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<br /> ritsi~ya Page 8 of 16 <br /> <br /> <br /> healthcare services without fees, co-payments, or deductibles at <br /> <br /> the time of healthcare need. The system operates on a <br /> <br /> "pay-as-we-go" basis. Income and other taxes are collected <br /> <br /> by the system on an ongoing basis through payroll deduction <br /> and/or at retail checkout counters, or through other <br /> <br /> appropriate revenue raising methods, including existing <br /> <br /> funding from federal and state; including but not limited <br /> to medicare/medicaid, and prepaid healthcare act funds, <br /> <br /> employee union trust fund funds, until full transition is <br /> <br /> completed, as the funds for pre-paying for healthcare <br /> <br /> services when they are needed. Persons with healthcare <br /> needs may present their healthcare registration cards to <br /> <br /> receive medically necessary healthcare services without <br /> <br /> ever seeing a bill for them. This represents great savings <br /> <br /> over previous billing processes; <br /> (3) "Comprehensive" - the State of Hawaii single-payer <br /> <br /> universal healthcare insurance system is "comprehensive" in <br /> <br /> that it covers all medically necessary hospital, physician, <br /> <br /> dentist, home-care, and long-term care services for every <br /> Hawaii permanent resident; <br /> <br /> (4) "Medically necessary" - medically necessary procedures, <br /> <br /> treatments, and other services that are primarily the <br /> responsibility of physicians and other qualified healthcare <br /> <br /> practitioners according to well-established best practices <br /> <br /> which are recognized by the authority. In addition, the <br /> <br /> county healthcare review boards shall assess which <br /> prescription drugs, appliances, services, and delivery <br /> <br /> modes are: <br /> <br /> <br /> <br /> http://www.capitol.hawaii.gov/session2007Bills/HB1598_.htin 1/9/2008 <br />