ASSEMBLY DISTRICT 21

Dr. Jon Petrick
FOR NEVADA

Dr. JON PETRICK FOR NEVADA

HEALTHCARE

- Thomas Edison -

“The Doctor of the future will give NO medicine but will interest his patients in the care of the Human Frame in diet and in the cause of and PREVENTION of Disease.”

Healthcare

As a physician for over 20 years, this is my foremost concern for both our state and nation.
I understand the shortcomings of our current healthcare system which continues to disenfranchise people from effectively managing their own health outcomes.

We must pivot away from our inherently flawed system, and transition from “sick-care” to true “healthcare”.
Our focus should be on prevention rather than treatment while encouraging people to take responsibility for their own health. The current healthcare system only cares about one thing: maximizing profits.

The current healthcare model benefits profiteers at the expense of employers, employees, communities, and governments.
Healthcare reform is one of the keys to improving the quality of patient outcomes while reducing the financial burdens on the State of Nevada.

Republicans and Democrats have relied on third-party payers to manage the healthcare system, which will always fail when profits come before lives.

A new solution must account for mental health issues, the opioid epidemic, an increasing homeless population, and the inevitable impact on our penal system.

Orrin Hatch, the great Utah senator, implemented the Diet, Supplementation, Health, and Education (DSHEA) Bill of 1994. Now that he has left the legislature, we need new voices with innovative ideas. I want to be that person.

We need health care reform that puts medical decisions in the hands of physicians, families, and patients, not the government or insurance companies.
Simply passing thousand-page bills without looking to real healthcare reform and solutions will do nothing to help patient outcomes, the economy, or the preservation of healthcare jobs.

We need a whole new approach to healthcare that includes every aspect of American culture, society, education, economics, and governance.
We need to abandon the standard American diet and our unhealthy lifestyles and incentivize improving health from the ground up rather than generating chronic lifestyle diseases such as metabolic disorders and then managing these disorders as a means of maximizing profits. The national goal should not be profiting from an over-medicated populace, it should be eliminating the need for medications.

A healthy person should not need handfuls of medications.
The national goal should be to reduce the need for medications rather than profit from an over-medicated populace.  Our objective should be to reduce lifestyle diseases by changing behaviors and incentives, not costly procedures, and medications. That would free healthcare to serve those suffering from non-lifestyle diseases.

We need to make our high-quality care more accessible and affordable.
I strongly believe we can do this with simple reforms such as offering financial assistance to those who cannot afford coverage, expanding options to include health savings accounts, and allowing families and individuals to buy coverage with the same advantages given to businesses.

The American Healthcare system described as a growth industry. 
Our healthcare industry costs $10,966 per person, per year, while the average cost of other developed nations is roughly half: $5,697 per person per year.  We are wasting billions of tax revenue on healthcare each year that could be applied to more beneficial taxpayer objectives.

MY Healthcare SOLUTIONS

My proposed solutions are cost-effective, convenient, and provide for happier, healthier, and more fulfilling lives.

Let’s provide a $6,000.00 tax credit for those individuals who manage their own healthcare and do not use the current sick-care system.
This legislation would include healthcare facility memberships (gym memberships, yoga, and martial arts) alternative medicine visits (chiropractic or acupuncture), as well as nutraceutical supplementation.

Telehealth
It is estimated that over 50% of hospital emergency room occupancy can be avoided, and one-third of all doctor visits can be replaced with Telehealth. Thanks to technology, medication could be prescribed and delivered to your doorstep 24 hours/day using your mobile phone or app, and patients could be serviced from the comfort of their own homes.

Flexible Health Savings Accounts (FHSA)
In Nevada, it is estimated that over 65,000 people are enrolled in Health Savings Accounts (HSA) with high-deductible insurance governed by strict rules and regulations. With Flexible Savings Accounts (FHSA), employers would be able to deposit funds into employee accounts and give them more control over their healthcare.  Expanding access to HSAs should be prioritized and we should encourage employers to contribute to such funds.

HSAs have “triple” the tax advantage:

  • You do not pay tax on the money you deposit into the accounts.
  • Should you choose to invest that money, you pay no tax on capital gains or dividends.
  • Qualified medical expenses such as doctor visits and prescription drugs, cash withdrawals are also tax-free.

HSAs incentivize people to have more control over their health care and spending. They are more likely to shop around for the best prices on prescription drugs and better value on non-emergency procedures.  Research shows that families who switched to HSA-eligible plans spent 20% less in the first year than families who remained in traditional plans with lower deductibles.

Personal and Portable Health Insurance
As of January 2020, employers are now able to use a Health Reimbursement Arrangement (HRA) to give their employees pre-tax dollars to purchase individually owned insurance. Studies estimate that as many as 11 million employees will benefit from this opportunity nationally.

I propose to use the HRAs as an additional vehicle to reach employees who have an HSA but no HRA. That would make reforms to the individual market, bring down the price, and broaden the provider networks to allow more choices and competition. This is important in locations where individually owned insurance plans have higher premiums, higher deductibles, but fewer providers than most employer plans.

