12 year plan for: affordable healthcare, addressing economic disparity, changing inner city dynamics, quantifying the true cost of citizenship (Very rough draft)

 

/// Market imbalances creates a sellers market that affects hospital costs, insurance prices, and rising educational costs 

/// Market imbalances will only self correct when people refuse to overpay for products or services, when products or services fail. This is impossible with healthcare, people will pay anything for a cure. 

///In other words, healthcare must be excluded from the free market, capitalist system because it will not self-correct 

/// At this point, the government needs to step in to rebalance the market forces of supply and demand by offering interest free loans for all med degrees with a 7.5% loan forgiveness for every year worked at the VA or for every year having a 50% case load of welfare recipients.  

/// These loans also address the income inequality in the US because, quite frankly, someone living in poverty will never qualify for the $ 500,000 in loans (no collateral) needed to complete med school + living expenses 

/// An aside; no one wants to work in blighted inner city areas b/c of a lack of empathy and crime, MDs raised in an inner city would have a far better understanding and empathy for people trapped in poverty 

/// Expand the VA over a 12 year period to cover all citizens 

/// Expand the VA in age groups over a 10 year period in 5 year age brackets per year 

/// Change the VA system into a teaching hospital 

/// Offer degrees in child care/child development allowing single women with children to study for a med degree, children would be the students for other women studying child care while the mothers are studying for a med degree. Again, a way out of poverty 

/// Pay for the expansion of the VA system by 1) allowing people within a certain radius to buy access to VA healthcare 2) Allow the next in line age bracket to buy into the VA system. 3) Allow corporations to buy VA coverage for their employees provided the VA system can handle the strain.

/// Allow people to work at the VA as support staff in exchange for healthcare, 15 hours per week seems like a reasonable number, there are people working 2 full time jobs already just to pay for healthcare and rent 

/// Within 12 years, every major city in the US could be covered by the VA system, and with 50% of hospital costs being related to insurance paperwork, healthcare costs would be cut in half at the very least 

/// The price of citizenship needs to be addressed as this is a US based healthcare system and our citizenship was never free, it was paid in advance by our parents or the previous generation. 

/// MDs, nurses, support staff, expanding coverage, poverty, single women with children all benefit and the expansion of the VA would be paid up front by offering insurance until everyone is covered.

/// This idea or plan requires flexibility to succeed, availability of MDs and nurses must grow in proportion to both the VA system and the demand for services but is designed to have minimal necessity for federal funding and, in fact, would transfer funding of the VA to the consumer while at the same time offering affordable healthcare for the first time in 20 years.