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Old 03-29-2013, 09:33 AM
 
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Would any conservative consider a single payer health care system, like expanding Medicare to cover everyone? Health care costs are taking a big bite out of individual, family, and business budgets. Would freeing businesses of health care costs with single payer be a wise move?
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Old 03-29-2013, 09:46 AM
 
Location: NC
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I'm a lifelong fiscal conservative and I've been seriously considering it ever since I started looking at how the US compares (cost per capita & outcomes) vs the other 30+ developed nations who pay much less and get much more. It's appalling...maintaining the status quo isn't going to change our course significantly, and neither is PPACA it appears.

Video: Sick Around the World | Watch FRONTLINE Online | PBS Video (an hour well spent IMO)


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Old 03-29-2013, 09:46 AM
 
Location: MS
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Free businesses of the costs and let me shop around for a policy just like I do for auto insurance.
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Old 03-29-2013, 10:00 AM
 
Location: Midwest City, Oklahoma
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Quote:
Originally Posted by Winter_Sucks View Post
Would any conservative consider a single payer health care system, like expanding Medicare to cover everyone? Health care costs are taking a big bite out of individual, family, and business budgets. Would freeing businesses of health care costs with single payer be a wise move?

Well, I can argue both sides of your question.

First, there is certainly a "conservative" argument for a single-payer system. But, I don't think it would be a wise move.



Conservatives already believe the government should be doing a lot of things. Conservatives have quite a record of involving the government in healthcare(medicare/medicaid). The general argument for government, is that it should be involved in those things that are basically necessary, but cannot be adequately or practically provided by a free-market. Which is why there are schools, fire departments, and police departments run by the government.

If the argument is that, healthcare cannot be adequately or practically provided by a free-market, and is necessary for society. Then there is a conservative argument that it should be provided by the government. And since healthcare is necessary, and because the private system of a web of healthcare providers each with their own rules drives up the costs of healthcare significantly. That single-payer systems in other countries cost far less than ours, with mostly comparable outcomes. Then expanding medicare/medicaid to cover all Americans, and completely getting rid of private healthcare altogether, would certainly be within the realm of conservatives.


With that said, I think its a pretty terrible idea. But of course, I also think our current system is totally dysfunctional and will inevitably fail. In my opinion, the only thing that can really work, would either be for the government to get completely out of healthcare(as in repeal medicare/medicaid, which won't happen), or a single-payer system(which is practically guaranteed to happen, the question really is, when?).

The affordable care act is a ridiculously stupid idea, it just perpetuates the problems associated with the current system. Is a bailout to insurance companies. And cannot control costs. But as most people know, it is just a stepping stone to single-payer.

Last edited by Redshadowz; 03-29-2013 at 10:18 AM..
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Old 03-29-2013, 10:06 AM
 
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Originally Posted by Robert_J View Post
Free businesses of the costs and let me shop around for a policy just like I do for auto insurance.
I think that's the point with the insurance exchanges.
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Old 03-29-2013, 10:11 AM
 
Location: MS
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Originally Posted by Winter_Sucks View Post
I think that's the point with the insurance exchanges.
I don't have to through an exchange for my car, home or life insurance. I buy the policy that fits MY needs at my price point without government intervention.
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Old 03-29-2013, 10:13 AM
 
8,417 posts, read 4,721,218 times
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Originally Posted by Winter_Sucks View Post
Would any conservative consider a single payer health care system, like expanding Medicare to cover everyone? Health care costs are taking a big bite out of individual, family, and business budgets. Would freeing businesses of health care costs with single payer be a wise move?
How would increasing the taxes on the individual, family and business budgets to pay for it be helping?
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Old 03-29-2013, 10:22 AM
 
Location: Midwest City, Oklahoma
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Originally Posted by Robert_J View Post
Free businesses of the costs and let me shop around for a policy just like I do for auto insurance.

I assume you mean that the government should mandate health insurance like they mandate car insurance, and then individuals have to go out and find their own coverage?
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Old 03-29-2013, 10:25 AM
 
Location: Long Island, NY
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Originally Posted by Robert_J View Post
Free businesses of the costs and let me shop around for a policy just like I do for auto insurance.
That's a rehash idea from Romney's fire your insurance company. But as Aaron Carroll writes, "Lots of people can’t fire their insurance companies."

Quote:
First of all, let’s unpack the idea that if individuals have their own insurance, the “insurance company will have an incentive to keep [them] healthy”. That’s totally backwards. The idea that people might fire their insurance companies is exactly why they don’t have an incentive to keep you healthy. Insurance companies preferentially cover healthy people, and they want those who are ill to leave, or, better yet, not enroll in the first place. Captive populations, like those in the VA, or maybe plans with long-term contracts through big employers might have the right incentive, but the types of plans Gov. Romney seems to have in mind don’t do the very thing he is saying they do. Insurance companies have a vested interest in keeping you healthy when you can’t or won’t leave.

But that’s the least of his problems. The real issue, unfortunately, is that very, very few people have the luxury that Gov. Romney is endorsing. Let’s say that you are self-employed, and lucky enough to have found a company to provide you with health insurance. Then, let’s say you develop cancer. You suddenly find out that your insurance company stinks. So you fire them, right?

Of course not. You’re screwed. Now you have a pre-existing condition. There’s not an insurance company out there that wants to cover you. So you don’t fire them. You scream, and curse, and cry, but you’re stuck. Only healthy people have the luxury of picking and choosing.

Let’s also not forget that most people don’t find out that they’re not getting “good service” until they’re sick. Healthy people don’t make much use of their insurance, so they don’t know how bad it is. They only find out after they’re ill, and then it’s too late. It’s only fun to fire the insurance company if you’re sure you can go to another company to get what you need. Almost no one can.
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Old 03-29-2013, 10:27 AM
 
Location: NC
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Originally Posted by Minethatbird View Post
How would increasing the taxes on the individual, family and business budgets to pay for it be helping?
Take a look at New Zealand (1941), the United Kingdom (1948), Sweden (1955), Iceland (1956), Norway (1956), Denmark (1961), Finland (1964), Japan (1961), Saskatchewan (1962) followed by the rest of Canada (1968–1972), Australia (1974 and 1984), Italy (1978), Portugal (1979), Greece (1983), Spain (1986), South Korea (1989), Taiwan (1995) and Israel (1995). From the 1970s to 1990s, Austria, Belgium, France, Germany and Luxembourg expanded their social health insurance systems to provide universal or near-universal coverage, as did the Netherlands (1986 and 2006) and Switzerland (1996).

No matter how they pay for it, it costs them all much less than it does in the US, with equal or better outcomes...

The transition in the US would be difficult, and special interests will make it as hard for our political leaders as possible. But many countries have made the transition during our lifetimes (note years above). Fears of the transition aren't a good reason to do nothing IMHO.

Americans are paying for more NOW, it's just buried in the cost of products & services all consumers buy every day. The healthcare premiums, out of pocket costs and taxes we pay aren't anywhere near the total cost Americans are already paying...

The issue is not just how to pay for it, it's probably more how to bring costs in line with every other country already providing universal health care in some form.
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