At present, the needy patient (Title 19/Medicaid) has access to medical services through a complex bureaucratic system and costly oversight process. Because the final reimbursement after the administrative cost is so low, these patient's rarely have access to community physicians and obtain most of their care in emergency rooms and city hospitals that are additionally subsidized through the government. They utilize costlier acute care facilities for non-acute problems since access to community physicians is burdened by low reimbursement and costly administrative burden to both the government and the health care provider.

The thrust in this section is to develop a bidding process, where services will be competitively priced. Instead of the government paying directly for such services and having costly mechanisms that administer the program and identify and protect the taxpayer from abuses, we propose a system of issuing a tax credit directly to the provider at the bidding price. Bidding can be done by skilled welfare workers on behalf of their clients or directly by the needy patient if they have access to computer services. In this fashion, market forces achieve a balance of access and cost controls, which regulation and decrees have failed to achieve in the care of the qualified needy patient.

With this method, tax dollars will directly cover the health services of the needy patient, and the needy patient will have access to any physician in the country. A much greater efficiency of conversion of tax dollars to direct health care of the needy will be achieved with market forces exerting controls which are currently exerted with great costs of administration, regulation, subsidies and legal compliance. No wonder so few health dollars are left for the care of those with greatest need. We are currently working to obtain political and legal support to pilot/try such a system of delivering health care to the qualified needy patient with market forces and private sector (dollar to healthcare) conversion efficiencies.

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