Health care reform for USA-N-YOU!

Dear Mr.President and Staff et al:

Re: Healthcare and RX Reform:

Previous to this I’ve submitted humbly I hope the reforms for healthcare that are possible, in the very least to be considered, and can function as a starting point.

Mr. President, healthcare in America, sustains me personally, since I am disABLED and working and doing my part. The myriad of medical expenses to just maintain me, stabilize me and allow me to function are tremendous. Roughly, six months of "AOT" assisted outpatient treatment with an "Assertive Community Treatment team" has made living in the community a fact, a right and a possibility. Were it not for new science, medications and intensive treatment, I would live the life of an uncle of mine: live in an institution, die in an institution.

For this and other reasons, I approach you for a solution to our out of control expenses for treatments of any and all kinds. Hence, my new proposal is:

PROVIDE THE SAME CARE, DON’T MAKE A SINGLE PAYER AND MAKE THE RESPONSIBILITY BE SHARED BY PATIENT, DOCTOR AND COMMUNITY.

Make coverage a guarantee to all workers. Make those who cannot work keep up with wellness programs, visit the what I call : “Medi Vac” portable hospitals free.

What is a Medi Vac? A floating hospital which is more likely to stop illness or injury from serious harm, it appears to be less expensive because is has to have Doctors, Medics and Nursing staff, who are still in training radio into the hospital and treat people on the spot for free.

Those who are working pay into coverage, the coverage is matched, much like a savings account, however, there is no personal account for individual care. That’s not fair and doesn’t allow for poor people to be healthy. However, working should insure coverage for all. Large premiums are chasing people away, and poor folks suffer the brunt of it.

What we call a premium would be designed and revisited as a tax, fixed to a certain amount per year. The idea being that we are not all sick all the time, those who need more coverage can get it. If they go into catastrophic care, where they would have to purchase some coverage, they have to leave the network just described.

Take healthcare apart: Full coverage for ordinary care, Medicaid as it is until further notice and catastrophic care when needed.

In other words: contribute 10% from the wages of the employee as and with a tax exemption. Take 10% from the employer to insure the employee and require a 10% match from US govt.

Over time, the need for this tax will diminish, as persons are well cared for, not over taxed and maintain their health instead of letting it go and ending up in the emergency room later.

In short, under this plan, their employment is the reassurance of good healthcare. That’s 20% of their income as a subsidy toward raining days and a 10% contribution from US Gov. Wellness programs should be free, payments for coverage should be tax deductible and readily available. In fact, everyone should have a contingency wellness plan with their personal doctor, the development of such a plan is imperative as the coverage itself, and everyone should have a doctor who knows and treats and cares for them.

If use is lower, due to wellness, over time, they would not usually use the fund.

This is not a personal healthcare savings account, instead it is a tax like Medicare to prevent the financial ruin of persons who are unhealthy or unlucky...

The "premiums" are essentially illiminated, except for those who opt in to catastrophic care coverage and choose to pay for that as well.

I know the SSDI system is in mayhem but, the fact remains that coverage is possible in the short term, until we come up with a better set of solutions.This is a preliminary plan, a contingency plan, for inital organization and summation of reforms that could take years and already take up much of our economy as you know already.
Hypothetical situation...
So, if ten people are paying the expenses for the community that has illness, and they are not using coverage so much, the coverage will not consume itself. If we create a fund for all users, and we continue to collect, there will be coverage for all, conceivably.

I have said previous to this that medications and pharmacy needs can be made into "a coop" (cooperative measure): make groups of Rx supplier’s approach the manufacturers collectively, pay less and pass off savings.This will reduce the cost of care overall. To be sure Rx companies do not suffer they can specialize in certain types of Rx: I.E CVS can specialize in Rx care and expenses for cancer, Rite Aid can focus on care to pregnancy? Just make them buy in more volume, specialize and make a profit whilst not draining the public.

That’s all on Rx.

Health Care reform involves making everyone see the tremendous expense which is a significant portion of our economy.

My plan for doctor's care, delivery of service and excellence maintained would have Doctors and clinicians can make a hierarchy of needs and delivery of services. NO SACRIFICE OF CARE, JUST A SENSIBLE USE OF THE HUMAN RESOURCES. Training years at servicing those of the poverty level, AT THIS POINT DOCTORS ARE IN TRAINING AND COLLECTIVELY DELIVER CARE UNDER EXPERT AND PROFICIENT SENIOR CLINICIANS.. Assisting other doctors in a collective as teaching continues. Not reducing the amount of their fees, just reducing their expense:take away to "non value added tasks" that doctors are now performing, making the medical team only work on medicine and not record keeping, and any other tasks.

On to the poverty level: They have no job to pay into a subsidy.
They would continue to get Medicaid and Medicare at current levels until a better plan is made. That large pool of users needs to be readdressed further. I'll think on it more once we solve the organizations of the healthcare delivery system.

However, make an immediate effort to alieviate the burden on the poor, the hospital system and make an effort to contain costs this way for now.
A preliminary, perhaps temporary relief on the expenses related to unisured, underinsured or poor folks..'IDEA!
Make the "Medi vac public transport clincs" treat people at the street level, free of charge, paid for by absorbing the fee of a :floating hospital. Make the doctors come to them, the poor who have little or no access to doctors and adequate care, treat them with those who are in training and can do the most good.

That’s it really, you have to deliver the care so that they can be well and not be treated as a burden. Make healthcare a priority for all those who are in need. It's a vicious cycle: no insurance, no health, no wealth...plainly, being healthy should not be just a privelge it is a personal responsibility of the individual, the community and our sense of humanity, dignity and respect.
Poor folks don't need to be sick, or untreated, just because
they are poor.

However, there should be no detriment to care: Intervention is key to maintain health and wellness and to reduce emergency room visits. Health and wellness visits can still be covered fully under this plan and others like it. I don't pretend I have the best idea, the only idea, nor do I think the best.

This is my suggestion. I hope to help out, and I'm glad you've read thus far. It is a privilege to be an American and I'll never loose sight of that, I hope.

Sincerely, I hope you receive this in the spirit in which it was written.

You are in my prayers.

Sincerely,
Rosemarie Dundon
rosemariedundon2003@yahoo.com