First:
A quick comparison chart. The US is flat out SAD.
Health care plan of choice: Universal Health Care
How is it paid for: Health Tax, 6% of gross taxable income charged to all taxable wages earned. This is in addition to current federal withholding.
Who is/not covered: All citizens living in the US irregardless of their tax status are covered. This also includes unemployed, homeless, disabled, retired, etc. Citizens living/working abroad (who are not paying the 6% tax as a result) are not covered, but may elect to pay an estimated market cost for public health care services, or may go for private services. The same would go for non-citizens, visitors, or illegals.
What does it/not cover: all physical and mental health screenings, evaluations, treatments, experimental treatments, inpatient/outpatient services, prescriptions, hospital stays, ER, and ambulance/airlift services.
Dental is covered for all citizens under the age of 18 and includes 2 yearly checkups/cleanings, free x-rays and fillings for cavities, treatment surgery for cleft palette, and free evaluation for orthodontic procedures. Recommended orthodontic procedures that fall under cosmetic surgery are not covered (see below). Citizens over 18 years of age may continue to visit with their Dentist/Orthodontist at their own expense or under a supplemental coverage system (ie Delta Dental, etc.)
Vision is covered for all citizens. This includes 1 yearly checkup, free prescriptions for corrective lenses, treatment or surgery for lazy eye syndrome, treatment for glaucoma, retinal detachment or trauma, and free consultation for Lasik eye surgery. Purchase of corrective lenses will remain a private responsibility as would Lasik eye surgery.
Cosmetic Surgery related to a serious health hazard (ie burn victims, pre-cancerous moles or other skin lesions, sex reassignment surgery, etc.) will be fully covered. Non-serious health issues will be paid for in private.
Implementation:
A "ramp-up" period of 3 years will be set forth to allow the current system to shift from private to public. During this time frame, the tax will slowly increase each year from 2% to 4% then 6% while similarly private insurers will relinquish health care responsibility gradually. This will take place across the full spectrum of citizens, with special attention paid at first to hospitals, in-patient and out-patient care, and first responders. Family Care practitioners will similarly change over time from charging health care providers to charging the government. All private transactions will remain private until such time as the specific practice or procedure is caught under the umbrella of the government plan.
Articles of Attachment (special needs, veterans benefits, medicare or other elderly/retired supplemental plans, etc.):
Any special needs citizen will be granted the same treatment and care, but during the ramp-up period these cases will continue to be handled by private insurers or their respective current systems (medicare/medicaid, VA benefits, etc.) This will allow for extra time to be taken where these services are involved, and for a swift rather than gradual change to take place at the end of the 3 year period.
Ethical Decisions: The universal government health care plan will NOT force any ethical decisions upon its practitioners.
For example, a doctor may make an ethical decision to not write Oxycotin prescriptions except for hospice patients.
Or, a doctor may make an ethical decision to refuse to perform abortion procedures except in situations where the mother's life is threatened.
Or, a pharmacy may refuse to give the "morning after" pill without a prescription.
Compensation:
All practitioners will receive their compensation for services rendered from the government universal health care fund. Practitioners include doctors, surgeons, nurses, pharmacists, pharmaceutical companies, medical technology developers, medical building and planning contractors, transportation contractors and medical specialists.