Was just thinking that there should be doctor clubs, where a bunch of people pool their money to hire a dedicated general physician. Or to have a shared tailor, or group cafeteria, or whatever.
The ratio of people covered to specialists would probably determine whether it’s feasible. You’d want the specialist to still get paid a healthy (and guaranteed) salary and to have a more satisfying relationship with customers. And the members of the club to get better service / product than they would otherwise with middlemen taking a cut.
Thanks for commenting! Having experienced the difficulty in getting traction on a state level campaign for an unrelated issue, I’m discouraged about the prospects for a nationwide overhaul of our health system, although that’s what I’d prefer to see.
Do you have any thoughts on what the pathway for such an overhaul would look like?
The system we have is built like an unsteady house of cards which is cemented together using ridiculous amounts of money. To dismantle and rebuild it without having to close inner city and rural hospitals would take a decade or more. This means the first step is campaign finance reform and overturn citizens united since the change would have to outlast more than one political regime. Then maybe work one single payor and universal medical record. Many steps from there.