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Newt Gingrich's Proposed American Solutions #4: Healthcare
"We must repeal and replace the left's big government health bill with real solutions that will lower costs and improve health outcomes." – Newt Gingrich
The big government Obamacare approach does not address the root causes of America's health care crisis. Instead, it creates layers of new taxes, regulations, and bureaucracies that will ultimately make our problems worse, not better. Newt proposes a "Patient Power" plan that will save lives and save money.
Newt's plan to save lives and save money
- Make health insurance more affordable and portable by giving Americans the choice of a generous tax credit or the ability to deduct the value of their health insurance up to a certain amount and by allowing Americans to purchase insurance across state lines, increasing price competition in the industry.
- Create more choices in Medicare by giving seniors the option to choose, on a voluntary basis, a more personal system in the private sector with greater options for better care. This would create price competition to lower costs.
- Reform Medicaid by giving states more freedom and flexibility to customize their programs to suit their needs with a block-grant program similar to the successful welfare reform of 1996. With that block grant, each state can focus on providing the assistance to low-income families that they each need to buy health insurance.
- Cover the sickest with a High Risk Pool set up by each state to cover the uninsured who have become too sick to buy health insurance.
- Protect consumers by reinforcing laws which prohibit insurers from cancelling or charging discriminatory rate increases to those who become sick while insured.
- Extend Health Savings Accounts (HSAs) throughout the health care system. Everyone on Medicare and Medicaid should be free to choose an HSA for their coverage. All workers should be free to choose an HSA in place of their employer coverage if they desire.
- Reward quality care by changing the Medicare and Medicaid reimbursement models to take into account the quality of the care delivered and incentivizing beneficiaries to seek out facilities that deliver the best care at the lowest costs.
- Reward health and wellness by giving health plans, employers, Medicare, and Medicaid more latitude to design benefits to encourage, incentivize, and reward healthy behaviors.
- Stop health care fraud by moving from a paper-based system to an electronic one. Health care fraud accounts for as much as much as 10 percent of all health care spending, according to the National Health Care Anti-Fraud Association. That's more than $200 billion a year. Compare this to the 0.1% fraud rate in the credit card industry thanks to its high-tech information analysis systems.
- Stop junk lawsuits that drive up the cost of medicine with medical malpractice reform.
- Speed medical breakthroughs to patients by reforming the Food and Drug Administration.
- Inform patients and consumers of price and quality so they can make informed choices about how to spend their money on care. Patients have the right to know this information, but finding it is virtually impossible.
- Invest in research for health solutions that are urgent national priorities. Medical breakthroughs--ones that prevent or cure disease rather than treating its symptoms--are a critical part of the solution to long-term budget challenges. More brain science research, for example, could lead to Alzheimer's Disease cures and treatments that could save the federal government over $20 trillion over the next forty years.
With these Patient Power reforms, healthcare can be transformed from an anchor on our economy to an engine. From a broken, fragmented system to a coordinated, innovative system that delivers more choices at lower cost for all Americans.
This comprehensive approach—cost, quality, competition, and coverage—can solve the problem of the uninsured with no individual mandate and no employer mandate. Everyone would be able to obtain essential health care and coverage when needed. For those who are too poor to buy health insurance, states will have more flexibility to provide them with the assistance they need to buy it. For those who nevertheless choose not to purchase coverage and then become too sick to do so, high risk pools will provide access to coverage. Once you have health insurance, you are assured you can keep it. By contrast, even Obamacare for all its trillions in taxes, spending, new entitlements, and new bureaucracy still does not achieve universal coverage.
Comment
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Comment by linda schrodel on January 19, 2012 at 3:23pm -
Newt I hope you read this. We need to find aa better way to find all the healthcare fraud. It is happening all over and the problem is much bigger than our government even thinks it is. There are people selling thier food stamps for cash, assisted living facilities and nursing homes charging both medicare and the families for the same services they also charge for services not recieved and not needed. I have experienced all of these things first hand. Not to mention hospitals charging crazy amounts of money for services like $10 for a Tylenol. Thats just stealing. There are people scamming the disability benifits as well and people that need it are being turned down and have to hire laywers to try to get it. It's out of control.
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Comment by Gerald Amos on December 20, 2011 at 12:35pm
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I really think that Newt is right on having choices on health care.
