Solving healthcare problems?

There is a huge difference between solving high cost of healthcare and devising different ways for the people to pay for the high cost of healthcare. In the former, it is more about how to reduce the high cost of healthcare. In the later, the high cost of healthcare is taken for grant, it is a sure thing and cannot be brought down. So the trick is to tweet the mode of payment, how to squeeze money from the people to pay for the high cost of healthcare.

With the kind of premium that everyone is made to pay, especially the older folks, many are paying upfront and may not need it should they remain healthy or choose not to go for the expensive hundreds of thousands of dollars operation. And for many senior citizens, it is better to let nature take its own course when they pass 65 or 70. There is no need to cling on to life when the body is tired and wearing down. But for those who are rich or very rich and have all the money to pay for all the expensive treatment, let them choose to pay and to live forever.

If we can accept the premise that the medical insurance for the seniors, above 65 or 70, is to pay for not too serious and expensive medical treatment or major ops, to let them live with dignity with basic medical care should they be hospitalized, to make their final hours pleasant and not painful, the medical cost and insurance need not be high and can be absorbed by the govt. To go for expensive ops/treatment, hypothetically a sum exceeding $10k, let it be optional for those who want and can afford to pay for them in their own capacity.

Otherwise, with so many seniors and all demanding expensive treatment/ops, the premium is going to be unaffordable to many. There is a need to define what and how much to cover for the seniors. Perhaps the govt can provide a basic coverage, to be defined, for free. Additional coverage can be optional for those who can afford them.

With healthcare cost so prohibitive, there is a real need to streamline the expectations to suit the needs of different groups of seniors. This is the paying part, the affordability part. It is necessary for the govt to seriously put in efforts to bring down the cost of healthcare and there is no need to be extravagant in many things. There can be basic, economy and luxury class healthcare tailored for different kinds of pockets. Not everyone is financially equal and can afford to pay like a millionaire. In the days of old, the doctors billed the patient discreetly according to what they think the patient could afford. A comprehensive healthcare insurance scheme must take into account the different expectations and affordability of the insured.