Here is my National Healtcare Plan, without even thinking about it...
Blow up the Federal tax system as we know it. Its all dead, no more FICA (SS and Med), no more Withholding. Finito.
Blow up all en lement programs. Social Security, Welfare, Medicaid, Medicare, Single Mothers Who Dont Want to Work Program, all of them. Finito.
All non essential goods (essential goods being food, housing, electricity, natural gas, etc...I would include Media in essential as well, no tax on local papers, tv or internet, but thats just me) purchased would have a N% sales tax attached to it from now until forever.
You want that Xbox360 that costs $399.99? Add N% + state sales tax.
Car? Boat? New table? Furniture? Lawn service? Computer? Coffee mug? New tires? Gas? Wagon? you get the idea....Add N% + state sales tax
I left the percentage as "N%" on purpose. I dont know what that % would be, and I dont care. It could be 20% and I wouldnt bat an eye (although, I would downsize government to make a more equitable tax percentage, but thats half my point, Im not there yet....)
I would encourage State's to do the same, but I am The Dictator and I still believe in State's Rights. They want to tax your income? Whatever. They want to just add another Y%? Cool, too. Not my business.
Healthcare could be afforded two ways (maybe more, Im not thinking about it enough).
1) Either add the cost as another +% on the existing sales tax, or...
2) Take it from income (healthcare would be an apportioned tax, seeing as it is given back to the People) plus a contribution from employers of Z% (minimal at best).
Obviously, the aggregate amount of HealthCare revenue would need to exceed our current total spending on health care nationwide. The excess revenue would be refunded at years end based on amoutn paid into the program. If youre not contributing, you dont get a refund. If you contributed $5,000 this year, and another person contributed only $2500, obviously the former person gets more of a refund.
Now, there is obviously the shortfall of those who wouldnt normally go to a hospital/doctor under the current system because they lack insurance, who would now go to a hospital/doctor much more often under a global program where everyone is insured.
This could be hedged two ways. For those people not paying into the system, the following rules apply:
1) Only preventative care will be provided under the condition that the prevention tactics laid out by the doctor/physician are met by the patient.
2) No repeated visits for frivilous ailments. (your back hurts and there isnt a surgery in the known world that can make it better, heres some vicodin, deal with it like every other person who works for a living).
The point of my non-thought out system is the direct financial evidence the People would have over the government.
If the % Tax is too high, people will demand it to be lowered. In droves. As it is, the tax system is hard and complicated on purpose. Its designed to hide its ever-expanding tentacles through back-door taxes like Estate, Death, Inheritance, Investments, etc all the while still taking from your income.
If everyone is subject to the same +% on non-essential goods, everyone rich and poor, in unison will have a vested interest in its status. And it will be incredibly easy to understand.
After Healthcare is sorted out and implemented, it will render older social programs obsolete right off the bat (medicare and medicaid specifically). The only BIG social program left would be welfare.
That could be accounted for on a state level, IMO. Let the individual states figure out how theyre going to pay for their poor.
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Im going to stop there. Im sure this "plan" is full of holes and will be junk by the time the first response has hit the "Submit Reply" button. I realize that.
But it can be done...only with a complete overhaul of our tax system.
To me, an even simpler solution is that of no Federal Tax at all, with a very small % on all non-essential goods.
Everyone would get a raise of (lower income groups) ~10-20% and (higher income groups) ~30-40%.
That extra money can buy you a very hearty health insurance plan. A damn fine one indeed.
I dont know the Total Income Earned by all Americans for year 2007 (nor does the government yet, I think). But the Federal government and its entire sphere should be able to operate itself (including the military) with less than 10% of that figure.
If it cant, then programs need to be slashed. Period. Whether it be welfare, SS, Medicare/Medicaid or all of them.
I'd be interested to see that figure. If right now all this crap is costing even less than 10%, than the figure should be reduced even further.
Bare bones, baby. Bare bones.