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by Bill Dungsroman 08/15/2003, 6:56pm PDT |
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Lizard_King wrote:
I think one of the thrusts of the plan is that it would turn the American population as a whole into the risk pool, and thus dilute the price to a great extent. That would combine the reduced cost benefit of "we're all in it together" with an incentive based system that would still be reasonably efficient.
I believe this is what the article says, in brief, about NAF's proposal:
1. Paying for mandatory health insurance coverage.
2. Possibly adding medical savings accounts.
3. Making private health insurance coverage an option, the responsibility of which rests solely on the insuree.
4. Poor Americans must get and pay for their own medical insurance.
5. Possibly giving tax credits to the poor to help with medical costs.
Here is my response:
1. This would be great, but it would never work properly nor more advantageous to the way things work now. Take car insurance again. Ostensibly, everyone who owns and/or operates a motor vehicle must be insured. Too bad they're not, right? How do you police uninsured people? Deny them health care when an ambulance brings them in? What are the penalties? How do you pay for something when you're broke? It seems one of the major thrusts of this proposal is to get people who don't pay for insurance to do so. That sounds like an implication that people who don't pay simply won't, what about can't?
2. I read up on those medical savings accounts. They're currently offered for people who are too young for Medicaid, self-employed, or uninsured. I don't hear anyone crowing about these, and after looking at their flat deductibles ($1600 to $2400 per individual) , I'd say they fucking suck. They fucking suck compared to the 80% deductible I get on my current work plan, nevermind the 5 bucks I pay in any doctor visit and yearly eye and dental visits. How the hell does the NAF figure someone would want one of these accounts in addition to their primary health care means? It scares me that they think we might, what's that say about the plan?
3. Okay, maybe getting stuck with finding your own private insurance instead of getting stuck with your job's group plan is better. Personally, I feel all insurance companies suck. I also feel it's easier to dick with the little guy than a big corporation. When I was a Bellman in college, my Union benefits were pretty fucking good. How do you feel about your car insurancer? I hate mine, I hate them all. Not to mention I could get kicked off at any time, you can't get kicked off a group work program. The insurance is that it will be there. I'd love to see what insurance companies do to individual clients if they abolish group work plans. Oh, fuck.
4. See #1, unless you know how to get blood from a stone.
5. Tax credits to the poor is the fucking stupidest thing I've ever heard. What if I get sick April 16th? $1000 a year from now doesn't do me dick when my anesthesiologist is sending me collection notices right now. Back to the blood from a stone analogy, how do you give tax credits to people who are too fucking poor to incur taxes?
Lizard_King wrote:
Therein lies the advantage of a national plan: the size of the pool would serve to moderate the extremes. The point of insurance is that you don't have enough savings to actually pay for a catastrophe, so you gamble with a set amount regularly on the off chance you'll need the benefits. So middle class or less won't need to fork out all of their income as they'll just be paying the insurance rates, which will be significantly lowered by the size of the pool (think of all the young, healthy working people paying into it and not cashing out).
I'm not interpreting what I've read in this article the same way you are, it seems. Looks to me like the poor are going to have to somehow come up with some money to pay for health care, and the rest of us will either manage to pay it or jump off to some private group, pay more, and get better coverage. How the hell is this better? Looks to me like the pool, the pool of those with the federal system, is going to see increases (if it's even possible, if they can even pay for it) in the unhealthy side of the spectrum.
Lizard_King wrote:
I'm not sure I see your point. The NAF proposal simply lets you choose between, say, I want 100,000 max coverage with x amount taxed to I want 500000 with x amount taxed, presumably with some variation depending on the age/health of the client (but significantly regularized by the size of the pool).
The size of the pool don't matter if it's all shallow water, dude. As you describe it, those who can afford better health care can get it, and those who can't, can't, but they still have to pay for it somehow. I guess I'm just skeptical about making it all one big government-run shebang. Plus, I don't see where the NAF proposal says what you're saying here.
Lizard_King wrote:
Well, my understanding is that the population as a whole would be offered a group rate, so to speak. Just as IBM gets a better deal per capita than Ma and Pa's gas station, so the US as a whole would be the ultimate guaranteed consumer/reason for a price break.
You're assuming it's a price break for everyone. It won't be. I'm not opposed to a government-run insurance plan for Ma, Pa, and anyone else who needs sko health insurance at this point in time. I'm against making me do it, by dissolving my insurancer as a company and either making me take their national plan and/or find my own all over again in the Yellow Pages.
Lizard_King wrote:
The idea is with the significantly lowered rates as EVERYONE buys into the risk pool, there wouldn't be a category of people left out.
