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Let's talk about the implementation of my model bill that I recently posted to reform health care on a permanent basis.
It's fairly easy to envision timelines based on complexity. Simply put, most of this isn't complex because providers have price lists now -- you just can't see them. So with that said, let's look at an example and assume The Bill was passed and signed somewhere around 30 September -- or the close of the fiscal year.
What's next? The following timeline appears to be reasonable.
Beginning immediately on signature with implementation required on or before 1/1/2018:
And.... it's done.
The medical scam has ended.
There are no more Federal Deficits; in fact, we run a perpetual budget surplus and begin paying down the national debt.
Your standard of living starts going up every year even without a raise by about 1% each and every year instead of going down as it does today.
We no longer pay for illegal immigrant medical care at all from public funds.
You get a price that is the same as everyone else for the same good or service in the medical field just as you do at the grocery store, the gas station and the local restaurant. The outrageous price discrimination (sometimes as much as 10, 20 or even 100x or more) served up on some people -- discrimination that usually bankrupts the consumer in question -- ends permanently.
You know exactly how much you will be billed for a medical procedure, drug or device before you choose to undergo that procedure or accept the treatment. Your insurance company, if you have one, will have to make available what they will pay and the hospital, doctor or pharmacist must tell you what they will charge. You will thus know what the total cost to you will be -- before you sign a consent form or have a procedure done.
If you get an infection from a hospital you cannot be billed for the drugs and time to treat that which they gave you due to their incompetence. That risk and cost is finally on them, which will drive innovation and greater care to prevent such infections that harm and even kill Americans today.
If you can't pay you will still be treated and can still choose your doctor, but you will be responsible to cover the (much more-reasonable) bill if you become able to pay it in the future. This will permanently put an end to the practice of poor people using the ER like a doctor's office since this sort of abuse will no longer be advantageous compared against going to a regular physician.
Drug prices fall in the United States by at least half (and more likely by 80% or more on an average basis) and for those with chronic diseases that have been sucking down drugs and procedures while refusing to make simple, zero-cost lifestyle changes they finally have a strong incentive to both do so and have their health improve materially at the same time.
There will be no more $300,000 snake bites, $150,000 scorpion stings and $1,000-per-stitch fees that get lumped on you without any way to prevent them when something bad and random happens. Any medical provider who tries it will find their bill void and they will be prosecuted for fraud.
Obesity and diabetes incidence falls dramatically since it is now strongly in everyone's best interest to practice simple changes in their lifestyle. An epidemic has broken out -- of people having their pants fall off. It's a good epidemic and America is noted and lauded as being the first nation to have reversed the increasing rate of obesity and Type II diabetes.
The nation becomes far more productive as the cost of employing someone drops by a solid 15% and America becomes the place to put a multi-national business. In short labor expense drops tremendously and productivity soars.
If you're not a currently-overpaid administrator you get a raise; for a typical median family it will be about 10% immediately as your employer's cost of having you on staff will drop by at least that amount. For the average family of four you will see, net of your medical expenses, roughly $7,000 richer in cash spending power after tax each and every year.
Those who are currently-overpaid administrators in health care will find jobs in other sectors. It may take a while but it will happen, as the economy comes roaring back with the newfound efficiency and productivity improvement from deleting the fraud currently consuming almost one dollar in five.
State and local pensions and budgets stabilize and, over time, taxes come down at the state and local level as the levies put in place to try to stay ahead of the pension destruction are no longer necessary. Specifically, property taxes decrease materially which will cause both the cost of owning a house and rents to decline.
Your car insurance gets cheaper as your liability policy, much of which covers medical expenses coming from accidents where you are at fault, along with uninsured motorist coverage, will decrease dramatically in cost.
Federal Spending will contract to something similar to this -- and I note that this chart presents a pessimistic estimate. We would almost-certainly do better than what is depicted here and, I remind you, both Seniors and indigent citizens would receive better care and more choice than they have now.
And we prevent this -- our federal debt -- from blowing up in our face as the CBO currently predicts -- an event that, if it occurs, will destroy the nation just a few years from now.