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Health Care is a System, Not a Goal

Last night, Senator McCain cast the deciding vote to kill the “skinny” version of a proposed health care bill. Notice how he explains it as a failure of process, not a problem with the bill itself:

“I’ve stated time and time again that one of the major failures of Obamacare was that it was rammed through Congress by Democrats on a strict-party line basis without a single Republican vote. We should not make the mistakes of the past that has led to Obamacare’s collapse, including in my home state of Arizona where premiums are skyrocketing and health care providers are fleeing the marketplace. We must now return to the correct way of legislating and send the bill back to committee, hold hearings, receive input from both sides of aisle, heed the recommendations of nation’s governors, and produce a bill that finally delivers affordable health care for the American people. We must do the hard work our citizens expect of us and deserve.”

Love him or hate him, McCain did what heroes do. He took a bullet to prevent Congress from ignoring the wishes of half the country. Now we have a chance to do it right. Let in some new voices. Consider some new options. Make it a team effort.

My optimism for a good health care outcome just hit its peak. Had they passed a bill, it would have limited their options for improvement to the stale ideas we’ve already heard. Now, for the first time, the public and perhaps Democrats can contribute some ideas and broaden the options.

Today is a very good day disguised as a bad one. If you think in terms of goals, Congress failed to pass a bill last night. But if you think in terms of systems, our options for solving health care just went from limited to plenty. We’re in the best position yet.

Did you wonder why President Trump seemed somewhat hands-off on health care? I think it’s because his strongest play as a negotiator involved waiting until Congress utterly and completely failed. That almost didn’t happen last night. It took a war hero to finish the job. 

Now it’s our turn to come up with better ideas, or to support better ideas wherever we see them. And if we are smart, we will insist on testing some ideas in limited ways, such as Special Health Care Zones in some states, and that sort of thing.

And we should be focused on innovation and technology to lower health care costs. There isn’t any other path forward.

You might enjoy reading my book because it is all about how systems are better than goals.

I’m also on…

Twitter (includes Periscope): @scottadamssays​

YouTube: At this link.

Instagram: ScottAdams925

Facebook Official Page: fb.me/ScottAdamsOfficial

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Useless

The Republicans said they needed control of the House of Representatives to stop the Obama Regime’s assaults on liberty. So we gave it to them. They said they needed the Senate to really make it work; so we gave them that, too. We even threw in the White House, just to make sure all the bases were covered. Now, here we are. As of this week, Obamacare remains in effect.

The post Useless appeared first on Personal Liberty®.

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I Tell You How Citizens Can Fix Health Care (Now that Congress Failed)

Congress just proved something that we all suspected: They are the wrong tool for fixing health care. The topic is too complicated, the politics are too corrosive, and the money interests are too strong. That’s why citizens will step in and fill the gap with their own proposals. I expect to see a number of citizen-created health care proposals emerge soon. To that end, I thought I would get the ball rolling by framing the problem in this short 4-minute video. This is how any large business would approach the problem of spiraling healthcare costs. Here is the graphic from the video clip:

The advantage American citizens have in 2017, that we never had before, is a populist president who can sell the bejeezus out of a health care plan if someone could come up with one that makes sense. But for that to happen, Congress first had to do a hard faceplant in the asphalt, to show the country they are not the right tool for the job. That phase is complete. Time for the next phase.

You might enjoy reading my book because Congress is broken.

I’m also on…

Twitter (includes Periscope): @scottadamssays​

YouTube: At this link.

Instagram: ScottAdams925

Facebook Official Page: fb.me/ScottAdamsOfficial

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What’s really behind the Obamacare repeal/replace debate?

Neither Obamacare, nor Better Care nor the AHCA are about healthcare. They are socialist redistributionary insurance policies. And people can and do receive healthcare regardless of whether they participate in one of these schemes. Healthcare is about health and wellness and the freedom to take care of your body – or not – as you see fit. Not what type of over-regulated public/private crony insurance scheme you are forced into.

The post What’s really behind the Obamacare repeal/replace debate? appeared first on Personal Liberty®.

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The Only Way to Fix Healthcare Insurance in the U.S.

Our system of government has been amazingly robust for hundreds of years, but it fails when you have these two conditions:

1. An issue is too complicated for the public to understand.

2. Big companies are willing to distort the system for profits.

That situation describes the healthcare debate going on in the United States right now. Our undersized brains can’t grasp all the nuances and implications of any particular healthcare plan. And when our brains are confused, we default to our biases (usually party loyalty) or to whatever metric is simple enough to understand. With healthcare, the one metric that matters is how many people will be covered compared to Obamacare. If the Republican plan covers more people, it will pass. If not, it will fail. 

Sure, Republicans will argue that the CBO projections are inaccurate. They will argue that comparing a mandatory plan with an optional one is comparing apples to oranges. They will be right about all of that, but it is irrelevant to the outcome. People will look at the number of people covered and stop there. So any Republican bill that covers fewer people than Obamacare is dead on arrival. That’s where we are now. And we don’t have a system of government that can fix this situation. 

But what we do have is an active citizenry and social media. That’s a better system for designing a healthcare system. I’ll describe one way to go about it.

Some of you are aware of Github, a company that lets software developers contribute bits of code that are made available to all other Github users. Github is a big deal, and software developers almost can’t live without it. Perhaps it is time to build a similar system for fixing health insurance in the U.S.

Imagine a website where any interested party can contribute suggestions for improving any individual element of healthcare in the United States, with a focus on lowering costs while improving outcomes. Perhaps you have an idea about lowering drug prices, and I have an idea about online doctors. We submit our ideas, and the Github-for-healthcare users gets to improve on them or ignore them. The system would allow users to rank the ideas. In time, citizens could develop multiple ideas for every element of healthcare. Citizen volunteers could eventually create up to three plans and present them to Congress for a vote.

I’ll get the ball rolling here by framing the problem as an innovation challenge, not a cost issue.

I think Congress can pass a bill that overspends in the short run so long as it comes with a plan (or path) to greater coverage than Obamacare. In my picture above, you see the growing gap between future health care costs and tax revenue. That growing gap can only be closed by some combination of innovation, cutting regulations, improving competition, and improving prevention. Let’s call that a “moon shot” challenge. We don’t know how to get there right now, but Americans are good at figuring out this sort of thing.

My suggestion for getting a healthcare bill passed is for Republicans to create a credible story for how they will cover more people than Obamacare, at a reasonable cost. And the best way to make that case is with visual persuasion, starting with this sort of simple graph and extending to images of startups that promise to lower medical costs.

At the moment, Paul Ryan and the Republicans are trying to sell their plan with facts, concepts, details, and logical arguments. That won’t work. You need an aspirational story about how to get to better coverage than Obamacare via American ingenuity. Everything else is just noise.

I don’t mind letting Congress take its best shot at improving healthcare. But realistically, they can’t. They are not the right form of government for this sort of complexity. 

Perhaps citizens can do what congress could not.

You might enjoy reading my book because it will make you healthier. (True story, according to my readers.)

I’m also on…

Twitter (includes Periscope): @scottadamssays​

YouTube: At this link.

Instagram: ScottAdams925

Facebook Official Page: fb.me/ScottAdamsOfficial

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