Technology advances have made it possible to outsource government health care plans to India. PCP visits will be conducted on Skype and can be performed in the patient’s home or office cutting down on time travelling to and from office visits.The KISS transmission device, profiled in the video below, was redesigned to allow doctors to examine patients remotely while increasing diagnostic success rates.

If a more thorough visit is necessary patients can go to partnering pharmacies and diagnostic testing centers. Diagnostic tests and additional physical exams can be performed by on-site nurse practitioners and physicians assistants.

Patients requiring extensive surgery will be flown to India to  receive care. Engineers are also working on robots that will allow surgeons from India to perform simple operations remotely when it is less cost effective to transport the patient to India and back.

In an effort to cut costs, members of Congress were issued laptop computers with secure communications allowing them to conduct floor proceedings, hearings and committee meetings and video conferencing from anywhere in the U.S. This will allow members of Congress to stay in their homes reducing travel expenses and the cost of housing in the D.C. area.

Quorum and voting will be determined real time using a government issued Twitter account. This will allow lobbyists and corporations easy access to track their return on investment.

Congressional members will survey constiuents for policy and legislative direction.  Tracking codes will be assigned to constituents based on campaign donation.  Codes will rank donors based on their level of financial commitment to the democratic process.