Obamacare is the Insurance Company Relief Act not the Affordable Care Act.
Since Reagan, we have become a nation of addicts addicted to spreading the wealth of the middle class
but not the wealth of the ultra-rich due to their special interest prowess. At this point If we end the loathsome entitlement subsidies for food, housing and health care in order to lower taxes. We will kill the nation itself.
Today, I became a supporter of expanded Medicaid in the U.S. Without means testing. Today, is the day I realized that there is no going back to health care costs that I can afford to pay out of pocket like my father did. Sadness comes because I know the system has been stacked against us. Like the system confronting the people of Boston just before the Tea Party... Just before the revolution. There is no place to go though.
The 1% has the middle class surrounded by the entitlement addicts and the 435 people in charge of defending my freedom can't hear me.
Now is the time to Vote to expand Medicare! To Vote to END Obamacare and replace it for an Expanded Medicare system but which can only be used exclusively at public hospitals and clinics.
Vote for higher taxes on the wealthy like it was 1954 again but with smart deductions targeted at job growth! Smart Deductons: https://steemit.com/economics/@adconner/the-velocity-of-money
There is no way in hell to end the entitlements. We have to go full bore into Expanded Medicare for health care to cover the 20 million sick and needy patients, but we need to do it smartly.
We have to cutout the middlemen taking our premiums for his profits because the actuarial tables have been skewed in their favor.
We CAN fund an Expanded Medicare System and keep the private system with all the choices we love to have. To create competition between the public and private systems.
Here are some of my suggestions on taxation and healthcare.
End Income taxation on individuals below 5 times the median income for single filers and 10 times for Married. Then institute a tiered system from 30% to a max of 70% with those smart deductions I already mentioned. All corporate income taxes should start at 50% minimum regardless of amount of income but provide deductions for reinvestment in corporate infrastructure that results in expansion of jobs or retooling for technical upgrades or technical research.
Institute a national value added tax of 7%. This tax must exempt raw food and medicine.
Institute a 25% National Luxury Tax on all purchases above 5,000,000 dollars or 100 times the median National Income whichever is less. I.e. Boats, Planes, Cars, Art, etc. But exempt real estate from this tax as well as from capital gains taxes, but institute a 6% federal doc stamp tax on all real estate transactions to help fund the Expanded Medicare for the 20 million entitlement addicts who cause our premiums to increase every year.
Repeal Obamacare and open up Medicaid to the uninsurable to include dental and optical but double the payroll deduction for Medicare, from everyone. This will cover the expansion and will even cover the unemployed and children. THIS IS IMPORTANT, however, Expanded Medicare should be restricted to public hospitals and clinics. Payroll deductions and doc stamps has to fund it at 100% or zero sum. So the percentages may need to be adjusted. Caveat! Medicare must be restricted and invalid at privately held hospitals, clinics or doctors. All Medicare and Medicaid funded care is only through government operated (county) hospitals or clinics.
The law should require each county to employ 1 doctor per 500 residents, and 1 nurse per 250 residents a minimum of 40 hours per week, and have a minimum of 1 hospital bed for every 1750 residents; made up of specializations as determined by each county's board of health.
Each procedure paid for by Medicare must be capped at a zero profit to prevent privatization of county hospitals. This will put some real pressure on private insurers and hospitals to lower their fees and create competition with Medicare. The restriction of Medicare patients to only receive services at government owned hospitals is the incentive for the private hospitals to compete to provide better services than is provided in the public system at a really reasonable cost. (This will also end uninsured costs to private hospitals and put pressure on public hospitals to provide decent care.)
Institute Tort reform for Mal-practice to cap Liability at 5 times the regular fees for all services related to the event where the mal practice occurred or $100,000 whichever is less except in cases of gross negligence resulting in death or quadriplegic paralysis and/or injury requiring external life support for life covered at estimated cost of future support services related to the event extended to costs caused by the support itself. Public hospitals, clinics and public employees would be exempt from liability in accordance with state statutes covering all public employees and government agencies based on qualified immunity for public employees.
Require Counties to institute a 6% doc stamp fee but not Tax the profits or capital gains of the real estate sale.