The fundamental flaw we can not get past is failure to recognize that the requirements for good medical care at reasonable cost are fundamentally incompatible with capitalism. So it is no wonder that our version of medical care eventually degenerated into a fascist monster. Successful capitalism requires markets where either he buyer or seller can walk if they don't like the deal they are offered. This requirement can not be satisfactorily met in medical care delivery except under voluntary self restraint. That ended long ago with the advent of big time clinical medicine, and the realization that seemingly any cost no matter how high, could be passed on, producing gargantuan profits seemingly without limit -- though of course there is a limit! As the limit approaches, fewer and fewer can access a reasonable level of healthcare. There are plenty of successful medical care delivery systems around the world. All the U.S. has to do is pick one and copy it! That can't happen in the U.S. We are stuck being losers forever!, because we can't bring ourselves to recognize why it is fundamentally impossible to tweak the medical care monster and make it beautiful.
There are many ways. They have already been shown successful and all worked out for us.! All we have to do is pick one of the best ones based on lowest cost and highest quality and copy it. (Of course we will never do that. )
That's actually a good idea really, the prescribing pharmacist thing. It would save gillions for real. I can see one huge problem right from the jump however... lawyers, lawsuits, and liability. Some idiot will OD their kid on Amoxicillin because the pharmacist didn't explicitly tell them not to administer all 40 pills in the first hour to fix the fever faster or something. A whole new lucrative sub-sector will open up for the leeches that exist among our fine legal professionals. This could all be fixed however, the whole liability thing that is, with an Orwellian approach that uses huge huge databases and AI that would would not only monitor the issuance of even the most harmless of Rx's for the person in question, but also monitor the administration of such via the person's smart-phone and smart bracelet. I think that's where we are heading tbh. Google didn't just buy Fitbit to sell fashionable watches that count your steps, they are thinking waaay ahead, and buying FIT was just one small step, no pun intended. Apple is too. At least that's what I think. I'd look for more action in this sector because it will be the solution, or at least a big part of the solution. Little niche companies that we have never heard of and more than likely aren't publicly traded will be funded/purchased and brought under this umbrella. Very Orwellian really, but wtf.... we pretty much have just accepted all that anyway right? The 24/7 nanny state where everything you say and do is recorded for all eternity. Each of us creates a billion bits of data everyday, if not every minute really.... literally... we do.... think about it. Not just what we purchase or where we go... that's nothing.... our mood, our interactions.... the interactions of people with whom we interact.... and now it can all be compiled and analyzed across 100's of millions of people, archived and retrieved forever. The predictive power of this is mind-numbing. We ain't seen nothing yet. You can mark my word on that.
EXACTLY! It's not a significant problem when viewed logically, but that will be the argument used to kill the idea, plus of course "safety." You can never defeat "safety" as an argument! No matter how irrational the argument is. That one word "safety" is enough to win the political argument every time. That's why we have 6000 nuclear war heads when all we really need is a few hundred in Polaris submarines to be perfectly "safe". In other words the reason we can't do it, but all other countries can, is 100% political. If any one thinks that a physician prescribing over the phone or with a two second glance at a sore throat is any less safe or more risky than a trained pharmacist doing the same, they are nuts. If pharmacists are trained to prescribe for maladies where both the chance and the risk of misdiagnosis is low, i.e., no lasting harm will come to the patient, there will be no increased risk and no less safety then when a physician prescribes, and maybe less. Is the tiny risk, and minuscule "unsafeness" worth 26 trillion. Yup, it is!
This is a fine example of the asinine, childish stuff coming from the corrupt Republican party that we are asked to put up with. Either contribute a something or remain mute, please.
There’s plenty of “fine examples of asinine and childish stuff coming from the corrupt Democratic party” posted on these boards all the time. Don’t be a hypocrite. If it bothers you ignore it.
Warren's multi trillion dollar plans. Certainly there must be some connection or irony between those proposals and the fact that her only experience outside of being in the Senate has been in teaching bankruptcy law at Harvard. No doubts that she is the most qualified to bankrupt the country.