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TheKentuckian

(25,035 posts)
29. The bigger problem is that is lackluster reform even as a market based strategy
Fri Aug 1, 2014, 01:16 PM
Aug 2014

Forget single, payer, forget NHS, this is most substantially the existing system that maintains the cartel status of the insurance industry (antitrust exemption), virtually no cost control measures other than self denial of care, intentionally poor ramping to the exchanges, the inefficiency of state pools rather than harnessing the full negotiating power of the nation as a true counter weight, continuing the state based regulation that has proven ineffective and outgunned with no resources to even the odds, stubbornly and foolishly stuck with the employer based system of gatekeeping, functions under the wrongheaded assumption that individual abuse is the central driver of costs, guaranteed profits to a criminal cartel creating another too big to fail institutions back stopped by the full faith and credit of the US, abuses and distorts the taxing authority of the government by dictating the post tax spending of citizens without any voluntary action from the citizen, failed to make rescission illegal, is in no small part a big sloppy, wet kiss to the pharmaceutical industry expanding patents costing consumers and the government more money while failing to negotiate drug prices, places struggling working class folks to purchase a consumer product that they cannot afford to use.

Also, of interest on the side is the thing that is actually beneficial and working is socialism. The real hay being made here is the patchwork expansion of Medicaid, aka socialism. Yep, it is the socialist aspect of the plan that is the primary driver of both satisfaction with the plan and the increase in covered citizens. Left to invisible hand portions the plan would a bust with overwhelmed cheerleaders pointing to a few pay to play features and possible waivers for alternative exchange set ups (thanks Bernie!) as a success.

You see, when you carefully construct a plan to not disrupt the existing system you largely end up with the existing system and with little benefit to the average person. The plan ends up being a big help to the really, really poor if they have the right geography and the well off and the wealthy because they are guaranteed coverage and their liability is limited.
Most folks are getting a mandate to buy whatever slop the boss wants to serve.

It's one damned poll; I wouldn't let it babylonsister Aug 2014 #1
No one likes to be forced to buy a product from a third party corporation. former9thward Aug 2014 #2
Yep. Younger Americans don't like to be forced to buy something they don't think they need. Dawgs Aug 2014 #3
We buy auto insurnace and many do not think we will be involved in an accident. Auto insurance is Thinkingabout Aug 2014 #6
How can you get auto insurance without a car? former9thward Aug 2014 #13
You purchase liability insurance in case you are driving a vehicle in which is involved in an Thinkingabout Aug 2014 #15
Companies insure cars. former9thward Aug 2014 #32
Holy Crap!!! Look at the way govt has it’s dirty hands on our car’s... busterbrown Aug 2014 #34
I have no idea if you read the thread. former9thward Aug 2014 #36
Heck all I wanted to mention is the fact that the Texas DMV... busterbrown Aug 2014 #37
Thanks, former9thward Aug 2014 #40
Yea, that sounds very weird... busterbrown Aug 2014 #41
I'm not saying I agree with them. I'm just saying that many younger people think like libertarians. Dawgs Aug 2014 #17
Can we count on the libertarians to pay a hospital bill they might get in the future? Thinkingabout Aug 2014 #22
Wouldn't it be great to have public option car insurance too? Erich Bloodaxe BSN Aug 2014 #26
I can't say this is an advantage,there are lots of citizens who has not and will not drive a vehicle Thinkingabout Aug 2014 #27
There is simply no comparison betwen auto ins and healthcare. This old meme has sabrina 1 Aug 2014 #48
And as an insured person who is charged rates by health care facilities to cover Thinkingabout Aug 2014 #51
you support single payer instead then? CreekDog Aug 2014 #31
Yes I do as I have said on other threads on the topic. former9thward Aug 2014 #33
You don't support single payer? sabrina 1 Aug 2014 #49
yes I do CreekDog Aug 2014 #52
From some of the remarks about ACA from some folks since it was not a single payer system they Thinkingabout Aug 2014 #4
That's because the folks who already HAVE decent insurance, and who already hate Obama SoCalDem Aug 2014 #5
i hope it works Enrique Aug 2014 #7
Their ignorance can cause an awful amount of pain for others.. busterbrown Aug 2014 #8
Propaganda n2doc Aug 2014 #9
Absolutely agree!! Our party treads so softly, doesn’t it.. busterbrown Aug 2014 #11
Stupid people will never know they were duped, especially by their own stupidity. They will continue Pisces Aug 2014 #10
If they lost their insurance? Jesus wanted it that way!!! busterbrown Aug 2014 #12
He has another plan for them don't you know. Pisces Aug 2014 #16
The article also says 60% who Use ACA like it.. don't want it repealed... KoKo Aug 2014 #14
Don't be JustAnotherGen Aug 2014 #18
Right wing nuts who think its Socialism + Far left folks pissed that its not. JoePhilly Aug 2014 #19
poll finds misperceptions about the ACA,persist for the ignorant. You shouldn't be 'depressed'. Sunlei Aug 2014 #20
I have had an overwhelmingly positive experience here in Kentucky. conservaphobe Aug 2014 #21
Obamacare covers depression. JaneyVee Aug 2014 #23
ACA isn't the answer Matrosov Aug 2014 #24
The bigger problem is that is lackluster reform even as a market based strategy TheKentuckian Aug 2014 #29
First bottom line regarding the ACA in my opinion: NM_Birder Aug 2014 #25
Let me ask you... busterbrown Aug 2014 #35
"safer" to buy from the ACA ? NM_Birder Aug 2014 #47
I no longer care if the ACA is popular or not bluestateguy Aug 2014 #28
You feel the same way about ALL laws,...... that "debate over it to be closed" NM_Birder Aug 2014 #30
I don't support the ACA because it's too expensive Reter Aug 2014 #38
What state are you living in..? busterbrown Aug 2014 #42
I live in NYC Reter Aug 2014 #43
Have you checked the medicaid expansion plan for N.Y.?? busterbrown Aug 2014 #44
It says here that you are eligible for assistance.. busterbrown Aug 2014 #45
What you said woodsprite Aug 2014 #39
Yea, more interested in saving their souls than saving their lives.. busterbrown Aug 2014 #46
Well, let's vote in a democratic congress and change it to single payer! B Calm Aug 2014 #50
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