National Medical Program

In conjunction with my tax proposition layout the medicare/medicaid programs will be eliminated. To replace them we will be inputting a national medical program. Below are the outlines.

There is roughly 313.2 Billion People in the US.

The average doctor will work 10 hour days, will see an average of 20 patients per day, and work 260 days per year. They will be able to see an average of 5200 Patients per year.

There is 41,810 US Zip codes, this is a combined number of all zip codes, including general, po box, military, unique and business zip codes. The Average population per zip code is 7473

If we estimate that every american will need/want to visit a general practitioner, dentist, eye doctor, chiropractor, and one specialist once each year then this means that we would need to supply 2 general practitioners, 2 dentists, 2 eye doctors, 2 chiropractors and 2 specialist in various fields per zip code, a total of 10 doctors. per zip code, and a overall total of 418,100 Total Doctors. Since 2 professionals could handle 10,200 patients per year, and only 7,473 patients per zip code, this will allow for additional visits per patient, or additional time needed to see them, helping to increase the care each patient receives.

Yearly Salaries for doctors are listed below

General Practitioner - 60,000
Dentist - 80,000
Eye Doctor - 40,000
Chiropractor - 80,000
Specialist - 100,000

This equates to a total professional salary expense per facility of 720,000, and an overall US cost of 30.1 Billion.

The federal government will have a special fund created to pay for all medical school bills, this will be similar to our current financial aid program. With an average cost of $120,000 for a 4 year medical program this will equate to 50.2 Billion. This funding does NOT need to be repaid, however to get the funding you must sign a contract to work for the above salaries in a national medical facility for a minimum of 6 years. Once four years if over you may move on if you so choose. If you quit working, get fired, fail school classes, or any other matter in relation to this you will be required to pay the funds back in their entirety minus $20,000 per year that was worked in a national medical facility. Professionals will take typically 4 years of undergraduate programs before entering into a medical program, this portion as well as any further continuation of their degrees would need to be covered by themselves.(however this is under the assumption that 418,100 new professional students will begin schooling every year, therefore the actual numbers may be significantly less depending on the actual number of new students each year)

We would need to build a national medical facility to house each of the professionals, one building per zip code will be built, each of the 10 professionals will work in the same building. 3 waiting rooms per professional will be provided plus an office, for a total of 40 rooms. 100 square feet will be provided for each room, plus an additional 1500 square feet for a waiting area, and another 1500 square feet for hallways, storage rooms etc. there will be 15 Rooms set aside for procedures, and another 15 set aside for specialty operations. Each room will be 100sqft. This equates to a total facility size of 10,000sqft. At the average cost for building hospital facilities in the US at $336 per square foot, each facility will cost roughly 3.4 Million to construct. The overall cost of construction for all facilities will equate to $142.1 Billion.

Each facility would need to be stocked with equipment, each facility would be given 4 million during the initial build to stock the facility with needed supplies and equipment. This would equate to an initial cost of $167.2

Each facility would need to be supplied with with 2 nurses(RN's) per professional, they will assist the professionals in paperwork, procedures and other matters (20 per facility). A total nurse count of 836,200 They will be given a salary of $35,000. a total overall cost of 29.2 Billion per year.

Nurses will be offered a tuition program similar to professionals but with a funding of $60,000, approximately 2 years of school. Again they will be offered these funds under a contract that they will work for at least 6 years in a national facility, If you quit working, get fired, fail school classes, or any other matter in relation to this you will be required to pay the funds back in their entirety minus $10,000 per year that was worked in a national medical facility This equates to 50.2 Billion a year. (however this is under the assumption that 836,200 new nursing students will begin schooling every year, therefore the actual numbers may be significantly less depending on the actual number of new students each year)

Each facility would need to be supplied with with 2 other various workers per professional, they will assist the professionals in paperwork, procedures, janitorial work and other matters (20 per facility). A total worker count of 836,200 They will be given a salary of $35,000. a total overall cost of 29.2 Billion per year.

An assumed operating and maintenance cost per national facility of 50,000 per year, and an overall cost of 2.1 Billion per year for all facilities.

Currently we use between 5 million to 50 million pints of blood per year in the US for Transfusions. To help encourage donations of blood to keep our blood banks full and each facility stocked with their own supply, each facility will offer $40 per donation of 1 pint of usable blood. This equates to an additional 2 Billion per year.

An average estimate of $175 per american per year will be used to estimate supply usage such as bandages, sutures, prescriptions, glasses etc. Expenses beyond this number must be paid for by the consumer, these will be charged at cost, not marked up.

Totaling these numbers shows that we will need roughly 247.9 Billion per year to provide these services, and an additional 309.3 Billion to build the facilities, but this is a one time expenditure.

All visits are free of charge, it does not matter if you are a US resident, or not, all medical visits are covered, all supplies are covered up to $175 per year, all additional supplies are charged to the consumer at cost. There is no cost for any procedure that does not use supplies, nor is there any cost for blood as it is supplied through the donation/payout program. Any and all procedures are given freely so long as the facility has the ability to provide the procedure.

The facilities would only be open Monday through Friday from about 9am to 6pm. So the need for private hospitals and private practices would still exist.