PROPOSED ELIGIBILITY REQUIREMENTS
TO QUALIFY FOR TAXPAYER ASSISTANCE
FOR HEALTH CARE
By William J. Skinner
Almost everyone knows healthcare cannot be
provided for free; but many people assume or believe healthcare is their
right. Many people are being pulled in
this little red wagon and fewer people are making the payments. Meanwhile politicians promise to take more
from wage earners and pass it along to others who will not work or are
unqualified for available jobs to get votes.
Americans are a generous people, but there are limits.
Can we get
more folks to participate in controlling the need for healthcare? Chronic diseases are very often caused by
lifestyle choices – over eating, drinking unhealthy beverages, eating the wrong
foods, and failure to exercise. Generally
taking good care of oneself would be a good start to health. Good health is ignored by not washing the
produce before eating it, neglecting to wash hands, and not knowing how to
recognize common medical conditions or symptoms. Medical costs are driven up by going to the
emergency room (ER) to get colds, sore throats, cuts, bruises and rashes
treated. And because we over exercise
our petition rights too much to make laws, Americans now need help at the ER
for over eating marijuana cookies.
Not all
people ignore practicing good habits to stay healthy, but many do not know what
to do and let their personal health situation get out of control. This ends up costing other people – the
taxpayers – an ever increasing amount of out of control tax increases.
We have
now, in 2017, had seven years of experience in trying to pay for health
insurance for 40 million uninsured plus millions of illegal immigrants with the
Affordable Care Act or Obamacare. The
plan was passed because of the “stupidity” of American voters according to
Obamacare expert MIT professor Gruber. The ACA has proven to be unsuccessful in
getting young healthy people to pay for the care of old, sick people and
others.
The threat
of fines and taxes did not convince enough people to pay the premiums for ACA-
defined “universal” insurance.
Deductibles went up, the insurance exchanges were abandoned by profit
losing insurance companies and the ACA proved it was poorly planned to be
sustainable.
We have
more recently had a hard time determining what to do to get support for a new
American Health Care Act. We know the
structure of ACA will not work, but so far we insist on reproducing a lite
version of ACA under another name.
One of our
problems is we do not have all of the people with skin in the game or a dog in
the hunt, as politicians say. If it is
not too late to get our elected representatives to address this critical
factor, we could still get more people in the fight to bring down health care
costs. We need to try to achieve the attention of every American, young and
old, in the next plan. How can we do
that? Start by thinking outside of the
traditional box and use our human resources is one way to describe our
solutions to this effort. Those who have
read Alexis de Tocqueville may
remember he wrote: “The health of a democratic society may be measured
by the quality of functions performed by private citizens.” He did not say by government run health
programs.
Use the Education Techniques and Resources of Voluntary Associations
Youth Organizations
Some of the
most obvious providers of health education are youth organizations and disease
organizations. In the area of youth, for
example, the Boy Scouts of America (BSA) incorporates first aid and health
education throughout its program for boys from ages six to 18 and beyond. Each rank
advancement has some health component as a requirement for an award. There are specific individual requirements,
like using a tourniquet, and there are groups of issues combined in Merit
Badges for many areas, like First Aid, Emergency Preparedness, Personal Fitness,
and many others.
Special
provisions will be needed for those who prove to be too lazy or adamant about
doing nothing to improve their personal situation.
Some will be mentally or physically challenged
and will not be able to participate in such programs, but this is a small
number that most Americans will be ready to help because of their
situation.
Waivers or equivalent
certifications can be granted by government bureaucrats after the standards are
written into law and regulations are properly promulgated using the Administrative
Procedures Act to allow the population to learn about the program.
But the basic idea is that if you have not
earned First Aid Merit Badge or the equivalent, you cannot get ER soap and
water with bandages applied.
This is not
a time for government to start dictating how voluntary youth organizations should
operate, but only a time for government to get some assistance from what
Americans have always done – they help each other. This is not a time to assign the task to
government run schools and throw money at the problem so that politicians can
have something else to control. America for several years has been spending more and more on
government/union schools and its students are fast losing rankings in educational
levels among other nations of the world.
I was
personally involved in the BSA from 1948 through 2014 – a period of 66 years
and the only time I was paid was the few weeks I worked on a camp staff during
three summers in my high school and college years. Thousands of volunteers would be willing to
gear up to help other youth and adults learn what they need to know to improve their
health care.
The Girl
Scouts, 4H Clubs, Campfire, some youth organizations sponsored by religious
groups like YMCAs, and a variety of charitable youth organizations could be
interested in becoming involved.
Disease and Disaster Associations
The
American Heart Association does a great job teaching adults and youth about cardio
pulmonary resuscitation (CPR), they even do it with an online program. AHA has an instructor program already in
operation and could take on larger groups that need such training. AHA is a leader in resuscitation science, education, and training, and
publisher of the official AHA Guidelines for CPR and ECC. More than 10 types of instructional programs
are offered, and many of these would be useful for affected individuals and
families to learn about.
Specific
disease associations that specialize in diabetes, lungs, kidneys, cancer, feet,
skin, and you name it often have educational programs for professionals, family
members and individuals. Use their programs to help educate patients and
families how to care for their illnesses.
Some of these voluntary associations have magazines offering advice and
information. These groups could develop
certification programs to qualify for eligibility for taxpayer funded health
care.
The
American Red Cross offers courses for instructors and individuals in five basic
areas:
FIRST AID & CPR/AED, AQUATICS, CAREGIVING, PREPAREDNESS,
and AP/LTP.
The AP/LTP
area has training with specific courses on Aquatics, Blood borne Pathogens
Training / Babysitter’s Training, Professional Rescuers and Healthcare
Providers, Responding to Emergencies, Lay Responder and Wilderness and Remote
First Aid / Preparedness.
Some
disease foundations have set up patient support web sites that can be used to
reduce patient costs on government funds, e.g. taxpayer funds.
Underused Health Professionals
Pharmacists
should be consulted for advice about the use of prescription drugs, vaccines,
drug interactions and side effects, over the counter drugs, health resources,
and devices. If pharmacists were
reimbursed for their time, patients would learn more about their health needs
from this easy to reach professional resource in every American town.
Many
patient disease-related support groups have participating social workers,
physical therapists, and other health professionals. For example diabetes, Parkinson’s disease and
movement disorders, weight management and other conditions often have support
groups available to orient patients and family care givers.
What To Do Now
Everyone receiving taxpayer funded healthcare should
be encouraged to participate in these various volunteer certification programs
to show they understand what they can do to help themselves. Let your state and federal legislators know
how you feel about this general idea.
Urge them to consider it. Think about
how these kind of programs could help you with your health care or that of a
family member or friend. Let us work
together to solve these problems. Do not
give up and just ride in the little red wagon.
4/4/2017