Wednesday, April 13, 2016

Making Universal Health care work!? part 2



Welcome to part two of this little thought experiment.  Yes yesterday's issue was long, but hopefully today's will not be as labor intensive.  Let us start.

Step 3 of making the universal health care system work would mean reducing the amount of things that can be considered a health care profession.  This means things like masseuses, yoga instructors and similar cannot be considered medical professionals.  Even if the techniques they know can be integrated into therapies, the professionals that know them are too specialized in general for them to be worth covering in my opinion and also the universal health care system does not allow for innovation or change which may allow alternate cheaper forms of these techniques like for example the 15 minute street massages that are gaining more popularity.  As such, wherever possible the government should reject any and all professions as much as possible from becoming considered health professions as they will increase costs and thus limit access to these techniques.  At the same time, techniques specific to health care/physical therapy and recovery minus any religious or spiritual aspects (indicative to yoga and tai chi) will be taught to nurses in specialized classes in the same way they are thought to be phlebotomists (people who draw blood) or to administer first aid.  The reason for this is to provide patients with an alternative to getting these therapies once they are discharged by government run hospitals and doctors’ offices or the universal health care system refusing to pay for further treatment.  Having a nurse or doctor perform such techniques let alone treat patients is expensive for the government which is why they will only use it when required to treat the patient.  Taking into consideration the costs to the government and their want to discharge and stop treatment at the first available opportunity it is necessary to provide a non-medical alternative to getting the same treatment on the cheap, especially if the patient is seeking more than just physical treatment, like spiritual health which is sometimes provided by massage and yoga instructors amongst others. (Note:  This can also be done in our current healthcare system to keep costs down).

Step 4 is the legalization of as many pharmaceutical drugs as possible.  In this instance psych drugs and addictive drugs will be restricted to prescription only, and even then some addictive drugs will be able to be OTC's but the age and how much can be sold at any given time will be limited in the same way they do to pseudoephedrine products now which with other ingredients can be turned into meth.  So things like codeine products would be sold behind the register.  Otherwise antibiotics, non-addictive pain relievers, topical burn creams, acne treatments, and others will be over the counter medications unless the side effects are so potentially debilitating or dangerous that they must be provided with a prescription.  Claravis and its sister products come to mind which is to treat acne, but the potential side effect is depression to the point of suicide and birth defects resulting in a test by the patient and questions needing to be answered by the doctor each month just for the drug to be dispensed.  As such, pharmacists will still be needed, but they will be at an info desk to talk to patients and recommend which antibiotics or other products to take to treat what ails the patient based on what a doctor says they have or, if trained to, their own diagnosis of the patient.  Some may be wondering why legalize all these drugs without a prescription in the first place?  Let us use Flonase as an example.  This allergy nasal spray without insurance prior to becoming an OTC was $200 plus dollars, but now that it is an OTC, the cost for the brand is at most $26.  That cost difference is due to the regulatory requirements imposed by the FDA amongst other factors.  Same medication, just as safe to take as it was when it was prescription only.  Likewise, with the change in curriculum mentioned in step one people will have an idea of what to take and when, which saves money by not needing to go to the doctor in the first place.  (Note: This can also be done in our current healthcare system to keep costs down).

Step 5 deals with illegal drugs.  Right now illegal drugs are not allowed to be used to create or be used in experiments to create drugs or even alternative therapies.  This would need to be changed so that more potential treatments can be found.  Also, as many illegal drugs as possible will also be made legally available via the pharmacy or similar.  As such marijuana and similar would be able to be monitored sales wise and even who is taking it to ensure proper medical treatment can be administered.  More serious hard drugs will be in specialized dispensaries run by the government, but the people addicted will have to pay for their drugs to get them as they will be considered over the counter medications, but if they overdose (as they will only be allowed to ingest/inject the drugs there on site), the treatment for saving them in the mini hospital in the back will be free.  The idea here is to monitor these long time patients and new patients so as to gain a better understanding of addiction, keep these people from buying from dealers on the street, protect the addicted person's children by not allowing them to see their parents do drugs and overall provide help to get off these addictive drugs when the person asks/is ready for it. (Note: This can also be done in our current healthcare system to keep costs down).

Conclusion to part 2:  So step 3 is to keep costs down while allowing for alternatives to medical treatments when the doctors and or universal health system no longer wishes to pay for therapies.  In step 4 we eliminate as many prescription drugs as possible by making them OTC or a restricted product like alcohol so as to reduce costs due to regulations, while step 5 ends the drug war allowing for the money used to stop illegal drugs to instead be used to look into new medical treatments and get a better understanding of addition so that we get these poor people out of the shadows and the prisons to give them the health care they deserve.


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