Answering Scott Adams's Healthcare Plan Challenge With Primary Care Physicians

Fund primary care physicians and let them, under the regulations of their licensing State, decide how the money is to be spent on behalf of their patients. Here's how:

Primary care physicians identify those citizens within their communities* they can care for at some price. They submit a bid to the government for each such citizen. For each citizen, the low-bid is identified. The citizen chooses their primary care physician once a year. That physician receives the low-bid for that citizen for that year. The citizen pays any difference between the low-bid and the amount demanded by their chosen primary care physician. If the citizen makes no choice, the primary care physician making the low bid is assigned to that citizen. States are required to identify citizens who are their citizens.

It is then up to the selected physician to establish what amounts to a private practice patronizing the free market on behalf of the citizens choosing them.

It is up to the States to ensure licensed primary care physicians are competent to meet the challenges of a free market on behalf of the citizens in their care. All healthcare market regulation is at the State level. For instance, States may choose to ignore or enforce FDA approvals of treatments, but the FDA's approvals have no other force of law. The Constitutional role of regulating interstate commerce is restricted to ensuring unimpeded through-passage, including people, goods and information.

Free market competition between health care infrastructure and service providers for primary physician patronage will reduce the cost of healthcare and ameliorate the need for additional taxes.

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*The definition of "community", such as geographic extent, is to be established by the States licensing the physicians.