Writer argues for tax-funded national system to address rising costs, inequality in care
Published
Annonse
Affordability is the current buzz
word. Being able to afford decent health care is an issue that is only going to
get more difficult. Everyone should be able to access quality health care
regardless of where they live at a price that is consistent nationally. This would be a tax-funded system
providing free health care to residents that have a documented health care card.
—No out-of-pocket costs: Covers preventive wellness, medication, mental
health, dental, vision, surgeries, hospital and long-term age care.
—National
digital integration: Electronic records to enhance efficiency.
Annonse
—Quality
training: Rigorous standards for professionals.
—Strict medication rules
requiring prescriptions for common drugs.
—Use of robotics and AI for common
surgeries.
—Telemedicine with e-records to ensure accessibility.
—Advanced
treatment for chronic diseases.
—Continued funding for quality research.
Arguments against this would be
possible wait times for nonemergency care, staff shortages without aggressive
recruitment, a loss of choice in doctors and facilities, and cost of underwriting
the system.
In regards to the counter
arguments, many of us already have to deal with choices, staff shortages and cost. The biggest issue is really the inequality of care versus cost. The
average life span is currently in the 80-85 year range, with “Boomers”
being the current largest group.
Underwriting the cost is a hurdle
that can be managed through the federal, state and local government. If the
average household income is $85,000 before taxes, adding 3% to the current tax
burden seems reasonable if you have no out of pocket for health care. That
would be $2,500 on average.
There are approximately 168 million people in the
work force, which would generate $420 million. Of course this is based
on averages, so the lower-income folks would pay less with the higher paying more.
The cost should be matched by the
employer. Again, smaller companies would pay less and larger more. Many
employers have some sort of insurance plan employees pay into. The problem
is not all plans are equal, with many individuals paying outrageous premiums
that only buys catastrophic coverage, or they roll the dice, hoping they can
just pay out of pocket at a local health care facility. They often choose to let
things go, which leads to bigger issues that eventually take them out of the
work force with long-term illness and possibly premature death.
Currently, the federal government
contributes 32%, households 27%, private businesses 18%, and state and local
adding 16%. Government has to be involved because they can control the costs of
the increases in health care as well as the appropriate standards.
The counter argument is government
involvement versus less involvement. The idea of sending individuals a check
for health care does not resolve costs. The other issue is receiving a check
does not necessarily guarantee it would go toward health care when a
family has other pressing needs. The federal government's participation in
funding should be based on revenue collected.