LOL ---- believe me, I am NOT "ideologically obligated".
I've been on your side ... I used to own a wealth management firm, and I've seen how it actually works. Interesting, isn't it, that your "seven-headed hydra" contains seven government programs, or programs dictated by the government.
That's more than a coincidence. Who do you suppose has created the monster we live with?
The government, of course. I'm tempted to say that they'll never get their act together enough to do what I want, but I don't know. The mess they're offering now won't work, and then there will be a kneejerk reaction in the other direction, because that's what we do.
What concerns me is that when that happens, we'll go to real socialized medicine, single payer, instead of what I want.
The GOP knows pure free market health care won't work, and they don't have to balls to do anything else beyond tweaking Obamacare. So be careful what you wish for, single payer is still a possibility.
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You're opposed to single payer - and you say the free market approach won't work. What's your recommendaton? What do you want?
I've already said it: Expand the current Medicare/Medicare Supplement/Medicare Advantage system to all. Among other things, it would accomplish the following:
- End the insane, inefficient, inconsistent, seven-headed delivery/payment system we have now
- Retain free market competition and innovation on non-Medicare-approved services
- Take a massive cost monkey off the backs of American employers
- Provide a comprehensive public foundation for preventive & diagnostic treatment
- Simplify coverage schedules for health insurers
- Create a massive new preventive/diagnostic provider cottage industry
- Give people portability so that they're not stuck keeping a job for the insurance
- Eliminate traffic jams in ER once people no longer have to use them for basic care
- Open up massive new markets for insurers
... off the top of my head. Or, we can continue with the seven-headed beast and Frankenstein's Monster 2.0.
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Explain how that is different than socialized medicine.
Come on. Socialized medicine would not have the integral free market Medicare Supplement/Medicare Advantage component. You don't see a United Health Care or Cigna in Cuba.
Medicare Supplements fill the (significant) gaps in Medicare coverage. Medicare Advantage plans completely take over for Medicare and function essentially as an HMO. Even with strong regulations (many of which are on the marketing side to protect seniors), insurance companies have flourished with both plans because they have been free to add extra goodies for competitive edge.
And by the way, right now Medicare covers 80% of expenses. We could -
and you have never seen this idea anywhere - have a sliding scale where Medicare only covers 40% or 50% when we're younger and healthier and the free market plans would cover the rest when those premiums would be lower, and then have that co-insurance increase with age. Then we include basic low income provisions, some smart tort reform, and off we go. And I guarantee you that countries like England, France, Germany and Sweden will be watching closely.
One system, not seven (7). Clear plan choices and coverages, not hundreds. Preventive, diagnostic and basic care for all. Complete portability. Free market competition and innovation. The only things standing in the way here are PARTISAN POLITICS, radio talk show hosts and cowardly politicians.
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