The Problems With "RyanCare"


News these days is filled with consternation over the Republican's re-do of Obamacare.

Paul Ryan offered a presentation on how this Republican replacement is designed to work. The see his offering, Click Here.

Note: I'm not even going to bother to discuss the constitutionality of the government having any authority to institute health care reform. It may be too late by now.

I have some serious concerns over Ryan's plan. You can read the intended Bill by Clicking Here.

In this instance I find it much easier to explain my concerns via a video.

So, please watch the video by Clicking Here and then return here for my recommendations.

NOTE: Unless you took the time to watch my video, what follows may be somewhat difficult to follow - even more so than it already is.

Here are my recommendations for answering the questions offered to deem the Republican's plan sufficient. The below is very high level. For something as complex as health care reform across the Nation, an adequate plan is hard and complex work. But, it should, no MUST, be done to avoid future problems that may affect us all.

As to "Why is the action intended?", this has been addressed.

Now, for the "What is to be done?" question, the suggestion here will also determine the answer to the "What does it mean to be done/completed?" question.

NOTE: The below set of examples is NOT indented to be a suggested set of items - they exist ONLY to offer an explanation of an approach. AND, appropriate definitions of all terms, Bills, rules, etc. used are required in plain English.

Make a list of all requirements stating them as simply as possible. A sample of what I mean is:

Now, there is a definitive list of all requirements. Next, any dependencies among the requirements should be identified.

Now, determine the correct, relative order of the implementations. That is, for example, if requirement 4a must be in place for requirement 3 to work, indicate this.

Next, the "HOW" question is answered.

The first thing that would seem reasonable is to obtain assurances & cost estimates from the insurance industry that the defined plans will be offered. Without doing that, future actions are a waste of time.

Now, from all the above, formulate the aspects of how all this will be accomplished. The assumption in the below chart is that either legislative Bills or "rules & regulations" would be formulated to effect the full intent.

Before completion of this piece, ALL requirements must be allocated to some Bill or Rule.

The next step is to answer the "WHEN" question.

For this, some form of schedule is required.

If you look, Requirements 3 & 4c are dependent on Requirement 4a. So, Bill "B" is scheduled before Bills "C" & "D".

Now, next is the "Where?" question. The answer is not really applicable as the implementation is for the entire United States.

Finally, all the above must have a cost estimation to determine the financial viability of any such plan.

As the process ensues, reviews and testing must be done. The results of these could - and probably would - cause some "re-dos" of work already done. That's the nature of complex planning and implementation.

Remember, all the above is a simple, very high level look at a process. The actual amount of information relative to a healthcare approach is enormous.

And, as I indicated, to do this correctly it takes a lot of work - A WHOLE LOT.

But, without doing it all, how would one know they're "done".

Such a set of documents could easily be made available to the public prior to any legislative actions. The people who would take the time to review such information could easily spot flaws, omissions, etc., prior to actual implementation.

In summary, to date none of the above has been made available to us in any form. Therefore, I, personally, question the viability of the approach of Ryan's plan.