60
The Meme will
become myopic on shorter-term, month and quarter based analysis on dividends
and returns to owners. One month’s net
loss may be part of an annual or decade strategy that results in a net profit. If the economy of the Meme focuses so
intently on extracting profit to stockholders and upper management then the
true macroeconomic stimulator of the large number of employed worker-bees
getting a paycheck which is predominately spent is overlooked.
A
net-loss in a 10K report for a company which paid its employees a living-wage
is punished by the Meme even though it is benefiting the greater human
economy. The Meme plays the prisoner’s
dilemma on a firm-basis in such ways. Corporations
merge to gain size to avoid being the last prisoner without a deal. The Meme sheds jobs, crafts dependency in the
masses, and consolidates resources. Victory becomes confined to and derived by
piling up bricks of gold into locked vaults.
The
economy suffers even more mightily when the market is hijacked by sentiment
over math. Accountancy becomes a form of
synthetic fraud-insurance for the trade-pits that someone, somewhere looked
over the numbers. Brokers make
quick-decisions based on the name of the horse and how it looks, not its
record. The Meme wants us to see
ourselves as able to become a get-rich-quick lot, by betting on long-shots that
flash rather than sustainable practices.
One
can argue firms have an Adam Smith/Milton Freedman free-market absolute
obligation to maximize profit. However
firms are humans in a coordinated society who get caught up in and manipulated
by hype. Firms break and sidestep
regulations in win at any cost mentalities that can externalize errors. This becomes the rule and humans become
nationless beholden to the Meme rather than each other.
Rules
of taxation rates, finance policies, and labor laws etc. provide mutual
assurance to adapt global markets so that the majority of money keeps
circulating rather than buried in a bank or investment-fund. The Meme fights these assurances in our
legislative and political systems and demands profit the same way an animal
will eat his pride-mate if it believes this equates to his survival.
Investment
markets have shifted from a preponderance of long-term to a majority of
short-term speculation-based instruments.
So much wealth is held by a small number of humans. The change in use and the total dollars in
trillions are higher and further towards non-trade (non-circulating) uses than
ever. This creates deflation to craft
global markets of low-growth and low-wages.
When governments try to stimulate the economy like in 2008, the effect
is severely hampered by this deflationary censure.
Around
2025 the global stock markets risk a secondary major collapse as the housing
markets caused in 2008, as a preponderance of American and Euro post WWII Baby
Boomers are required to liquidate a greater portion of their equities in
retirement vehicles to pay for healthcare and basic living expenditures. This will liquidate a lot of the uncirculated
cash in investment portfolios, but if that health system is dominated by
international corporations rather than taxpayers, the freed money will
reconsolidate instead of recirculate. The
act of healthcare is a dissipating service which does not for the most part
produce a tangible good with a long supply chain. The need for the U.S. economy to grab this
cash could finally bring about single-payer healthcare in the United States,
which is a threat to the Meme.
61
If single-payer healthcare
is done correctly with a digital universal web-based interface allowing
patients to sort themselves and communicate with doctors with fluctuating Internal
Revenue Service (IRS) adjusted gross income-linked deductibles and copays
including a factor for historical earnings under a modified health care tax
in-place of traditional insurance premiums, America might stem the tide from
economic collapse as the national debt swells. The IRS could offer health tax-credits for
attending an annual physical and additional credits based on the lack of
additional health costs. This combines
preventative common sense with emphasizing health. If a person is over the cost threshold they
receive no health credit.
Doctors could
advertise under a central web-hub to schedule appointments and communicate the number
of procedures they have performed, training accomplished, accreditations,
memberships compared to national standards in field with personal videos of the
doctor speaking in a two minute clip.
Since the cost to the patient fluctuates based on availability, this
would be a truer free-market way of facilitating medicine, because it links
patient choice and patient cost.
Lesser experienced
doctors demanding lower salaries should cost the public less. More experienced doctors would have to curb
their salary demands to remain competitive through lower pricing-equations
inside such an open system. This would
create leveled compensation structures in medicine more similar to Europe where
a doctor could make an excellent living, but not an exorbitant one.
Doctors and
medical facilities could have dynamic prices posted on the web to categories of
American citizens based on an annually determined semi-generic classification
for that human based on historical adjusted gross income and age. Therefore if you knew, “I averaged $45,000 on
my prior three federal tax returns and I am 42 years old,” then you are in
class E.” Class E for this service is
$30 today. If the doctor is less full
the price might be $20 like the pricing systems for the perishable product of a
hotel room. A website can communicate
the market and book the appointment.
