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re: Ted Cruz announces candidacy.
Posted on 3/25/15 at 3:45 pm to aggressor
Posted on 3/25/15 at 3:45 pm to aggressor
I don't think the idea behind Obamacare was a bad one. Give all Americans access to healthcare is an investment in a healthy and productive workforce. You also get the benefit of not having insurance tied to your job, allowing people to get new jobs or start new businesses where they can be more productive than their current situation. Freedom of movement for our workforce is going to prove important for the 21st century economy.
All I believe worthy goals. Now comes the rub, the execution of the plan has been awful. From the overly cumbersome bill, to the delays in mandates, to the idea subsidized insurance marketplaces, and the website. Adding more complexity on top of an already complicated quasi-market place is throwing money down the drain.
I'd prefer the government have a basic health plan for all. Covers check-ups, necessary prescriptions (though the devil is in how you determine that), and routine preventive procedures. Then have a marketplace for catastrophic insurance coverage and have health insurance act like actual insurance. People can choose the plan that fits their needs best. Sure this would cost money, but I believe the productive output resulting would outweigh the cost long term.
All I believe worthy goals. Now comes the rub, the execution of the plan has been awful. From the overly cumbersome bill, to the delays in mandates, to the idea subsidized insurance marketplaces, and the website. Adding more complexity on top of an already complicated quasi-market place is throwing money down the drain.
I'd prefer the government have a basic health plan for all. Covers check-ups, necessary prescriptions (though the devil is in how you determine that), and routine preventive procedures. Then have a marketplace for catastrophic insurance coverage and have health insurance act like actual insurance. People can choose the plan that fits their needs best. Sure this would cost money, but I believe the productive output resulting would outweigh the cost long term.
Posted on 3/25/15 at 3:52 pm to Duke
Our current system doesn't protect people. Things cost too much. These are the issues I have with it. Obamacare helped with access, but it didn't address cost. That's its biggest flaw.
Posted on 3/25/15 at 3:56 pm to TeLeFaWx
How do you control cost while adding increased demand to the market?
Posted on 3/25/15 at 3:59 pm to Duke
Flat rate for coverage
Fixed costs on basic services
That's 2 places I'd start but I don't believe in government telling me I have to have something and this is the only place you can get it
Yes I wayyyyyyy over simplified
Fixed costs on basic services
That's 2 places I'd start but I don't believe in government telling me I have to have something and this is the only place you can get it
Yes I wayyyyyyy over simplified
This post was edited on 3/25/15 at 4:00 pm
Posted on 3/25/15 at 4:22 pm to Duke
quote:
How do you control cost while adding increased demand to the market?
If you think that the insurance companies, big pharma, their lobbies, or either side of the isle have promoted a free market when it comes to health care you're mistaken.
Posted on 3/25/15 at 4:23 pm to Duke
quote:
I don't think the idea behind Obamacare was a bad one. Give all Americans access to healthcare is an investment in a healthy and productive workforce. You also get the benefit of not having insurance tied to your job, allowing people to get new jobs or start new businesses where they can be more productive than their current situation. Freedom of movement for our workforce is going to prove important for the 21st century economy.
All I believe worthy goals. Now comes the rub, the execution of the plan has been awful. From the overly cumbersome bill, to the delays in mandates, to the idea subsidized insurance marketplaces, and the website. Adding more complexity on top of an already complicated quasi-market place is throwing money down the drain.
I'd prefer the government have a basic health plan for all. Covers check-ups, necessary prescriptions (though the devil is in how you determine that), and routine preventive procedures. Then have a marketplace for catastrophic insurance coverage and have health insurance act like actual insurance. People can choose the plan that fits their needs best. Sure this would cost money, but I believe the productive output resulting would outweigh the cost long term.
Here is the thing though, I don't give a damn what the "idea" was. It's all about the details and execution. The government is an absolutely horrible way to administer and execute anything because by definition it is inefficient and managed without a profit motive. The purpose of any government agency is to grow both in power and budget and the people that work there are rewarded by doing so. That is why getting government as far away from as many things as possible in running a society is a good idea. Let the market fix the problem and fill the demand.