If the rates were all significantly lowered for everyone, how does everything carry on with so much less money available? Magic? Because the HAHAHA government is on the case? Among the NAF's proposals are the perpetuation of private health care. Under that notion, your idea of a large healthy working pool of government health care insurees dwindles rapidly. If I got the US plan for 50 bucks a month, or a much better plan from a private organization for 100 or even 150, I'd fucking take the private plan. Which, no doubt, was about 75 a month when I had it through my employer. See, EVERYONE does not buy into the risk pool, unless I still had to pay the government plan and then pay for private additions to it, which is a fucking mess, or rather, a tax.
Lizard_King wrote:
Presumably, payment plans could be made to accomodate the unemployed. Of course, the terminally unemployed would likely still be screwed.
Moreso, since NAF sees a dissolution to Medicaid and related programs. This helps who how again?
The Article wrote:
There's no getting around it, mandatory health insurance would essentially be a new tax.
BDR wrote:
Thank you. The rest of this article is now irrelevant.
Lizard_King wrote:
Why?
Because, in essence, the NAF is admitting we'd all get stuck with the bill no matter what, and it's up to us to pay for something better. What the fuck makes you think the government health plan would be at all better than barely adequate? And not mired in the red tape and bureaucracy that EVERY SINGLE OTHER government organization is mired in? That's better? Somehow medical care would be the one exception? Please.
Tax credits are by definition giving you back your own money. So I don't see how that "expands" the welfare state.
Okay, it just puts more hurt on the existing one. Tax credits for someone with no money is, what, exactly?
I think once again you're missing that it would, in essence, be one giant group plan, albeit one provided by a variety of insurance vendors. No feeding to the wolves involved.
No Boss, you're missing that it wouldn't be. Or would be, inasmuch as it would be another fucking deduction from my paycheck that goes wherever, since I'm paying the about the same premium (or more) to some private insurer that will give me better care than the LCD, the one the government provides. How the hell does someone like you dig on this proposal?
Lizard_King wrote:
Yes, actually. There is a big difference from one insurer to another, even in the cartel-like industry as it is now. Many of the problems with insurance now stem from the protectionist, half-assed monopoly shit that has been pulled to "help" the industry. In return for getting all of America as a client, they would give up those privileges, as an addendum to the plan (hence my initial second post).
But which do you think is a more fair relationship, the one that has the point of sale between an insurer and one person, or or the one between an insurer and a business insuring its employees?
Because you're only looking at the short run. 10 years from now, when descending bowel cancer takes its toll, you will have seen the "lowered costs" aspect when your insurance kicks in. Or when you get sick. Or break something. Etc.
Listen pal, if you want to squirrel away your money at the government's behest for your impending case of "descending bowel cancer," that's your business. Meanwhile, let me reiterate that government-run medical care will SUCK and be SUBSTANDARD owing to the lowest common denominator of care that their committee will have established, the care that anyone and everyone gets at a county hospital right now. I know about that care, Skeezix, I see it every day. Fuck that care. I'm sorry some people have to have that care, but they're going to have it (or possibly not, as the NAF suggests) either way, I'd prefer the opportunity to not have it. I already have that super-riffic health care right now. You want to tax me to help take care of the less fortunate, go for it, I guess. But fuck you if you think you're going to take away my place at the dinner table and put me in the fucking soup line because that's "fairer" or whatfuckingever. I don't do the shit I do or have done the shit I've done for that. You want to fix health care in America? Fix the insurance companies. Don't nix 'em, fix 'em. Don't make me do it, in effect.
Lizard_King wrote:
Versus the inherent stagnation of a truly socialized system, that is a big advantage.
Versus trepanning and psychic healing, it's an advantage, too. What the fuck does that have to do with anything?
Lizard_King wrote:
Look, Bill, I am if anything less keen on virtually any idea that means more taxes. The reason I cited this was not because I am madly in love with the idea, but simply because given the political currents these days, it seems we are headed for some kind of socialized medicine program. I was thinking this was a feasible alternative to that particular scenario.
In a sense, it is. I guess one of my problems is this looks like turning apples into oranges. It's also like trying to outlaw legal possession of firearms. Sounds great, but it's a little too late and far gone, with too many objectors to pull off. IMO, it's a case of cutting out several middlemen and using just one big ass one, the US government. Is that a good idea, ultimately? Wouldn't we just be trading one set of problems for another? Would it truly help the people it's supposed to help? Would it hurt more than it would fix? I don't like the sort of answers you get to these questions, they look to much like a Grass Is Greener scenarioo to me.
