I contemplate AfFordable Care Act all the time, rehearsing my vision for sustainable health entitlement policy. It seems so doable, I can only imagine that special political interests are
blowing smoke to prevent a sensible outcome. Here is my brief submission:
A. Empowerment of all adults to make their own healthcare decisions, thus tapping into the collective wisdom, such as social media, search engines, and old wives tales.
B, The first opinion is always derived from artificial intelligence. Fill in a checklist questionaire and get out a diagnosis that should be as reliable as any MD or advice nurse. Those
then become second opinions. The healthcare consumer makes the final decision. No longer any such thing as "malpractice" because ultimate responsibility lies with the consumer. Liability
for fraud or "reckless disregard" still remain. Only the condescending patronizing of the bureaucratic medical/industrial complex is removed.
C. To start, patients are empowered, their health savings balance permitting, to order their own lab tests at market prices. I accidently had this experience in a Wal Mart Kiosk, and got a
"Complete Blood Count" for cheaper than a copay. This shows the monopolistic "rent seeking" character of "fee for service". After doing this trick a few times the "Doc in a Box" outlawed
the practice because I was evaluating the results myself, rather than going to an MD to do it.
D. In short, the medical doctor's role shifts from "gatekeeper" to "consultant". There is a new web site I heard about starting in this direction.
E. Especially for AARP: The most important endemic problems Seniors face, and we are the fastest growing demographic in the US, does not have to do with fancy high tech medicine. Now that
I have joined the ranks along with my baby boomer bretheren, I am much more concerned with matters such as degenerative arthritis, obesity, and other everyday chronic health issues that
relate more to lifestyle than prima donna specialists. So I make one more suggestion to AARP: Amongst the most popular unmet needs for people my age suffering from crippling loss of
mobility ( ergo independence) due to degenerative arthritis is the THERAPUTIC SWIM POOL. Five feet deep and minimum 89 degrees so avoiding disincentive of muscle spasm. Any town you care
to name, will either have no public facility to access the THERAPUTIC SWIM POOL, or if they do, the parking lot will be so jammed full you can hardly find a space to park. This is due to
cultural lag. Affordable YMCA pools are designed for a younger demographic. The warmest water they have is about 82 degrees, and no hot tub. Reason: "ITS THE YOUNG M OR F CHRISTIAN
ASSOCIATION". Get it? Young - Young - YMCA - first letter is Y. For "Young".
F. It is common sense shifts in morays that obstructs the fulfillment of real Senior needs. If we keep this up, we will all bankrupt ourselves, individually and collectively. AARP is
missing the opportunity for a huge economic and political power triumph by meeting the real needs of people in the real world. Attention AARP executive: How about the American Association
of Retired People displacing the function of YMCA to some extent. It should be self evident that this will be a big draw to increasing membership. Wouldn't you think?