Create a national registry on how individuals fare after surgeries. Per Larry Zaroff: Create a nationwide database of drugs prescribed to patients. Make the database available to almost all working pharmacists and those permitted to write prescriptions. Per Shannon Brownlee: Create "a new Institute for Effective Medicine... Its mission would be threefold. It would serve as a new, independent source of research dollars for medicine. It would provide independent evaluation of data generated by industry. And it would oversee the creation of clinical practice guidelines, a manual of proven 'best practices' for physicians devised entirely without industry influence." Increase the NIH budget by at least 14 percent. Use the 14 percent to investigate and implement non-patent treatments with the highest benefit-cost ratio. Cut the number of federally funded endarterectomys by
at least 50 percent. Cut the number of federally funded back surgeries by at least 60 percent. Prohibit makers and distributors of drugs or medical devices from giving gifts to anyone in the medical industry. Prohibit drug and device makers from giving anything to doctors employed by the government. Require anyone with a trivial complaint, who demands an ambulance or goes to the emergency room, to pay out of pocket or perform 20 hours of community service or serve three days in jail (if they fail to pay or show for community service.)
Create a universal, insurance free, free to enroll health care system open to all US citizens and green card holders, locally administered with government employed medical workers receiving hourly wages, with strict state and federal oversight. Allow those wanting to pay for alternative health care at private facilities that option. Eliminate medicare, medicaid, and the prescription drug "benefit." Require federal health care purchasers to almost always make purchases as a buyer's cartel. Fund comprehensive family planning, including free IUD installation. Pay any fertile, U.S. resident female $500 cash when they have their first IUD installed by the new health care system. Legalize the reimportation of prescription drugs. Give FDA approval to Plan B. Increase federal funding for pain management research and education by 95 percent. Double the number of federally funded pain management clinical trials.
Implement a 22 percent VAT on products more than 10 percent poultry. Implement a 46 percent VAT on the retail price of all other products more than 10 percent meat or fish or both except tilapia. Implement an 18 percent VAT on non-meat food products that provide more than 30 percent of their calories from sucrose, glucose, maltose, dextrose, fructose, saturated fats, partially or fully hydrogenated fats. Or combinations of these substances, excluding meats mentioned above. Require food labels to list the masses in grams of trans fatty acids and fully hydrogenated fats to two decimal places. Prohibit the sale of foods containing more than four percent of their calories in trans fats. Ban the retail sale to children under 16 of all foods having more than two percent by mass trans fats, one percent fully hydrogenated fats or four percent by mass sugar.
Require mandatory vaccination of all children,
visitors, and immigrants for measles, mumps, and
Fully fund the Johns Hopkins Clinical Compound Screening Initiative to test existing drugs for efficacy against illnesses they were not developed to help. Require drug makers to remove drugs from the market when follow up studies indicate their harms outweigh benefits. End federal funding for treatments with overall harms outweighing overall benefits.
Amend relevent privacy laws so price and quality data on doctors can be collected, analyzed, and published. Pass the National Medical Error Disclosure and Compensation Bill--creating a national database of medical errors, researching injury prevention, and implementing injury prevention programs. Require states to increase the number of nursing school graduates 45 percent and medical school
graduates 68 percent to qualify for federal health care funds. Continue increasing medical field enrollments in proportion to population increases. Create one national medical licensing board. Prohibit medical interns from working more than 15 straight hours. Require they leave their place of internship for at least 10 hours after their shift ends. Allow qualified nurses and physician assistants to
act in place of general practice physicians. Increase funding for Toxoplasma Gondii research. Reinstate the U.S. entry ban on HIV positive individuals.
Provide $1.3 billion a year for the NIH to publish and advertise the best clinical research on drugs. Provide an additional $840 million a year for the NIH to study the effectiveness of drugs with expired patents and study the effectiveness of substances lacking patents in new medical applications. Provide 400 million a year for the NIH to study and compare the cost effectiveness of all relevant drugs for a given illness. End the ban on stem cell research.
Increase funding on domestic flu vaccine research and production by $1.1 billion per year.
Stockpile 680 million doses of smallpox vaccine,
enough for every citizen and for non-Americans at places of outbreak. Per Michael Alderman: Produce bacterial pneumonia vaccine for every American.
Legalize irradiation for almost all foods.
Require dietary supplements to comply with food
and drug laws.
Allow competent adults to sell their body parts
while living and to sell their future cadavers. (Writes Bruce
Gottlieb, 2,300 people a year die waiting for kidney transplants.
Kidneys from dead people last eight years. Kidneys donated from the
living last 17 years. Dialysis costs $40,000 per year for those waiting
for a transplant. Others in medicine make money. It is unjust
to prohibit potential donors from selling parts.) Place organ donation stickers on all driver's licenses. Require individuals to opt out if they do not wish to donate organs. Require drivers older than 76 to pass a driving test once every two years.
Increase federal funding for addictive drug
vaccines, and addictive drug vaccine research by at least 100 percent.
Allow all licensed physicians to prescribe
Mifepristone, also known as RU-486. (Reasons: Little danger, earlier
abortions rather than more and later abortions.)
Require all acetaminophen tablets to contain low doses of N-acetyleysteine.
Allocate at least $30 million annually for the study and development of 18-mc, noribogaine, and similar drugs. Test more cancer drugs on humans, including many that failed on mice.
Terminate FDA drug export license requirements.
Allow drug companies to sell new drugs proven
sufficiently safe, but not yet proven effective,
provided the drugs are labeled as such in at least a 12 point font in neon orange containers. Ban other medicines from having similar colored containers.
Provide every American not institutionalized (above age two) with a $1210 annual electronic voucher good for the purchase of broccoli, cabbages, onions, tofu, carrots, cauliflower, celery, radishes, rutabagas, scallions, spinach, barley, squashes, purslane, eggplant, tomatoes, turnips, lentils, cucumbers, chayote, asparagus, blueberries, raspberries, cranberries, beets, split peas, bok choy, collard greens, brussels sprouts, dandelion greens, romaine lettuce, leaf lettuce, beet greens, green peas, turnip greens, lamb's quarter, beans (except coffee beans), peppers, psyllium husk fiber, blackeye peas, wheat bran, oat bran, corn bran, oat bran bread, wheat germ, soy flour, carob powder, buckwheat flour, garbanzo bean flour, textured vegetable protein, whole grain teff, whole amaranth, whole grain corn flour, whole grain corn meal, whole grain wheat flour, whole grain breads, whole grain rice, alpha-galactosidase supplements and most other foods with at least five grams of fiber per 100 calories and fewer than two grams of sugar per 100 calories. Make the voucher nonrefundable and prohibit the addition of expensive or unhealthy substances to items purchased with vouchers. Provide an additional $110 annual voucher good toward exercise equipment or health club memberships--or both. Require prison and public school meals to provide at least
96 percent of their calories from plants, to deliver at least 11
grams of fiber per meal, and contain fewer than 30 percent
of their calories from refined carbohydrates.
From Goodman and Musgrave: Require cost estimates prior to any medical
service over $160, except in cases where the patient or her representatives
are not fit to respond and the patient needs immediate care.