America needs a 2 tier healthcare system. One healthcare system for the rich as a fee for service and one for the average person that is gov supplied - aka socialized healthcare. That is the only way you can do it. The rich can have whatever they want and the poor / average person can still get some healthcare. Socialized med wont be as good as rich med, but it can be doable. If you don't like socialized medicine, get 4 jobs and pay for the rich healthcare.
Once healthcare turned into big biz it was put on a trajectory for destroying the ability of the average person paying for healthcare out of pocket. The healthcare provider know they can rape the insurance companies with exaggerated costs, so the whole system is rotten and greed filled.
Everyone pays 3% of their income and gets some medical care. Or charge a sales and usage tax to cover basic healthcare for all. The usage tax may be good, the foreign tourists will even chip in.
What is basic socialized healthcare? You got a bursting appendix, you can get it out...you need a heart transplant...go get the rich healthcare.
The rich can pay for the best if they don't want socialized med. The average person can use the socialized plan. But you can never have success if you force the average person to pretend they are rich and force a high cost, unaffordable health plan on them.
Same as marriage. You either live to the budget that is double of the lower earner or the high earner has to pay for the bulk of it if they want to live on a higher level. You can't force a low earner to be a high earner. Obamacare ruined healthcare when it added pre-existing conditions. What should have been done is to add pre-existing conditions and let the pre-existing conditions pay the exorbitant fees. Instead everyone was ruined by paying for pre-existing conditions and got insurance that is not usable since it has very high deductible and high, unaffordable costs and a fine for not being able to afford unusable, high cost insurance.
I called a dermatologist to ask about a wart removal and it is $490 for 5 minutes of work. The doctor does not even do it...his assistant does it. In 2015 it was $175 for the same wart removal, but they raised the rates if your uninsured. They said under Obamacare it is illegal for me to not have med insurance and it is insurance fraud for them to charge a different rate than what they get under Obamacare when they bill insurance companies...$490.
Medicine prices started to skyrocket once the greedy learned they can hike up medicine costs by astounding percentages. They can hold the chronically ill by ransom...it is pay up or die. There is nothing wrong with that is there?
I called another dermatologist and he refused to see cash patients. He only accepted insurance as he could rape the insurance companies. This is textbook material on how a good capitalist should work. Get the highest price the market will bear for the product. If a pill cost .35 cents to make, why not mark it up to $1000 a pill? If an insurance company will pay for it why not $5,000 a pill?
It is not even a question of being able to afford Obamacare med plans. They are useless, at least for me. Thousands of $ in deductibles and copay. I think the goal of insurance companies is to sell you insurance you can not use unless you are very sick and rich.
If the US ever does get a socialized healthcare system then the job is to keep it from spiraling out of control with costs. Humans have a tendency to F' up whatever they get their hands on. This is why we don't make good communists. If we were bees or ants we would make good communists. But self-centered greedy humans can't do it. Bees or ants will give their life for the good of the colony...humans generally wont (military notwithstanding), it is every man and every woman for themselves.
Now that Cuba is opening up some may want to look at that option for healthcare. People have been going to Mexico for healthcare for years. I heard Cuba provides good healthcare and it is affordable.
The powerful healthcare and pill industry will fight a socialized add on plan. It will no doubt take $ from them. They can't rape the system if there is a socialized option and competition.