How To Improve Healthcare

 2/3 motivated by money primarily (poll of young people)
1/3 motivated by making a difference (poll of young people)

https://www.pewresearch.org/wp-content/uploads/sites/4/legacy-pdf/300.pdf

(this may be a good thing, as the motivation to make money may be important for working many types of jobs and may offer greater motivation)
Average person willing to accept 30% pay cut in the course of doing something they feel is morally right.
  If they expect to be paid more for doing the right thing, that is optimal


ideally all capitalist transactions should be mutually beneficial.



Reduce college time for doctors 1 year pre medicine than 4 years medicine like in Europe (which gets them practicing by 24)
Get a different mix of new people by reducing pay>
Client feedback form could generate 15% bonus for top 20% of performers, bottom 10% could be penalized 5% (as losing money is much harder psychologically)/

Might want to add a note in the legend that those over 65 are better off with an extra 15 pounds
Nutritional and lifestyle question should be included within 5 years (the number of pharmaceuticals taken daily somewhat makes this question redundant, but I think it should still be included eventually)
Could potentially ask if the doctor gave a probability of successful prognosis and explained pros and cons of different options


Possibly ban individual and corporate donations to medical schools that have a commercial interest in medicine.

Ban corporate donations to hospitals, vet all individual donations greater than 40,000 for conflicts of interest.

Perhaps set up a trial of government funded natural healing canters in collaboration with first nations peoples (also consider opening a chinese medicine hospital and ayurvedic hospital in toronto)

Consider allowing private medical clinics (but heavily geographically restricted to only a few locations (calgary toronto xxhalifaxx and quebec could choose a location (quebec city likely best) (either in quebec or new brunswick)) (privately funded clinics should be allowed to use experimental treatments (including all types of stem cell treatments))

Dental plan could pay 33% of the fee guide for all canadians and 75% for those with a net income below 35,000 for the first $800 (family income below 70,000), 85% for the next $3000, than 33% for anything more than $3800 (ideally it will be set up in such a way that your dentist won't know your lower income)/

All hospitals, and family doctors could charge a small usage fee of 5$ per visit with a doctor (0$ fee over the age of 65, or under the age of 3)

Right to try legislation could be passed to allow experimental treatments on those with a terminal illness (?)

Pharmaceuticals should never receive funding in their first 5 years after entering the market, canadian drug producers should be prioritized (generic). Consider funding generics at 60%, non-generics at 40%. Perhaps certain medacines of public interest could be funded at 95%. Seniors and the underemployed could get an additional 35% discount. (Though the NDP n L plan seems great).

Physical activity tax credit could be reintroduced, doctor prescriptions of gym memberships could be added, taxes could be reduced if someone loses weight, and if they maintain the weight loss (Health & Fitness Incentive) (usa obese rate 37.3% canada 31.3%, proportion 83.9%, cost usa econ 10%, cost canada econ 8.39%, median income 41,000 CAD, 3,439.9 per year gdp benefit (X 3.1948 for per obese individual (1/0.313=3.1948)) (10,990 CAD per year per obese person becoming thin) (can use some of this for incentivisation).

Tax splitting for couples (made more generous if they have kids) (possibly with a refundable portion if the couple has a very low income) (tax splitting should not reduce taxes, but should be paid out as a cohabitation credit 4 times a year for the equivalent in reduced taxes (to increase impactfulness) (have 1 dollar a month leveraging others value efficiently bonus for those on welfere and disability PLUS get rid of large financial penalty for cohabitating while on welfare). Reductions in low-class single parent homes has more room for improvement than upper-class families.

Return on investment (ROI) of: marriage, waistline, church, are all positive (making them viable public policy goals)

Include the child benefit amount in alimony calculations (so as not incentivize breaking apart families)

Many doctors are paid too much to be able to relate to the lives of poor and middle class people (IQ of a doctor is 1 in 40, income of a doctor is 1 in 100) (perhaps reduce pay for some areas of medicine by 20%) (if they feel like they are helping people (desirable job) it might be possible to reduce it further)

Cut down on paperwork (perhaps shift some of the paper work to clients) (Note: I have never worked as a doctor, or shadowed a doctor to see how the system functions and look for areas of improvement).