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Comment by Jamie R. Wisser, MD, FACS on December 19, 2011 at 8:10pm
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Comment by Jamie R. Wisser, MD, FACS
What has eluded all 'thinkers', including the former Speaker and his team, is that just as 'grass roots' movements can effect changes, independent thinking and practice styles of medical care at a more dispersed, shall we say 'local' level is the root of brilliant aspect of our medical system, with diversity adding characteristic strength. Concepts such as standardized, computerized record keeping, quality assurance standards, unification of system wide implementation and overall catch phrase idiology regarding the administration and practice of medicine and surgery in America undermines the most basic premise, about which Republicans should be most receptive and understanding. Effective medical practice for one Practioner may be quite different from another, as may be style and competence, and it is these differences that truly allow for 'choice' and competition between healthcare providers. What has boggled the implementation of healthcare is not method of practice, but overburdening the system with administrative imbalance, to the point that it has produced a 'machine-like' approach toward administration of care. Just as each person seeking treatment is not considered a 'biological system needing to be fixed'. Each individual patient must maintain the dignity of being treated as a person with a unique set of circumstances and variables that require a 'customized' approach. The adminstration of medical treatments should be furthest from a pigeon-hole styled approach, such as implementing mandatory methodology for treatment, record keeping and implementation of care. Development of treatment pathways within each area of medicine can serve as guidelines to assure that quality and basic interventions are both considered and implemented, not as standards by which 'approval ratings' or 'successful implementation' are used to determine remuneration for care given and about which criticisms can be publicly posted and reviewed. There is no question that redundancy of information gathering and compiling can be effectively streamlined using computerized software. However, what is to happen when patient record information becomes corrupted, the operating system that reads data from 5 years ago is no longer able to do be interpreted, let alone opened, or there is a 'system error' mixing up storage of information for people who have identiical if not nearly identical names? When critical information comprising a person's medical history is able to be more effectively shared to streamline care efficiency, ultimately reducing costs, all of us win, Providers and citizens alike. This is the focus Newt's healthcare policy needs to emphasize. Streamlining of information, internet access for safety and effective information exchange to improve efficiency, therefore reducing costs, without force feeding computerized logging of all medical information should be just one of the focussed themes. Should a 'glich' occur when ordering a medication for a patient in a hospital, the error is perpetuated and adminstration of the improper order is effected, either to the correct or even worse, incorrect individual, who or what is to blame and who is responsible to make certain the desensitized, sterilized computerized communication between healthcare providers is 100 % accurate? If I, as a Practitioner, write an order, communicate directly with the Nurse caring for my patient, who then communicates with the Pharmacy should there be any questions and personally administers a medication that is ordered, there are 4 levels of check and balances that enhance the safety profile of patient management through the personal touch, and clearly does not increase the margin for error as has been all too frequently been recently seen with standardized, computerized ordering and documenting of activities. Nurses now spend the vast majority of their shifts sitting at a computer documenting events, rather than
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Comment by JAMES SCHALLER, MD, MAR, DABPN, on December 18, 2011 at 11:52pm
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RETHINK THE COMPUTER RECORDS ARE OUR SAVIOR.
As a top rated MD treating patients from all over the world and bringing then to the USA to spend money, I was using computers to write prescriptions many decades ago and use computers to research, write 60 books or papers, etc BUT I DO NOT BELIEVE IN MANDATORY COMPUTER RECORDS.
1) I am not sure the fraud numbers are correct.
2) Mention OBLIGATATION to an MD and they are leaving.
Noticed the number of top MD's leaving medicine and lesser minds entering? Top MD's see it, while the lawyers who run the USA do not.
3) Any computer can be hacked. You need three SWAT teams t get into my medical records.
4) Physicians work best with the tools they like and that fit how they like to work. If you force an MD to change to a tool you like, they will not learn a new skill they will hate you and be less effective. I understand computer use in medicine and I did it. I felt at times it ADDED errors.
5) No one sane would do anything without real physicians who are very diverse--private practice to goverment practice involved, and it is amusing no one seems to get it that the AMA speaks for a very small percent of largely new medical students, retired physicians and new physicians. (The membership is about only about 15-19% of physicians, and about fifteen influences sell the AMA on physicians, so this is a terrible percent.
6) If you want to fix medicine, get out of the way, and get 30 physicians who are not similar, and practice many styles of care, and task them with ideas to help medicine. Currently, so much time is wasted on idiot papers, the paper or computer comes before the person. And adding computers does not add face time with the patient. THE PERCENT OF DEFENSIVE MEDICINE IS STUNNING AND BEYOND ANY LAWYERS UNDERSTANDING.
DOCTORS ARE BASICALLY GOOD BOYS AND GIRLS. IF ONE IS SUED OR DISCIPLINED--2,000 NOTICE. And alter their actions to stay safe and to stay out of trouble.
I STRONGLY FEEL A NEWT G/RON P VP TICKET WOULD OFFER THE BEST MEDICINE AND THE BEST COUNTRY,
This candidate is an immense thinker. Is not fragile, and is ultimately open to new ideas. He is creative. He is not frozen.
Adding advice or Ron Paul to his place as President would help with medicine. Since while OB/GYN's lkike my brilliant father are surgeons and not the type of medicine all do, they are familiar with much that is wrong, and would add to to a Newt G policy and wise approach.
I DO NOT FEEL FREE IN MANY WAYS IN THIS PRISON NATION WITH 25% OF THE WORLD'S INMATES.
BRING BACK REAL LIBERTY.
THE TALK OVER THE PAST DECADES MAKES LIBERTY A JOKE WITH GUN RIGHTS A FUNCTIONAL JOKE AND NO REAL PROTECTION FROM BULLIES, AND DO NOT DARE LET ANYONE ADD MORE DOCTOR RULES--WE ARE DYING ON RULES/CODES AND IGNORANT INSURANCE COMPANIES AND REVIEW GROUPS.
MAKE ME LESS CYNICAL. BRING BACK JEFFERSON, ADAMS AND FRANKLIN. Smart people, with some sense of faith and a belief in liberty. Heck, also bring back Paine--disagreement only makes us wise and stronger-he had some smart ideas. God bless all unbelievers. Real Americans love them all.
Submitted by a veteran physician treating the worst of the worst, with a real education for many years before medicine.
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Explore Newt Gingrich's Contract With America
Part 1: Legislative Proposals
Unleash America’s Full Energy Production Potential
Save Medicare and Social Security
Control the Border by January 1, 2014
Revitalize Our National Security System
Maximize the Speed and Impact of Medical Breakthroughs
Restore the Proper Role of the Judicial Branch
Part 2: Day One Executive Orders
Eliminate the thirty-nine White House "Czar" positions
"Mexico City Policy" of Respect for Life
Restore conscience clause protections for Healthcare Workers
Respect Each Sovereign Nation’s Choice of its Capital
To Do List for All Members:
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