Fiery_penguin_of_doom wrote...
Same goals, different methods and ideologies. I don't trust the government enough to hand over the future of my personal well being. Nor do I like the gun against my head telling me I have to spend money on an insurance policy I don't want/need nor can I afford. I'm already supporting myself and a college student. All the UHC does is increase coverage but, doesn't do a thing to lower costs as I said earlier it acts opposite of economic theory.
Well look. I think you and I are almost have a debate on political outlook, rather than health care. I don't trust the government to handle my well being either. From what I've seen through my experience abroad, and with what I've read of bill the government won't be choosing what kinds of conditions can or can't be covered. They won't be choosing your doctor, or denying pre-existing conditions. That's already better than private insurance. The public option of the bill is the only portion that sets up a government payment system. So essentially that's all it will be doing, making payments, not making choices, that's up to you and your doctor, and it will continue to be under the public option.
The public option will have much lower costs. There isn't an overhead, and there isn't a profit system in place. Nobody is making a profit off of Medicare and nobody has been for over 40 years since it's been in place. Competition requires that private insurance lower costs in order to exist. Now of course I don't disagree with what you quoted from the economist (that money needs to come from somewhere) but I'll reiterate what I've said before. The plan will pay for itself through A) 2/3's coverage paid for by tax & fed dollars already being spent on uninsured, take that money we keep paying for these people and give them access to preventative medicine and the ability to see doctors before hand. B)subsidizes towards insurance companies regulated:
FactCheck wrote...
...it would save "over $100 billion of unwarranted subsidies that go to insurance companies"; [...] And the CBO has estimated such a proposal could save nearly that much, $159 billion over 10 years.
Any economist can say what they know to be true (and economists often disagree with each other) but it's also not hard to see a politically opposed opinion even in the voice of yet another economist if he has something to say on behalf of his constituents. He is right to say the money needs to come from somewhere. He is wrong to say that your taxes will increase, for certain obvious reasons. Taxes will not increase, and in practice we should see less tax dollars per person being spent on health care and more people covered.
Fiery_penguin_of_doom wrote...
No matter how you slice it, I'm paying for it in the end. Either in taxes, indirect costs, etc. You are ignoring whole fields of economic theory to support your claim that it'll reduce costs by increasing expenses (people relying on the system who can't pay for it to begin with). Which will require subsidies on the governments behalf to pay for the insurance policies of those who couldn't afford it to begin with. So you have another cost of trying to insurance the uninsured. While at the same time maintaining the current level of care with the same amount of services. You can't have your cake and eat it too. Economics doesn't support your claim.
Of course you are paying for it. We are all paying for it right now.
Organisation for Economic Co-Operation and Development wrote...
U.S. spends nearly $7,000 per person total, or nearly $2,500 more than the next highest-spending country
Those figures are annually, the causation are the uninsured. Evidence shows that costs go down when citizens are health and have access to medicine when needed. The uninsured are a liability to us all, simply put:
American Medical Student Association wrote...
The uninsured are more likely to be forced to delay medical services, affecting the timeline of diagnosis and thus the prognosis of the disease process.
The uninsured are 3-4 times more likely than those with insurance to report problems getting needed medical care, even for serious conditions.
The uninsured are less likely to get needed preventive care.
http://www.amsa.org/uhc/CaseForUHC.pdf
The government will have to pay for some expenses, indeed it already does. Health Affairs estimates $65–$130 billion per year of federal and tax dollars spent on uninsured patients. There is a cost for universal health care and it is estimated between 34 and 69 billion annually. The cost for UHC outweighs (or I should say under-weighs since it saves money) the liability of the uninsured by almost twice as much. Even at the low end, if we only spend 65 billion now, and end up spending 69 the difference are negligible given that we currently spend roughly 2.4 trillion each year on health care expenses alone. 17% of our entire GDP (compare that to the 6-11% rates on countries with UHC living in the top 10% brackets of quality of life and care). I assume that estimates suggest a median, and if so the medians should correlate to roughly twice as much being spent on the uninsured.
Fiery_penguin_of_doom wrote...
The government is rather involved with UHC in other countries. The examples earlier from England are examples of the government interfering with the health care of it's people.
England's health care system does have problems. Their system isn't a good example of how UHC should function (and does function) in other developed countries around the world.
Fiery_penguin_of_doom wrote...
The problem with people not taking care of themselves means they become a bigger burden on the system. If we add the uninsured who will have to be subsidized by the Federal Government to afford the mandated insurance. That will increase the cost as well. Then we add in every uninsured for pre-existing conditions. That'll require subsidies which further adds to the cost. It makes the healthy pay for the unhealthy. A person taking care of themselves is better for the system than making somebody take care of them.
In closing, I want costs to come down but, making it universal won't help nor will the status quo. We must examine every penny of health care costs and then figure out the who, when, why and how's of each penny.
A person taking care of themselves is better, yes. You can not make people take care of themselves, you can't wheel them into a hospital against their will. You can offer them affordable coverage so they *can* take care of their problems. A penalty system (fine) isn't preferable by any means but even if implemented doesn't guarantee that everyone who needs care will go to a hospital. The uninsured don't refuse to go to a hospital because they don't want to take care of themselves, they do it because they can't afford it. It's been 150 since we've started to discuss universal coverage to health care, and in that time the amount of the uninsured has only continued to grow. It's obvious that you can't motivate people to work harder through a benefit system. And even if you could it's unreasonable to think that all the poor people of the country would suddenly eradicate due to motivation. The best way to empower a country and strengthen it's economy is through the middle class. The class currently being hit by new uninsured rates and higher premiums. The best way to keep them healthy and insured is a single payer government system. We won't get that, we'll get a public option at best but it's a good start. If you want to look at each penny and dime you are going to find them all in the hands of the insurance companies. We can put a cap on their profits or offer them competition. I think the latter is a better choice.
So here were are, I think we had a good debate over this but I'm seeing some confusion. We are going in circles a bit. You say It'll cost us more money and raise our taxes. I say it won't. You say the healthy will be paying for the unhealthy. I say we already are (and paying more than we would be with UHC). We need a solution and it won't come by regulating the insurance industry (although that's a good start) we won't cap their profits or dictate their premiums. We'll find the waste in the uninsured who will continue to stay that way without aid, and you and I will continue to pay for them (unless you want to argue that hospitals should be allowed to deny emergency care to uninsured patients - a claim that I'd view as unethical, unmoral, and downright evil). The only solution is to catch up to the rest of the world that's already solved this problem and implement some kind of UHC system.
Health care reform will pass. I can guarantee you that. I'm not sure if we'll get the public-option but I believe there is a good chance we will. For now most of us are going to have to wait and see what the consequences (good and bad) of the system will be, but I stand by my convictions and I think the population on the whole will have much to gain from it.
Some further reading if you like,
http://www.ourfuture.org/blog-entry/2009031006/goverment-funded-health-care-were-already-23-there
http://www.amsa.org/uhc/CaseForUHC.pdf
http://www.nchc.org/facts/cost.shtml
Cheers for now.
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Fiery_penguin_of_doom wrote...
Did you just graduate this year? If not, then you slacked off somewhere.
The ability to be healthy and happy should have nothing to do with "slacking off". Access to health should be a right and not dictated by notions of meritable work ethics.