care of late stage problems, especially in chronic diseases. Better life-style decisions on the part of better educated patients would help to eradicate the health consequences of obesity, high blood pressure, diabetes, sedentary life styles and the like.
More family practitioners and nurse practitioners and physicians would be available to take care of patients earlier and better to lessen the impetus to be treated by expensive specialists. Doctors, hospitals, insurance companies, drug and medical device companies would unite in their own best interests to improve the health of the nation and to reduce our skyrocketing costs. Waste, fraud, over usage, defensive medicine, and a host of other evils would be eliminated.
“However, the PPACA had three fatal flaws that doomed it from the beginning; and the rate of decline of our health care system has not improved, nor has its role as a driving force towards national bankruptcy been removed. At the getgo, the Affordable Care Act was guaranteed to fail because it was conceived in partisan politics and its qualities were determined by a win and lose Democrat versus Republican stand-off. Second, no viable provision was made to deal with medical malpractice; the American Trial Lawyers Association won that issue—a Democrat victory which resulted in the continuation of defensive medicine, waste, corruption, and over usage for self-protection of the doctors, nurses, and hospitals. The final major flaw, and one rife with secrets, lies, and corruption, was that the insurance companies were allowed—or, more accurately, they prevailed, because of their enormous financial power—to continue business as usual. The president promised, lied, and obfuscated. The insurance companies quietly dropped patients who were sick or old or poor—so much for the portability portion of the PPACA. The most egregious action by the insurance companies was to raise premiums as much as triple, and to decrease coverage by foisting incredibly high deductibles on the unsuspecting and struggling middle class. The most telling symptoms of the sickness of the PPACA is that unfortunate middle class citizens are electing to pay an unproductive fine or as the Supreme Court termed it, “a tax,” rather than go broke trying to pay for their family’s insurance premiums.
“The Republicans won that part of the political struggle; and between them, the two parties made great strides towards wrecking the middle class thereby reducing the nation’s tax revenues and its ability to pay on the principle of the national debt or even the interest. Ladies and gentlemen, we have been going around trying to milk a duck for years. It is time to quit, to remove decent medical care from the greed and politics of the capitalist market place, and to provide a simple, honest, efficient, evidence based, single payer, health insurance system. We have never had a ‘system’. It is time, posthumous, that we did; and its form needs to be a National Health Care System. We need to stop the national angst over having a ‘socialized’ medicine system like the rest of the civilized world.”
In the next three weeks—and with the close observation of the Chinese—the legislative, judicial, and executive branches of the United States federal government pushed through measures that: raised taxes 10% across the board, established a National Health Service with the help of Canada, cut federal spending by 30% in every department and bureau. In addition a new security force was established which was tasked with ferreting out waste and fraud in every government agency and project with enough of a law-enforcement presence to investigate and to prosecute tax cheats, Medicare and Medicaid frauds, and price gouging by all vendors serving the system.
It was not a smooth beginning; but it was a beginning; and in short order individual state governments joined the struggle. The gears of government grind slowly; but, after the president declared