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Dr. Taylor Dickinson's articles and essays discussing his ideas on tax-preserved Universal healthcare...

Displaying articles filed under: Healthcare Reform comments

Counterpoise Solution: The Gordian Knot »

Posted: Tue, Dec 25, 2012

By Taylor Dickinson

Healthcare is a Gordian Knot.

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Healthcare Reform's Achilles Heel »

Posted: Fri, Oct 16, 2009

By Taylor Dickinson

All current proposals for healthcare reform perpetuate a fundamental flaw. There is no sustainable fiscal link between the delivery of care and its funding. As originally conceived, when an insurance company elected to pool the health risk of patients, it simultaneously assumed fiscal responsible for the cost of delivering that care to its clients. In turn this contract relieved both patient and physician from this same fiscal responsibility. By pooling their risk patients could now reasonably expect access to whatever care they would need without monetary prejudice. These are the assumptions and agreements which formed the basis upon which all parties accepted the bargain. As a result both patient and physician could pursue quality care freed from consideration of its potential financial burden. But this bargain dissociated all parties from the economic realities of the medical marketplace. This arrangement fractured healthcare.

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Health Care Reform Redefined: Core Principles »

Posted: Thu, Aug 13, 2009

By Taylor Dickinson

Europe and Canada established universal care based upon a socialist concept of equality which rejected any disparity in access between rich and poor. To accomplish this they nationalized all aspects of healthcare, including confiscation of physician's skills. Is this acceptable?

The Supreme Court of Canada said no. It ruled that restricted access, as utilized by their system to contain cost, violates the "protection of the person" guaranteed in their Bill of Rights. It also found that physicians must be free to provide care independent of the government system. This Canadian decision illuminates the problem: the right to healthcare cannot, in the process, subjugate the inherent rights of either physician or patient. Legitimate universal care is not about equality of access: it is about equitable access and distribution.

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Health Care Reform Redefined: The Problem »

Posted: Wed, Aug 12, 2009

By Taylor Dickinson

The mantra driving healthcare reform is cost. But there is another common thread. The introduction of private health insurance significantly altered medicine. The new players, Medicare, Medicaid, private- sector insurance and managed-care organizations all function within their own self-interest. Their common interest requires the control of cost. Increased cost threatens their profit and control of medicine. But their self-interest has failed to produce a viable healthcare system. Why not?

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No Payor System