What about those who can't afford it? That's what charity is all about. Charitable foundations work much more efficiently than government at delivering services. If on a statewide level you want to provide basic services then great, go do it. Just don't force everyone to do so in the most inefficient and expensive manner possible while delivering crap quality.
Posted on 3/25/15 at 4:26 pm to aggressor
quote:
Let the market fix the problem and fill the demand.
The only issue is that the free market isn't a complete solution when it comes to health care. Even things like Republicans thinking that you shouldn't be denied coverage for a pre-existing condition is an example of this.
Posted on 3/25/15 at 4:40 pm to TeLeFaWx
quote:
If you think that the insurance companies, big pharma, their lobbies, or either side of the isle have promoted a free market when it comes to health care you're mistaken.
Never said it was a free market. It is a market though. Supply and demand still exist.
Posted on 3/25/15 at 4:45 pm to kingbob
quote:
Why is Rand Paul unelectable? Un-nominateable? Maybe, but unelectable? The guy is a principled small government conservative to his core. His positions on social issues have made him hugely popular among young voters, moderates, and he has even made in-roads among African Americans. He is probably the most electable republican candidate since Ronald Reagan, but the least nominatable due to his anti-ethanol, and legalization stances, sadly.
Why is Rand so unelectable? Mainly because he is the Son of Ron thus guilty by association.
I like a lot of what Randy says and does ... but I really dislike a lot of what Randy says and does.
Posted on 3/25/15 at 4:56 pm to aggressor
quote:
Here is the thing though, I don't give a damn what the "idea" was. It's all about the details and execution.
I spent a paragraph bitching about that, so we are on the same page.
quote:
The government is an absolutely horrible way to administer and execute anything because by definition it is inefficient and managed without a profit motive.
Big organizations are inefficient, the Federal Government is just the biggest of them all. The lack of profit motive (at least short term) is one of the good aspects of having a government. You can take a short term loss for a longer term return. While the scale is useful in the healthcare arena, the apparatus is too cumbersome to do it. De-centralizing the government is another discussion though.
quote:
What about those who can't afford it? That's what charity is all about. Charitable foundations work much more efficiently than government at delivering services.
If charity was so good at delivering care for the poor, we'd never have gotten the government so involved in the first place. It's too expansive of a problem to expect charity to fill all of the gaps and cover all the places around the country.
Posted on 3/25/15 at 5:04 pm to Duke
There was an interesting article in the NYT this weekend about the huge increase in diabetes diagnoses in states that expanded Medicaid. It said diabetes is one of the most expensive long-term diseases to treat because people can live with it for several years. Thenbasic premise was Obamacare is working in those states if you look at it as an effort tomimprovebghe overall health of US citizens. On phone in waiting room at a client's or I'd post article.
Posted on 3/25/15 at 5:40 pm to Duke
quote:
Never said it was a free market. It is a market though. Supply and demand still exist.
And that isn't all that's necessary for the market to be effective at providing solutions for consumers and producers.
Posted on 3/25/15 at 5:50 pm to TeLeFaWx
quote:
And that isn't all that's necessary for the market to be effective at providing solutions for consumers and producers.
Never said it was. Just that it's hard to lower cost when supply doesn't change with an increase in demand.
Posted on 3/25/15 at 6:21 pm to Duke
quote:
Never said it was. Just that it's hard to lower cost when supply doesn't change with an increase in demand.
Given the non market conditions that have raised the price of health care(Sometimes 1,000 fold with no other purpose than the shape of the supply and demand curve) to begin with... I think you're missing the point I'm making. In non-health care industries, the incentive of a patent helps people be innovative, in health care it's destructive and nothing but exploitation.
The Soaring Cost of a Simple Breath.
Look. I'm a HUGE proponent of the free market, but simple supply and demand is so easily manipulated in the health care industry I think people are lying to themselves when they reduce the conversation to that.
Posted on 3/25/15 at 6:33 pm to TeLeFaWx
quote:
I think you're missing the point I'm making
Wouldn't be the first time.
quote:
simple supply and demand is so easily manipulated in the health care industry I think people are lying to themselves when they reduce the conversation to that.
I agree completely.
Posted on 3/25/15 at 6:42 pm to 5thTiger
quote:
Ted Cruz announces candidacy
Lulz. It's going to be fun watching rednecks get behind this one.
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