Proposed Implementation Plan for National Health Care System
The plan is to implement the National Health Care System (NHCS) in stages as it gradually becomes the nations primary health care system. The plan also separates rural health care from urban health care to accommodate the needs of the nation.
We will 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 second stage. 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. Our Healthcare costs double that of European government health care and they are not efficient.
I call our current Health Care system a fraud based system because it is largely funded by fraud compared with a Government Health Care system monitored by Lean Teams. The best example of this type system is the Cleveland Clinic which has implemented Enterprise Lean Teams. See Article 101.
Stage 1. The Startup Stage
As a government run system the current VA health care system 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 then this approach will work for a complete US government run healthcare system. Stage one is to implement this new efficient approach using Enterprise Lean with a new government management system through out the VA System. See Article 104 and 96.
The government will begin to acquire hospitals under financial stress at little to no cost. I emphasize that the government is not in the business of buying hospital facilities. The reason is that the operation of government hospitals will be significantly less than that of private hospitals who will not be able to compete with the efficient government hospitals.
Medicaid patients will share VA facilities and the acquired private hospitals. They will be slowly moved from private hospitals to the Catastrophic Health Care system. VA patients will be served before Medicaid Patients.
Stage 2. Medicaid and Medicare Patients moved to Catastrophic Care Facilities
In addition to the continuing acquisition of private Hospitals new Eye clinics will be acquired or built in urban cites of over one hundred thousand population to perform mass Cataract Surgery. This a significant cost saving of over ten times the current approach.
As this stage progresses Medicaid patients will be served first followed by Medicare Patients in the Catastrophic facilities.
Stage 3. Accommodation of Patients without Health care Insurance
Regular Health Care Patients without Health Insurance will be allowed to use the Catastrophic Health Care Facilities as they become available. These Patients will be required to pay for their own health care but at a cost of about 20% less than in the private sector. This is a key element of the National Health Care System (NHCS).
Stage 4. The National Health Care System will be Available to all Americans
The expanded Catastrophic Health Care system (called NHCS) will be available to all Americans. Health Insurance Companies will gradually require that patients move to the less expensive NHCS.
Some Private Hospitals may still be available for those who want them.
The NHCS Rural Health Care System
Small Clinics should be built in towns of about 10 thousand and about 25 miles apart. The Clinics will be of the following design: They will be built adjacent to a fire station with ambulances. They will be 24-7 Emergency Clinics with a few over night beds and a helicopter port. Some designs may have more beds. Besides doctors and nurses this system depends on volunteers from within the community.
Besides an Emergency function the clinics can serve as place for state wide traveling Cataract Surgery teams to do Cataract Surgery. The clinics can also service a traveling Dialysis Van for patients in remote rural areas.
Tuesday, August 29, 2017
Saturday, August 5, 2017
Article 102. About the Author Lawrence Rosier
About The Author Lawrence Rosier August 5, 2017
Lawrence Rosier 12143 Cedar Grove Rd.
Rolla, Missouri 65401
573-578-4716 LawrenceRosier4@gmail.com
In 2004 I became interested in solving government problems and set up a popular Government Reform blog attaining up to 2000 hits per day. The current Blog was begun in 2013 (although with fewer hits) after the first one was abruptly cancelled when the provider went out of business. In 2013 and 2014 I had perfected my approach to government reform and I made a number of proposals to fix Veterans Affairs health care and management problems but all were rejected by the Obama Administration. This postponed my attempt as an independent Consultant in Government Reform. Now with the Trump Administration new opportunities may be available.
Since I have became semi-retired I developed an interested finding an Energy Solution. In 2009 with the worlds reliance on fossil fuels automobiles and electric power generation I wanted to find a technology that could provide breakthroughs in power generation. My research uncovered several hoaxes and some real possibilities.
I focused on the Nicola Tesla/Steven Mark/Edwin Gray/ Don Smith Inventions. I researched this technology thoroughly and found that it was not a hoax. Recently I have followed Don Smith and his invention using a Tesla Coil to generate 160 kilowatts of continuous electrical power while not connected to the grid. The unit was small enough to fit on a kitchen table. Don’s 48 inventions were mostly in foreign countries for individual clients who have welcomed the “New” Electric Technology. See my Abstract: “New” Electric Technology by Lawrence Rosier on my blog: Perpetualelectric.blogspot.com Articles 10, 13, 14, and 15.
Engineering and Consulting Experience
After Graduation form the University of Missouri in 1961 as an Industrial Engineer I was hired by McDonnell Aircraft Co. I did time-studies and balancing the Final Assembly line of the F4 Phantom for 3 years. Then as a mechanical Engineer I designed a mechanism for allowing pilots to eject on the ground after the disastrous Forestall Aircraft Carrier fire in Vietnam. In 1969 in Washington State I served on the staff of: George Parker, Manager of Special Projects, Boeing Co. working with a team that certified the 747 commercial aircraft. I was later a Management Consultant with Alexander Proudfoot and Scheduling Corp. both firms located in Chicago. In my first two weeks on location with Proudfoot I was able to save the client, Clark Equipment of Battle Creak MI, $10 million after discovering that their Production Control Dept. was 50% overstaffed. I was also the Manager of Manufacturing Engineering for Multiplex Company in St. Louis. In 1983 I served on Hal Yost’s staff, President of McDonnell Douglas Missile Systems Co. and later on Vice President of Manufacturing George Masurat‘s staff.
