MED-CARD
A
Socialized Medical Savings Account
- my proposed National Health Care Plan -
by
Arthur Heyer
President
Extensions For Independence
Back to "Tips
of knowledge, ..."
Basic medical treatment should be a right for all. This is
a plan for a type of market-driven socialized medical care.
1. Every american citizen is to be granted a yearly fund
for medical
expenses, which would be equal to
a calculated maximum allowable
health care budget, divided by the
number of american citizens,
weather living or not living in the
U.S.A.
2. The fund could be managed by a type of "credit" card
system, with
quarterly statements given.
3. People would be encouraged to use their fund wisely;
that is, they
would demand best care at reasonable
prices.
4. People would be also encouraged to eat well, exercise,
not to smoke or
drink, etc., so as to keep healthy
and save their unused fund for real
medical emergencies. Their un-used
yearly fund would be allowed to
accumulate. By keeping healthy, people
would be able to "save" an
ever growing fund for older age, or
to share with a loved one. At the
end of his/her life, the remainder
fund would be inherited, or donated
to a charity organization (such as
the cancer society, etc.).
5. An administrative advantage of the plan is that national
health care
expense would be under control, and
available resources would be
equally shared by everyone.
6. Insurance companies could still provide for the excess
medical care.
I faxed the 6-point proposal above to Mrs. Clinton on
Feb. 22, 1993, and later on I did receive a printed note thanking me for
my contribution.
Obviously, my proposal was too simple too consider, and/or
perhaps came too late. The machinery for the much more sophisticated
proposal was way in its course, and nobody dared to stop it for such a
simplistic solution: a complicated proposal which at the end nobody
liked or approved; surely the creation of politicians and professionals
with intricate minds full with technical detail.
A SIMPLE SOLUTION: give everybody a "savings" account,
and let each one decide how to use the "funds". Of course, it has
one condition attached: to use it for health care only.
SEARCHING FOR FLAWS:
- there are going to be people who will try too hard to
save for the future, and not go timely to the doctor or spend on medication.
I am sure that some will go to these extremes, but this doesn't make the
system a failure. After all, most people have normal minds and would decide
reasonably, wouldn't you? It would work well for the greater majority,
and that makes it a winner in a democratic society. Besides, like
everything else, the "extremists" will sooner or later live the results
of their behavior and learn from the experience. There will be much to
learn in the "simplistic" system. As with all that is simple, I trust
that all will be for good.
- there are the disabled and weaker bodies who need and
use more medical care than others. This is no problem: by statistical
analysis, a distribution of funds would be made according to categories.
A claim with a simple questioner which would require let's say 3 doctors
to sign would automatically add to the patient's fund according to pre
established disability categories. |