Accrued Insurance for the Chronically Ill
I want to spearhead initiatives that will enhance public health and further medical research. My mission is to improve patient outcomes and reduce medical costs, as well as provide more options for underinsured and uninsured Nevadans.

A health plan specifically designed for chronically ill patients should be implemented to accommodate their higher expenses. Moreover, patients with individual coverage would benefit from “health status insurance,” giving higher premiums for insurers whose patients develop costly illnesses and/or who need to upgrade their health plan. Both these changes would spark the emergence of new individual insurance companies and increase competition. Patients with chronic conditions would have access to the best doctors and healthcare facilities.

Please examine the chart below of healthcare expenses per capita (per person) in the U.S. from 2000 to 2018 which is the last year available on the St. Louis Federal Reserve database.  The chart below indicates where healthcare costs per capita would be if healthcare had tracked the Consumer Price Index (CPI) for the past two decades.

IMPACTING NEVADA

Five Healthcare Acts Impacting Nevada

1. Nevada — NV A 469 – Emergency Services Billing
This act limits the amount a healthcare provider may charge a person who has health insurance for certain medically necessary emergency services provided when the provider is out-of-network. Additionally, it requires an insurer to arrange for the transfer of a person who has health insurance to an in-network facility under certain circumstances.

2. Nevada — NV A 170 – Health Insurance Coverage
This act requires an insurer to provide certain information relating to accessing health care services to the Office of Consumer Health Assistance. It incorporates ACA protections on a state level.

3. Nevada – NV S 198 – Medicaid Eligibility
Revises provisions relating to Medicaid; requires the division of welfare and supportive services to analyze and report certain information concerning the eligibility of children for Medicaid.

4. Nevada – NV S 174 – Autism Spectrum Disorders Services
Makes various changes relating to services provided to persons with autism spectrum disorders; requires the Legislative Auditor to conduct an audit of the Medicaid program concerning the delivery of such services.

5. Nevada – NV A 66 – Crisis Stabilization Centers
Authorizes the holder of a license to operate a psychiatric hospital that meets certain requirements to obtain an endorsement as a crisis stabilization center; provides for the licensure and regulation of providers of nonemergency secure behavioral health transport services; requires certain health maintenance organizations and managed care organizations to negotiate with hospitals to become network providers.

IMPACTING AMERICA

Seven acts of legislation that have had a significant impact on healthcare in America

1. Children’s Health Insurance Program (CHIP)
The CHIP delivers health coverage to children living in low-income households. The program receives funding from both its respective states and the federal government and has successfully provided services to many previously disqualified children.

2. Healthcare Quality Improvement Act (HCQIA)
The HCQIA provides immunity for medical professionals and institutions during conduct assessments. The law protects medical professionals from peer review-related lawsuits and encourages physicians to file official complaints after encountering unprofessional and dangerous conduct.

3. Medicaid
Medicaid provides coverage for over 70 million American citizens, including people with low income. Medicaid covers various recipients, such as uninsured expectant mothers, temporarily unemployed workers, and millions of disabled individuals.

4. Medicare
The Medicare program provides insurance coverage for almost 50 million U.S citizens, including senior citizens, children with disabilities, and people with End-Stage Renal Disease.

5. Health Insurance Portability and Accountability Act (HIPAA)
The HIPAA allows American workers to carry health insurance policies from job to job. Workers can apply to a select group of health insurance plans to replace lost coverage and adjust for family changes. In addition, HIPAA bars insurers from discriminating against policy applicants due to health problems.

6. Patient Safety and Quality Improvement Act (PSQIA)
The Patient Safety and Quality Improvement Act (PSQIA) protects health care workers who report unsafe conditions. It encourages the reporting of medical errors while maintaining patients’ confidentiality rights.

7. Hospital Readmissions Reduction Program (HRRP)
The Hospital Readmissions Reduction Program (HRRP) is a Medicare value-based purchasing program that encourages hospitals to improve communication and care coordination to better engage patients and caregivers in discharge plans and, in turn, reduce avoidable readmissions.

Please examine the chart below of healthcare expenses per capita (per person) in the U.S. from 2000 to 2018 which is the last year available on the St. Louis Federal Reserve database.  The chart below indicates where healthcare costs per capita would be if healthcare had tracked the Consumer Price Index (CPI) for the past two decades.

As the comparison chart below shows, the U.S. pays roughly $5,000 more per capita, per person, per year for healthcare compared to other equally developed nations.

The third chart shows that the results of this asymmetric expenditure on health haven’t done much in terms of life expectancy or other broad measures of national health and well-being. America is Number One in costs but far down the list of life expectancy and other measures of well-being.

Those trying to provide care within the sick-care system’s perverse incentives are burning out (see the last chart), and businesses are crushed by ever-higher costs for everything related to healthcare.   The “solution” for employers is to push more of the healthcare cost onto employees, who are already staggering under the weight of stagnant wages and skyrocketing inflation.

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