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In Healthcare,Freedom or Entitlement – Choose One

How did 13 small colonies of the globe-spanning British Empire become the leader among nations in less than two and a half centuries? Answer: Freedom and its resulting “can do” culture. Freed from government controls and released from class constraints, the “new Americans” believed they could do anything and everything, and then . . . they did. In1825 U.S.A., Alexis de Tocqueville observed that the federal government was not involved in the daily lives of Americans. Entitlements did not exist.

Before 1776, Americans were entitled to whatever the British aristocracy gave to its subjects. In 20th century Union of Soviet Socialist Republics, comrades were entitled to whatever the Central Committee decreed. Have Americans reverted to become subjects of a new aristocracy–the federal professional political class? Are we a resurrected proletariat subservient to a totalitarian state? Will we replace freedom and capitalism with socialism and entitlement? If the Democrats manage to enact their single payer plan, Medicare-for-All, H.R. 1384, the answer would be an emphatic yes!

My analysis shows the following effects of Medicare-for-All on Americans. Sections 107 and 614 seek to eliminate the profit motive in healthcare, which supporters believe is the culprit for healthcare system failure. Section 202pointedly rejects all forms of personal responsibility such as cost-sharing and work requirements.

Per sections 102, 103, 601, and 611 through 614of H.R. 1384, freedom of choice, private property, and free market forces would be replaced by universal entitlement and central economic planning, along with price and wage controls just like communist Russia. With Medicare-for-All, Americans’ options for both care modalities and choice of providers would be determined by Washington, not by We the Patients.

Some supporters of Medicare-for-All claim it will save money. They point to other nations with single payer systems who spend less per capita than the U.S. by wide margins. Countries like Great Britain and Canada accomplish their savings by medical rationing: refusal to authorize expensive treatments and limiting allocations so that there are insufficient facilities such as operating rooms and burn units.

Patients in single payer systems like the proposed Medicare-for-All experience “death by queueing,” succumbing to treatable disease while waiting in line for care. Americans need not leave the U.S. to observe this phenomenon. Both the VA system and Medicaid have reported death-by-queuing, including the front page news and quite preventable demise of 12-year old Deamonte Driver from a dental cavity.

While patient care is undoubtedly the first priority for any healthcare system, dollar efficiency is the second. Rather than focusing on reduced spending, the U.S. should seek to acquire requisite value for monies expended. Since the desired value is timely, quality medical care, dollar efficient spending would devote the most dollars to care and the fewest dollars wasted on non-care activities such as federal bureaucracy.

Will Medicare-for-All save money? Will it be dollar efficient? No, and highly doubtful.

Official federal watchdog agencies such as the CBO have notyet scoredH.R. 1384. Cost projections are available from Democrat Senator Bernie Sanders and Professor Charles Blahous of the Mercatus Center at George Mason University.

Read more: American Healthcare System

You can see Related Blog on Tumblr: Restoring Healthcare


Restoring Healthcare in America-Is It Possible?

U.S. healthcare is failing: it doesn’t deliver timely care and spends money we don’t have and can’t afford. Can healthcare be fixed?

In 2018, the average American family spent $28,166 on healthcare costs. The same year, the U.S. poured $3.65 trillion -the GDP of Germany-into its healthcare system. Despite this incredible outlay, maximum average wait time to see a primary doctor increased to more than four months, and “47,000 veterans may have died waiting for . . . medical care.”

Two actions will restore healthcare so that We the People can get timely, affordable care. Without doubt, Americans have the need, but do they have will? Read more…

Deane Waldman


How to Get Timely, Affordable Health Care | Healthcare and Insurance

To get what you want, you must first decide what that is. If you believe media reports on healthcare, the public wants to save money and to have health insurance.

Money and insurance are not our primary healthcare desires. What we want is simple and universal: access to timely affordable health care.

Federal politicians have been promising to deliver timely affordable care to Americans for more than half a century. Their repeated “fixes” have brought healthcare to its present sorry state-spending too much and not getting care.

Having timely affordable care starts with StatesCare: take control away from Washington and return authority where it belongs, We the People in their states.

Two benefits will quickly accrue. Read more…

Deane Waldman


Medicare-for-All Is Poison–“StatesCare” Is the Antidote

Deceptively labeled Medicare-for-All, Democrats’ plan for single payer healthcare, is nothing less than poison–hemlock for healthcare. It will “federalize” our system, what is called nationalization in socialist countries. Medicare-for-All would exacerbate the three basic problems Americans face in healthcare: overspending, un-affordability, and inadequate access. Adding insult to injury, Medicare-for-All, H.R. 1384, is unconstitutional.

Calling Sanders’ plan “Medicare-for-All,” is the height of dishonesty. Section 901(a)(1)(A)of H.R. 1384 abolishes the Medicare program and Section 701(d)takes all the money in the Medicare Trust Fund.

