Reducing Health Care Costs

 1) Open the US market to imported medications. These should undergo lab testing for purity, then stamped with a label of approval. 

2) Put all medications that are not addictive and that have the same LD50 as acetaminophen over the counter. The lethal dose is about 5 times the therapeutic dose of 1000 mg. Patients have access to AI. It is superior to experienced specialists at diagnosis and at treatment. Public self-help should treat most mild conditions.

3) If a party fully investigates and remedies an adverse event, all that evidence should be exempted from discovery in  litigation. This would motivate providers to thoroughly investigate the multiple failures that cause a catastrophe in care. All findings would be immunized from use in litiation. The findings should be published to the internet to help others prevent the adverse event. They would change the standard of due care. Ruinous litigation causes defensive medicine, stifles bold innovation, and induces a cover up of the factors that caused a catastrophic failure.  There is no evidence tort litigation results in prevention of injury. It is a lawyer toxic lawyer scam. Only innovation and technology improve safety. 

4) Prosecute accreditation agency requirements for building codes, for staffing, for mandated practices if they are not proven safe and effective. They are rent seeking fraud by gold plating requirements. They are anti-competitive schemes to exclude lower cost providers. 

5) The medical malpractice lawyers take in $50 billion. The resulting cost of defensive medicine is $500 billion. That is why the medical profession does not crush the lawyer profession, as it could easily. Doctors and hospital falsely complain but profit from defensive medicine ten times more than the lawyers do from litigation. 90% of medmal claims have no merit. So, it goes on to the detriment of the public in massive  cost and in preventable injury of 250000 people that still die from medical error. A procedure that is legally necessary but not medically necessary is called insurance fraud. Start to prosecute defensive medicine procedures. Defensive medicine dwarfs the prosecuted medical insurance fraud by 10 fold. 

6) End of life care consumes a quarter of the Medicare budget, around $half trillion a year. It subjects sick, dying, and elderly people to painful procedures that provide no benefit. Pushy families assuaging guilt by threatening health care providers to do futile procedures should be crushed by getting the bill.  

If defensive medicine and end of life care were stopped, life would be better and the savings substantial. The savings would amount to $750 billion. When we say that amount, are we ready for what happens when it is saved? 7.5 million people lose their jobs, including 200,000 doctors.