BDR
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What do you commies make of this? by Lizard_King 08/12/2003, 8:25pm PDT 
caveat by Lizard_King 08/12/2003, 8:30pm PDT 
Re: What do you commies make of this? by Fussbett 08/13/2003, 2:11am PDT 
Re: What do you commies make of this? by Lizard_King 08/13/2003, 2:08pm PDT 
Re: What do you commies make of this? by Fussbett 08/13/2003, 4:31pm PDT 
Re: What do you commies make of this? by Lizard_King 08/13/2003, 10:41pm PDT 
Re: What do you commies make of this? by Chairman Mao 08/14/2003, 12:03am PDT 
Re: What do you commies make of this? by Lizard_King 08/14/2003, 12:37am PDT 
It's as if I never paid income tax... by Fussbett 08/14/2003, 12:08am PDT 
Re: It's as if I never paid income tax... by Lizard_King 08/14/2003, 12:42am PDT 
Think of it as insurance insurance by Senor Barborito 08/14/2003, 2:56am PDT 
I do by Lizard_King 08/14/2003, 3:51am PDT 
Well why didn't you just say that in the first place? by creativepig 08/14/2003, 6:50am PDT 
Because that wasn't the point by Lizard_King 08/14/2003, 7:13am PDT 
You are assuming you will never be poor by Senor Barborito 08/14/2003, 11:33am PDT 
Seconded. by Chairman Mao 08/14/2003, 12:10pm PDT 
Directed at L_K, not SB... NT by Chairman Mao 08/14/2003, 12:10pm PDT 
Re: Seconded. by Lizard_King 08/14/2003, 4:14pm PDT 
Awwwww by Chairman Mao 08/15/2003, 3:39pm PDT 
Re: Awwwww by Lizard_King 08/15/2003, 10:42pm PDT 
Re: Awwwww by Chairman Mao 08/15/2003, 11:19pm PDT 
Re: Awwwww by Lizard_King 08/16/2003, 2:41am PDT 
Re: It's as if I never paid income tax... by Fussbett 08/14/2003, 3:04pm PDT 
Ferenginar, not Vulcan, but yeah NT by Senor Barborito 08/14/2003, 3:27pm PDT 
Re: It's as if I never paid income tax... by Lizard_King 08/14/2003, 4:18pm PDT 
Re: It's as if I never paid income tax... by I need clarification 08/14/2003, 6:01pm PDT 
Re: It's as if I never paid income tax... by Lizard_King 08/14/2003, 9:37pm PDT 
Re: It's as if I never paid income tax... by foogla 08/15/2003, 4:44am PDT 
Re: It's as if I never paid income tax... by Lizard_King 08/16/2003, 4:53am PDT 
Re: It's as if I never paid income tax... by foogla 08/16/2003, 6:59am PDT 
Do you even read the posts you respond to? Or just choose not to respond? by I need clarification 08/16/2003, 5:04am PDT 
Re: Do you even read the posts you respond to? Or just choose not to respond? by Lizard_King 08/16/2003, 5:08am PDT 
Re: Do you even read the posts you respond to? Or just choose not to respond? by I need clarification 08/16/2003, 1:48pm PDT 
Re: Do you even read the posts you respond to? Or just choose not to respond? by Lizard_King 08/16/2003, 1:59pm PDT 
Re: Do you even read the posts you respond to? Or just choose not to respond? by I need clarification 08/16/2003, 6:29pm PDT 
Re: Do you even read the posts you respond to? Or just choose not to respond? by Lizard_King 08/16/2003, 6:39pm PDT 
We Now Pause for a Word From Our Sponsors by Bitter 08/16/2003, 8:30pm PDT 
That did sound a bit high. NT by Lizard_King 08/16/2003, 8:43pm PDT 
Fucking subheadings vs titles by Lizard_King 08/16/2003, 8:47pm PDT 
Re: Fucking subheadings vs titles by I need clarification 08/16/2003, 10:17pm PDT 
Re: Fucking subheadings vs titles by Lizard_King 08/16/2003, 11:08pm PDT 
Creexul by Fussbett 08/16/2003, 11:14pm PDT 
Re: Creexul by Flurgendorf J. Creexul 08/17/2003, 12:09am PDT 
I snipped your insulting ending. by Fussbett 08/16/2003, 4:31am PDT 
Re: I snipped your insulting ending. by Lizard_King 08/16/2003, 4:50am PDT 
What? by Fussbett 08/16/2003, 5:28am PDT 
Re: What? by foogla 08/16/2003, 7:06am PDT 
Oh! by Fussbett 08/16/2003, 1:31pm PDT 
If we're going to make broad generalizations and metaphors by Senor Barborito 08/16/2003, 7:20am PDT 
