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Old 01-31-2011, 04:53 PM
 
108 posts, read 175,909 times
Reputation: 100

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The current system of coupling health care benefits to employment, IMHO, is stupid. Few if any developed countries do this. In most other countries where you work has nothing to do with what health care coverage you have available to you. But here in the U.S., it has almost everything to do with your health care coverage you can get and plays a huge part in what jobs you will take (or which jobs you can afford to quit due to loss of health coverage). That is just absurd!

There should be either a single-payer, Medicare for all type system. And/or there should be a private-provider based system but in which the entire U.S. population is treated as one big gigantic health insurance pool and market.

Anyway, the point is that where you work should have nothing to do with what health coverage you can get.

Imagine, say, if where you worked limited your options in terms of where you could shop for groceries or clothes or where your children could go to school, etc etc. For instance, if you worked at XYZ company, you could shop at certain stores at reasonable prices but would have to pay exhorbitant prices if you shopped elsewhere. And if you were fired or quit, you'd have to pay exhorbitant prices to shop anywhere. Well you would say that that is absurd. But is it not really any less absurd than saying that where you work determines what insurance you can get for reasonable coverage at a reasonable price.

Here are some articles that talk about this among many others:

Why We Should De-Couple Health Care From Employment

It's not too late for health care vouchers
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Old 01-31-2011, 05:14 PM
 
58,992 posts, read 27,280,292 times
Reputation: 14269
Quote:
Originally Posted by sonoranrat View Post
The current system of coupling health care benefits to employment, IMHO, is stupid. Few if any developed countries do this. In most other countries where you work has nothing to do with what health care coverage you have available to you. But here in the U.S., it has almost everything to do with your health care coverage you can get and plays a huge part in what jobs you will take (or which jobs you can afford to quit due to loss of health coverage). That is just absurd!

There should be either a single-payer, Medicare for all type system. And/or there should be a private-provider based system but in which the entire U.S. population is treated as one big gigantic health insurance pool and market.

Anyway, the point is that where you work should have nothing to do with what health coverage you can get.

Imagine, say, if where you worked limited your options in terms of where you could shop for groceries or clothes or where your children could go to school, etc etc. For instance, if you worked at XYZ company, you could shop at certain stores at reasonable prices but would have to pay exhorbitant prices if you shopped elsewhere. And if you were fired or quit, you'd have to pay exhorbitant prices to shop anywhere. Well you would say that that is absurd. But is it not really any less absurd than saying that where you work determines what insurance you can get for reasonable coverage at a reasonable price.

Here are some articles that talk about this among many others:

Why We Should De-Couple Health Care From Employment

It's not too late for health care vouchers
No company I ever worked for mandated that I take the insurance they offered. If you don't want it, don't take it.
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Old 01-31-2011, 05:20 PM
 
48,502 posts, read 96,823,165 times
Reputation: 18304
But you alos have to realise that it really coupled as the companies pay increased tax burdens to the governamnt. Plus there are other taxes that people poay to get the revenues. Bascially mnay make much larger salaries to compensate. There are still private medical availble for theose who wnat it. Its a two r iter system really. We are headed to a three tier system.Basically nothing is free is always true.Wait ubtil states start poickig up their incease in cost for peopleshiofted to medicaid . The states are goig to be in a revenur lurch.Nelson of Nebraska got a exemption as he said it would bakrupt his stae. Seems alot of companies now getting exemption that will drive even more to forced medicaid on taxpayers. Rememeber at a certai income you have no chocie but medicaid to keep the CBO cost down to the federal budget spreadig it to state taxpayers more.Beside if they force companies to be either providing or apy a new feee to feds it is coupked more than even with employment.Same with universal coverage ;its paid by companies and people employed thru taxes. Its not free.
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Old 01-31-2011, 05:23 PM
 
5,915 posts, read 4,811,614 times
Reputation: 1398
"For even when we were with you, this we commanded you, that if any would not work, neither should he eat." 2 Thessalonians 3:10
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Old 01-31-2011, 05:27 PM
 
108 posts, read 175,909 times
Reputation: 100
Quote:
Originally Posted by Quick Enough View Post
No company I ever worked for mandated that I take the insurance they offered. If you don't want it, don't take it.
You are completely misunderstanding the point.

The point is not that you are mandated to take it. The point is that your health care options available to you are (for the vast majority of people) tied to where you or your spouse work. And very few people are going to be able to get health coverage on their own better than the one that they get through work.

If you work for a company with great benefits, then that is great. But what if you don't? Or what if you did but got laid off? Or what if you want to move jobs but can't because if you did you'd lose good health coverage because your potential newer job doesn't have as good coverage?

Where you work and what kind of health coverage options you have available to you should be de-coupled.
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Old 01-31-2011, 05:34 PM
 
817 posts, read 853,006 times
Reputation: 203
Quote:
Originally Posted by sonoranrat View Post
The current system of coupling health care benefits to employment, IMHO, is stupid. Few if any developed countries do this. In most other countries where you work has nothing to do with what health care coverage you have available to you. But here in the U.S., it has almost everything to do with your health care coverage you can get and plays a huge part in what jobs you will take (or which jobs you can afford to quit due to loss of health coverage). That is just absurd!

There should be either a single-payer, Medicare for all type system. And/or there should be a private-provider based system but in which the entire U.S. population is treated as one big gigantic health insurance pool and market.

Anyway, the point is that where you work should have nothing to do with what health coverage you can get.

Imagine, say, if where you worked limited your options in terms of where you could shop for groceries or clothes or where your children could go to school, etc etc. For instance, if you worked at XYZ company, you could shop at certain stores at reasonable prices but would have to pay exhorbitant prices if you shopped elsewhere. And if you were fired or quit, you'd have to pay exhorbitant prices to shop anywhere. Well you would say that that is absurd. But is it not really any less absurd than saying that where you work determines what insurance you can get for reasonable coverage at a reasonable price.

Here are some articles that talk about this among many others:

Why We Should De-Couple Health Care From Employment

It's not too late for health care vouchers
Anybody can go get insurance on there own.......
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Old 01-31-2011, 05:44 PM
 
Location: Foot of the Rockies
90,297 posts, read 120,711,654 times
Reputation: 35920
Quote:
Originally Posted by maskedman View Post
Anybody can go get insurance on there own.......
But it costs more, and you're subject to all the pre-existing condition crap.
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Old 01-31-2011, 06:02 PM
 
6,205 posts, read 7,457,055 times
Reputation: 3563
Quote:
Originally Posted by Quick Enough View Post
No company I ever worked for mandated that I take the insurance they offered. If you don't want it, don't take it.
That is true, but if I decline their insurance, they refuse to pay me the money to get another plan.
As for separating between workplace and health insurance, its not a minute too soon. Employers should be freed from this obligation.
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Old 01-31-2011, 06:02 PM
 
108 posts, read 175,909 times
Reputation: 100
Quote:
Originally Posted by Katiana View Post
But it costs more, and you're subject to all the pre-existing condition crap.
Exactly. All the money spent of tax subsidies and corporate subsidies and such to make health care affordable if you work for the right company should simply be done away with so that you can get decent coverage regardless of where you work or even if you work (if you are laid off for instance). Right now it costs WAY more to get health care on your own than through your employer.
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Old 01-31-2011, 06:06 PM
 
817 posts, read 853,006 times
Reputation: 203
Quote:
Originally Posted by Katiana View Post
But it costs more, and you're subject to all the pre-existing condition crap.
Yes it costs more. Life stinks sometimes doesn't it?

So who should pay for people with pre-existing conditions?
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