Policy > Universal Healthcare

Universal Healthcare

Expand Medicare to cover all Americans. 

  • Life expectancy in the U.S. has consistently declined for the past several years for the first time in a century, driven by "deaths of despair" - drug overdoses and suicides. 

  • We spend nearly double what other OECD countries do for our healthcare to worse results.

  • Millions of Americans are uninsured; healthcare is the number one cause of bankruptcy.

  • With automation and artificial intelligence, tying healthcare to employment can create job lock and dampen entrepreneurship.

 

Key points:

  • Negotiate drug prices, using carrots and sticks such as international reference pricing, forced licensing, public manufacturing facilities, and importation.

  • Invest in technologies to make health services more efficient and reduce waste by utilizing services such as telehealth and assistive technology, supported by measures such as multi-state licensing laws.

  • Improve incentives by offering flexibility to providers, prioritizing patients over paperwork, and increasing the labor supply. 

  • Transition focus towards preventative care 

  • Ensure crucial aspects of wellbeing, including mental health, care for people with disabilities, HIV/AIDs detection and treatment, reproductive health, maternal care, dental, and vision are integrated into comprehensive care

  • Diminish the influence of lobbyists and special interests in the healthcare industry

 

More specifically:

  • Incentivize integrated preventative care and healthy activities, such as nutrition and fitness 

  • Incentivize food banks and clinics to partner together to promote food accessibility and reduce health disparity 

  • Overhaul and incentivize innovation in Electronic Health Records to modernize and streamline healthcare administration

  • Move away from defensive medicine; advance medical malpractice and tort reform

  • Transition away from fee-for-service models towards 21st century payments models, such as salary-based compensation used by the Cleveland Clinic and Mayo Clinic

  • Integrate assistive technology into primary care and invest in the development and deployment of medical technology to assist Nurse Practitioners 

  • Integrate mental health checkups into primary care.

  • Invest in suicide prevention and expand access to mental health services in schools

  • Expand mental health training programs and loan forgiveness programs for healthcare workers serving rural and underprivileged areas

  • Invest in veteran mental health and fund crisis helplines

  • Break the patent on TRUVADA to provide low-cost PrEP 

  • Ensure access to comprehensive sexual and reproductive care, including STI screenings, contraception, and abortion.

  • Ensure access to non-discriminatory healthcare, including gender-affirming services.

  • Protect Planned Parenthood funding; repeal the Title X Gag Rule.

  • Repeal the Hyde Amendment

  • Allocate more resources to maternal health research.

  • Fully cover all maternity costs

  • Invest in implicit bias training for healthcare providers to ensure Black women receive life-saving maternal care

  • Establish objective treatment guidelines for childbirth care to mitigate pregnancy-related deaths

  • Improve palliative care education to provide effective treatment that allows patients and families to be involved in open conversations and decision making 

 

Cite: https://www.yang2020.com/blog/a-new-way-forward-for-healthcare-in-america/

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