If you really understand how "health care" (sickness care, actually)
works, you know that this mess of a bill will never "fix" anything.
Exchanges are not magic, and there will be many insurers that simply can't
afford to accept a bunch of very ill people. If you really know anything about
government, you realize that the Federal government will never actually solve
this issue. They will shift the costs and run up the bills, but in the end it
will still be the taxpayers and workers who will bear the burdens of this
monstrosity. While some of the essential concepts might be somewhat desirable,
the final product will still be astoundingly complicated, controversial, and
burdensome. Don't ever kid yourself that this piece of legislation (more
aptly labeled "Pelosicare," by the way), will really make anything
better for this nation. Those who feared a disaster will not be disappointed,
regardless of what all the supporters claim.
Red state,I could not agree more: Let competition bring down the
costs. Everyone agrees, stop the runaway costs. We Americans pay more than
anyone, so how is it that in free-market capitalistic America, we pay more?
Because we have a broken, twisted system that first-and-foremost rewards the
insurance industry and the medical profession. The current system has turned
competition on its head. That's why I was all for a government-run program
to compete with private insurance. Let me choose cheap, basic, govt-run health
care, or let me work hard and pay more for better private insurance with better
benefits. I just don't see another way to break the system we have now,
which we all agree is a failure for its run-away costs.But please,
let's not blame the current administration, which has done MORE to bring us
along than any other recent administration. If we've fallen short it
isn't because the current administration has been unwilling to get us
Re:redstateprideFree market:#1 Purchasing a TV. Drive to
store A--look at the prices and TVs. Compare to prices and TVs in stores B, C,
and D. Now explain how the free market approach works for getting
an emergency appendectomy, cancer, heart attack, stroke etc.
The Court told us that the ACA is a tax. That's all that it is. A little
of the money may end up being spent by the Federal Government to (illegally)
provide personal welfare to individuals. Personal welfare is not an enumerated
duty of the Federal Government, any more than providing the military to water
your lawn is a duty of the Federal Government. That will not stop liberals from
taxing us, putting that money is the general fund, and then spending it on their
pork projects just like they've spent all of the SS money that we've
"donated" through other taxes.Look back over 80 years and
you'll see that FDR's camel got its nose in the tent. Now
Obama's caravan of camels has forced the taxpayers out of the tent.Insurance is a contract between an individual and a company where that
company agrees to pay for unexpected medical expenses. Nothing in Obamacare
even remotely resembles "insurance". It is a tax - pure and simple - a
tax that will never be used for health care.
An excellent letter.And may I point out that much -- if not most --
of the misunderstandings about ACA come as direct results from outright LIES
told by the GOP.Perhaps the most outstanding was Sarah Palin's
story of "Death Panels."What a wonderful world it would be
if honesty really was a value.
@EDM- Basic healthcare is an aspirin tablet. Of course our health care sytem was
dysfunctional before the ACA. A few things drive me crazy though. First,
government is not the solution to every problem (esp contrived problems)- we
have other more important pillars of our society e.g. churches and civic
organizations. Second, it seems that that there is a notion that healthcare
should be free. Nothing is free and things can be financed over time. Third-
health insurance does not equal healthcare- I'm tired of the terms being
used interchangeably. Fourth, why can't we allow market forces to work in
our healthcare system? Free markets drive down costs in every other area- why
not healthcare? I don't mind my taxes being used to pay healthcare costs
for the truly needy- but aren't there certain basic responsibilities a
fully functional adult in America should be able to handle on their own?
Red state pride,I'll give you this: We certainly are living
with an aberration of a health care system. But if you think "Obama, Pelosi,
Red" are to blame, you are sadly wrong. The fact is that when Obama was
first elected no less than 100% of the American public was in favor of health
care reform - and most of us are still waiting and hoping for something better.
Obama, unlike is predecessor, took up the call and tried to DO something about
it. And although everyone agreed something needed to be done, Republicans chose
a course of obstruction instead of cooperation. I'm as disappointed as you
are with the current system, but I certainly don't blame those who led the
call.To answer your question, Would I go to Britain for health care?