Prices of drugs are determined somehow by the hospital Charge-master
lists. These would be required to be upfront
on the website.
Procedures
offered, medical devices, and prescription drug prices could be negotiated on a
national level. This is the
mega-profitable pharmaceutical and medical device industries worst fear. The pharmaceutical companies’ profit-equations
have to come out of the shadows.
Patients would get web-displayed prices for procedures based on time
estimates of actual procedures given complication possibilities, medical
devices, laboratory services, therapies, and prescription options. Patients could compare in an exchange, but
depending on one’s historical income reported through the IRS the prices would
differ within ranges.
Currently many
Americans focus myopically on copays rather than the full employer plus
employee premium, the lower salary employers pay because of it, the taxes to
support the Poor, retired, and governmental employees healthcare, and the
profit margins of the industry exploiting the purchase-decision disconnect
between patient and service.
Patients have
little idea what we are being charged or sometimes even what we were charged
after health insurers get involved. Thus
there is little motivation by patients to lower healthcare costs. Behind these numbers doctors often trade what
does a patient need for what will the insurance fund. The Meme would like us to avoid the math and
focus on the idea that under some fiscally healthier scenarios these copays may
increase, but the total debt-burden of the nation to support the current system
may decline.
The Meme wants
Americans to be ignorant of the Charge-master pricing lists in hospitals with
forty dollar boxes of band aids and hundred dollar blood-pressure checks. If doctors and hospitals had a predictable
interface under a single-payer system, such mirage pricing schemes would not be
necessary. The Meme wants us to feel
like we got a deal when a drug company charges four-hundred for a twenty dollar
bottle of pills and our health insurance got it for one-hundred on top of our
nine-hundred dollar monthly premium of which we only see a third on the
employee share. We pay more, but are
happy about it like a thirty-percent off coupon on a good marked up two-hundred
percent.
Most medical
procedures are not matters of life and death and can be pre-evaluated in such
ways. Even under major care decisions, a
human should be able to choose to spend or not spend one’s life savings to
potentially sacrifice an offspring’s inheritance on two months of life. Digital cards could be read in seconds to
communicate medical and IRS data classification for pricing to doctors. Billions are wasted on the hedge-maze of
archipelago medical billing administrations drowning doctors and patients.
America’s current
health system is motivated to promote sickness to cultivate profit; Canadian
and European public systems farm preventative planning to reduce costs. The collective nation of taxpayers negotiates
as one. If there is only one bidder on a
stock, the price goes down. This is the
crucial crux of the U.S. cost anomaly in the industrialized world. Flipping this disparity would devastate the
Meme.
62
One should be able
to elect economical, painless, non-terrifying helium inhalation euthanasia if
one so wishes after the age of eighteen.
Require a sixty or ninety day waiting period outside of other emergency
medical conditions or a legal will with a Do Not Resuscitate order. Those with long-term illness or those over
sixty-five or some senior-type age should qualify for a shorter waiting period
as little as immediately. This balances
a rough-day with rational life-planning for sick and older humans.
Much of the
problem with euthanasia is the necessary Hippocratic Oath. The most logical place for the near-dying to
elect or carry out the act is in a medical facility, if the decision is
dependent on a car accident and avoiding a $100,000 last week of life. Non-profit death with dignity services could
be organized to provide the self-administered equipment to the individual or a
friend or family member so the nurse, doctor, or aid could be exempted from any
direct participation. There is a line of
legalities and ethics, but this can be overcome with rational priority of the
volition of the human seeking relief of life through death. This may be done at home. It happens all the time with barbiturates and
firearms etc.
For everybody else
over eighteen, offer counseling information at the suicide-clinic and links to
alternative services for walk-ins. Do
not require the counseling. Suicide is a
selfish act, but humans own their life.
Death can rip the fabric of despair and ripple into other humans who
love the deceased. However the elected
suicide is owned by that person alone.
The Meme denounces
even discussing such options. The Meme
wants to spread the illusion of an absolute respect for life. Such hypocrisy hangs a judgment day over every
moment as an absolute to not perform every medical procedure the Meme purports
to offer so kindly. This is a subtle
tool to keep the Poor from transferring generational wealth and an assertion of
authority that one must pay a toll to die.
