Health care works fine a free market. But lots of people don't like free markets, so they pass laws that thwart it.
?? What does that mean? How does "equal consideration" apply?
Look, I don't know how hard it is to understand. For instance, beef prices are getting out of hand. So what, pick another protein. Chicken has remained pretty cheap. Pork is a great option with no upside movement in price. Even seafood is holding its own. So the consumer can react, substitution also comes into play.
How does that hold true with healthcare? Take your insulin shot, OR ******* DIE. What choice do you have? On the other hand, the insulin provider, they just sell it to the next person. You die, they lose next to nothing, can you start to understand equal consideration?
I mean who are these people that can't see that the healthcare marketplace is not the place to be shopping around, looking for substitution, and trying to do without. I mean do you shop for healthcare? Hell, my insurance company encourages it, gives me tools, offers me cash if I choose a less expensive provider, at least per their contract,
Had a hernia operation back in the late spring. Hell, I know the moment I did it. And there was no shopping around, there was no substitution. Doctor was like, we can wait, you have to get it done, but it is no hurry. I was adamant, no, I talk to your scheduling coordinator today. I think the surgeon appreciated that.
But I got it done, in a hurry. I didn't shop around. I got a great primary care doctor, he is in some really high demand and I was a legacy patient from his mentor. I just go to who he tells me to, and it has always worked out well. I mean come on, these people are going to be cutting into you, moving shit around, what kind of tire kicking do you think you need to do?
The reality is, this free market approach to health care, even with the influence of Medicare, and the VA for that matter. Bush's Medicare changes were directed at the free market. Even Obamacare, the ACA, the engine was the free market. Enough already. We are morphing to a single payer in spite of strong resistance. It is the nature of the beast. I mean we all need to come to an epiphany.
I mean health care has not always been this way, not even close. Of course the founders didn't even phantom it meaning anything. Although, I will say, they financed small-pox vaccines for Native Americans to be delivered by Lewis and Clark. That didn't turn out so well. Embarrassing actually. But it was hard times.
Bear with me. In North Carolina, you had to get a physical to get married, back in the day. So I did, I was like 21. 1983. No problems, got married, forgot about it. Eleven years later I show up at work, Outback, server. Manager is like, you can't work, look at your throat, swollen, huge. So I go home.
I show up at the doctor's office first thing in the morning. They got no record of me. I assure them, I am a patient, told them it was like eleven years ago. "He is in the basement", one of the nurses proclaims, they tell me to come back at eleven. They take me right back, Doc comes in pretty quick, they do some labs, he tells me to wait for him in his office.
It has only happened once since then, and it was when that doctor retired and turned me over to my current doctor. It was my current doctor that met me in the office, after his first physical with me. Office was cluttered, busy man, Vanderbilt Medical School, I am impressed. Second generation from the photos on the walls.
He strolls in, sits at his desk, looks at me, and goes, "You are going to die". I don't miss a beat. "Damn right I am going to die, if you don't prescribe me an antibiotic to take out this infection". He falls out laughing, grabs his prescription pad, and then gets serious, "Why has it been eleven years?". Damn, nothing is wrong Doc, I am just humming. He was like, come see me, at least once a year. And I did, and he retired and gave me a great replacement.
That is what healthcare in America has always been. I mean these are real people, with real feelings. But it should not be based on dollars and cents. It never really was, until after WWII. And it quickly got out of control. Now, it is completely FUBARED.
Nothing really points to the difference between the parties than the ACA, Obamacare. That single act completely severed the ball and chain that was employer provided healthcare. It had a huge economic impact, perhaps, the greatest since the education benefits for WWII vets. Losing that ball and chain, oh how the companies wailed. I mean I can hear Walmart, they probably lost more than anyone. When is the last time you saw a "greeter"?
So that is what the opposition was all about. Honestly, I can't think of anything more reprehensible. Enslave the people dammit. Fair? WTF is "fair".