I LIKE PIRATE METAPHORS NT by Entropy Stew 08/16/2003, 9:29am PDT 
Are you abandoning Nazis for pirates? by I need clarification 08/16/2003, 1:43pm PDT 
That's beautiful. I WANT TO BE A PIRATE 2!!!! NT by Lizard_King 08/16/2003, 1:48pm PDT 
Movie Targets! by I need clarification 08/16/2003, 1:35pm PDT 
This is why the UK and Canada are now moving towards Swedish-style HC by Senor Barborito 08/13/2003, 4:39pm PDT 
Re: This is why the UK and Canada are now moving towards Swedish-style HC by Lizard_King 08/13/2003, 10:47pm PDT 
Good questions, glad we more or less agree on the basics, though. by Senor Barborito 08/14/2003, 2:53am PDT 
Re: Good questions, glad we more or less agree on the basics, though. by Lizard_King 08/14/2003, 3:58am PDT 
Re: Good questions, glad we more or less agree on the basics, though. by Senor Barborito 08/14/2003, 11:31am PDT 
Re: Good questions, glad we more or less agree on the basics, though. by godamit 08/15/2003, 5:06pm PDT 
Re: Good questions, glad we more or less agree on the basics, though. by Lizard_King 08/15/2003, 5:49pm PDT 
How about this: once you've got a greencard, you get healthcare by Senor Barborito 08/15/2003, 8:31pm PDT 
Within the framework you suggest by Lizard_King 08/16/2003, 2:44am PDT 
It's more of a 'welcome to America, now stop coughing up blood on our sidewalks' NT by Senor Barborito 08/16/2003, 3:06am PDT 
Can we get that printed on the Statue of Liberty? NT by Lizard_King 08/16/2003, 4:55am PDT 
Re: Good questions, glad we more or less agree on the basics, though. by Zebco Fuckface 08/14/2003, 1:33pm PDT 
I don't believe that for a second. Prove it, link it, and I still won't. NT by Senor Barborito 08/14/2003, 1:45pm PDT 
Overseas outsourcing? by Chairman Mao 08/14/2003, 1:56pm PDT 
IBM moving 5% of it's work force, as Mao said: fuck you. NT by Senor Barborito 08/14/2003, 1:58pm PDT 
He was being sarchastic, Barbie... by Chairman Mao 08/14/2003, 2:18pm PDT 
What is this sarcasm you speak of? NT by Senor Barborito 08/14/2003, 2:23pm PDT 
Re: He was being sarchastic, Barbie... by Zebco Fuckface 08/14/2003, 7:00pm PDT 
Re: What do you commies make of this? by Zebco Fuckface 08/14/2003, 12:02pm PDT 
Individual coverage by corax 08/14/2003, 1:23pm PDT 
Komrade BDR responds. by Bill Dungsroman 08/14/2003, 1:07pm PDT 
Re: Komrade BDR responds. by Lizard_King 08/14/2003, 4:22pm PDT 
It sure sucks to be rich. by Mischief Maker 08/14/2003, 7:11pm PDT 
That is the least funny thing I've read in a while. NT by Lizard_King 08/14/2003, 9:40pm PDT 
Couldn't you at least use Invisible text in your fake NT post? NT by Mischief Liberatzi 08/14/2003, 9:47pm PDT 
Re: Komrade BDR responds. by Bill Dungsroman 08/14/2003, 9:52pm PDT 
Re: Komrade BDR responds. by Lizard_King 08/14/2003, 10:46pm PDT 
I disagree!! by I need clarification 08/15/2003, 1:44pm PDT 
Re: Komrade BDR responds. by godamit 08/15/2003, 5:15pm PDT 
Hint: by Senor Barborito 08/15/2003, 8:35pm PDT 
I'm glad that was cathartic by Lizard_King 08/16/2003, 5:13am PDT 
Oh shut up by Senor Barborito 08/16/2003, 5:36pm PDT 
AND J00 THINK FIGHT CLUB IS ABOUT 2 BOSOM BUDDY TERREASTS!!!!!@@!!!!!! NT by Flick Filosopher 08/16/2003, 7:06pm PDT 
what I was getting at... by godamit 08/18/2003, 2:19pm PDT 
Good post. by Fussbett 08/18/2003, 2:31pm PDT 
Re: Good post. by godamit 08/18/2003, 3:54pm PDT 
Re: Komrade BDR responds. by Lizard_King 08/14/2003, 10:43pm PDT 
Re: Komrade BDR responds. by Bill Dungsroman 08/15/2003, 6:56pm PDT 
I forgot my favorite quote by Bill Dungsroman 08/15/2003, 8:08pm PDT 
Re: I forgot my favorite quote by Lizard_King 08/15/2003, 10:39pm PDT 
Medical Savings Accounts by Bitter 08/16/2003, 8:45pm PDT 
Huh. So, who clears the expense as justified? by Lizard_King 08/16/2003, 9:45pm PDT 
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