Ray From Cleveland
Diamond Member
- Aug 16, 2015
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While you are correct in some ways you fail to see a number of very important points.So the most viable minimum that I stated still stands. That is considered by some that even that may not even come close. No one has yet come up with a viable way to pay for it without increasing taxes. Nor has anyone come up with a viable alternative of what would be done if it turns out to be much more expensive then predicted.
The real problem is we are looking for solutions in the wrong way.
The biggest problem is the cost. So that's what needs to be worked on first. There are nearly a dozen ways to lower cost of medical care. Once we can do that, then we can figure out a way to pay for it. But that's why ObamaCare was such a failure. It never addressed cost. It only shifted money from one place to another. The cost was still high and kept getting higher, but they just found new ways to pay for it, so it never solved our initial problems.
First is everyone needs to decide what we are talking about. Medicare or single payer. They are not the same. Single payer would be much more expensive. We can not decide what or how to tackle any of the problems until everyone agrees on what they want.
The main problem with ACA was that insurance companies were still involved and were limited to the areas that they could service. There was also the fact that many that had never been or had not been for many years to a doctor suddenly flooded offices. Then the insurance companies were forced to take on catastrophic patients who had paid not premiums before. You are also correct that ACA never addressed costs.
The next problem we have to agree on and understand is that the only way to pay for it is by increasing taxes. It will not be free and too many want it or expect it to be free.
Yes we can get costs down but we need to agree on how much risk we are willing to take. How much testing are we willing to forgo to be sure that new drugs are safe? How many tests are we willing to forgo in being sure of a diagnosis? How much money are we willing to cap wrongful death or malpractice to? How are we going to combat medical fraud? How are we going to pay for the enevatible rise in prices as new tests, procedures, even such things as genetic engineering come up.
Last but not least we need to agree and have a strategy in place if it costs more then we think. Do we build in a high cost to start with and give a tax break if it is less expensive(my choice). Do we do an automatic tax increase and risk people, cities or states suing or rebelling? Do we drop the new system and try to go back to our current system? Perhaps we just decide to allow the government go broke at a faster pace.
The main failure of Commie Care was politics. That's it in a nutshell. It was designed for several reasons: first of all, to buy votes. If you make french fries or stock shelves at Walmart, Commie Care was great because you could get good coverage for about 70 bucks a month. But then again, low wage workers often vote Democrat.
If you are a middle-class earner, it was unaffordable. I know because I singed up. What they wanted from me was a mortgage payment, and the plan was absolute crap only good if I decided to see what it's like to get run over by a moving bus. But then again many middle-class earners vote Republican, so screw them.
Secondly, it was designed to create as many new government dependents as possible; over 20 million according to Obama's White House. It was no accident either. The more government dependents, the more likely Democrat voters.
So the first problem is getting politics out of our medical care, particularly on the left. Democrats seldom do what's good for the country. They do what's good for the party.
Liability is a much larger issue than most think. Again, politics. Our medical care system is flooded with unnecessary testing also known as defensive medicine. Defensive medicine costs billions of dollars per year, and few politicians want to offer protection. Years ago you used to go to your doctor for an ear ache or torn leg muscle. The doctor would treat your symptoms and only send you to a specialist if all else failed. Today, a doctor is nothing more than a referral service. Go to him for an ear ache, he sends you to an ear, nose and throat specialist. Go to him for a torn leg muscle, he sends you to an orthopedic doctor. The list goes on and on.
It's not that doctors know less than they did years ago. In fact, they know much more. But they simply don't want the liability on their hands. Pass that problem to somebody else or several others. That makes medical care extremely costly.