America's Baby Boomers are adding 7.1 lives a minute or one every 8.5 seconds, who are filing for social security at 10,000 per day and Medicare 7,000 per week and threatening to overload the Upside-Down American Health Care System Currently, the worldwide data demonstrates that America is 38th in quality and number #1 in costs per capita and as a percent of GNP. While Singapore is #1 in quality with the lowest costs per capita, lowest as a percent of GNP and the lowest Covid-19 infection rate to date with 28 deaths. A country of 5.7 million people has a collaborative approach that bases provider income on patient care outcomes and preventive health care profiles. It is just the opposite of Obama Care. Its built on a platform of individual responsibility for health preservation, prevention and wellness. Individuals pay for their own health preservation and preventive care. It is an Enterprise model similar to my SHIFT system. It embraces savings accounts, spending decisions by the individual and a payment system managed by the Government. There are safety nets for the elderly and free health care for the poor who are responsible for their own health, wellness, genetic profile.
Is socialized retirement and health care a solution to low-quality of life? Is it better with Medicare for All, Public Pensions for All? Or my proposal of a Public Private partnership managed by combining health care outcomes and retirement incomes? Having a partnership with the government regulatory oversight for accountability and quality. prevention and wellness. Individuals pay for their own health preservation and care. It is an Enterprise model using a SHIFT (self-health insurance funding trusts) system. It embraces joint savings accounts, spending decisions by the individual and a payment system managed by the Government. Providers are required to bill for an episode of care not a diagnosis or treatment or medication code. With incentives for prevention and quality outcomes for chronic diseases. Thereby, reducing the 117 million chronic are costs.
Social Security is another matter. It is really an over 65 pension that doesn't save enough, nor accept responsibility for their own health and welfare. In the book and my other self-health books I make the case for internalizing our own health by accepting a role in its funding and holding providers accountable for their costs, pricing, quality and profit. Now we externalize that responsibility since we aren’t’ the consumer or retiree … we are a third-party in the equation when we don’t pay the bill. Simply put, we are subservient to the government payor systems (Medicare, Medicaid, VA, Obama Care and retirement saving insurance). In economic parlance this is termed a “Monopsony”. For us to have a right to quality we must first commit to being as healthy as possible for our own good, but also for the greater good if we are to expect a quality of life with preventive health services and pensions. .
Whether it is using American Enterprise and our government for warp speed in developing vaccines and treatment in solving the Corona Virus Pandemic or saving lives with better preventive health care services or by preserving our individual health we must act in sync for the greater good. To accomplish this, we must use our government resources and private entrepreneurial skills to collaborate in a public-private partnership developing solutions to national health problems … this is the strength of our democracy as proven by the development of vaccines and therapies to combat the Pandemic.
Social Security is really old age pension system, that doesn't save enough or grow enough to cover the economic value of the savings. this is due to inflation, value of the dollar, change in lifestyles, living expenses, cost of housing,, years lived after six-five or date of drawing social security, etc. In the early years of the program the fund grows faster than the draw down.
