Economic and Social Implementations for the Post Adam Smith World 

- Engineering solutions for positive results on the other side of coming social and economic changes -
by Richard Pearlman

National Health Care

Article Index

Save 30% and have better service. Yes, it can be done.

Having business pay for health care makes many manufacturers uncompetitive with foreign competition. This is enough reason for national health care.

The biggest problem? What to do with the millions of unemployed people who were trained to skim money for themselves without regard for health care, like insurance salespeople and state commissions.


American Health Care – how it should work?

  • Retired? You’ll probably vote for national health care.
  • Small business: you will be voting for national health care
  • Teacher/municipal worker? Your benefits cannot be better than the people paying the taxes: sorry.
  • Conservatives wanting to lower the percentage of taxes for health care? National health care may be your only hope.
  • People making their affliction so very, very pathetic? You will hate national health care.
  • A goal: what are we looking for and what are the limits
  • Who decides? We’re talking old/young, poor/wealthy, contest/cooperation, do-gooders/parsimonious. And, of course, the old favorite: religious vs. individual decision.
  • We spend more than enough to maintain very high quality health care – see below for factors


  • The issues between the older and younger doctors clearly show that the current health delivery system just doesn’t work. Young doctors now finish school with so much debt they find it difficult, not only to buy a practice from a retiring doctor, but moreover, the debt is crushing at the point in their lives where starting a family is important. This is not good for doctors or their patients.
  • The insurance industry is taking advantage of our doctors due to the doctors really caring about being a good doctor. Just because doctors care about what they do – so do others like nurses and so many more – we take advantage of them form the big unnecessary loans to what we do during the intern process to making a private practice a thing of their grandfathers’. And their grandfathers cannot find anyone to buy their practices as they retire. How could what we do to doctors be good for us, the patients?
  • Things are not working for many reasons and I can only hope I have covered enough to see what should be done.

Enough money for everything health

  • Too many people make more than middle class wages
    • By definition (either by average or by median) half of the citizenry are below the point.
    • If most of the health workers and misc. people make more than the middle income point health care for the lower half must be subsidized
    • Some unions must recognize their pay scales are above the middle point and political influence cannot be allowed to change this fact.
    • Everyone uses threats to get their money from the government
    • I have yet to see a group, even the teachers, who are above using threats to make their sale.
    • The more pathetic you can show your case the better the TV media will love you. Unfortunately, it’s not a good way to make decisions with limited resources.
  • The pharmaceuticals make you think you are constantly at the mercy of some disease that if you don’t act immediately… Most likely your doctor wouldn’t be the biggest drug pusher out there if we didn’t live in a bombardment of drugs.
  • Biggest problem – unemployment of useless people
    • Every other country in the world has at most 10% of the population involved in health care. The U.S. maintains a very healthy 16%.
    • To make health care affordable the extra 6% has to go
    • What do we do with all these people, who never before needed to make a real contribution to society? What skills do they have for manufacturing? What do we do with the lawyers who make that great living off our health insurance costs? What do we do with the fancy corner offices no longer necessary?
    • You just cannot pull the plug and wish them good luck: this is 6% of the population. Better check our industrial policy for decent jobs.