Living in the rarified world of VIP access to health care maybe it’s time for a non-randomized clinical trial, with Congressman being in a study group where they have to pay out-of-pocket fee-for-service with no reimbursement, for prostate screening and treatment.
So they can experience what life was like for 20 million Americans before Obamacare.
Some specifics of the trial. They must get care in their districts. No “professional courtesy” from local physicians. No free PSA. Go to the ER if further tests are needed and become “self pay”, or apply for “charity care” and/ or work out a payment plan for the hospital charges, radiologist, urologist +++
THEN in a year come back to Washington and revise the Obamacare algorithms to assure its sustainability.
For which they might start be reading How to Build on Obamacare by Paul Krugman of the New York Times.
“Actually, though, health care isn’t all that complicated. Basically, you need to induce people who don’t currently need medical treatment to pay the bills for those who do, with the promise that the favor will be returned if necessary.
Unfortunately, Republicans have spent eight years angrily denying that simple proposition. And that refusal to think seriously about how health care works is the fundamental reason Mr. Trump and his allies in Congress now look like such losers.
But put politics aside for a minute, and ask, what could be done to make health care work better going forward?”
To see some solutions read the rest of the article by clicking on https://www.nytimes.com/2017/03/27/opinion/how-to-build-on-obamacare.html?smprod=nytcore-ipad&smid=nytcore-ipad-share&_r=0
To understand why “Repeal and Replace” was a flop click on LESSONS LEARNED: TrumpRyanCare Obits at http://doctordidyouwashyourhands.com/2017/03/lessons-learned-trumpryancare-obits/
And, worth reading:
Is Obamacare a Lifesaver? By Ross Douthat, New York Times https://www.nytimes.com/2017/03/29/opinion/is-obamacare-a-lifesaver.html?smprod=nytcore-ipad&smid=nytcore-ipad-share