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View Diary: When Can We Expect Health Care Reform (Whoever Wins)? (369 comments)

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  •  Universal basic & catastrophic -- plus CASH. (0+ / 0-)

    Frankly, for the things which aren't covered, -- which should hopefully not be restricted quite as horribly as Medicaid does -- people who can't afford  to pay for private care will suffer; those who can will pay for it.

    A lot of people end up paying out-of-pocket for treatment for "less obvious" (including lesser psychiatric problems) or "less severe" diseases anyway.

    Universal coverage is a baseline.  Private coverage will continue to supplement it, and cash will most certainly continue to supplement it.

    But people shouldn't have to fear medical bankruptcy, or 14-hour emergency room waits for appendectomies, or inability to pay for antibiotics to cure infectious diseases.

    The malpractice situation is a bit crazy.  On the one hand, I've seen actual cases of malpractice.  They are egregious.  On the other hand, obstetricians (for instance) face far too many meritless malpractice claims.

    Perhaps the answer is twofold: first, make the malpractice standard higher (gross negligence, fraud, or actions no reasonable doctor would have made, plus the existence of actual tangible damages connected to such); second, switch to a 'loser-pays' system for court costs, so doctors aren't eating the court costs of their wins and don't have to get insurance to cover said wins.

    -5.63, -8.10 | Impeach, Convict, Remove & Bar from Office, Arrest, Indict, Convict, Imprison!

    by neroden on Sun Mar 02, 2008 at 06:59:15 PM PST

    [ Parent ]

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