Interesting, allternative idea for health care reform

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JS80

Lifer
Oct 24, 2005
26,271
7
81
Originally posted by: Patranus
Originally posted by: Skoorb
Originally posted by: Patranus
Originally posted by: TruePaige
Does absolutely nothing to address pre-existing conditions and cost of chronic care. What a piece of shit.

Again, why should society be forced to pay for your pre existing condition or chronic care?
What a free loading piece of shit.
Why should society be forced to pay for your police protection? Get a bullet proof vest and pistol and learn to take care of yourself!

I pay taxes, I get police protection. I also compliment my home security with a security company. I would carry a gun if California let me, but since they don't let me defend myself, the government has taken it upon themselves to mandate that they must protect me.

If you live in a high crime rate city, a larger percentage of your local taxes are going towards law enforcement.

If you have a pre-existing condition a larger percentage of your income is going towards paying for medical treatment.

I am not really getting your example.

You fail because you responded to fail his example which is an apples to steak comparison.
 

TruePaige

Diamond Member
Oct 22, 2006
9,874
2
0
Originally posted by: Patranus
Originally posted by: TruePaige
Does absolutely nothing to address pre-existing conditions and cost of chronic care. What a piece of shit.

Again, why should society be forced to pay for your pre existing condition or chronic care?
What a free loading piece of shit.

Calling people free loading pieces of shit?

You are a morally bankrupt embarrassment to humanity that should be sent to China to work in a sweatshop making pennies on the dollar, you humongous self-centered ASSHOLE. You don't DESERVE to live in America if you don't care about saving the lives of Americans.
 

piasabird

Lifer
Feb 6, 2002
17,168
60
91
Why dont you just close all the doctor's offices and hospitals while you are at it?

People choose work locations based on available health care coverage. Dont kill the golden goose.
 

bfdd

Lifer
Feb 3, 2007
13,312
1
0
Originally posted by: TruePaige
Originally posted by: Patranus
Originally posted by: TruePaige
Does absolutely nothing to address pre-existing conditions and cost of chronic care. What a piece of shit.

Again, why should society be forced to pay for your pre existing condition or chronic care?
What a free loading piece of shit.

Calling people free loading pieces of shit?

You are a morally bankrupt embarrassment to humanity that should be sent to China to work in a sweatshop making pennies on the dollar, you humongous self-centered ASSHOLE. You don't DESERVE to live in America if you don't care about saving the lives of Americans.

I do perfectly fine, earned it myself, maybe people like me figure others should do the same?
 

Ausm

Lifer
Oct 9, 1999
25,213
14
81
I think C is a joke is this talking about Health insurance or car insurance? Most deductibles for working people are 2500 to 5000 dollars.
 

shira

Diamond Member
Jan 12, 2005
9,500
6
81
Originally posted by: Ausm
I think C is a joke is this talking about Health insurance or car insurance? Most deductibles for working people are 2500 to 5000 dollars.

What? Yes, there are high-deductible plans out there, but no plan I've ever had through work has ever had a deductible above $500 for an individual and $1000 for a family.

The whole point of the high deductible is to reduce demand, which solves the supply problem, which reduces cost.
 

BoberFett

Lifer
Oct 9, 1999
37,562
9
81
Originally posted by: miketheidiot
Originally posted by: BoberFett
Originally posted by: CPA
b) is what kills it for me.

I'm not entirely sold on the vouchers idea, but it has merit. It's a way of forcing everyone into the system without dictating how they use that system. It may be one of the better ways of balancing government and the free market. You can spend it at any service provider you choose. It can be supplemented with additional money if you want. You then don't have people abusing the system we have now, such as using the emergency room as their primary physician and foisting their costs onto the rest of us.

i would like this plan, if private personal plans worked well. Without some sort of reform to the way companies deal with their customers, i don't think individuals have the market power to get a very good deal, in addition to the higher administrative costs that tend to coincide with individual plans.

Personally i could settle for private insurance in a non-profit situation, or a for-profit system to go along with a single payer base.

Do private auto insurance plans work? If so, there must be a way to make private health insurance plans work. Part of the reason auto insurance plans work is because they pay to replace your car when it's totaled. They do not pay to change your oil and wiper blades. Catastrophic private insurance could work very well.
 

Ausm

Lifer
Oct 9, 1999
25,213
14
81
Originally posted by: shira
Originally posted by: Ausm
I think C is a joke is this talking about Health insurance or car insurance? Most deductibles for working people are 2500 to 5000 dollars.

