NAME THE BETTER WAYS
You never provide any
No one has asked.
The solution I suggest follows. I spent a lot of time thinking it up, more than Congress has, that’s for sure. It involves getting government out of the way, making people responsible for their own health care costs, and gives crumbs to big insurers and the government to make them feel better they’re being kicked to the curb.
First, we make all health care expenses 100% tax deductible. Your personal health care costs are high? You can deduct all of them from your taxes. Why should the government be taxing people for trying to stay healthy?
Next, we expand the Individual Health Savings account program immensely. Money put into these accounts is pre-tax now. Second, the limit is taken off. You can stuff as much into one of these as you want.
If you take the cash out for health expenses, it’s tax free. If you take it out for something else (ie., you don’t direct pay a health provider by debit card or check) then you get it taxed as income.
For those who are low income and get things like EIC (Earned Income Credit) this money doesn’t go to the taxpayer directly but is instead deposited in their health care payment account to cover their costs up to a maximum amount of say $5,000 (the exact amount can vary this is just illustrative). Once they hit that number, they get the EIC as a tax return just like now.
That means virtually everybody has a health care savings account. Better, we could make these earn some interest too. That’s for discussion.
We also make these accounts available to businesses. But we do it a bit differently with these. Like the personal ones, each employee gets an account up to a limit of say $5,000 to $10,000. The exact amount isn’t critical here for discussion. The employer simply reimburses the employee for health costs as they occur, and the employee reports them.
This system is easily implemented. Most employers already have companies managing employee pay, like ADP, due to the complexity of government regulations.
Now comes the sweet part for employees and employers. At the end of each year, the employer and employee are allowed to split the remaining funds in each account 50 – 50.
That means if the employer account is $5,000 per year and the employee doesn’t use the account they get a $2,500 bonus at the end of the year. The employer, likewise, gets a similar “bonus” to use towards reducing their costs next year on employee health care costs. This could possibly be run by current health insurance companies if the employer doesn't want to themselves.
Now, to cover massive, costly health problems… That’s where insurers and the government come in. What we do is abolish Medicare / Medicaid and replace it with a national catastrophic health insurance program with a $5,000 to $10,000 deductible. This might be higher or lower. Again, that’s for debate. But everybody has this coverage. The number, I suggest, should be about equal to the expected value in an average healthcare savings account.
That means hospitals will only be out the deductible for anybody they treat at most. That’s collectable if the individual doesn’t pay up front or make payments. They can live with that It also means almost anyone will be able to cover most or all of the deductible from their own pocket via their health spending account.
Thus, individuals can have their own spending account to pay for health care, employers and employees have a similar account they use together, and everybody gets covered for major medical disasters in their lives.
The government stops taxing people for paying for their health care, and insurers are running the catastrophic plans.
If someone wants more health insurance coverage, they’re free to pay for that too. You, the individual, get to pay for what you think you need in health care rather than have the government decide for you.
So, given you haven't given so much as a second of thought to what might be better, instead just parroting the Left's / Democrat's whining about "Universal government run healthcare" and other massive, high cost, socialist bullshit, I'm streets ahead of you on this. Try and poke holes in my plan.