Rustic
Diamond Member
- Oct 3, 2015
- 58,769
- 5,899
- 1,940
- Banned
- #161
LolThat may be true, but the cries for real Single Payer are only getting louder. We could easily to a point at which it's Single Payer or the approach I mentioned.The answer is sitting right in front of us: Just expand the current, popular Medicare/Medicare Supplement/Medicare Advantage system to all. An effective mix of public foundational coverage and dynamic free market competition and innovation. Tweaks could easily be made to it to make it more affordable.I agree that they've gone WAY too far, with Sander's force march to Medicare For All. And I don't think that wiping out ALL student debt is doable or even desireable, especially for the Ivy League private schools with the big ticket tuition. OTOH, I do agree that something drastic needs to be done on both issues, but the devil is in the details.
A few years ago, I opined that high student debt loads coming out of university were going to hobble this generation of graduates in terms of disposable income to get married, start a family, buy cars, houses, and generally become the kind of consumers of durable goods that drives the economy forward. And the people most hobbled, are those who leave Ivy League Schools with enough debt to purchase a modest house in many small town communities.
At the time I was espousing these ideas, I was called a crazy leftist looking for free shit, but from the standpoint of a student of economics, on issues such as this, turn entire economic shifts. The demographic is large enough, and the impact is rippling throughout the economy. My oldest child is 18 years older than my youngest, so I've had the perspective of sending two generations out into the world, and the world for my 47 & 45 year old children and their friends has been far, far different, than entry into the work force for their sister's generation.
Statistically, the Baby Boom Echo kids stayed in school longer, and lived at home longer than their parents. When I left home at age 18 to go to the Big City to school, I never went home again. I don't think I ever spent another night under my mother's roof. My older children's generation left home, married and started their families, 3 or 4 years later than their parents, and the next generation is staying home even longer, in large part because of carrying enormous amounts of student debt. These are middle class, well educated adults, who's disposable income, which would either be going to savings, or building a home and a life for themselves, is now paying principle and interest on their student loans.
When it comes to health care, if it's not broke don't fix it. If people want insurance companies directing their treatment and paying 30% of their health care dollars to the insurance companies, plus co-pays that would bankrupt most families, because paying an $18,000 a year premium isn't enough "skin in the game" for insurance companies. Customers need co-pays to ensure they don't "abuse the system". I say let them continue to be ripped off.
But at the same time offer a public alternative, that has the same kind of administrative costs as Medicare, Medicaid, and the VA. At a premium 25% lower than the private market, with no-pays, no pre-approvals, and low administration costs, and watch the public leave the for-profits behind. In a heartbeat. Americans are the cheapest people in the world. That's why you had off-shoring in the first place. Better, cheaper, healthcare for all is possible.
You're currently paying nearly double the amount of money per capita that all other industrialized countries in the world pay, and 10% of your population has little to no access to quality health care at all. Your healthcare costs are driven by the willingness of private insurers to pay ridiculous amounts for some treatments. Healthcare decisions should not be decisions motivated purely by profit, and what is most profitable for the insurance industry. These are not "disinterested parties".
I can understand why the GOP hates it - it includes the evil government and they're trained to lose their shit there out of sheer ignorance - but I think the Democrats would be VERY smart to roll something like that out.
.
But the timing couldn't be worse. Our politics, our nation, is bitterly divided. Anything you add to government's plate will become more fuel for the fire. The last thing we need is another political football to fight over every single election.
If the GOP holds out on all-or-nothing grounds, they could lose the whole thing.
.
It doesn't matter what they pass. If it doesn't have broad support (ie if 90% of Republicans are against it), it will simply be pissing in the wind. As soon as the political winds blow the other way it will get the monkey-wrench treatment. ACA should have taught Democrats that lesson. But they don't seem to be "teachable".
I don't see that as the problem at all. I see it as a messenging problem. The ACA has broad public support, even from those people who hate "Obamacare", simply because Obama passed it. But they love the ACA, so deeply that they voted against it's repeal at mid-Terms, and every single time the ACA has been an election issue, the people have voted FOR it.
I see the problem as the poisoned airwaves that started happening the moment the "Fairness Doctrine" was repealled. Right wing talk radio has taken over the air-waves in the middle of the country. It's cheap programming, and it's effective advertising for right wing policies, even if guys like Glenn Beck, Rush Limbaugh, and others have lied about and misrepresented Democrats and their policies. The demonization of the Democratic Party and of urban voters by right wing talk radio is complete.
Add to that the deal Reagan made with Jerry Fallwell and the Moral Majority to get fundamental Christian vote in return for supporting their positions against gays, abortion and women's rights, and you have a large voting block of people who will always support Republicans over Democrats, regardless of what harm Republicans do to the people or to the economy.7
You obviously don’t understand conservative Americans, conservatives Don’t want another fucking piece of shit socialist entitlement program can’t you fucking socialist get that through your fucking heads.
Conservatives don’t want any of these socialist programs that you speak of you clueless dolt....
It is not in their best interests
To the conservative any type of socialism is a living fucking hell… Deal with it