My most significant achievement was my proposal and acceptance by Sanford McDonnell CEO of McDonnell Douglas Corp. of a modification to the company’s Quality of Work Life (QWL) implementation (the forerunner of Enterprise Lean). The modification replaced the existing Bureaucratic organization with a Team Management organization consisting of Steering Management Teams and Functional Management Teams for the entire McDonnell Douglas Missile Systems Co. This Team Management style was enthusiastically received by employees and inspired employee innovation. It was used successfully for over ten years until the sale of the Company to Boeing in the 1990’s.
Education
Education included degrees in Industrial Engineering and Secondary Education graduating with a 4.0 GPA. I was a graduate instructor at the University of Washington Experimental Education Unit where I studied Behavioral Modification.
Family
Lawrence was born August 30, 1938 in McCook, Nebraska. my family moved to Mound City, Missouri in 1940. My wife Sharon a former school teacher and I have no children and I am in excellent heath for my age. I am from a well respected religious family and one of the largest private farm land owners in Missouri. My family installed 19 wind generators several years ago.
Lawrence Rosier is an Independent Consultant registered in the State of Missouri as "Lawrence Rosier Consulting".
Lawrence Rosier’s Ebooks on Government Reform can be purchased through Amazon.com
Lawrence Rosier 12143 Cedar Grove Rd.
Rolla, Missouri 65401
573-578-4716 LawrenceRosier4@gmail.com
In 2004 I became interested in solving government problems and set up a popular Government Reform blog attaining up to 2000 hits per day. The current Blog was begun in 2013 (although with fewer hits) after the first one was abruptly cancelled when the provider went out of business. In 2013 and 2014 I had perfected my approach to government reform and I made a number of proposals to fix Veterans Affairs health care and management problems but all were rejected by the Obama Administration. This postponed my attempt as an independent Consultant in Government Reform. Now with the Trump Administration new opportunities may be available.
Since I have became semi-retired I developed an interested finding an Energy Solution. In 2009 with the worlds reliance on fossil fuels automobiles and electric power generation I wanted to find a technology that could provide breakthroughs in power generation. My research uncovered several hoaxes and some real possibilities.
I focused on the Nicola Tesla/Steven Mark/Edwin Gray/ Don Smith Inventions. I researched this technology thoroughly and found that it was not a hoax. Recently I have followed Don Smith and his invention using a Tesla Coil to generate 160 kilowatts of continuous electrical power while not connected to the grid. The unit was small enough to fit on a kitchen table. Don’s 48 inventions were mostly in foreign countries for individual clients who have welcomed the “New” Electric Technology. See my Abstract: “New” Electric Technology by Lawrence Rosier on my blog: Perpetualelectric.blogspot.com Articles 10, 13, 14, and 15.
Engineering and Consulting Experience
After Graduation form the University of Missouri in 1961 as an Industrial Engineer I was hired by McDonnell Aircraft Co. I did time-studies and balancing the Final Assembly line of the F4 Phantom for 3 years. Then as a mechanical Engineer I designed a mechanism for allowing pilots to eject on the ground after the disastrous Forestall Aircraft Carrier fire in Vietnam. In 1969 in Washington State I served on the staff of: George Parker, Manager of Special Projects, Boeing Co. working with a team that certified the 747 commercial aircraft. I was later a Management Consultant with Alexander Proudfoot and Scheduling Corp. both firms located in Chicago. In my first two weeks on location with Proudfoot I was able to save the client, Clark Equipment of Battle Creak MI, $10 million after discovering that their Production Control Dept. was 50% overstaffed. I was also the Manager of Manufacturing Engineering for Multiplex Company in St. Louis. In 1983 I served on Hal Yost’s staff, President of McDonnell Douglas Missile Systems Co. and later on Vice President of Manufacturing George Masurat‘s staff.
My most significant achievement was my proposal and acceptance by Sanford McDonnell CEO of McDonnell Douglas Corp. of a modification to the company’s Quality of Work Life (QWL) implementation (the forerunner of Enterprise Lean). The modification replaced the existing Bureaucratic organization with a Team Management organization consisting of Steering Management Teams and Functional Management Teams for the entire McDonnell Douglas Missile Systems Co. This Team Management style was enthusiastically received by employees and inspired employee innovation. It was used successfully for over ten years until the sale of the Company to Boeing in the 1990’s.
Education
Education included degrees in Industrial Engineering and Secondary Education graduating with a 4.0 GPA. I was a graduate instructor at the University of Washington Experimental Education Unit where I studied Behavioral Modification.
Family
Lawrence was born August 30, 1938 in McCook, Nebraska. my family moved to Mound City, Missouri in 1940. My wife Sharon a former school teacher and I have no children and I am in excellent heath for my age. I am from a well respected religious family and one of the largest private farm land owners in Missouri. My family installed 19 wind generators several years ago.
Lawrence Rosier is an Independent Consultant registered in the State of Missouri as "Lawrence Rosier Consulting".
Lawrence Rosier’s Ebooks on Government Reform can be purchased through Amazon.com
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