health care:

My best approach to doing this subject justice [apart from urging all to read entry under 'cancer' which also has info on other health matters] is simply to input my writing on the subject in my book 'Roots of Law'.


X.X.0.0 Preface & Procedure for Provision of Health Care.

X.X.0.1 [NOTE: In the following paragraphs you will encounter various ratios and percentages and numbers by which participants in health care are to be encouraged to avoid unnecessary and overly expensive treatments and care and Xobjects. These figures are only preliminary ones, and it is up to actual experience and further study to finally determine just which are the optimum ones for achieving these goals. Accordingly, for these figures in the Health Care section alone, the Amendment procedure which blocks any change (XII.L.2.2) is to be understood as not to apply.]

X.X.0.2 In fulfilling everyone’s Basic Nature Created ABSOLUTE Right [BNCAR] to Health Care, this Constitution tries to assure that each person retains as full a control as is practically possible over all decisions – including cost/payment ones – that relate to their own health: nutrition & medicines; surgery & hospitalization; choice of doctors & other care providers; examinations & diagnostic procedures; degree and length of rest & recuperation & nursing aid; choice & brand of desired implements & accessories; and even the exact timing & duration of these things where at all possible.

X.X.0.3 To achieve all this while still keeping the national cost of health care – as a percentage of the ISEW – from rising at more than just a nominal rate, or even to achieve a decrease in this percentage, is a problem that requires certain self-balancing features on the cost/payment side, and at least a little restraint on the freedom-of-selection side when you reach health problems of a catastrophic magnitude [hopefully, with the advance of knowledge and of socio-economic efficiency, even this little restraint can finally be removed].


X.L.A Determine the average yearly [taken on a five-year moving average] cost per person – as well as determine the current [most recent] individual cost of each service and fully functioning item – of all health care matters {apart from educational, cosmetic surgery, subjectively premised specialties [psychiatry, meditation procedures, voodoo & incantations, etc.], propaganda [advertising, ‘mental health’, etc.], and burial costs}: health insurance premiums; hospitalizations; nursing and terminal care costs; nutritional supplements and medicines; practitioner fees [chiropractors, dentists, general practitioners, gynecologists, herbalists, homeopaths, medical examiners, neurologists, optometrists, pathologists, pediatricians, podiatrists, surgeons, etc. – only to be excluded are the already mentioned subjectively premised specialties as listed above]; surgeries and equipment costs; etc. These costs are to be determined for each economic region or other clearly defined area [state, city, province, etc.] in nation – but, if variations in cost are no more than about ten percent [10%] then just use the national figure for everyone [a person’s benefit amount is based on their base primary residence location as listed in the National Land Registry].

X.L.B At the start of each calendar year, assign a sum of money to each person equal to one quarter [1/4] of the average yearly cost per person for health care [in this region] as determined in paragraph A above.

X.L.C 1. Throughout the year the person involved will submit all purchase requests / bills involving health care to the Government Dept. of Health which shall then promptly [within one week] pay ninety percent [90%] of that [but see “F”] bill [either directly to the billing party, or back to the claimant if bill already paid and he is just submitting his receipt – which must be clear as to date, sales entity, and item or service paid for] on the basis of thirty percent [30%] of bill amount paid out of that person’s assigned yearly sum, and sixty percent [60%] paid by Government out of additional funds. This procedure shall continue until the constant “30% of bill” costs reduce that person’s assigned yearly sum to zero; BUT, as long as said sum is above zero, the payments will be automatic for anything submitted as being for health care. NOTE: the missing ten percent [10%] of bill must be paid for by the individual himself out of own income, or out of the Government payment to cover general costs of BNCARs if that is all the individual has [and, if has no other significant income, then would be receiving such a payment].

2. At the end of the year, if the individual has not exhausted their assigned yearly health care sum down to zero, THEN they will receive back from the Government a cash payment equal to ALL of the remaining funds listed under their name, and which funds are then theirs free and clear to use for whatever they want, or simply to go into their own monetary reserves.

X.L.CH With the exhaustion of their assigned yearly sum [which was one quarter () of yearly individual average, and so with additional Government payments means has now used of yearly average], and in event that additional health care costs arise, then:

1. For the first additional advanced-time add-in year are still required to pay ten percent [10%] out of own pocket, but after that year only five percent [5%] for the second additional year’s worth of payments, and then zero for other additional years’ payments [but see “F”].

2. No longer can the individual demand payment as a health matter on any bill whatsoever, but must restrict request for bill payment to items and services listed on a formally drawn and published list of accepted health matters. This list is drawn up by a one hundred and eleven member [111-member] committee that includes one hundred [100] health professionals drawn from the different categories/specialties of health care items and services which go into determining the yearly health costs [with the proportion of committee members for each specialty matching the cost proportions of said professional’s fees and sellers’ costs of their items and services]; the additional eleven [11] members are to be legislative representatives appointed to the committee by the National Legislature out of their own membership; an item or service must be included on the list if it receives the vote of ten [10] members; the right to buy additional health insurance must always be on the list; and to remove an item from the list requires the vote of one hundred and three [103] members.

3. Because each year’s assigned yearly sum depends on actual expense occurring within the five-year moving average ‘target years’ [which include the latest years up to two years before the year of application], there is no final determination as to what this amount is when applying for advance payment out of that sum; accordingly, the figure to be used as final [i.e., no future change as the actual year’s figures become finally known] is simply to be the current year’s [the year in which the request was made] figure which is to be held to be that “latest available” two-year-old statistic.

4. For bills that qualify [are on list], twenty-five percent [25%] will be removed from the individual’s next year’s assigned sum and Government will pay sixty-five percent [65%] -- 10% paid out-of-pocket by individual.

