Liberte, Egalite, Fraternite
Pardon my French. It doesn’t work. Take it from someone like me who lived for 40 years in a Communist Country that heavily promoted this slogan of the French Revolution, meaning “Freedom, Equality, Brotherhood”.
Capitalism is unfair, ferocious, brutal, grim, cruel but it seems that it is the only thing we have that works somehow.
Why not turn to the basic principles of capitalism when talking healthcare reform.
1. Demand and supply.
More supply cheaper product. It’s that simple. I am yet to hear a proposal to increase the number of doctors and nurses from all those debates over the healthcare reform . Invest in education, provide scholarships and grants, make it more affordable, reduce the dreaded 12 years of schooling and produce more doctors and nurses. Do what Google, Cisco and Microsoft did in technology – import talent. Break the establishment, that has no interest of more doctors. Get more doctors and nurses in this country and see the cost of the healthcare go down. As far as quality goes a doctor doesn’t need to be a fat corrupt cat to be a good doctor. Read “The Citadel” by Archibald Cronin for more on the subject.
2. Market economy
3. Promote competition
4. Moderate regulations
No doubt regulation is needed. However keep in mind that simple things work, complex don’t. Come up with 10 pages of regulations not 2,000. You can’t cover every possible aspect of it with 2,000 or 20,000 pages. Set up the frame and let the state and local authorities and the courts finish up the picture.
Imagine that Mr. Obama needs to sell the health reform to investors to raise money. No way with 2,000 pages reform plan Mr. President. Ask the venture capitalists and they will tell you to come back with 10 pages business plan.
5. Law enforcement
Just heard on TV that IRS is offering up to $10M rewards for information on tax cheats. How many nurses and administrators will report health system abuse if offered a reward? Many, many I think. Put some doctors in jail and keep the rest honest.
6. Reduce legal expense in the system
see my Blog posting “Cherche la attorney” below
Disclaimer. I am computer engineer, entrepreneur, CEO and investor so I might be the last person who needs to voice opinion about the health reform. However the health care like the computer is made for the people. I will gladly hear doctor’s opinion about computers so that we built better ones.