ITT: We devise the perfect American healthcare system Rules:

>>133400273
>no purging niggers or old people
sage slide threads

>>133400273
Outlaw the Constitution.

I'll start:

>Mandatory purchase of health insurance by anyone under 40 with no serious health issues.

>Penalty of 15% of income for anyone who chooses not to purchase their own insurance or is not able, due to preexisting conditions or can't afford it

>Waivers for low-income or chronically-ill

>all of the uninsured above groups are put into a restructured version of Medicaid, with all hospitals and doctors being sole employees of the government. Private insurance companies will not have to raise rates on legitimate customers to make up for low Medicaid reimbursement rates

>New government program to pick up the slack when chronically ill reach lifetime or annual maximums, to encourage private insurance to lower costs and become more efficient to avoid the low rates of reimbursement

>>133400273
>Realistically follow the constitution

Then we need a constitutional amendment or it will be completely dysfunctional, like the ACA is.

>Needs to focus on quality of care
>Needs to be single payer for basic care (Medicare Part B anyone?) or it's just free money for insurance bros
>Needs to encourage free market at the doctor/hospital level
>Needs to focus on preventative/early care to reduce costs
>Tax breaks for healthy lifestyles

Free market

>>133401152
What nonsense is this? You want to take 15% of their income because they can't AFFORD insurance? This is like a tax on being homeless. And annual maximum idea is just going to be a big fucking payday for insurance companies, just like the ACA.

I honestly have no idea whether you're a Bernie style socialist or a neocon.

>>133400273
Medicare for all.

>>133402039
You missed the part where I said there are waivers for low income

Point being if these people want nationalized healthcare they can pay for it

>>133401929
Free markets are evolutionary systems, which means people will die more quickly. This isn't a muh morals argument, dead people can't work. And untreated sick people cost us all.

>>133402301

But isn't natural selection a good thing?

>>133402481
Yes

>>133402039
buy chep bogus healthcare for less then 15% of income.
It's just like it is now, but poor people will have to pay to not have healthcare.
If you want free healthcare put it at 1-2% of total income and you dont have to pay if you have private healrh insurance.

>>133402481
Natural selection creates stable systems, not efficient ones.

Natural selection can't deal with rapid changes except by die-offs.

Natural selection can't predict the future to anticipate and prevent problems before they occur.

Do you want a system that keeps itself going until it collapses? Or do you want the biggest bang for your buck?

Don't act like a Europoor. Choose to control the future and make your destiny manifest.

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383KB, 878x930px

I've thought a bit about this a little bit.

>require hospitals and clinics to publish charge tables
>>allows for greater competition and price shopping for non emergencies

>make it more widely known that prices are negotiable
>>this is how insurance companies get the price down. Aetna isn't paying $1500 when you get your broken arm set

>nix requirement that hospitals treat everyone regardless of ability to pay
>>this cuts costs because everyone else isn't required to pick the slack, no more $15 ibuprofen tablets

>incentivize healthy living through tax and/or insurance breaks

>smokers, alcoholics, and fatasses pay an extra 5% on their income taxes

>opioid addicts are treated to a complimentary .45 to the head if they come in for detox and cannot pay

>>133400273
Break down MD degree. Make it easier for more people to be doctors. Do away with malpractice law suits. Deregulate hospitals. Set up warehouse size bleed rooms for people who can't pay. They don't get to go to real hospitals, but they can get some basic triage, orthopedic surgery, etc. (Again, we should have crash courses for surgeons so it doesn't take 12 years of school.). Of course, the success/fail reputation for each operation should be public record, just no names for patient confidentiality.
Finally all mental health drugs should be a completely separate tier, that people who require daily ness, from transplant meds, to AIDS meds, to Ritalin, are separate, so that someone who breaks their leg isn't paying for expensive heart meds for 60 year old (for 25 years.)

Just adopt Singapore's system. It's a combination of mandatory health-savings accounts and single-payer for catastrophic health issues.