The United States already spends enormous amounts of public money on healthcare through the military, VA, Medicare, Medicaid, Indian Health Service, public hospitals, and emergency programs, but these systems don't talk to each other, they can't share staff, facilities, records, or purchasing power, and that fragmentation is where most of the waste actually lives. I think the fix doesn't require inventing something new so much as consolidating what already exists under one roof, a National Health Hospital Corps that brings active-duty military medicine, VA hospitals, federal clinics, disaster medicine, and public safety-net facilities under the same umbrella, with veterans and active-duty personnel keeping priority protections while the expanded network gives every American a zero-cost floor of medically necessary care, preventive screenings, primary and emergency care, maternal and pediatric care, chronic disease management, essential mental healthcare, cancer treatment, and rural hospitals and mobile clinics in the medical deserts that currently have nothing. The military readiness piece is actually the part of this I think about the most, having spent time around military medicine myself, because military doctors, nurses, medics, and corpsmen currently lose surgical proficiency inside isolated military facilities where peacetime trauma volume isn't enough to keep skills sharp, and rotating that same personnel through high-volume civilian trauma centers, rural hospitals, and disaster-response units solves two problems with one system, it keeps military medicine proficient and it puts trained personnel where they're needed most, with training, seniority, and retirement progress transferring directly into NHHC employment when someone leaves active service instead of evaporating the day they take off the uniform. (1/2)
Staffing stays voluntary, recruited through medical school scholarships, tuition forgiveness, paid training, federal benefits, housing incentives, and bridge programs for medics, paramedics, nurses, and techs, and this isn't a ban on private healthcare either, private hospitals, employer insurance, independent doctors, specialty centers, and premium plans all stay legal so people can still pay for shorter waits, broader networks, private rooms, and elective care, what changes is that private healthcare finally has to compete against a functioning public baseline instead of extracting unlimited prices because the only alternative is suffering, bankruptcy, or death. I'll admit funding is the part I've thought through the least, the starting point is combining existing federal healthcare infrastructure and the relevant portions of military, VA, and public health budgets, with Medicare, Medicaid, and private insurers reimbursing NHHC when their members use it, and further expansion funded through uncompensated care spending, negotiated drug prices, and normal appropriations, though I recognize that's a direction more than a fully worked budget since merging systems that run under different statutory authorities is a legal fight as much as a financial one. None of this is some radical departure from how we already do things, it's the same logic behind public schools, fire departments, roads, and the postal service, certain systems are too important to national stability to leave entirely to local monopolies, and a healthy population is part of national security in the same way a ready military is, a country that can deploy a fully staffed hospital to the other side of the world should be able to keep a rural county hospital open at home. (2/2)
nigga if you want me to read any of that shit you gotta learn formatting
>>538693736>>538693779>2,000,000,000 commastl:dr
>>538693736I ain't reading all that shit.Healthcare is expensive because insurance companies collude with hospitals to increase the costs as a form of racketeering.
>>538693896>>538694163>>538694296I guess I'm just saying we should consolidate all government provided healthcare while also building a viable public option that operates similarly to how the military already does. Keep private healthcare, but provide a serious public option.
>>538693736i didnt read any of thatthe real way is:1) deregulate the profession, make it easier and cheaper to become a doctor or nurse and remove all quotas2) ban private health insurance3) end medicare and medicaidwithin 1 year it will become as cheap as a mechanic. a body is just meat, there is no reason why removing a gallbladder should cost $80,000
>>538693736US Healthcare has two problems, and Interoperability isn't one of them. Interoperability is a "nice to have" not a necessity. First problem is big pharma, who takes billions of dollars in "research" that is actually spent on administrative positions. Second problem is big health insurance. They should stop thinking in terms of universal Healthcare and start thinking in terms of universal coverage. If one Medicare covers something at a cost, all insurance should cover at that same cost. Stop the bloat, reduce denials.
>>538693736
>>538693736I thought rate hikes was kate hikes from the preview thumbnail. I guess rate hikes would make sense in an asian voice.
>>538694566That's why I think a genuine public option offered at no cost is great. What better way to make insurance actually work than offering a competitive public option? It also helps keep rural areas covered and removes rentseeking/gatekeeping for healthcare positions.
I spend 1000 bucks a month out of pocket for medical treatments because of my disability. I have insurance, pay 130 bucks a month for it from my employer. Yet United Healthcare covers almost nothing that I need. Im dying here. I can't afford to have a place for myself and I live with my parents at 34. I need to leave this country. Im going to Russia once I get my passport back. I already have 3 job offers from IT and Smart Home companies in Moscow.
>>538693736>>538693779Okay, this works if you have a Starship Troopers level of military, but military and veteran treatment facilities are critically understaffed just due to the fact that they don't pay competitively.Also, the health profile of active-duty and civilian counterpart are very much different. Active-duty primarily has musculoskeletal injury and trauma as the primary causes of malady. Civilians have metabolic and cardiovascular diseases as the primary causes of malady. It turns out that a government mandated fitness regimen tends to fix a lot of problems but introduces other ones. It really is give and take.These healthcare systems are siloed for economically practical reasons as well. Trauma medicine requires prompt treatment and prolonged rehabilitation. Managing the decline of a chronically ill patient is a a totally different matter, not to mention that most chronic metabolic illnesses are reversible and there's a massive patient noncompliance problem that prevents rehabilitation in the first place.
>>538693736Ban health insurance and 99% of the problem goes away instantly. In the current system you pay kikes in suits to "maybe" pay your doctor, and all those suits are among the most wealthy people in America. This shit is retarded and it should never have been allowed to happen.Unfortunately this is very antisemitic so it's politically impossible.
>>538695068All great points, but I think this framework still works for this. You'd have different branches within the department but overall flexibility within. I think this is one way to fix understaffing by the same way they got me to work on avionics systems. Create trained professionals under contract and then make the ecosystem worth staying in like how the military gets plenty of guys to stick out 20 years. We genuinely have a crisis of public health among our citizens and what better way to push the needle than direct government outreach. Make continued enrollment in the public option contingent on compliance or other no cost metrics that motivate the outcomes we want.
>>538695251>Ban health insurance and 99% of the problem goes away instantly.I agree, but I don't think we'll ever be able to remove insurance unless we have some drastic changes to how we govern ourselves.
>>538694296Because Obamacare limits profits so the only way to increase revenue is to increase cost => premiums.
>>538693736The biggest problem I see is that there is no incentive to cure or heal. The profits all revolve around keeping people on meds and therapy for the rest of their lives. This needs to change.I think health care should remain privatized but there could be some kind of Government incentive or subsidy for fixing people up and sending them on their merry way rather than just prescribing drugs for life.
>>538696361If we're going with the traditional answer it's because there's no competition so no one actually needs to make good on their service. This is the clearest way I can see to create competition.