Well, I was treated there once with no trouble. More recently, when I returned
from Singapore with severe back pain and a fever, I had one of the worst
experiences in my life trying to get basic health care right here in the US! In
25 years of working and living and overseas, I've never encountered a
system more twisted than our own.
France has been rated as one of the best healthcare systems in the world. The French system combines private and public sectors to provide
universal health coverage to all. Most citizens receive their insurance through
their employer and almost everyone has supplemental private insurance. The
majority of medical bills are paid for by the government (funds from payroll and
income taxes) and the remainder is footed by individual's supplemental
private insurance. #2 ItalyItaly provides universal
health care to the whole population with the 20 regions exercising control and
the central government providing regulatory assistance. The Time
magazine article, " Why Medical Bills are Killing Us" is a great place
to start a conversation.
@Kent - what other "industrialized nation" has 300 million people and a
functioning health care system? What's the population of Great Britain?
Approx 60 million? And the third largest employer in the world is the BHS. Let
that sink in. Would you go to Britain for health care? I tend to think
that since we have these little "laboratories of democracy" called
states maybe we should allow states to work out their own healthcare systems and
see where it works best and let other states follow suit if they choose to. I certainly don't favor a single-payer system but I agree with you that
a single payer system would be better than this travesty that Obama, Pelosi,
Reid et al have created.
In response to Red's argument, I wonder how it would work to sever health
insurance from employment but not have any government involvement. Well,
here's how it would play out. Businesses would no longer offer health
insurance as a benefit, but those businesses would also not increase the pay of
the employee so that he or she could purchase insurance on the so-called free
market.How can you claim with a straight face that "a
centralized bureaucracy attempting to make healthcare arrangements for a nation
of 300 million will fail utterly"? Every other industrialized nation on
earth (and many Third World countries) are indeed making this work. And they are
doing it at half the cost of our bloated, inefficient system because, believe it
or not, government bureaucracy is better suited to offer health care than the
private market is.We should scrap the ACA and move to a single-payer
system. We'll eventually get there anyway, but why waste 10 years and
trillions of dollars? There are some things the free market is just not suited
to do well, and health care is one of them.
Exactly right Red State Pride! Along with a president who lies everyday, the
really sad part of this whole process and legislation is that some people
really believe that this is affordable. It was expensive to start with, and has
already been projected to cost 3 times more the the original projections. Only a
moron would believe this is truly an "affordable" care act!
"Affordable Care Act" and "Progressive" are terms Orwell wold
have referred to as "newspeak". Just because you call something
affordable doesn't make it so- especially when the facts prove otherwise.
Calling yourself "progressive" doesn't mean you are interested in
progress ( see George Will's column today). Your idea of "progress"
may not necessrily be progressing the nation to a better place. I will
admit that there are some good points to the ACA but that doesn't mean
it's good legislation. I think it's important to separate health
insurance from employment. Employers don't pay for car insurance. But, the
fact is that a centralized bureacracy attempting to make the healthcare
arrangements for a nation of 300 million will fail utterly. The fact is that in
allegedly free country people should be able to decide whether or not to have
health insurance and they certainly should be able to buy an insurance policy
that fits their needs and not their needs as determined by the Secretary of HHS.
At any rate, it's the law of the land now- call it what you will.
Excellent article! Well written, and a compelling argument.
Thanks Mr. Reiser for pointing out this information in a non-confrontational
manner. I think if all of us on either side of the political spectrum, and
especially myself included, would sit down and learn the facts behind
someone's premise or proposal, we would most likely find common ground in
the many things. Unfortunately many or most of us - and, once again, I
definitely include myself in that category - listen to people we have come to
trust, for whatever reason, usually because their opinions resonate with us, and
we cheat ourselves out of finding the truth and letting the truth benefit us
all. So thank you Boo. You've done a good thing today.
Thanks for this article....I agree!An ACA volunteer
Excellent comments Boo. Black and white, them vs. us thinking is
I wish we had actually gotten some of the provisions of health care that the
republicans are so angry about. Real health care, not the ACA.
This is a great "my view" article. The truth exposed and well stated!