Medicare-for-All would be lethal poison for US healthcare. It runs afoul of American founding principles as well as the U.S. Constitution.

Washington has been fixing US healthcare for more than fifty years. Their “fixes” have brought us to the current brink of disaster. Medicare (1965) will be insolvent by 2026. Medicaid (1965) fails to deliver care needed by medically vulnerable Americans. 

The antidote is de-federalization, where the American people in their states decide their healthcare (Return authority to where it belongs–with We the People in their states), also known as States Care.

Read more..

Deane Waldman


Curing the Cancer in U.S. Healthcare

When it comes to our health care, we all want the same thing: the care we need, when we need it from people we choose at a price we can afford. Americans are confused about how to achieve this. 

Why must all Americans have the same healthcare structure? If Californians want a single-payer system, if Texans want market-based medicine, and if New Yorkers want Obamacare, why should Washington say no to 86 million Americans?

In this book, you’ll discover: 

  • Washington and insurance companies practice more medicine than doctors.
  • What we can do to cure the cancer devouring our healthcare system.
  • Why StatesCare is the answer to our healthcare nightmares. 
  • How a market-based healthcare system with safety net can work for all Americans. 

Buy the Book to save money and restore your freedom to choose your healthcare. 

The cure to our malignant health system

Clinical doctors can readily understand the continuing failure of the U.S. health care system. The attending physicians for Patient Healthcare–Washington, both legislative and executive branches–keep trying to treat the health care’s symptoms while refusing to seek the etiology of illness.

To uncover the root cause for health care system failure, I applied the techniques and experience garnered by the business world such as network assessment, SPAcE analysis, value chain review; various audits and matrices; environmental scanning; Kaizen; Poka-Yoke; etc.

The root cause diagnosis in Patient Healthcare became evident: cancer. Washington and its bureaucracy have become malignant, metastasizing to every part and aspect of health care. Federal bureaucrats practice medicine without a license, viz., pharmacy benefits managers, federal clinical algorithms, and authorize (or not) treatments needed by patients.

Rather than palliate or mesmerize Patient Healthcare as the Beltway has done for fifty years, we need to cure this patient. The cure for any cancer is straightforward–Cut It Out. When the cancer is Washington, the cure is to return health care authority to We the People, or as I refer to us, We the Patients.

The most common reaction to this recommendation is, “Ridiculous! Politically impossible! Can’t be done!” The second reaction is usually, “All solutions come from Washington, don’t they?”

The proper response to the first reaction is, “They work for us, we have the power, not the other way around.” We should demand what’s right, what we want, and not meekly accept what Washington will allow.

Those who think all solutions come from the District of Columbia should answer two questions. (1) If you manage a baseball team and your starting pitcher has lost every game for the last fifty years, do you really expect him to win this year’s World Series? (2) Does Washington’s one-size-fit-all make sense? For example, should Rhode Island and Montana have the same federal health care mandates? Both have one million residents. Rhode Island has 5500 doctors within 1212 square miles, and Montana has 1100 physicians scattered over 145,000 square miles.

The cure for Patient Healthcare is called StatesCare, where Washington is no longer in charge. We the Patients, in our states, decide what health care system(s) we want and how to allocate our funds.

If 39 million Californians want single payer; if 3.5 million Oregonians want universal health care; and if 29 million Texans want a market-based system, 71.5 million Americans should be free to choose their own health care systems. If several states want to create a regional system, they should be free to do so. States could arrange for residents’ health care across state lines.

A market-based health care system with a safety net has been modeled both medically and financially in the new book, Curing the Cancer in U. S. Healthcare: StatesCare and Market-Based Medicine. A market-based system is simple. Patients have very large HSAs. They shop for and pay directly for most care. People can purchase very high deductible, catastrophic insurance for unexpected disasters. Sellers of goods and services compete for consumers’ (patients’) dollars based on what consumers want: quality defined by them as well as price. Washington plays no role. There is no third-party decision-maker and no billing or coding. Administrative costs are minimal, as there is no federal administration, regulation, or compliance oversight.

Options for safety nets for medically vulnerable individuals were also modeled in Curing the Cancer in U.S. Healthcare, including state-supported HSAs and high-risk pools. States will decide what form of safety net they construct rather than being forced to follow a one-size-fitsall federal mandate.

Federal control of health care is unconstitutional, regardless of what form it takes: single payerMedicare for all, universal health care, or socialized medicine. The Tenth Amendment to the Constitution reads as follows: “The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.” Health care was intentionally not delegated to the federal government and thus is “reserved to the States respectively, or to the people.”

Federally controlled health care–the cancer–is returning the U.S. to a tyranny similar to the one we rebelled against in 1776. For example, Section 102 of the Medicare for all bill, H.R. 1384, provides for universal entitlement, meaning the federal government is responsible and in charge. Individual Americans are neither–responsible or in charge of themselves. We are forced to accept what Washington says we are entitled to, not what we choose.  Federal health care takes away our freedom.

