Reorganize the Health Care System

All citizens your country deserve the security of universal Health Care that guarantees access based on needs rather than income.

It is a fundamental human right and an important low carb chinese food measure of social justice. The costa rica government should play the central role of unsafe effects of, financing, and providing Health Care. Everyone faces the possibility of poor health.

The risk should be shared broadly to ensure fair treatment and equitable rates, and everyone should share responsibility for triggering the machine through progressive financing.

The cost of Health Care is rising. Over the past years its expenditure have grown faster than the cost increases reported in other sectors of the economy. As a matter of fact, the free market doesn't work for the Health Care system.

There are two ways of financing Health Care:

Some may be a private method of financing, by means of using workers' and corporations' money as premiums for acquisition of private insurance, which provides medical care. The established order leaves far behind 47 million people without health insurance.

The second way, which is used by all developed countries of the world, is by time-consuming the workers for Health Care, which generates a pool of money, financing it through the budgets of the countries. The people your country prefer private helath insurance and private Health Care. Getting comfortable, in the course of time to the current system, our people refrain from all the other proposals independent of their merits.

An analysis of the acting system of private health insurance ensures that this in essence is a social method of distribution of collected premiums. The insurance companies collect premiums from all insured workers and spend a part of them for Health Care of needy patients. As we see, private stays only the misappropriation of profits. Social distribution is carried out not on the scale of the full country, but is only restricted to every helath insurance company.

Helath insurance companies use as the basis of their operations an not fair practice. They select for helath insurance only relatively young, healthy, employees, which rarely are sick. They constantly increase the premium rates, forgetting retirees who need substantially more care. Thus, the health insurance companies established for themselves hothouse conditions. They make billions of dollars in profits, which in essence is a simple misappropriation of unused means of healthy people, that don't need medical services. Justifiably these means should be set aside in a special fund and used for care when these workers give up work.

Under the existing system, helath insurance companies have every reason to limit our care and increase our co-payments and deductibles. HMOs are famous for neglecting to cover necessary hospital stay, denying people coverage for emergency room visits and balking at clinically necessary procedures and therapy. The main reason our system is so expensive is that it has to support profit-hungry HMOs. In the U. S. thirty percent of each premium dollar goes to pay for admin expenses and profits.

HMOs stand as a useless obstruction in between doctors and their patients. A question occurs. It is necessary to have HMOs in the system? The answer is clear. There is no need for HMOs. This is an unnecessary link and it need to be abolished. It is necessary to determine a system that allows providers to concentrate on care, not on profit margins.


The Health Care system needs a fundamental change and improvement. It consists precisely that is necessary to decide a ripe task about improvement of medical care, simultaneous lowering the expenditures and providing all citizens your country with goo care. This major problem brooks no further delay. It is generally known that Health Care in our country leads with small business, and all participants are interested, like every business, in receiving the highest possible profits.

Breaking up the medical care into small medical offices don't favor the development in this field and the fundamental medical tasks of lowering the cost of medical care by following reasons:

advanced medical technology are not used in these offices; conditions don't exist for a active of organized health services; doctors prefer to minimize the time for medical examination of patients; fee for service is not the best idea in this field.

The enumerated flaws in its turn lead to:

the growth of serving medical staff and admin expenses; decline of efficacy of outpatient treatment, increases visits of patients and useless referrals to doctor's offices; aggregate increase of expenditures on medical care.


Under existing circumstances of nonrational organization of medical care in our country, it is necessary to look for new structures to meet up with the prerequisites of contemporary reality.

Inevitably comes to mind a conclusion of advisability to reorganize the whole structure of medical care. Instead of great amounts of small unproductive medical offices it is superior to organize large-scale numerous profile medical clinics, each of them to be attached to a near hospital and getting work done in two adjusts.

These outpatients' clinics should be equipped with modern medical and information -- computer technology, as well as contemporary laboratories, and carry out with them all necessary medical examinations, tests, procedures etc., considerably raising human eye medical care and labor productivity of all medical staff.

Another important measure -- fundamental change of existing payment system for medical doctors care. We offer the introduction of pay by the hour remuneration system in the form of rate of salaries. Salaries for doctors should be established in reliance with the qualification, confirmed every five years, exemplary 150-200-250 thousand dollars yearly. Besides to be established a distribution of bonuses for successfully carried out treatments and excellent medical treatments of patients. This undoubtedly will switch over the attention of medical doctors to quality health services for patients. In essence, only such sweeping changes can be called medical care reform.


It is advisable to set up a public, non-profit organization for medical care of the population of the whole country, with organizations in all states. The command of the non-profit organization should be carried out by the best experts in medicine, science, economics, finances and public relationship. The doctor has to take full responsibility for the medical care of the entire population and the use of opportinity for financing it. It must include effective elements for controlling costs of medical care. All suspect questions should be decided between medical doctors-experts from this organization and treating doctors. This will be a managed Health Care system. Managed care reflects the country's distinctive approach to a universal human challenge. The cost of medical care must be contained. The rational for limit setting policies must be explicit and readily available to the public. The rational must show how the policy promotes good care for individuals and optimal use of available resources for the large population.

It is advisable to free the medical doctors from the necessity of insurance against cases of committing medical errors, lifting of them the heavy burden of unnecessary wasted expenses. Medical doctors, undoubted should carry the duty for committing criminal disregard in the performance of their duties, causing irreparable harm to the healthiness of treating patients.