"The principles of Jefferson are the axiom of a free society"

Abraham Lincoln

A Nonpartisan Economic, Health and Public Policy Research Foundation

Advantages to Patients

  1. Transforms American health care from procedure driven to patient driven
  2. Eliminates third party payment
  3. Introduces direct patient payment for all health care goods and services
  4. Gives every American equal purchasing power in health care regardless of socio-economic level
  5. Patient receives a lump sum payment from insurance with enough money to pay for all aspects of care resulting from that insurable event at fair market value.
  6. Introduces price, value  and quality transparency
  7. Creates incentives for appropriate consumption of health care
  8. Creates incentives for appropriate venue for health care
  9. Gives all American choice of doctor, hospital, and treatment
  10. Eliminates all third party rationing
  11. Allows all Americans who are working to build wealth tax free through out their lifetime in their expanded health care savings account
  12. Provides for tax deferred retirement income at retirement
  13. Provides for tax free transfer of any unused funds from exp-HSA to heirs and assigns at death
  14. Empowers the patient in the health care market place
  15. Government enforces the rules of engagement in the market institution to protect patient rights and prevent power imbalances in health care market
  16. Protects patients by providing disincentives for fraud
  17. Eliminates all out of pocket payment in post tax dollars
  18. Eliminates all deductible and co-payments for all non-discretionary care
  19. Creates incentives and provides market power for the patient to demand cost effective health management (highest quality care for the lowest price within the context of appropriate treatment)
  20. creates demand side incentives that balance protection of the patient from unforeseen medical care expenditures with stimulating cost conscious consumer choice
  21. It would lead to incentives for patients to maintain a healthy lifestyle and use preventative care because it would lower their risk category and premium price.
  22. Today’s health plan is transformed into bifurcated coverage ( self insurance + insurance payment) that is owned by the patient in a tax free account that is personal , portable and affordable for all Americans
  23. There is protocol insurance which covers all necessary health care needs when expensive insurable events occur and funded by the premium difference from today’s more expensive health plan,
  24. There is a “self insurance” which remains in the asset account after the insurance premium is paid that is used by the patient to cover initial diagnostic visits to the doctor, discretionary care and routine healthcare
  25. The pretax asset savings account, which pays for all discretionary and routine medical care as well as premiums for the portable protocol insurance, is funded by defined contributions from employers, Medicaid and Medicare, individual contributions, and refundable tax credits or vouchers (in the case of lower income individuals).
  26.  All protocol insurance payments are paid into this account instead of to the providers. All health care goods and services are paid by the patient directly from this account 
  27. This plan balances the physician’s selling of expensive procedures against the patient’s choice to spend money in his asset savings account, for which he may have other use in the future
  28. Allows all American to have access to affordable disability and long term care insurance to be paid out of money currently being used to pay the high insurance plan premiums
  29. Creates a functional, competitive market that offers reasonable and fair prices for insurance premiums and hospital care
  30. Provides all Americans with affordable, portable , renewable health care insurance and access to affordable, quality health care
  31. Patient  selects which providers are keyed to their electronic debit card that accesses their HSA account