The combination of StatesCare and market-based medicine is the CURE for health care.

Relieving Washington of its power restores Americans’ freedom and their right to choose. StatesCare enables us to recoup more than a trillion dollars a year spent on health care administration, money that can return to our pockets, or can augment patient care.

By directly reconnecting buyer/patient with seller/provider, market-based medicine restores free market forces to a system that has suffered from their absence for more than 80 years. Buyers’ need to economize will drive spending down. Competition among sellers will drive prices down while simultaneously increasing access. Those providers unwilling to compete and deliver timely service will quickly find their waiting rooms empty. Meanwhile, with market-based medicine, willing providers will be paid more than with any pre-determined government reimbursement schedule.

The essence of StatesCare is that people in their states decide health care for themselves. No one outside state lines has authority within state borders, not me, not some panel of self-styled experts, and certainly not Washington. While the evidence has led this author to advocate for market-based health care, my opinion should have impact only in my home state.

Americans have a constitutional right to be free, to choose for themselves. That includes their health care (the service) and their health care (the system).

Deane Waldman is a pediatrician and pathologist. He is the author of Curing the Cancer in U. S. Healthcare: StatesCare and Market-Based Medicine.

Nationally Recognized Healthcare Authority Says the Answer to Healthcare Woes Will Please All Americans, Except Washington

Deane Waldman, M.D., MBA, explains why StatesCare is the path to achieving affordable, accessible health care 

ALBUQUERQUE, NM—Amidst wild promises and counter arguments about healthcare, one conclusion is crystal clear to all Americans. Washington has made a mess “fixing” our healthcare system for fifty years. Polls show healthcare is everyone’s top concern, even above immigration, the environment, or the economy. Americans simply can’t afford insurance and can’t find a doctor.

But there is hope, says nationally recognized healthcare authority Deane Waldman, MD, MBA. It comes in a form Congressional Democrats as well as Republicans will try to oppose. The solution is outlined in his new book, Curing the Cancer in U.S. Healthcare: StatesCare & Market-Based Medicine (ADM Press).  “It’s a plan that neither Democrats nor Republicans will like because it restores control where it belongs – in the hands of We the Patients,” Dr. Deane says.

He adds, “Why must all Americans have the same healthcare? In fact, should they? Does one-size-fits-all work as well in Rhode Island as in Montana, each with one million residents? If Californians want a single-payer, if Texans want market-based medicine, and if New Yorkers want Obamacare, why does Washington say no to 86 million Americans?

Dr. Deane’s proposals for StatesCare and market-based medicine have the potential to revolutionize healthcare in the U.S.

Combining his experiences as a pediatric cardiologist, educator, researcher, medical administrator, board director, and public policy advisor, Dr. Deane can answer questions such as:

•  Why do congressional legislators and insurance executives practice more medicine than doctors?
•  Where do all those trillions of healthcare dollars go?
•  Why doesn’t our healthcare system work? What can we do about it?
•  What is StatesCare? Why is he certain that it is the answer to America’s healthcare nightmare?
•  What were some of the most eye-opening experiences he had while caring for pediatric heart patients?

Praise for Curing the Cancer in U.S. Healthcare

“A must-read for physicians, patients, and policymakers alike. Equipped with his vast experience as a pediatric cardiologist, clinician, teacher, researcher, and policy adviser, Dr. Waldman approaches our critically ill healthcare system as he does a critically ill patient. He identifies the root causes of the problems and proposes a workable cure that puts patients first. This is a quick and superb read packed full of information and insight.” — Kristin S. Held, M.D. President-elect, Association of American Physicians and Surgeons

About the Author

Dr. Deane studied and trained at Yale, Chicago Medical School, Mayo Clinic, Northwestern, and Harvard. He earned his MBA from Anderson Graduate Schools. Dr. Deane was chief of pediatric cardiology at Children’s Hospital of San Diego, University of Chicago, and University of New Mexico. He was also director of the Center for Healthcare Policy at Texas Public Policy Foundation and a member of the Board of Directors of New Mexico Health Insurance Exchange. Dr. Deane is professor emeritus of pediatrics, pathology, and decision science. A frequent media guest, he has written five print books and six e-books and has had articles published by Fox News, CNS News, Huffington Post, The Hill, Real Clear Politics, Forbes, Real Clear Health, Federalist, Investor’s Business Daily, USA Today and more.

Contact: Deane Waldman, MD, MBA, (505) 255-2999;

Deane Waldman, MD MBA
Professor Emeritus of Pediatrics, Pathology and Decision Science.
Author: “Curing the Cancer in U.S. Healthcare” (
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Office: 505-255-2999. Mobile: 505-269-2776.