63
The current
healthcare system of bill boards and television spots markets based on rhetoric
and stock-price. The anti-Meme applies the
empirical to create a choice that integrates supply and demand in instances
where the choice in the current system is an illusion veiled behind health
insurers offered by one’s employer.
If healthcare is
confined to employer-linkage, the corporate-section of the Meme can control
healthcare and partition winners and losers.
Healthcare then becomes like a lottery ticket. The price of the ticket and ability and
options to purchase health are part of the submission Labor must pay
Owners. One will take a lower wage and
more hours to keep health for one’s self and offspring and spouse. The lottery commission always profits.
The ticket must
also be purchased in advance. One can
only purchase insurance at special enrollment times during the year, not the
day after an accident. No new tire after the blowout on the
interstate. You have to wait six months
and pay $10,000 for this tire and then next January you can get on a tire plan
and get a subsidized tire for $400.
Sound good taxpayer-laborer with a body, no? Well we’re your only option. If you don’t buy a ticket you risk bankruptcy
and losing the meager wealth from every hour of labor if you or any spouse or
offspring spends a few days in the hospital. The Middle Class is forced to buy blocks of
monthly-tickets only on special purchase-windows. The Meme blames the purchaser or non-purchaser
in this situation, not the Meme’s healthcare system.
Larger corporate
entities benefit to become even bigger.
The more mammoth the risk-pool inside a corporate-group the better the health-expense
rate is. (The logical extension is that
it is best for the collective to be in one large group.) Small business and the self-employed are
ostracized. Each governmental entity is
sectioned off causing taxpayers to pay more.
This is designed for the Meme to tear away volition and the options for
humans to assert volition in health.
On the under
darker side of this theft of volition is the idea the Meme wants the Poor to
suffer. The Poor should stay subservient
and the Meme knows that less healthy people are more dependent, easier to
control, and will die off like disposable tools. This breeds fear. This keeps the general population away from
science. A health system based on
prevention, patients asserting more volition in choice of care, choice in cost
incurred to get that care, and lifestyle choices to not have to aid the profit
of the corporate health system to achieve better health are all anti-Meme.
Inside the health
insurance policies one is limited to few choices and a similar legal “you will take this and if you complain you
get nothing” in context to what is covered.
No mental health, “Oh well that
stay in the emergency room is not covered.
You paid your premium, but it does not cover that test; so you might
have a tumor, but that is not cost effective for us. Use our lab services with our hospital and we
will profit inside the inside of the giant incomprehensible Charge-master bill.”
64
The
Meme tries to redirect taxpayers to focus on the massive funding of Social
Security and Medicare as being the problem rather than the question why does
healthcare in the most privileged nation on the planet cost the most. Why would taxpayers want the profits created
from the differential of their younger years not subsidizing the same system
all taxpayers support to cover all taxpayers in their senior years
(Medicare?) The positive variance of
younger typically healthier humans should ideally flow into the same pool their
inevitable older less-healthy negative-cost-variance will be paid. In America it doesn’t.
The
positive variance goes to private health insurers who subsidize the
pharmaceutical, medical device, and hospital administration industries. This is extracted from taxpayers forever, who
in turn pay for the most costly humans excluded from the private system. Humans with significant health issues are
cast out as spoiled raw materials for a Meme whenever possible by
health-insurers. This can be through
pre-existing conditions or simply by the grand banishment of the Poor and the
old. The Meme divides and conquers
pitting humans against each other where survival must be paid for like one-hundred-thousand
dollar life rafts.
Universal
healthcare in several European countries and Canada is possible because Labor
fought for the systems through a national political-party process. The American system’s greatest battles came
in segregated labor-unions inside industries and corporations. This limits the availability and permission
for access to be determined by corporate-authority. Those outside corporate discretion are
health-pariahs.
America
bans the importation of Canadian, European, and Indian pharmaceuticals etc.
purportedly for weaker foreign Department of Health inspection standards. If such drugs from universal healthcare
countries were available via the internet the U.S. would experience a free trade problem, which would threaten
Big Pharma’s profits on Wall Street in an area the Meme is exploiting.
Corporations
can run the healthcare sector. The
profits harvested by the healthcare industry combined with the disparate
tax-benefits afforded to the employer-side of expenditures in non-healthcare
industry business equates to a positive-differential for the business and the
Meme as a whole. In doing so, the Poor
and the Middle Class pay more than they would compared to a universal
system. Business is therefore allowed to
pay a lower total percentage of total healthcare costs.
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