For next year after that, twenty percent [20%] will be removed and Government pays seventy-five percent [75%] -- 5% paid out-of-pocket.

For the third additional year past current year, figures are individual fifteen percent [15%] & Government eighty-five percent [85%] -- zero percent paid out-of-pocket.

Then 10% & 90%, and 5% & 95% and finally Government will pay one hundred percent [100%] for all years past that fifth additional year, and no deductions will be made from that sixth year of additional expenditures’ corresponding assigned sum, nor from any other additional years’ sums, BUT see “D” and “F”.

[The reason that the percentage paid by the individual out of his “assigned yearly sum” is constantly reduced (EXCEPT: see “F”) is that as much incentive as possible be allowed to remain for the person – after past this health crisis – to be able in a few years’ time to again look forward to receiving some possible refund, as well as returning to total free choice of whatever they want regarding items and services with Government paying most of it (always with free choice when pay for it oneself – interference in self-effecting actions never is permitted in any matter by virtue of the Constitution).]

X.L.D. For a sixth [or more] additional year of cost payments beyond current year, or for a single procedure whose affirmed total cost would extend cost payments into a sixth year [although individual will be allowed to themselves arrange enough of the payment so that the final cost for which the Government is liable – both on individual assigned sums and match sums – falls short of this sixth year and so payable by Government on procedure listed CH], a new qualifying procedure is to be used, and which is to consist both of being included on the list of “CH 2”, and of obtaining the approval as being “a feasible life saving [or essential quality of life saving] procedure” of a majority [6] of a panel of eleven [11] experts which is to be made up of:

3 appointees by National Legislature

1 appointee by Director of Dept. of Health

1 appointee by Director of Dept. of Ombudsman

1 appointee by Writers’ Bureau

1 appointee by the World Council of Churches

1 appointee [not self] by person making the request

3 appointees by the national health organizations most directly associated with the health procedure being requested [designations of these organizations being made by the Ombudsman].

X.L.E. For costs incurred at any stage of these health care payment procedures except “D”, whenever an individual, requesting payment for his own [but a request to pay for an autopsy on someone else is to be permitted as being in one’s own health’s interest] health needs, shows that the health item or service for which they are requesting payment is more than ten percent [10%] below the average cost for that item or procedure or service as listed in official register, then they are to receive as additional cash payment for themselves an amount equal to one-half [ ] of however much the cost is below 10% below the officially registered latest year available cost figure.

X.L.F If cost of a health item or service or procedure being requested is more than ten percent [10%] above the average [national or regional – whichever figure is being used to decide the individual’s “assigned yearly sum”], you proceed thusly:

10% - 20% over

1. Are given a list of other sources of equivalent item or service which are not as expensive, and are provided with a list of comparison ratings on quality or performance for each of these alternatives, as well as for your requested one. Such a list is to be obtained via systematic spot-checks made by the executives handling this section of the Dept. of Health and after consultation with the Dept. of Quality Control & Inspection, and is to give the reasons for these ratings, as well as to cite statistics from files [all “outcome” results from all doctor’s/patient’s files directly relating to health problems for which patient requested or received payment (can keep any given item private by passing up payment claim relating to it) are to be always available to the public] and testing procedures, and to be accompanied by other lists presenting similar analyses, but done by other independent [at least three, if available] groups, as well as including an optional [if party wishes to provide it] short – seventy-two(72) word maximum – commentary allowed to any practitioner, or product producer, whose rating is not to their satisfaction.

2. Are required to wait one extra week [before proceeding as in “C” & “CH”] in order to have time to evaluate this data [but this does not apply to emergency cases – with qualification as an emergency being that is life-threatening or permanent injury threatening, and with this being signed for as true, and with a later review by a local panel of seven experts in that field (picked by lottery from those who qualify) to be made as to its accuracy, and if the panel decides that it wasn’t true, then signing party must pay whatever percentage the bill comes to which is over the average cost plus ten percent (10%)].

3. Must sign a statement prior to approval of payment, which states that requesting party has read and understood everything stated in “F1”.

4. Must pay out-of-pocket 10+% [however much are over: 11%, 17%, etc.] of that part of the cost which exceeds 10% above the average, and must also still pay out-of-pocket 10% of amount up to “average plus 10%”, but do get the “CH 1” reduction of out-of-pocket charge for additional year costs on that part of said costs which are not over “average plus 10%”.

20% - 30% over

1. Same.

2. Same.

3. Same.

4. Must pay out-of-pocket 20+% [however much are over: 21%, 27%, etc.] of that part of the cost which exceeds 10% above the average, and must pay out-of-pocket 10% of amount up to the level of “average plus 10%”, and no reduction of out-of-pocket charge for additional years’ costs.

30% - 40% over

1. Same.

2. Same.

3. Same.

4. Must pay out-of-pocket 30+% [however much are over: 31%, 37%, etc.] of that part of the cost which exceeds 5% above the average, and must pay out-of-pocket 10% of amount up to the level of “average plus 5%”, and no reduction of out-of-pocket charge for additional years’ costs.

40% - 100% over

1. Same.

2. Same.

3. Same.

4. Must pay out-of-pocket 40+% [however much are over: 41%, 52%, 64%, 75%, 87%, 99%, etc.] of that part of the cost which exceeds the average, and must pay out-of-pocket 10% of amount up to “average”, and no reduction of out-of-pocket charge for additional years’ costs.

100% - all else over

1. Same.

2. Same.

3. Same.

4. Must pay out-of-pocket 100% of that part of the cost which exceeds the average, and must pay out-of-pocket 10% of amount up to “average”, and no reduction of out-of-pocket charge for additional years’ costs.