Access to quality healthcare is a major issue facing Delawareans. As more responsibility for the under-insured falls to the state, we need to work together to avoid socializing medical care while still providing excellent care for the uninsured. As a medical doctor who specialized in social healthcare during my residency, I am equipped to navigate the difficulties associated with our current healthcare system.
Within a healthcare setting, the patient-doctor relationship should not be intruded upon by the government. The bureaucracy of healthcare is expensive and does nothing to advance care. It diverts money that could be better spent solving problems and encouraging improvement and takes time away from the patient-doctor time. We do not need more regulations from our government or insurance companies that would further stress our primary care doctors. Already, many primary care doctors have chosen to leave Delaware because their compensation rates are the second lowest out of all fifty states (1). We need to keep our primary care doctors in Delaware providing high quality care for our citizens. This will be especially important as our population ages. We need to promote resourcefulness, reduce bureaucracy, and in doing so, improve quality of care and lower the cost of healthcare for every Delawarean.
We also need to get rid of the Medicaid cliff. The Medicaid cliff means that when a person hits a certain income, they completely lose medicaid. Instead, we should have a gradual pay in into Medicaid as the person's income increases. This would allow someone to begin a higher paying job, taking them above of the poverty level, while being permitted to keep the Medicaid benefits with a pay-in that is determined by how much they are making. Under this plan, there would be a new higher threshold at which they would then be no longer eligible even for the pay-in. However, that higher threshold would be an actual livable wage, unlike the current limit that is set. This method would encourage people to go after higher paying jobs, increasing their quality of life without the burdensome worry of losing their health insurance coverage.