Allow naturopaths to order more types of diagnostic tests, also allow limited prescribing of pharmaceuticals if they complete a competency course (chinese and ayurvedic doctors could potentially be a part of this too)

Have a transparent list of all medical and dental visits billed and who billed them (so patients can see what services they used), don't include prices (cut down on fraud)

Health canada funding needs to reduce its reliance on pharmaceutical fees (perhaps raise money by putting an extra tax on pharmaceutical sales, and fund health canada to a higher degree with taxpayer money)

Mandatory (up to 30 day forced) drug detox, with transitional housing and vocational supports (consider a 30% wage subsidy for undesirable workers (ontario has a work program for low IQ people (?)))

Set up ambitious disease reduction targets, and cost targets, for various illnesses. Punish and reward based on targets. (Disease reduction must mean either no disease developes or 90%+ functional recovery, no chronic use of pharmaceuticals required)
Example within 10 years:
50% reduction to new autism cases
60% reduction to depression
40% reduction to obesity
80% reduction to schizophrenia
75% reduction to bipolar
Reduce polypharmacy by 95%
Try to cut opioid use by 60%
Double cancer cure rates?
Cut heart disease by 70%?

Open bidding process for disease treatment protocols (have a open bidding process where anyone can submit proposals for what the standard of care should be for individual diseases (optimal protocols in terms of prognosis, cost effectiveness, side effects, get implemented).

Diseases in those over the age of 65 are less important (for example curing all cancer only extends lifespan by 2 years (as most cancer develops in the elderly and if cancer doesn't kill you something else will). Age is the single biggest risk factor for disease.

Aging will be reversable within 45 years. (Some very useful work is currantly being produced by anti-aging researchers). The world will be very different then

Create Ai doctor program (implement as it exceeds human competence in each field) (always have a human fallback available if the patient requests one (final decision making authority always rests with the patient))

Healthiest patients awards, honoring the top 10 health clinics in terms of patient health, take their protocol iterate

Provincial competition for who improves their health care system the most (with knowledge transfer to other provinces) (100 million dollar prize rick mercer interview)

"Biggest Loser Canada" get some MPP's/city councillors (or regular people who are intriguing in some way) to compete to see who can get in the best shape (unsure of possible ratings potential) (could make the contestant, and their coach, both participants and rate both of them)

Allow a few non-doctors to challenge the doctor medical exams and become doctors without going to school

Create a voluntary health and wellbeing card (I'm stupid / lazy / rushed), that offers a discount when purchasing healthier options while using the card (12% discount) (valid at all the big chains for food, cleaning products) (could initiate the program as a wellness incentive for people with disabilities, potentially expand it to a plan that anyone can sign up for through a family doctors secretary) (an inclusionary list instead of an exclusionary list)

Government should aim to make its citizens "the healthiest generation" and we are falling behind. Every sick person, every single mother, every illegal immigrant, every drug addict, every criminal act, every person who is under utilized, every poorly constructed government policy, every homeless person, every farmers field paved over, every population level increase, every person who eats poorly, every toxic chemical contaminant, every person brought up without religious faith. All act to cause a loss in the living standards of all Canadians. It is fine to not be excessively mean to those who don't follow the "old rules", but every citizen should be brought up in such a way as to be aware of them and why keeping them leads to the best of all lives.

