All Dr visits at fixed fee of $50.00 cash or medicare paid ,NO paperwork ….than all Dr income should be TAX Free of Fed ,State ,Local taxes.
very simple ..A Dr could make $500,000 per year free of taxes ,Cost for the Patient becomes affordable to everybody retired or not.(No nonsence billing ,different bills for the same service )no suppliments needed for medicare patients..a saving of 3000 yearly …No middleman like Blue Cross and the like ..a saving of 25 to 30 % of all costs because they neither give medical Service ,but are simply added cost ..single payer system either Medicare or Patient one or the other…
In the 1960.s Blue Cross of Va had a payout ratio of 95 % ..they kept 5 % for administration..Today it ranges from a 70-75 % payout ratio ..where they keep 25 -30% of all the money for administration..this is NUTS….Go to single payer system eliminate the middle man ,and the TAX MAN and costs will drop 90 %.