SoapBoxOrators.org
🏙️ Baltimore, Maryland, 02/07/2025
1. Real audits and efficiency (without ideological punishment)
Detect fraud without criminalizing poverty. Unify digital monitoring systems (as already done by Social Security in Spain or the UK’s NHS).
Reduce bureaucratic intermediaries and opaque outsourcing that eat up budgets without improving care.
💡 A more agile and transparent administration can save millions without excluding beneficiaries.
2. Review of subsidies and tax exemptions for megacorporations
While the poor are cut off, tax benefits remain for corporations with record profits.
Proposal: Cut 10% of subsidies for pharmaceutical, tech, and financial corporations, and redirect that amount to a national emergency health fund.
💡 Redistribution isn’t communism. It’s correcting an obscene imbalance.
3. State involvement in drug price negotiations
As done in Canada and many European countries: negotiate prices in bulk, eliminate overpricing, and promote generics.
Create a national digital public pharmacy for essential medicines at cost price.
💡 It’s not about giving away — it’s about stopping the overpayment.
4. Federal pact with cross-incentives
For States that maintain coverage for vulnerable populations (children, single mothers, disabled individuals), the federal government offers:
- Expanded co-financing
- Bonuses in medical infrastructure and digital health
In exchange, States must guarantee management efficiency and semiannual public evaluations.
💡 A “co-responsibility pact”: those who care well receive more. Those who exclude, don’t.
🩺 What about the cost?
The real cost is not in keeping coverage, but in:
- Emergencies turned into hospital tragedies
- Loss of productivity due to illness
- Collapse of rural or community hospitals for lack of covered patients
🧭 Conclusion
“Denying healthcare to those who work, care, or study is more expensive than including them.”
This plan does not require raising taxes or inventing sci-fi solutions. It only demands political decency, economic rationality, and democratic humanity.
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