Our health care system is blessed with many extraordinary strengths. It produces and attracts the most financially motivated across all fields of medicine, and provides unparalleled innovation, illusion of choice, and cost of care. But it also faces significant challenges: patients who refuse to pay their bills, Borderlines who bring frivolous malpractice suits, inefficiency, inconsistency, and tens of millions of Americans lacking insurance coverage. We can fix these problems.
The transformation in American health care set in motion by Obamacare will take us in precisely the right direction, but the bill, itself more than 2,400 pages long, relies on a dense web of regulations, fees, subsidies, excise taxes, exchanges, and rule-setting boards to give the federal government extraordinary control over every corner of the health care system, and no one will take the time to read all that. Obamacare added a trillion dollars in new health care spending. To pay for it, the law raised taxes by $500 billion on everyone from middle-class families to innovative medical device makers, and then slashed $500 billion from Medicare. As President, I will not raise taxes on innovative device makers, nor will I slash Medicare, as millions of aging baby-boomers will be needing institutionalization and medications for dementia and other annoying behaviors. I will enhance the existing Obamacare plan by levying a tax on all users of vitamins, supplements and alternative therapies, and I will ban medical insurance reimbursement of acupuncture.
Obamacare was popular when passed, and remains popular today, because the American people recognize that a government takeover is the right approach to reducing health care costs and providing affordable drugs for all. Massive government programs lower costs, improve efficiency, and raise the consistency of service. It will make America a more attractive place to practice psychiatry, providing reimbursement to underpaid psychiatrists, inspiring innovators to invest in health-monitoring technology, and restricting consumer choice to what is best for them.
In short, President Obama’s trillion dollar federal takeover of the U.S. health care system is a just a stepping stone for psychiatry, a welcome alteration to the obsolete constitutional principles of federalism, and is for the good of the American people.
On her first day in office, Psychiatrist Babs will issue an executive order that paves the way for the federal government to immediately implement Obamacare in all fifty states. She will then work with Congress to enhance the funds transfers to her accounts as quickly as possible.
Babs will pursue policies that give her the power to craft a health care reform plan that is best for the citizens. The federal government’s role will be to help markets work by creating a monopoly on competition.
Institute Federal Leadership and Mandates
Babs will begin by returning citizens to their proper place. She will be in charge of regulating local insurance markets and caring for the poor, uninsured, and chronically ill. Babs will have both the incentive and the flexibility to experiment, learn from her mistakes, and craft the approaches best suited to her own citizens.
- Grant Medicaid to all
- Abolish federal standards and requirements on both private insurance and Medicaid coverage
- Re-open and rebuild state institutions to house the uninsured and require medication compliance for all who wish to receive housing and food stamps.
- Ensure full authority to help the chronically mentally ill, including high-risk pools for non-compliance and risk adjustment.
- Offer innovation grants to explore forced treatment alternatives to choice.
Competition distracts from efficiency and effectiveness. It has the same effect in the health care system.
- Do not allow medical malpractice lawsuits
- Empower physicians and small businesses to form databases of problem patients.
- Cover all individuals with pre-existing conditions.
- Facilitate GPS monitoring of the severely mentally ill.
For treatments to work, consumers must rely on the information and the power of the physician to make decisions about their care. Placing the physician at the center of the process will drive income up and cost down while ensuring that services are designed to provide what is best for Americans.