Healthcare bill reform almost there!
Dear President Obama,
Not sure the exact current state of the healthcare bill that you and most Democrats are promoting but it appears that it might be enacted into law very soon unless most Republicans can manage to stop it.
I have to congratulate you and the Democratic Party for the effort of recognizing the need for a healthcare reform. Many Naïve Americans, including myself, are convinced that healthcare reform is needed but what is being done might not bring the desired / expected results. Being a computer scientist I have to think in a rational way. I fully understand we all make mistakes. The problem is that the USA since the 1950’s has been in a downward spiral (i.e., economy, education, healthcare, manufacturing, immigration, science, politics, etc, etc) and cannot afford additional fatal mistakes.
I would like to briefly explain how proper software is developed so we (most important you and the democrats) can draw analogies and check if the proposed healthcare reform bill makes sense. The beauty is that we do not need to look at the actual bill because we are just talking in an abstract and logical way.
When a project / product is proposed, time is spent in defining the problem(s) / situation(s) that need to be address with the resulting software. After the goals have been put in writing the next step is to propose an initial design that will logically address the problem(s). The team then moves into a set of phases (in my opinion only three) of design, implementation, and testing. After the first pass a review of the requirements and design is conducted. That helps clarify the goals and design, which leads to some changes in the implementation and testing. Software projects should take about a year. Enough said about this software development methodology.
Getting back to the main subject of healthcare reform, have you and your advisors figured out what the healthcare issues are? Have you and your advisors figured out what the goals are? Have you and your advisors figured out the exact cost of the project / bill is going to be? For the time being lets assume you have (The Naïve American does not believe you have gotten close).
Today if any person (not just Naïve Americans) in the USA gets ill and needs medical attention they can go to any emergency facility and will receive urgent care. If the person does not have insurance coverage the city, county, state, country, and finally Naïve American tax payers get the bill in the form of taxes. This last statement is 100% correct and any somewhat intelligent individual should accept it. The issue here is preventive medicine, which hopefully should be addressed by the bill.
The bulk of current medical expenses are in:
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High insurance premiums to generate ungodly profits for insurance companies. Executives of profit and not for profit organizations demand millions of Dollars in bonuses. Shareholders demand high dividends. We are all in it.
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Companies, organizations and individuals providing Medicare and Medicaid products and services take advantage of government programs by motivating individuals to get products and services they do not need. You need to watch TV to see what I am referring to.
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Pharmaceutical companies generate ungodly profits. Executives of such organizations demand millions of Dollars in bonuses. Shareholders demand high dividends. Once again, we are all in it.
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High costs for end of life patients. We all are going to die but most refuse and demand extremely high cost treatment and procedures, which will never be able to defeat death.
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Reform legislation to avoid frivolous law suits (too many unemployed lawyers) and enforce the rights of individuals.
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So, is your healthcare bill going to address the issues listed in the table and at what cost. Please remember that the US has a deficit in the trillions of Dollars and there is no sign in the future that the US economy is going to pick up. As a nation how are we going to pay an additional trillion Dollars in the next ten years? As I mentioned before, I do not care and Naïve American should not either. We elected you and the career politicians you are surrounded by. All what matters is that you Mr. president and the career politicians (mostly democrats) who support the healthcare bill that have signed on the dotted lines are going about the issue following a logical and scientific approach. God bless America (I am a Deist) !!!
What Naïve Americans need is a FREE basic healthcare system, which includes prescription drugs. This is the goal, which you and your team of career politicians have not figured out. How to pay for it is relatively simple and requires Medicaid and Medicare reform and budget cuts for so many programs all over our nation that are used as paybacks to career politicians. Perhaps some taxes might be required. If so most Naïve American will agree given that the proposed plan / bill makes sense and is for the good of the many.
To complete my suggestion, I would like to ask you Mr. president and democrats, what happens when a company in the so call free market that we tent to promote fails to develop products and services to support their existence? The worldwide answer is, the company goes out of business, unless in the USA the company gets bailout money and continues to exist getting their way until the entire country collapses.
Given that career politicians have it made because they are not responsible or accountable for what they do, the Naïve American suggests something quite simple. For any failed bill all career politicians that sign it MUST go to federal prison for a period of time that is a function of the cost of the failure. Specifically, if and when the healthcare bill fails, all involved parties might (will) end serving life time terms in prison.
So Mr. president, and all politicians that support the healthcare bill, are you ready to put your mouth in prison? If so then lets move forward with the current healthcare reform bill. If not, stop, think, change the bill, and then move forward. YOU wanted CHANGE. How about this proposed CHANGE?
Yours truly,
The Naïve American
PS: Mr. President, do not feel bad, Republican career politicians would NOT go with the prison incentive either. America needs a CHANGE and career politicians will never make any positive changes for America. PLEASE prove me wrong!!!
