From Larry Fedewa

Hi everybody – 
Still looking for a free market health system. Just can’t stand the idea of my family’s life and death decisions in the hands of some budget-minded bureaucrat.  
ANNOUNCING:  4 Podcasts of health system topics now available on You Tube! 
You Tube

In subject box, type: 1. Dr. Larry welcomes 
Show is live on Wednesdays at 7 pm (ET)  Call 646.929.0130 (EASIEST way to listen) and talk to Dr. Larry and guests on the air.
As always, comments and questions are welcome.
For more writings, poems, interviews and guest editorials, see my website,                                             
Next Step: Free Market Health CareA practical approach to progressBy Dr. Larry Fedewa (September 24, 2019)

 One of Washington’s most respected experts on legislative advocacy, Dr. David Rehr, now   a George Mason University professor, has recommended that we present a list of separable items in an integrated proposal to reform health care. The strategy is that we should be able to get bipartisan support for some of our ideas and thus build a foundation for the larger reform. This is a sort of step-by-step approach to implementation. 

“The Dr. Larry Show” on this Wednesday, October 2, 2019 at 7 pm, will feature their report on the following draft propositions (in increasing order of controversy):A federal program for medical students like ROTC — free tuition in return for 2 years past-grad service. Rationale: critical shortage of medical personnel. (A postscript should provide for military medics to get certified as civilians.)A federal IRS provision to allow legitimate research and development costs for medical technology equipment to be tax deductible, thus reducing the market cost for buyers and therefore users. Rationale: to dramatically reduce the cost of technology-based therapies, which are currently priced in the $thousands even treatments of common diseases such as cancer.A federal law defining health insurance as interstate commerce to override the differing laws of the 50 states. Rationale: dramatically reduce the administrative costs of medical insurance.A federal law defining liability for medical mishaps as restricted to provable harm to victims with pre-determined limitation of financial penalties (tort reform). Rationale: elimination of defensive medicine and reduction of costs for medical liability insurance as major cost drivers.An IRS stipulation prohibiting US employers from claiming medical benefits to employees as a tax-deductible cost of doing business, leaving all medical and health matters to the personal responsibility of individuals and heads of household. Rationale: the buyer of health care thus becomes the individual who is the final decision-maker of therapies and treatments.

a.  An ancillary provision that DHHS maintain and publish a directory of ALL medical insurance organizations 
b.  That States be encouraged to form special funds for the treatment of the indigent stipulating that hospitals be reimbursed for their care.
c.  That health savings accounts be treated by the IRS in the same way as retirement funds and municipal funds (i.e. unrealized capital gains non-taxable).Clearly, the items under 4, and 5. above are the most controversial and most in need of further development. Nevertheless, acceptance of any reform is a step forward.   © Richfield Press (2019). All rights reserved. 

2 thoughts on “From Larry Fedewa”

  1. As someone who spent her time working in well-structured Medicare and Medicaid capitation plans for the roll out of Part-D and hospitals that had real estate departments that mastered the art of surge capacity for pandemic, I can’t agree more.

    Public options should simply *be* well-stocked and staffed public hospitals. We don’t have enough clinics (or hospitals) in the US for our population, we have 1/3 of all the documented current U.S. death toll resting on overworked medical staffs making errors, and we should not feed this bloated, problematic model more public money than it already eats up. People need to be able to pay for a sensible private option that isn’t bloated by the prospect of a public or insurance-based payout that makes an individual bandage cost $300. I also would like to see more room for naturopaths and osteopaths to prescribe a well-tested mint, lemon balm, and sage anti-viral preparation that has 50 percent efficacy against HIV in early detection over a 60 percent efficacy pharma medication that destroys bone tissue. I can bring out the studies from Europe and Japan if you like. I always like to say, “there is certainly interest in the public health, but the current fee for service structure system doesn’t serve the public’s interest.” I’d rather see a tax credit for a certain deductible amount and a waiver for high amounts with a charity write-off incentive for the hospital, doctor or clinic.


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