I don't think the average person would understand those distinctions off-hand.
The features of 'basic care' that I think everyone should have:
* Everyone has it
* It's only paid for by taxes
* There are still systems in place for keeping costs low.
* MOST doctors in the area should be options for care, assuming they're open.
* /bad/ doctors (those who don't produce good results) shouldn't get to stay doctors.
* The malpractice part of the equation is covered by a combination of
* * social disability (care for the victim) and
* * criminal justice (doctor is guilty of malpractice).
For cost controls:
* Government care/doctors (military docs) should be possible.
* Mass bulk procurement / manufacture of basic supplies.
* No more billing, lawyers fighting for/against costs, etc.
* Some kind of auction bid for the services of doctors performing classes of common work.
I thought this was called a Dutch Auction, but it seems that what I'm thinking of is some kind of combination of second-price and other types of auction. In this case the buyer of services (the government) wants to buy a projection of X units within a given geographic region and wants the option of exceeding that by a factor of Y.
X units would set the minimum cost paid out (doctors would be paid for the minimum work they're expected to do irrespective of need), but more work might be required. Disaster rates would be a third category of bid.
The way that the cost for a procedure would be set would look something like this.
* Geographic regions are defined.
* Doctors/Clinics within all regions report their current and potential capacity
* *as well as the rate they would prefer to charge for known services.
* Expected rates of need for regions are calculated.
Based on the above three points, the least expensive but still qualified bids are the winners, with the most expensive winning offer setting the price rates for that region, which all winners receive.
If there is major discrepancy in price between areas, investigation of collusion and/or re-locating those who can to other areas for some procedures could be determined.
The features of 'basic care' that I think everyone should have:
For cost controls: https://en.wikipedia.org/wiki/Dutch_auctionI thought this was called a Dutch Auction, but it seems that what I'm thinking of is some kind of combination of second-price and other types of auction. In this case the buyer of services (the government) wants to buy a projection of X units within a given geographic region and wants the option of exceeding that by a factor of Y.
X units would set the minimum cost paid out (doctors would be paid for the minimum work they're expected to do irrespective of need), but more work might be required. Disaster rates would be a third category of bid.
The way that the cost for a procedure would be set would look something like this.
Based on the above three points, the least expensive but still qualified bids are the winners, with the most expensive winning offer setting the price rates for that region, which all winners receive.If there is major discrepancy in price between areas, investigation of collusion and/or re-locating those who can to other areas for some procedures could be determined.