The United States Equalitarian Party (USEP) believes emergency and primary (e.g., immunizations, screening, acute care, preventative, etc.) medical care is an affluent nation’s societal responsibility. This type of care, viewed by the USEP as a type of Medicare for all, would be called Community Medical Care (CMC). CMC’s principal purpose would be to protect and ensure medical wellness of all U.S. citizens as close to as possible to the community where they live.
CMC would not be a complete health-care solution — rather it would be one part of a hybrid two track system (public and private) formed from attributes of four well known healthcare systems in place around the world. Working together, the government (U.S. Department of Health and Human Services [DHHS]) and the individual would share responsibility for the condition of a citizen’s medical wellness.
In that cooperative spirit, the USEP would still expect citizens to maintain some level of private medical insurance — especially in the areas of long-term care, elective, and cosmetic based procedures / programs. This dual track system will provide a basic, but assured level of citizen care while preventing the dismantling or destroy today’s private health care system or those government medical operations choosing to remain independent.
CMC would be considered a social maintenance program and funded similar to America’s Social Security Program, where citizen payroll deductions (separate from income tax) would form the bulk of the program’s operating funds. Additional funding would come from Federal and State encouraged / incentivized philanthropy (corporate and personal), punitive damages received from medical litigation (e.g. malpractice, negligence, etc.), self-pay schedules, and confiscation of criminal activity funds / assets.
Federal Funds would be distributed to individual states based on a per capita basis (think of the difference between the populations in Wyoming and Florida) but used by the states to meet their individual need. Federal and State organizations would share responsibility for oversight to prevent fraud / misallocation of CMC funds.
Personal CMC enrollment and coverage would begin at the legally determined age of majority / adulthood and last through retirement until death. Those electing not to enroll in the CMC would still have CMC deductions taken from their paycheck and be free to pursue alternative private health care solutions. Care provided by CMC personnel to those not enrolled into the program (e.g., when provide during travel or other contingencies) would be paid for at CMC scheduled rates. Veterans Administration medical operations would remain unchanged.