Healthcare

False Choices 

In the debate on healthcare, we are being given a false choice. We are told we must either accept giant corporations controlling our healthcare system or turn the entire system over to Washington, D.C. My opponent is currently pushing a plan for a complete government takeover, also known as socialized medicine.

Washington Democrats are doubling down on the Obamacare disaster, seeking to eliminate all private options for health insurance. Meanwhile, establishment Republicans are doubling down on the status quo by propping up corporate monopolies. Why should we be forced to choose between these two options when neither of them will work?

How about we put people back in charge of their own healthcare?

My Plan to Personalize Healthcare


When the people of Maine’s 2nd District send me to Congress, I will present my plan to fix healthcare with free market principles of choice and competition.

A recent study found that a full third of all healthcare prices are due to the costs of bureaucracy. As the bureaucracy grows, both in the private and public sectors, the price of healthcare continues to skyrocket at the expense of patients.

Every successful business operates on the principle that the customer is always right. That’s why we should no longer tolerate corporate and government bureaucrats occupying this position of power. My plan to Personalize Healthcare will increase access, quality and affordability by cutting out the middleman and putting patients back in the driver's seat.

  • Expand Personal Health Savings Accounts (HSAs) — Private insurance plays an important role in healthcare by pooling risk for catastrophic health events that are impossible to plan for. When it comes to plannable, routine health events, however, insurance company middlemen unnecessarily come between us and our doctors, driving up the cost of care with expensive premiums and driving down quality with frustrating bureaucracy. 
For many decades, Americans have been pushed into these expensive and expansive health insurance plans by failed government tax policies that penalize those who directly pay for healthcare, while rewarding those who receive all their healthcare (including routine care) through employment-based health insurance plans.

My plan to Personalize Healthcare will correct this disparity by allowing every American to save tax free in Health Savings Accounts that rollover from year-to-year. Instead of paying expensive insurance premiums that pad the pockets of insurance bureaucrats, Americans will be empowered to cut out the middleman and directly pay doctors for routine care, while retaining a more affordable, low premium plan for catastrophic events.

 

  • Personalize Medicaid — Even in a healthy, competitive healthcare marketplace run by doctors and patients (not bureaucrats), there will always be some who need help paying for healthcare. As a compassionate society, we can help those in need access healthcare — and we should do it by empowering patients, not bureaucrats.
Under our current system, American taxpayers pay $500 billion every year into an incredibly ineffective Medicaid program. It traps people in poverty with steep welfare cliffs. It empowers government and corporate bureaucracies to control their healthcare, treating patients like products on an assembly line.

My plan would cut out the middlemen and put Medicaid funds directly into Health Savings Accounts controlled by beneficiaries, empowering patients to directly engage with doctors for routine care and purchase their own affordable, low-premium insurance plans for catastrophic events.

Under the current “all or nothing” model of Medicaid, you can lose your healthcare coverage for accepting a raise at work. This steep welfare cliff traps people in poverty, instead of giving them the hand up they need. 

By personalizing Medicaid, we will eliminate the welfare cliff --- making subsidies scalable with income and disability --- providing a ladder so they can take that raise at work and climb the rungs to independence and prosperity.

 

  • Build a Patient-Centered Marketplace — For too long, the healthcare system has revolved around the needs of insurance companies and government bureaucrats, instead of patients.

By expanding Health Savings Accounts and Personalizing Medicaid, there will be a huge expansion of empowered Americans acting as direct customers for routine healthcare. That means doctors and other healthcare providers will be free to focus on serving the needs of patients: high quality healthcare with affordable and transparent prices.

With many of the bureaucratic burdens of medical billing lifted off the healthcare system, healthcare costs will come down and monopolistic hospital systems will lose their hold on the industry, allowing independent medical practices to return and create more access for patients.

With an infusion of competition among providers seeking to earn the dollars of patients, healthcare providers will be strongly incentivized once again to innovate to raise quality and lower prices, making healthcare better and more affordable for everyone.

A patient-centered marketplace means more access, lower prices and higher quality care.

More Government Keeps Making Things Worse. How Did We Get Here?

To understand the best path forward to fix healthcare, it’s helpful to understand how we got into this mess.

In healthcare, the 20th Century was dominated by third-party payers — insurance companies and massive government bureaucracies — charging exorbitant premiums and taxes in order to provide inadequate healthcare that doesn’t cater to the needs of patients. Today… we are still stuck living under this system. It’s time for change!

Over the last century, we have endured countless rounds of government “fixes” to our healthcare system, each one adding new layers of bureaucracy and further entrenching the established middlemen. You would think, given the number of government “solutions” we have endured, our healthcare system would be better than ever... but it only seems to get worse.

When Maine people speak with me about their healthcare, I quickly hear about the problems in our system. Many with health insurance are paying sky-rocketing premiums for inadequate coverage. Those without insurance never know what the giant hospital bill is going to be. Those under Medicaid have long wait times and are shuffled around for appointments, which last for all of five minutes before they are shown the door.

This system isn’t working. Maine people know it --- but we’ve been here before. Every time the people are ready for reform, the politicians unveil “new” proposals that are always more of the same: another transfer of power over our healthcare system from patients to the entrenched interests. This time it is being called “Medicare for All” and many well-meaning American people, knowing that something needs to change, are receptive to this false bill of goods.

But the answer is not Socialized Medicine, putting the government in charge. The answer is to Personalize Medicine, putting the people in charge.
 

Frequently Asked Questions


How is this different than “Medicare for All?”

My plan to Personalize Healthcare is different than Medicare for All in many key ways.

1. No New Spending. My plan would be completely funded within existing resources. By transferring Medicaid dollars from the hands of bureaucrats and into the hands of patients, existing dollars will be used more efficiently and effectively to deliver better results. Additionally, as an influx of price competition gradually lowers overall healthcare prices across the board, the costs to taxpayers will also come down over time.

2. The Opposite of Single Payer. A single payer system would make the government the customer, putting the needs of government bureaucrats ahead of patients. Instead, my plan will create hundreds of millions of patient payers, which will mean that patient needs (high quality, low prices) will come first.

3. More Choices. My plan to Personalize Healthcare creates choices, not one-size-fits-all government plans. By putting Medicaid dollars directly into the hands of patients and allowing direct payers the same tax benefits as those who get routine health insurance coverage through their employers, patients will be able to choose what works best for them instead of living (or dying) under the arbitrary decisions of bureaucrats.

 

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