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Old 12-03-2013, 08:29 AM
 
Location: The High Plains
525 posts, read 508,907 times
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At first glance it appears to be quasi-free market solution. The Singapore government mandates that all employed people and their employers contribute a certain amount to their healthcare savings scheme called Medisave. This works to some degree like an HSA although not exactly. The rationale is the same as an HSA...people are more cautious and treat less with their own money.
http://www.moh.gov.sg/content/moh_web/home/costs_and_financing/schemes_subsidies/medisave.html

On top of that the Singapore government basically sets prices on all major healthcare procedures. The Ministry of Health negotiates with all providers and sets prices on all procedures and pharmacy. So an open heart surgery costs the same regardless of where it is performed.

And on top of all of that....the government operates a low cost catastophic coverage called MediShield (http://www.moh.gov.sg/content/moh_web/home/costs_and_financing/schemes_subsidies/Medishield.html) which is paid for by the compulsary dollars put into Medisave accounts.

People can also purchase additional private insurance, but is is fairly uncommon from what I read.

Now my question....is this compatable with the modern GOP? It seems like there is heavy federal involvement. My confusion comes from the fact that I hear the GOP tout the Singapore system as the "Free-Market" model to be strived towards.

This kinda smells like Socialism as well.....just maybe at a different angle.
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Old 12-03-2013, 09:00 AM
 
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Or the Dutch system that has mandatory purchasing of insurance for all citizens and state subsidized insurance for long term care coverage? The industrious people of the Netherlands basically invented capitalism, so would mimicking their system be preferable to the GOP?
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Old 12-03-2013, 09:17 AM
 
Location: Long Island, NY
19,792 posts, read 13,958,729 times
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Quote:
Originally Posted by Mr. Mon View Post
Or the Dutch system that has mandatory purchasing of insurance for all citizens and state subsidized insurance for long term care coverage? The industrious people of the Netherlands basically invented capitalism, so would mimicking their system be preferable to the GOP?
The Danish health care system is a tax-funded state-run universal health care system and provides health care to all residents, funded through taxes.

There is an optional private health care sector, but it is tiny compared with the vastly larger public system that is used by most of the population.
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Old 12-03-2013, 09:23 AM
 
Location: The High Plains
525 posts, read 508,907 times
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Quote:
Originally Posted by MTAtech View Post
From Wiki:


From Matt Yglesias:

...
I think I saw the article you're citing in Salon...or Slate...I forget.

What I don't understand is why the GOP touts this as the "Free Market" solution to healthcare, while it seems on the surface to have more federal involvement than the ACA.
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Old 12-03-2013, 09:30 AM
 
4,412 posts, read 3,961,711 times
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Quote:
Originally Posted by MTAtech View Post
The Danish health care system is a tax-funded state-run universal health care system and provides health care to all residents, funded through taxes.

There is an optional private health care sector, but it is tiny compared with the vastly larger public system that is used by most of the population.
You are correct that the system in Denmark (Danish) is tax funded universal healthcare with state run hospitals.

That is very different from the system in the Netherlands (Dutch) which is mandatory insurance with various funding sources based upon need and insurance type.
The Dutch system would seem more compatible with American sensibilities and ideas of "free market capitalism."
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Old 12-03-2013, 10:15 AM
 
Location: NC
1,672 posts, read 1,772,519 times
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Quote:
Originally Posted by AZcardinal402 View Post
I think I saw the article you're citing in Salon...or Slate...I forget.

What I don't understand is why the GOP touts this as the "Free Market" solution to healthcare, while it seems on the surface to have more federal involvement than the ACA.
ACA is about as free market as you can get, outside of banning insurance all together.

If you regulate prices like the utilities, that is less "free" then it is now.

I really have not seen a single, detailed plan that I think covservatives would support AND actually work. The shopping across State lines would never work as it A.) arguably tramples State's rights, B.) creates a regulatory nightmare that would possibly let people get abused by the system, and C.) doesn't account for cost of living differences/price differences in different areas (unless you price fix).

I mean seriously, what "free market" solution is going to fix being charged several thousand dollars for getting stiches:

As Hospital Prices Soar, a Single Stitch Tops $500
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Old 12-03-2013, 10:28 AM
 
Location: Long Island, NY
19,792 posts, read 13,958,729 times
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Quote:
Originally Posted by Mr. Mon View Post
You are correct that the system in Denmark (Danish) is tax funded universal healthcare with state run hospitals.

That is very different from the system in the Netherlands (Dutch) which is mandatory insurance with various funding sources based upon need and insurance type.
The Dutch system would seem more compatible with American sensibilities and ideas of "free market capitalism."
My bad, confusing Dutch with Danes.

Anyway, according to this article, the Dutch system sound more like Obamacare.
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Old 12-03-2013, 10:29 AM
 
48,502 posts, read 96,894,387 times
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Or Chinese which has been payment up front which is one reason they save at high rate.
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Old 12-03-2013, 10:30 AM
 
14,292 posts, read 9,685,403 times
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These are all different countries with different laws and regulations, what might work in one country may not translate the same way here. Add to this, our politicians, as has been evidenced with the ACA, don't give a rat's ass about we the people. Our politicians and bureaucrats are inept, incompetent, narcissistic, corrupt, self-serving, greedy crony capitalists, and they place party politics and their own selfish political ambitions above everything else.

Our politicians and bureaucrats refuse to hold themselves accountable, pass the blame off on everyone else, and they flat out lie to us, they have no honor, no scruples, and posses no sense of the proper level of moral or ethical behavior that being a public servant requires.

this is why I am not in favor of allowing the government to take over and manage our health care, they are crooks and morons, and they do not care about the people, they only care about their party's politics, and getting reelected.
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Old 12-03-2013, 10:35 AM
 
9,470 posts, read 6,973,518 times
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Quote:
Originally Posted by Maabus1999 View Post
ACA is about as free market as you can get, outside of banning insurance all together.
NOT ON YOUR LIFE. It is ANYTHING but "free market".

Quote:
If you regulate prices like the utilities, that is less "free" then it is now.
That's the ONLY thing the ACA does not currently regulate. Instead, it regulates SPENDING on the part of the insurer, meaning eventually there will be ONE insurer, with regulated prices and gauranteed profits.

We know how well that worked. Do you remember the phone service before deregulation? Sky high prices and it NEVER innovated anything.

Quote:
I really have not seen a single, detailed plan that I think covservatives would support AND actually work. The shopping across State lines would never work as it A.) arguably tramples State's rights, B.) creates a regulatory nightmare that would possibly let people get abused by the system, and C.) doesn't account for cost of living differences/price differences in different areas (unless you price fix).
Because detailed planning is the opposite of free market.

Quote:
I mean seriously, what "free market" solution is going to fix being charged several thousand dollars for getting stiches:
You don't comprehend anything about the free market.

Why isn't a can of Pepsi 87 dollars?

Free market pricing would be competitive and somewhere in the 60 to 80 dollar range, regardless of whether it was 1 or 5 stitches.

Perhaps if you comprehended business and health care as a free market service, you'd understand why free markets work...
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