What? Yes, there are high-deductible plans out there, but no plan I've ever had through work has ever had a deductible above $500 for an individual and $1000 for a family.

The whole point of the high deductible is to reduce demand, which solves the supply problem, which reduces cost.


You definitely must be in a while collar job.
 

BoberFett

Lifer
Oct 9, 1999
37,562
9
81
Originally posted by: TruePaige
Originally posted by: shira
Originally posted by: TruePaige
Does absolutely nothing to address pre-existing conditions and cost of chronic care. What a piece of shit.

Private insurers are willing to overlook pre-existing conditions exclusions if EVERYONE has coverage, which is exactly what this plan would do. Problem solved.

As to chronic care, I'm not sure what you're referring to. Please be specific. And also please inform us what plan does a BETTER job on whatever you mean by "chronic care" than this one.

Really? They are? Didn't see that in the article. I mean why would I expect people who currently cut a large chunk of people out to not just continue to exclude them and rake in even more cash.

Chronic care, you know conditions that require frequent, expensive visits to specialists or emergency rooms. Conditions that require lots of medication which isn't covered by affordable insurance plans, etc..

A better plan? Universal Health Care. Cradle to the grave full coverage.

Universal Health Care: If you liked the Iraqi invasion, you'll love our health care!
 

Jaskalas

Lifer
Jun 23, 2004
35,525
9,742
136
Originally posted by: TruePaige
A better plan? Universal Health Care. Cradle to the grave full coverage.

You can make that a quick trip to the grave if you rock the boat too hard. The nation and its tax payers are not toys on a board game to be moved and squeezed as directed.
 

Vette73

Lifer
Jul 5, 2000
21,503
9
0
Originally posted by: JS80
No good, more people on the system without addressing supply problem = failboat.

That and nothing on the side of rising cost and poor mangment from health insurance. All HI will do is eat up that voucher and give little to no coverage worth anything.


The biggest issues are more doctors and less middle men.
 

shira

Diamond Member
Jan 12, 2005
9,500
6
81
Originally posted by: TruePaige
Originally posted by: shira
Originally posted by: TruePaige
Does absolutely nothing to address pre-existing conditions and cost of chronic care. What a piece of shit.

Private insurers are willing to overlook pre-existing conditions exclusions if EVERYONE has coverage, which is exactly what this plan would do. Problem solved.

As to chronic care, I'm not sure what you're referring to. Please be specific. And also please inform us what plan does a BETTER job on whatever you mean by "chronic care" than this one.

Really? They are? Didn't see that in the article. I mean why would I expect people who currently cut a large chunk of people out to not just continue to exclude them and rake in even more cash.

Chronic care, you know conditions that require frequent, expensive visits to specialists or emergency rooms. Conditions that require lots of medication which isn't covered by affordable insurance plans, etc..

A better plan? Universal Health Care. Cradle to the grave full coverage.

Even for the current, proposed legislation, the "deal" is that insurers would accept a requirement to insure all comers - even those with pre-existing conditions, at a reasonable price, as long as there were a mandate for EVERYONE to be insured. The reason for this is that without a mandate, health-care consumers reverse cherry-pick (low-risk consumers opt out, and only the sick remain). So you need everyone paying into the system to make the numbers work. The same applies to this new concept.

Specialist care would obviously be covered if it were above the 15% deductible, as would emergency room visits. However, because demand would be reduced (fewer people are going to visit specialists if they pay for thousands of dollars out of pocket before their coverage kicks in), costs would go down.

With everyone covered, the "paradigm" of people using emergency rooms as their "PCP" would vanish. Again, a reduction in demand and therefore cost.

This IS cradle-to-65 "UHC" (it wouldn't be "to grave" only if Medicare continued), so I don't understand your point.

Your original criticism was that costs weren't controlled. Cradle-to-grave UHC that pays for everything does NOTHING to control costs OR imposes severe rationing to control demand. The ONLY way to control costs without rationing is to give consumers an incentive to NOT use services - to reduce demand.

I'm not sure I'm understanding what your problem with this concept is, as it seems to provide virtually everything you say you want.

 

shira

Diamond Member
Jan 12, 2005
9,500
6
81
Originally posted by: piasabird
Why dont you just close all the doctor's offices and hospitals while you are at it?

People choose work locations based on available health care coverage. Dont kill the golden goose.