Prevent the sale and use of every doctor's prescription record in pharmaceutical marketing (patient name is hidden (in many countries), but the prescriber's name is public). Continue to monitor and flag dangerous prescribing habits (perhaps don't monitor, except for certain classes of medications that have street value / potential for abuse (like opioids))

Canadian Medical Association seems to be funding journalism in Canada
https://www.cma.ca/about-us/what-we-do/press-room/canadian-medical-association-canadian-press-partner-strengthen-health-journalism-across-country
!(Is this breaching the spirit of the no pharma ads in canada law (?), are companies potentially donating money to journalists to promote their products (happens constantly through browser history, read article than end up buying product, get paid (affiliate marketing, sponsored content, ect..) (through cookies which can track if you read an article, than went to the product page, and if you end up buying the product), but is this also occurring in health (are healthcare companies sponsoring journalism (?!?))!
(thomson reuters, for example, has a health and pharma section were they say "Reuters Health news coverage provides businesses and professional associations with access to market-moving Reuters business coverage of the healthcare and pharmaceuticals industries", "Reuters Health doesn’t just deliver market-moving information and real time reporting – it provides the context and analysis for global decision-makers and leading voices shaping the future of healthcare and medicine in the following industries:")

Allow self-renewal of some types of previously prescribed medications

Mom & pop dentists in canada do a much better job than corporate chain dentistry does in the USA

Researchers should stop trying to be popular and move the mob through activism and instead go back to being ivory towers (perhaps designate 2 universities for 2 biggest parties, 1 for third biggest, 1 shared by next 3 biggest)

It is up to the segments of corporate america that aren't involved in healthcare to gain expertise in the field and implement strategies to radically reduce costs

Put naturopaths onto family health teams, add them to hospitals

Set targets for natural and lifestyle cures of 50%

Consider putting chefs back in hospitals  

Fund 50% of the cost of two physio chiropractor osteo appointments a year

People know most of this stuff already though..

 

 

 

 

Older letter:

Hey ****,


If **** is committed to freedom. I would suggest FREEING DOCTORS in how they care for patients (allow ivermectin hydroxychloroquine prescriptions) also allow any other treatments a doctor might think of...    We talked about not limiting what doctors can do, but trying to regulate some unethical behaviours in a general sense (don't regulate the upside—limit the downside).. In order to do this I suggest increasing the amount someone can win in a liability lawsuit to over 1 million (from the current 418,000 limit on non-pecuniary damages (pecuniary damages can increase this amount, but are rarely added)) for doctors ONLY though, no increase for the general public. The courts (not the regulatory body) can then decide what is good treatment and poor treatment when lawsuits are brought forward from individual patients (increasing the statue of limitations might help here also).

The other thing we talked about was offering payouts for DNR orders (as a fifth (update) of all medical costs are in the last 3 years of life). I would strongly consider offering payouts of perhaps 1/3 to 1/8 of the amount the government would save in not treating extremely old/ill patients (not MAID though).

I would once again offer a warning that the USA spends 2-3X more on healthcare than what Canada spends (and gets worse outcomes) while China spends 18X less than the USA (and gets better outcomes). 

These two items would be a great start to your new government's goals (of increasing freedom and fairness),

Wishing you ridiculous levels of success...
~



PS: 
Historically doctors in China were paid only when their patients did not see them.

A random jury of doctors might be better than the current setup for tribunal rulings on doctor maleficence by provincial professional regulatory bodies. Perhaps limiting it also to drugs/alcohol, bribery, sex and malice (letting the courts decide the rest (unless there have been more than 5 successful lawsuits against the doctor (in a 6 year period) or some such). AS THE REGULATOR HAS BECOME A PYRAMIDIC LEFT-WING AUTHORITARIAN

Also heavy regulation acts to stifle good players, with freedom letting the ethical behave as they are. Despite how "good" YOUR bureaucrats say they are. (Make doctors/society competitors in a race..)


We further discussed how patients would not be willing to change their lifestyle but instead wanted a "quick fix". I looked up stats on this, 39% of type 2 diabetics were actually willing to change their diet if made aware of the benefits. And 35% of patients would be willing to start exercising and slim down if advised to.


**(2024 comment) Not sure if I like the idea of paying for DNR, though there might be a way to do this consciousnessly (paying a portion of remaining CPP might be a logical way to move forward)/
Probably courts not best route? reform regulator better way forward. Maybe random jury of citizens