Excuse the caps Ray, I?m on my phone zipping around the country. Memphis last week, Monroe MI now and Nashville next. I know this may be a longer piss contest for you but it?s not for me. The audit would be best run by a department such as the HHS, kind of like the FEC but more robust. You then need an outside private sector to audit as well, three layers in all. If one layer breaks down the others consult. I could draw you a flowchart but I?m not sure you would understand. Either way the 3 branches would keep each honest making sure of no lobby interest or price inflation was happening. About to jet off back to NC but I?m just getting started. Btw, I?m sure Medicare already has desks in place for this and know a thing or two. Like I said private industry with strong competition with public and private oversight. We do have one of the best healthcare systems in the world so we?ve done something right so far. Single payer and less option will destroy what we?ve built. I don?t take direction from anyone, I?m simply reiterating my personal private sector experience, unlike you Ray, who has zero.
Brian-
Don't confuse this with an intellectual exercise, it's barely a coherent discussion most of the time.
I'm not sure what you describe is a flow chart-maybe a coloring book project.
I do find it interesting you tout your personal private sector experience-but you've never actually pointed out how much that is in any substantive way, just allusions to grandeur.
Your comment about having the best health care system in the world is true; on a very limited scale for a subset of the population. Not the bulk. Maybe you don't see that in the circles you are in, though you claim to be a man of the people I think you might be far more isolated than you claim.
What I'll leave you with is the reflection that-when there is as much $ involved as there is with the health care industry, what your proposal would likely result in is akin to what is seen in the financial markets. Regulation of them by outside entities are fairly easily coopted because if you have enough intelligence to navigate the intricacies of it to regulate it the companies in question will heavily incentivize you to come work for them to avoid the regulation.
At least that's what the folks on Wall Street say.
Which I'm sure you know, given all your experience.