Recommendations
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Specific Recommendations
* Pay physicians a reasonable standard sum for annual
services plus office cost.
* Credit a physician's account for the lowest cost procedure
performed during an office visit.
* Physician earns a annual bonus for performing more proced-
ures totalling more than the base standard service sum
* Use of "heroic" life-support systems should be monitored
by local panels of physicians to recommend guidance
based upon "generally accepted medical practices"
(Individuals wishing to override such guidance should
pay for its cost out of their own pocket)
* Have hospitals specialize to avoid cost of duplication of
under-utilyzed facilities.
* Overcome the monopoly many hospitals have based solely on
location and size of town.
* Long-term nursing care premiums will be low if everyone
pays as in FICA irregardless of age.
* Control drug profits. All prices currently are set by
what the traffic will bear, not production costs.
* Set premiums based on regional and local per capita income.
Thus equals cost of living for that area.
* Medical school student costs paid for by program.
Public now pays for state medical schools, and partly
for private medical schools through tax deductible
donations.
* Long term disability should be added to the national
health care program for 6.6%, using German experience
figures, and eliminating this cost from the OASDI por-
tion of FICA, and reducing commercial insurance long
term disability coverage and workman's comp, thus pro-
viding protection for all working people of any age.
(OASDI has a 5 month waiting period, and person must
anticipate a disability of at least 1 year duration)
(Disability insurance, until 65, costs about $1000 yr)
(Comments)
* Physicians currently have an unregulated monopoly.
* Hospitals are currently regulated by unregulated doctors.