I suggest
that there are two types of patient; the problem patient and the compliant
patient.
One thing
the USA must reckon with is that with universal care, it becomes harder to
ensure everyone gets served. Everyone
who wants healthcare, be it an extension of Medicare, Obamacare, or something
like MassHealth wants everyone to be served.
However, if we have universal coverage, then we face the problem of
burned out healthcare workers. For
example, in the instance of heroin overdoses, everyone either should want, or
actually wants for that person to be served, but the problem is that there are
limited resources. For example, there
may not be enough ambulances.
So here is
my suggestion: we keep universal care,
but create a two tier system.
One tier would be the medication compliant patients that demonstrate effort in trying to
get better.
The other tier would consist of patients
that refused medication; those that make
no compliance effort of trying to follow a treatment plan in order to get
better.
The reason
for this two tier plan is so that for example, repeat narcotic abusers who
overdose may have to wait longer in order to get served, because they would be
a second tier problem patient. Nobody wants to
see anyone die for any reason, but the healthcare community owes it to its
clients to treat the people who actually want treatment first.
Also, I
suggest that these two healthcare tiers should not be made permanent.
If someone
decides to quit their medications against doctor advice, this should transfer them
from the compliant tier to the non-compliant tier.
Differently,
if someone wants to improve their medical rating, they should also have the
chance of proving that they are fully medically compliant or want to be fully
compliant, such that they have the right to be among those to be served first.
