Tuesday, January 26, 2010

Localize Health Care

The federal corporate tax rate is 35%. For all health care related companies, I would lower it to 20%. I would then assess a 7-10% tax that would go directly into funding local clincis for the poor for everything from emergency psych needs to someone without insurance that gets TB. (I'm not talking about planned parenthood here.) Now, all hospitals would have their money go directly to the local clinics within the city/county they operate in. Health supply companies, health insurance companies, etc would go into a state level pool.

This would lower costs by 5-8% and take away revenue from the federal government in order to affect where it is needed, in cities and towns where local governments can make the right decisions about what is needed for there local community.

The California state legislator recently (post-the much over analyzed Scott Brown election) passed out of a Senate committee a single-payer insurance bill. Now while I don't support a single-payer system, I was happy to see this because the best way forward in fixing health care is at the state level. Various regions have similar state health related issues, similar population majorites and minorities. Nationally though, it is drastically different. California for instance has far more Mexican's, Asians, and black people then Colorado which in itself, due to genetics, entails an entirely different host of health concerns -thereby an entirely different need of health supplies, medications, specialized doctor's, etc.

One prime example of local health care reform is that of San Francisco. Mayor Gavim Newsom focused on access -not insurance. He worked with labor, businesses, and city leaders. If you are a San Francisco resident and seek care in San Francisco, you will have access -including its university care hospitals. You do have to pay for it and it is income based but they found a way to have universal access that pays for the health care needs of its city.

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