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L K said:The Senate just voted to move forward on their unanimously hated health care bill.
L K said:The Senate just voted to move forward on their unanimously hated health care bill.
John McCain was the hero of the hour, flying back from his hospital where he receives government funded health care to vote yes to take health care away from other Americans.
You just can't write this movie any better.
WhatIfGodWasALeaf said:They need a new plan, but the notion that repealing it without immediately replacing it with a working alternative, is insane and will leave millions of Americans up shit creek without a paddle.
Insurance companies will immediately begin refusing to pay for pre-existing conditions or making them so prohibitively expensive that they are effectively refusing.
Millions of sick people will get much sicker because they can no longer afford the care needed to treat their condition and many of them will die because of this.
This is a death sentence.
Nik the Trik said:Isn't that effectively just a singlepayer system but with a middleman jacking up prices?
Bates said:It's exactly how the ACA was started and what the actual goal was. It just didn't get there. The difference is you can buy levels of insurance and pick your own health care provider still.
Bates said:It's exactly how the ACA was started and what the actual goal was. It just didn't get there. The difference is you can buy levels of insurance and pick your own health care provider still.
Nik the Trik said:Bates said:It's exactly how the ACA was started and what the actual goal was. It just didn't get there. The difference is you can buy levels of insurance and pick your own health care provider still.
It's not like "it just didn't get there". There was zero support for a public option on the right.
But more to the point there's really no way to get insurance companies to offer health care plans at reasonable costs if they have to insure people who need lots and lots of health care and people who need relatively little at roughly the same rates(and expecting people with serious health care needs to pay out of pocket isn't a solution). Either, by virtue of involving the private sector, you expect consumers to subsidize the poor and sick or you do it by means of a public pool of tax revenue. I don't see what private insurance does in that situation other than raise prices on everyone.
Bates said:How else would you suggest you get to reasonable health care costs for everyone? This was the basic premise of the ACA. Everyone pays a little so no one pays a lot.
Nik the Trik said:Bates said:How else would you suggest you get to reasonable health care costs for everyone? This was the basic premise of the ACA. Everyone pays a little so no one pays a lot.
Right. The problem being that a lot of healthy people aren't buying in which is why premiums are going up as for-profit health care providers try to maintain profitability while covering sick people. That's why this system was always doomed to struggle without a public option that would eliminate profit motive from health care costs.
The ACA hasn't really worked because it tried to dip a toe into widespread healthcare coverage while still keeping one foot firmly ensconced in the idea that people's health should be a for-profit industry. I never thought it was great policy but it was a compromise between what Clinton and Obama initially wanted with single payer/public option and the GOP's inclination towards effectively nothing. Even Mitt Romney, who introduced a similar insurance market system in Massachusetts as governor, essentially had to run away from the idea in order to be the GOP nom for President.
Like Herman says the rest of the world has gone with the idea of a national health care system funded by a progressive income tax with limited private options. I don't really think that's a wheel that needs re-inventing.