Make all hospitals and clinics non-profit
Pay doctors a salary instead of per-procedure
Make malpractice insurance non-profit
Stop drug companies from coming out with"me to drugs" those that are not proven to be an improvement over drugs already on the market.
limit the time drug companies have exclusive rights to manufactor a new medication.
I freak me - you should really research non-profit vs for profit. The difference is at the end of the day, non-profit has to put all earning back into the business, no person or persons can profit. This does not mean people working for it cannot be paid. It just means an investors can't take all the profit. Non-profits can borrow money, and payback loans. I know a CMO of a nonprofit that is paid over $ 150,000 a year.
Marko
But but but that would require more government regulation... and apparently we can't have that.
Just Plain American
It might, but you will still be generally unhappy no matter what. If you are poor you are poor, there is no great punjab coming to save you.
Steve
salaried doctors would be soooo much slower... i'll leave the other questions to other people..
Jess
I think that all of these points would ultimately be beneficial.
I Freak Me Right the F*ck Out!
In fairness, non-profit companies only work because they are staffed by volunteers. If you pay the doctors and nurses, this idea would collapse. And they will not become doctors, which costs a significant amount of money and time to get through the training, if they cannot make some money doing it.
I know you said salary for doctors, and I would assume nurses (who also have to pay and do a lot to become nurses) as well...but for the hospital to do that, they have to make a profit so they can afford those salaries.
I do like the further limitation of exclusive rights to manufacturing a drug. We need more generic medicines on the market to increase that competition that Republicans are always talking about. Why they fight this is beyond me (it's not actually beyond me, but Republicans don't like it when you call their integrity into question), but it is what it is.
Jerry O
Only a Government could invest 300 million dollars in a hospital facility without recovery of investment. Only a Government could find a doctor to work for a salary. Only a Government could limit malpractice litigation. Only a Government could stagnate drug discovery by eliminating return on research and development. Only a Government could destroy incentive.
flyinzay
This isn't a bad idea, but the problem is that people DON'T pay their medical bills. Doctors and other medical employees, i know boo hoo for the doctors but they still paid over 200,000 grand to go to a medical school and have to pay a ton for malpractice insurance, only get paid about .20/$ 1 that they should get for a proceedure because so many bills are the in collections department. Who is going to pay the salary? The government or the hospital (that still isn't going to make the money)?
Reform is all well and good, but the problem is that we don't know how it's going to work out in practice until we try it. I wish there was a way to test things and perfect them on a smaller scale.
chmacqueen
Non profit wouldn't work because most are in it for profit and w/o profit most would shut down and not be replaced. However could set price guidelines for basic normal daily things.
Salaries for doctors would work but still need to set limits to salaries for different types of doctors. 600k+ a year is just insane for surgeons, 1 million plus for cosmetic surgeons which numerous hospitals do employ a few in some rich cities.
Can't make mal-practice insurance non profit unless its a new government insurance. Insurance is all about getting paid for providing less. No profit and it vanishes.
The drug issue is an issue but hard to manage since the FDA doesn't have the time, money, or man power to test new drugs thoroughly and many drug makers fabricate some of their medical studies.
Time limit on drugs before loses exclusive rights is already an issue, all a drug company has to do is change the formula a sliver and suggest through a minor study the new formula is slightly better (often fabricated).
Orignal From: would the following hurt the quality of health care or have on effect?
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