I don't see your concern. I really don't. What "golden goose" is being killed? Are you saying companies don't have other means of attracting employees?

If people obtained their insurance privately, companies would have the freedom (not the requirement) to use the money they saved to offer other financial incentives (higher pay or more generous perqs) instead of health care.

If THAT is the best you can come up with, this plan is fantastic.

Frankly, I'm bewildered by some of the "objections" I see in this thread. Most are just a product of not understanding the idea in the first place. And the rest amount to "It's bad because it's a change."

Surely, you people can come up with more substantive objections. Or you can be honest enough with yourself to acknowledge that this seems to me a pretty good idea.
 

shira

Diamond Member
Jan 12, 2005
9,500
6
81
Originally posted by: Marlin1975

nothing on the side of rising cost and poor mangment from health insurance. All HI will do is eat up that voucher and give little to no coverage worth anything.


The biggest issues are more doctors and less middle men.

Do you really not get it? The fact that insurers will have to compete for consumers means that they'll be competing on the basis of price and coverage? This is EXACTLY what the right says they want: Private competition, not competition with a government "public option".

So, THIS plan is SOLELY private insurers, competing among themselves. And the right's response: Competition doesn't work. Wow.

Is it any wonder that us on the left think the right is brain dead?
 

0marTheZealot

Golden Member
Apr 5, 2004
1,692
0
0
Originally posted by: Patranus
Originally posted by: TruePaige
Does absolutely nothing to address pre-existing conditions and cost of chronic care. What a piece of shit.

Again, why should society be forced to pay for your pre existing condition or chronic care?
What a free loading piece of shit.

I seriously hope you or someone you love gets cancer and gets fucked by the insurance company. Then you'll learn why the health care system in America needs an overhaul. Until then, everyone on this board can safely ignore your ignorant opinion.
 
May 16, 2000
13,522
0
0
It supports a private, for-profit industry that has no direct benefit to society. I further see no reason why this plan would lower costs...costs aren't high because of supply and demand, they're high because those businesses are largely unregulated, taxes are low enough with enough loopholes to encourage maximizing profits, and because the existence of private insurance guarantees a source for this profiteering and creates a closed network of businesses with total market control. I therefore oppose it, and would refuse to participate.
 

dullard

Elite Member
May 21, 2001
25,957
4,544
126
I've posted basically the same thing dozens of times on this board over the years. Yet, few people ever even respond. Here was my slightly different version:

1) Get your incompetant manager out of making your most important health care decisions (by ending employer based coverage). He who choses the plans you can use (ie what is included/excluded) often makes a bigger deal to your health than anything else (possibly even more important than your doctor or your own choices). Why should businesses who know nothing about health care be in charge here?

2) Use the savings to give tax CREDITS that equal the cost for high deductible insurance premiums. Tax credits means that we only benefit legal tax paying citizens. All insurance is still private - no government interventions. High deductibles protect you in the worst case situations, but provides an incentive for you to keep costs low. And you are always free to pay more out of pocket for lower deductibles if you wish.

3) Since it is essentially free, any legal citizen who files taxes is covered. This will incorporate a lot more of the young and healthy and help spread the cost of the severely ill. And I say, screw the rest. If non-citizens want health care here, they'd have to pay for it in full out of pocket.

4) Medicare and Medicaid can be ended since they are redundant now that every citizen has insurance.

5) Of course, you still have to address the need for more doctors, the need to move common tasks from doctors to nurses and pharmacists (simple but safe prescription refills for example), the need for tort reform (although that won't make much of a difference in costs), etc.


Sure, this won't completely pay for itself. But since the goverment already pays for 60% of all health care (directly through medicare/medicaid/vet benefits or indirectly through tax deductions), this isn't adding THAT much more to the total cost.
 

bfdd

Lifer
Feb 3, 2007
13,312
1
0
Originally posted by: 0marTheZealot
Originally posted by: Patranus
Originally posted by: TruePaige
Does absolutely nothing to address pre-existing conditions and cost of chronic care. What a piece of shit.

Again, why should society be forced to pay for your pre existing condition or chronic care?
What a free loading piece of shit.

I seriously hope you or someone you love gets cancer and gets fucked by the insurance company. Then you'll learn why the health care system in America needs an overhaul. Until then, everyone on this board can safely ignore your ignorant opinion.

I've had family members get cancer and die, their insurance covered everything.