each year.  In ten years the age will be 45.  At that point every one should be eligible. Only a single payer system can balance the long term with the short term.  Insurance companies have no incentive since they  do not know how long they will have a particular member.
  • Move from an employer based system.  One of the benefit of an employer based system is that it creates a large group of people with different medical conditions, ages and sex.  This can be accomplished in other ways.  The employer based system creates an economic disadvantage to companies since the cost of these plans are high and many non American companies do not have to  carry this burden.  These programs tend to isolate consumers from the real cost. The tax deductions companies get without the consumers taxed on the benefits means that the government is paying a significant amount of the medical insurance cost  without being able to influence how this money is spent. The government should provide a tax credit for medical costs and a deduction on medical cost above the value of the tax credit which can be capped.
  • Reform the legal system and change the laws on mal-practice suits. Remove the anti-monopoly exception for insurance companies
  • Improve the IT in health care.  Standards for consumer health data bases should be established which provide for inter-operability and sharing of data bases.  All medical institutions should be required to use approved health care software
  • Consumer Pricing Information. Methods should be developed so that consumers can get access to both pricing and performance of organizations such as testing facilities (like MRI’s).  Transparency is required.

Energy

  • We need a tax on energy especially gasoline.  We should set a floor and then increase the floor in determined and known way.  The money resulting from this tax can be given back to tax payers as a credit.  They can decide to use it for energy or something else.
  • We need a mass works program to develop alternative energy sources.
  • We need to create mass transport and provide incentives for  people to use this transport.
  • All other methods of conservation should be encouraged.

War on Terrorism

  • Reduce direct spending and take money saved and use it to create economic development in key countries like Palestine.
  • Understand that the US wars in Islamic countries only help recruit terrorists.
  • Work with Muslim  leaders to help turn the tide of thinking.

Employment

  • Establish two years of national service after high school for all Americans.  These years can be used in a number of ways from support of public programs, to peace corp. or even armed service.  This will take the 18 and 19 year old’s out of the work force.  It will give them valuable skills.
  • Establish optional two years of national service for adults between the age of 60 and 70.

The Insurance Industry Protection Act

December 24, 2009

The Senate passed the Insurance Industry Protection Act.  Glad to know that  our insurance industry will be healthy.  Now can we start to deal with how to make Americans healthy?  And hopefully that can be done without effecting the health of the insurance companies otherwise, it will not happen.  After  all when the press counts the dead and maimed bodies resulting from the lack of insurance they do not count the number of died or maimed  resulting from poor disease prevention, bad diet, lack of exercise etc.- such things have no corporate sponsors (well maybe Nike, I don’t know). Of course, congress  just proved that you can be sick and still function if your primary job is your own personal survival.

Americans  are very confused. Our problem is not really the insurance companies other than their ability to pay off politicians.  Our problem is that health care in the USA is way too expensive and is not effective in preventing disease.  The employer basis system of group insurance isolates employees from the true cost.   Not taxing health care benefits means that the USA government is paying a large part of the bill for health care but has little influence.   Medical malpractice suits causes doctors to order tests that are not required.  So much money is wasted on the last year of life.  If that money had been spend on medical research and prevention that last year could happen many years in the future.

The way our government has handled the health care issue is a demonstration of how ineffective and corrupt our government has become. It is very sad to say the least.

We need a single payer system because only that way there will be a true economic interest in dealing with the real problems of health care.  Insurance companies have no long term interest in our health.


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