Article 97. My Approach to Solving VA Healthcare Problems works in the US and Europe

 My Approach to Solving VA Healthcare Problems works in the US and Europe
by  Lawrence Rosier  Government Reform Consultant

My suggestions on Reforming US Government Health Care:
As a government run system VA health care may be worse than that of European health care but they both have the same problems: massive bureaucracy, low efficiency, high patient backlogs and uncontrolled costs.   My approach fixes nearly all of the VA’s health care problems.  Europe does not have this approach yet.  If we can fix the VA problems (and I believe with confidence that we can), then this approach will work for a complete US government run healthcare system without the bureaucracy.

We can combine the VA health care system with a new Catastrophic health care system (a government run system) consisting largely of Medicaid and with Medicare in the future.   Remember if you have an efficient effective VA program then no private health care company can compete with it because private companies must make healthcare run more efficient than government healthcare. If they can’t do this then there are no profits. If there are no profits in the healthcare system private systems will just drive up the cost of healthcare to get profits.  We must separate and remove all healthcare costs that have nothing to do with healthcare.

We are making health care much too complicated.
My approach is to let the people pay what they can afford and above that have the government provide catastrophic heath care to all Americans (the VA currently uses the government as an insurance provider).  This is what most Americans want.  Health care recipients should pay each year for their own health care from private providers up to a specified amount determined by income at several levels.  Paying all the health care costs for everything that people want is not possible and should not be provided by the Federal Government. As an option private Health Insurance Companies can compete in providing the minimum coverage up to the catastrophic level if wanted by individuals and companies.

The current approach in thinking Insurance Companies provide competition and therefore reduce costs for all health care, over that than can be provided by an efficient government health care system is a false approach.  Insurance Companies do not reduce heath care costs. In fact they do the opposite they increase the cost of heath care by adding thousands of Americans working in insurance companies arguing over how much they will pay.  Only better management of medical Systems will make health care more efficient as recommended in the VA reforms.

The current medical system has a massive complicated set of codes that unnecessarily complicate the system to make sure those who deliver services get paid for their services.  In a government run system all personnel are salaried with no need for codes.

This suggestion removes private Health Insurance Companies and thousands of their employees from the government operated catastrophic health care system.  When trying to provide a total insurance approach for all health care private Health Insurance Companies simply do not work (this is the worst part of Obama care).

If this suggestion is implemented it will remove the Private profits from the government operated catastrophic health care system virtually eliminating the massive fraud found in our current health care system. Ref: Article 93. "Example of Massive Medicare Fraud".  Hospitals throughout the US in large numbers are using sick and confused mostly elderly patients as cash cows billing Medicare for unnecessary treatments. This mass fraud is used to finance hospital operations and building projects.

Added suggestions: the biggest single cost of RX drugs is in TV advertising simply disallowing this will reduce RX drug costs significantly. Medical facilities should also be able to buy drugs from a world wide competition of drug producers. Again, we must separate and remove all healthcare costs that have nothing to do with healthcare.