Sactowndog
VIP Member
- Jul 4, 2011
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Universal coverage can also include public/private partnerships, such as our current Medicare / Medicare Supplement / Medicare Advantage program, which could be tweaked to work for all Americans. It would also be individual and portable, include dynamic choice, free market competition and innovation, and take a massive cost monkey off the backs of American employers.
Right now, we have SIX (6) different healthcare delivery/payment systems, none of which communicates directly with the others:
I wonder how many people really think that's a smart "system".
- Medicare
- Medicaid
- VA
- Group
- Individual
- Indigent
Our system is undoubtedly broken and overly costly, but I don't think that handing complete control over to the government is the answer either. I wouldn't be opposed to a hybrid system that composed a public health insurance option for those who want it while still preserving private insurance options for those who still want that. However, the public system should be 100% funded and paid for. In fact, I think a completely new and separate tax attached to every transaction across the board with the money going into a dedicated health care fund (not the general fund where it can pissed away) would be a great way to do it. That way we all see on our receipts exactly how much it's costing us and every year Congress should be required to review the fund and either raise or lower the tax appropriately based on its solubility.
Many of the same countries that have some form of UHC also have a consumption tax to pay for it. The problem as I see it with a financial transaction tax is that you are essentially taxing investments, and that ain't a good idea in a capitalist economy. And it ain't just the rich that would pay it either, anybody with a retirement account of some kind would also be paying it. And I highly doubt Congress will ever lower that tax rate, they'll just spend more money wherever they want to, they always do.
the advantage of a consumption tax or VAT tax is you could vary it for things like cigarettes, alcohol, pot and other items that contribute to ill health.