Would you know one if you saw it?
First, citizens must demand that Congress and the President produce legislation that will ensure that all Americans have affordable healthcare of the best quality possible from the national resource of healthcare professionals, clinics and hospitals, and research institutions. Pharmaceutical manufacturers are part of the equation.
The Required Outcome: All citizens have affordable health care for their lifetime. The cost and quality must be competitive with that of developed nations. Optionally, wealthier Americans may want to spend on extraordinary procedures at will. That is outside of the national imperative.
How do we get there?
The American economic model is regulated capitalism. That is, free enterprise and the free market is encouraged as much as possible. However, regulations are needed to ensure a balance of economic, social, and environmental responsibility.
Regulations ensure fairness and equality and support integrity in the system.
The American way of producing the system is to engage representatives from the providers and citizens with legislators to define the system and rules in which medical practitioners and their support organizations may thrive as businesses.
What we are witnessing today includes two things:
1. The Affordable Care Act (aka Obamacare) is an operating system with specific flaws. The independent diagnosis of the problems and needs for improvements has not been performed. Congress cannot do it as is conflicted. A third-party bipartisan analysis is essential to establish guidance for improvement.
2. Republicans who are opposed to the ACA, are invited to produce an alternative system that will produce better cost, quality, and performance metrics.
Both laws require independent assessment and simulation to demonstrate performance that is validated by living system comparison and assessment.
The problem with the process now is that the Republican-controlled Congress and President are not committed to producing the required outcome. Their performance is off on the wrong footing, and no matter what they do, it will not meet citizen's needs and requirements.
President Trump makes empty promises that he cannot keep. This is an example.
Ryan, Trump Meet As More Republicans Defect From Health Care Bill
March 24, 20172:43 PM ET
Jessica Taylor - Square 2015
House Speaker Paul Ryan headed to the White House Friday afternoon to brief President Trump on the bill's status amid key GOP defections.
Trump Faces Most Consequential Day Of His Presidency So Far
A defeat of its plan, the American Health Care Act, would be devastating to the GOP. The party has vowed repeatedly over the past eight years that it would repeal and replace the Affordable Care Act, also known as Obamacare. An inability to do that, with control of the House, Senate and White House, would hurt its image as a party that can govern.
The risks are high for President Trump as well. He has hyped a brand of someone able to strike the best deals. Being unable to get this through, after giving an ultimatum to congressional Republicans Thursday, will raise questions about just how good a deal-maker he is."