i have an opinion on one facet of "solutions",
Healthcare industry and regulatory capture thereby.
Given that healthcare consumes 4X as much US GDP as does defense
http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS
healthcare
http://data.worldbank.org/indicator/MS.MIL.XPND.GD.ZS
defense
and that US healthcare administrative costs are inordinately high
http://www.commonwealthfund.org/pub...rature/2014/sep/hospital-administrative-costs
Key Findings
Administrative costs accounted for 25 percent of hospital spending in the United States, more than twice the proportion seen in Canada and Scotland, which spent the least on administration. Administrative costs were notably higher in the Netherlands (20%) than in other European nation.
In the U.S., the share of costs devoted to administration were higher in for-profit hospitals (27%) than in nonprofit (25%) or public (23%) hospitals. Teaching hospitals had lower-than-average administrative costs (24%), as did rural facilities
U.S. hospital administrative costs rose from 23.5 percent of total hospital costs ($97.8 billion) in 2000 to 25.3 percent ($215.4 billion) in 2011. During that period, the hospital administration share of national gross domestic product (GDP) rose from 0.98 percent to 1.43 percent
Reducing U.S. spending on a per capita basis to Canada’s level would have saved $158 billion in 2011
There was no apparent link between higher administrative costs and better-quality care.
Insurance industry is regulated.
They make sure the regulations are in their interest .
They use both campaign contributions and lobbyists.
insurance industry campaign contributions:
https://www.opensecrets.org/industries/indus.php?ind=F09
insurance industry lobbying :
https://www.opensecrets.org/industries/indus.php?ind=F09
They're joined at the hip to healthcare industry by the symbiotic paper shuffling empires
healthcare industry campaign contributions
https://www.opensecrets.org/industries/indus.php?ind=H
http://www.huffingtonpost.com/wendell-potter/fixing-medicare-start-by_b_2661132.html said:
It's actually the pharmaceutical industry that spends the most each year to influence our lawmakers, forking over a total of $2.6 billion on lobbying activities from 1998 through 2012, according to OpenSecrets.org. To get some perspective on just how big that number is, consider that oil and gas companies and their trade associations spent $1.4 billion lobbying Congress over the same time frame while the defense and aerospace industry spent $662 million, a fourth of Big Pharma's total.
PBS' Frontline documented how insurance and phamaceutical lobbies extracted from Obama a promise of "no public option in Affordable Care Act" as a condition of his election.
http://www.pbs.org/wgbh/pages/frontline/obamasdeal/
Influence peddling is reported in both left and right leaning media.
http://www.huffingtonpost.com/the-sunlight-foundation/one-year-after-passage-he_b_840324.html
In 2009 and 2010, lobbyists for some 1,251 organizations disclosed lobbying on the[affordable care act] bill, according to the Center for Responsive Politics. Those interests included pharmaceutical firms and their trade group, the Pharmaceutical Research and Manufacturers of America, insurers like Blue Cross/Blue Shield, the American Hospital Association, the American Medical Association, universities, retailers, restaurant chains, manufacturers, telecommunications firms and labor unions.
That lobbying continues in 2011. More than 180 firms have registered to lobby for new clients on health care issues so far in 2011, 16 of which disclosed the Affordable Care Act as a specific lobbying interest, according to Sunlight's Lobbying Registration Tracker.
......
When Trump proposes to force competition among insurance companies
and make drug companies quit charging US customers many times more than any place else in the world for same pills
it is imminently clear to me why the establishment quakes in their boots -
they think this election is already bought and paid for.
Healthcare campaign contributions, from above link
Insurance campaign contributions, from above
I admit I'm perhaps oversensitive about medical costs because Fair Anne was just prescribed $65,000 worth of a a cancer pill made by Pfizer .
Manufacturer in India won't send a price quote to a US address and it's not yet approved in Canada.
But some of my pills cost 1/10th as much from a pharmacy in Germany.
Regulatory capture by unethical corporations is IMHO this nation's biggest problem.
And that's why when this thread was young i said i wanted an outsider.old jim