Trump has explained the free market part of his healthcare plan in detail. It is heavily influenced by the free market part of Singapore’s tremendously successful free market healthcare system. I have no doubt that if implemented as described, it is going to work and work well.
Trumps plan for the free market healthcare system is great.
But what about Singapore’s socialist healthcare system for the poor and unfortunate?
Trump gets vague. Hospitals, he tells us, are going to get paid to take care of people “who really cannot take care of themselves”.
The trouble with this is that as I said earlier if bums, vagrants, and drug addicts go through the same intake, queue in the same line, and get the same treatment as you and me, there are going to be so many drug addicts looking for free drugs, and so many vagrants looking for free room and board, in line ahead of you and me that you and I are not going to get treated.
The way Obamacare deals with this problem is that you and I cannot afford to get treated because we are paying so much to look after drug addicts and vagrants.
Obamacare has provided insurance for everyone, by making everyone equally uninsured, provided equal access to everyone by equally denying everyone access. Obamacare has, predictably, collapsed. Ann Coulter cannot get insurance that covers broken bones and cancer. If you cannot get insurance that covers broken bones and cancer, not much point in having insurance at all. (Ah, but she is guaranteed free abortions, which get priority above broken legs.) If she suffers anything expensive, she will wind up with the same treatment options as the homeless bum who heads to hospital for free room and board. Which is to say, really crappy room and board, which is what you got in place of treatment in Cuban hospitals. Universal healthcare for the poor has become universal lack of healthcare for the well off.
The healthcare system has, predictably, collapsed, because it is being swarmed by bums, vagrants, and drug addicts.
When you fly, there is business class and cattle class. For Trump’s plan to work, hospitals are going to have to have separate intakes for those who are insured and paying deductible, and those who are getting free handouts. And those who are getting free handouts have to be made to really wish they were getting the kind of treatment that those who are insured and paying deductible get.
The big, big, problem, the problem he is being very quiet about, is preventing his plan for “Insurance for everyone” from devouring free market insurance the way Obamacare did. To prevent it from devouring the free market, you have to be mighty harsh on people who are getting medical care free.
You cannot adequately take care of bums, because bums will always demand more care than can be supplied. Thus a genuine universal scheme always winds up not providing care for anyone. If Ann Coulter breaks a leg or gets cancer, probably will wind up flying to Singapore, Thailand, or India.
For Trump’s scheme for “those who cannot take care of themselves” to work without destroying healthcare for paying customers, hospitals are going to have to have a separate door for “those who cannot take care of themselves”. And behind that door there needs to be someone with a taser, a stun gun, and a baton, plus doctors with a very simple and effective treatment for drug addition and obesity. They give the druggie no drugs till he completes withdrawal, and the obese person with no food at all till he is slim. Doctors have a hundred too clever by half rationales for not giving unpopular treatments. For non paying customers, however, need to give the most unpopular effective treatment possible.