NATIONAL HEALTH

PROCEDURE   operational   statement

i n i t i a l     S T R A T E G I C     P  R  O  J  E  C  T  S     P L A N

   A.  V I S I O N 

STABLE   HEALTH     FOR   EACH   RESIDENT   PERSON

B.  MISSION

To   improve   the   HEALTH   of   each   resident   person

with   a   continuously   renewed   understanding   of   our   nation’s

Resources,   Knowledge,   and   Human  Dignity.

C.  PRINCIPLES

            1.  Altruism 

Our nation’s heritage began with traditions formed largely with our rural communities.  These traditions reflected a reliance on individual responsibility, social cohesion, and their Family and extended Family for each resident person’s HEALTH.  There was also a tradition of helping each others’ neighbors when life events created special needs.  These health benefits absent their associated community’s social capital, its social cohesion, are now provided by a very large, healthcare industry.  For our modern-day healthcare industry, the challenge for NATIONAL HEALTH would be to sponsor the reform of our nation’s healthcare to achieve equitably available, ecologically accessible, justly efficient, and reliably effective health care for each resident person.  Given the contemporary decline of each community’s social capital, NATIONAL HEALTH would promote each community’s collaboration with its adjacent communities for the benefit of each other’s Survival Commons (viz, augmented safety-net).   

Success would be assured by each community’s level of commitment to their resident persons with special HEALTH needs.  These needs would be defined as the developmental, social, or economic factors that adversely influence a resident person’s capability to achieve Stable HEALTH, especially during infancy, a continuing disability, homelessness, or a pregnancy.  For each resident person encountering any of these HEALTH Conditions, continuously individualized Primary Healthcare offered responsively to each of these resident persons would represent the ultimate expression of Altruism by our nation’s healthcare industry.

            2.  Trust

No effort to promote change can succeed without a commitment to establish its trustworthiness as its agent of change.  NATIONAL HEALTH must focus the execution of its own internal affairs to support this standard.  The day-to-day character of NATIONAL HEALTH must achieve a widely acknowledged level of responsively-transparent leadership sustained over a long period of time.  To the extent that each Community HEALTH Forum becomes trustworthy, the structural foundation for the MISSION of NATIONAL HEALTH will be firmly in place to rebuild our nation’s social cohesion for its population HEALTH.

David Mechanic offered a carefully considered analysis of our nation’s healthcare in his book published in 2008: THE TRUTH ABOUT HEALTHCARE. (24)  Its Chapter 9 offers a view of the requirements for any strategy to improve trust in our nation’s healthcare.  Also, Robert Hurley wrote his own analysis of the attributes for becoming trustworthy published in 2012: THE DECISION TO TRUST: How Leaders Create High Trust Organizations. (37)

Finally, the level of trust within a community’s social interactions underlies its level of Social Capital for how each resident person resolves the social dilemmas they encounter daily within their Family, neighborhood, and community.  Along with cooperation and reciprocity, the measurable attributes of social capital have been identified as a basis for improved, self-reported HEALTH.  A multi-year study of the connection between longevity and poverty published in 2016 verified this relationship except for a few isolated communities.  These isolated communities did not have the adverse effect of poverty on longevity.  These communities exhibited an attribute that would represent a higher level of social capital such as the level of bonding, bridging and linkage caring relationships within their community’s citizen networks.  (60)

                                    during the first four years with the preparation of a comprehensive strategy

                                    for a  NATIONAL HEALTH  self-assessment of its ability to demonstrate

                                    the  new strategy  based on its  PRINCIPLES  of Altruism, Collaboration,

                                    Excellence, Transparency, and Trust;

                        ii.  Finalize the initial  PRIMARY HEALTHCARE  BENEFITS  PLAN  and  

                                    PRIMARY PHYSICIAN  EDUCATION  PLAN;

                        iii.  Promote 81 functioning  District Coalitions, each with a full complement

                                    of  Community HEALTH Forums  within two years; and

                        iv.  Reduce the proportion of the national economy devoted to healthcare spending

                                    from  X% ( average of health spending as percent of GDP during 2 years 

                                    before the initial Meeting of the Board of Trustees)  to  X-1%  of the GDP

                                    during the 4h calendar year after the initial Meeting of the

                                    Board of Trustees;  

[ COMMENT:  In 2018, our nation’s healthcare spending represented 17.8% of the gross domestic product (GDP) or $3.73 Trillion.  The GDP in 2018 was $20.94 Trillion.  Assuming GDP growth at 3% annually for three years, the GDP in 2022 would be $23.57 trillion. A reduction from 17.8% to 16.8% would represent health spending of $3.96 Trillion for our nation’s healthcare during the fourth year, based on 2018 data: an increase of $23 Billion (instead of the anticipated increase of $47 Billion).  The ultimate GOAL is a reduction by 5% (from 17.8% to 13.0%).  The actual spending change may be less depending on over-all economic growth, especially as it encounters a smaller allocation to healthcare spending.  This would be a major stimulus since the reduction of health spending would lower the cost of Medicare/Medicaid to the Federal treasury, 45% of health spending in 2018. ]

                        v.  Initiate a Plan for a 2-year evaluation beginning  5  years after the date

                                     of the initial Meeting of the Board of Trustees to reassess

                                     the Congressional Charter and its future options for promoting

                                     the adaptability of our nation’s healthcare;

                        vi.  Reduce the state by state variability as compared to the best  9  states average

                                     of the Maternal Mortality Ratio by  50%;

                        vii.  Promote the certification of as many  HEALTH  SECURITY  clinics as necessary 

                                     to offer enhanced Primary Healthcare to 10 million citizens within each Region; and 

[ COMMENT:  This would involve approximately 2,500 Primary Health Care clinics within each Region, about 30 per Community HEALTH Forum. ]

                        viii.  Initiate Federal legislation as necessary to support the implementation of each 

                                    A)  Community HEALTH Forum including

                                                 1)  clarification of any potential restraint of trade issues  and

                                                 2)  arrangements for improving the financial support

                                                             of certified Primary Healthcare clinics

                                                             serving chronically under-served locations

                                                             and

                                     B)  the national reporting of financial efficiency for resource allocation

                                                 by each HEALTH SECURITY certified Primary Healthcare clinic.

            2.  PURSUE  VISION