Obamacare starting to look more appealing.



Can you explain why it is a special case?
It's a special case because consumers have so little choice in the health care market due to many negative conditions you brought out.

guerilla said:
That's not the free market.

In the free market, government would not have created the tax incentives for everyone to utilize insurance when they should be paying out of pocket for routine care, and only using insurance for major medical issues.

I know, I know. But employees get health insurance with lots of perks as a tax free benefit, so plans with comprehensive care are popular.

In the free market, government would not have provided medicare and medicaid, driving up costs by subsidizing a massive portion of health care spending for seniors.
Granny would clobber you with her cane for that statement (as well as your congress critter who shudders in fear of her and will not put their government hands on her Medicare). Medicaid is health care for the poor, btw.

In the free market, people would be able to buy insurance out of state, instead of being denied access to competition by ... ta da.. the government!
I agree, and the government would like to allow out of state competition as well, but the insurance companies successfully lobbied against it. They do not welcome the competition.

To a large degree, the health insurance industry is the problem. They prefer the status quo, and have been looking forward to getting an ever-growing share of the US GNP. Many of your ideas are good ones, although various special interests are not as enthusiastic as yourself. Aside from health insurers, your got opposing unions, seniors, and even doctors who get fees per service, motivating them to provide more and more care. People who get health insurance from their employer don't want some libertarian smarty named guerilla to touch their comprehensive care because it's good for them, the family needs it and damn it they earned it working at the shitty job!

Libertarian ideals don't trump human nature. Taking stuff away from people won't go down very well, and I'm sure that if you asked a conservative to give up even a single benefit they would rather see you chained to a rock while a raven pecks at your liver.

It's very hard to implement change of any kind when somebody's got something to lose, making the health insurance bill passage a miracle. The bill they would like to have passed is far different from the one that did pass because so many special interests had something to lose. It's imperfect because they had to legislate in the real world, not in a purist libertarian fantasy world.

In short, the government is not as much a problem as the special interests. Government in this case is working within the system and stepping in to stop the insurance industry from running roughshod over consumers.
 
That is a scary statement. You are saying everyone deserves free healthcare. But what you are really saying is:
Doctors should be forced by law to give up their time and resources to take care of people, without getting compensated.
What the hell are you talking about, if you nationalise healthcare, doctors get paid by the government, through our tax money. It would work out the same anyway, instead of paying $500 a month to some insurance company that has a whole legal team dedicated to screwing you over, it would go through your taxes. And in case you're wondering, GPs in the UK that work in local clinics get paid minimum of £53k up to £80kish. ($77k to $120k) a year. Doctors/surgeons in hospital get similar wages.


I wonder if you were running some profitable PPC campaigns and the government came by and said you were to profitable, and it is a right for everyone to be financially stable. Therefore, you have to put other people's affiliate links in your PPC ads, but you keep paying for the ads - if you would still have the same outlook.
You know that's a BS argument.

You are saying that the government with power of the law, and the ability to enfoce laws (with guns), should hold guns to Doctor and nurses and force them to perform their jobs for free.
LOL. Refer to response above.
 
Why don't people understand that as soon as you offer things for free quality goes down? Why don't people understand that some people deserve better things if they work for them? Why don't people understand that some people deserve less if they choose not to work for them? Why don't people understand that if we really want free healthcare we should have family, a neighbor or a friend start offering it? Why don't the people who want free healthcare ever offer it to others? Why are the supporters always on the receiving end and not the giving end? Why is the government always the entity of choice to administer these free programs? Why is it called universal healthcare but then they give you insurance? Why is insurance tied into healthcare?

Do people understand that by wanting somebody else to take care of you you are giving your power away? This is what serfs do. They have the king take care of them. But we actually HAVE the option of not being slaves but we CHOOSE to be slaves. Are we that blind? Are we that pathetic? The whole thing is an absolute joke. People by their actions are saying, I am unable to take care of myself, save me king. Save me. I thought Americans were supposed to be their own sovereign kings. So much for freedom. Let's bring on the king. I'm amazed at how incredibly sick this whole thing really is. People are never going to figure it out. Technocratic feudalism here we come :)
 
Why is insurance tied into healthcare?
Because we have a wealthy and powerful insurance industry that employs an army of lobbyists to influence our members of congress. They have the financial clout to buy up media time to influence public opinion their way (e.g., Harry & Louis ads).

This powerful, entrenched industry makes sure they will continue commanding a large portion of the US GNP also by making large donations to presidential candidates and members of congress. A particularly egregious example is Joe Lieberman, Ind., CT, the "senator from Aetna," who successfully lobbied on behalf of the insurance industry to scrap the public option in the health insurance bill, which was intended to compete with the insurance industry to lower costs.
 
Because we have a wealthy and powerful insurance industry that employs an army of lobbyists to influence our members of congress. They have the financial clout to buy up media time influence public opinion their way (e.g., Harry & Louis ads).

This powerful, entrenched industry makes sure they will continue commanding a large portion of the US GNP also by making large donations to presidential candidates and members of congress. A particularly egregious example is Joe Lieberman, Ind., CT, the "senator from Aetna," who successfully lobbied on behalf of the insurance industry to scrap the public option in the health insurance bill, which was intended to compete with the insurance industry to lower costs.

I agree completely. So why are we knowingly then taking something that is already broken and now enforcing a broken system by law? Shouldn't we FIRST fix this problem before we go out bringing in the Nazis to enforce that everyone needs insurance? Do people not understand what is going on here? You don't solve a problem by taking the problem and then mandating that everyone needs to participate in the problem.

Once again, a simple problem that could easily be solved by a free market with no government intervention. But it's much more fun to complicate it and bring in the socialism. People absolutely love being slaves. They can't get enough of it. Give them their Roman circus and give them their beer and they're yours for life.
 
A public option run at 1-2% overhead and non for profit is better for the overall economy then having one of the most profitable industries in the world running rampant, extorting the public for all they are worth.
They are only able to extort because the system is created to prevent competition. It is not necessary to artificially create competition (public option) if real competition was allowed.

It creates competition putting greedy ass health insurance companies in check.
Everyone is greedy. It is called rational self interest. Networks are greedy, affiliates are greedy, McDonalds is greedy. Babies are greedy for mother's milk.

The difference with the health care industry is that they enjoy government enforced monopolies. You can't force people to buy Acai berries, but they can force people to get insurance. You can't stop me from starting a network or running an offer, but they can stop out of state firms from competing, and they can create so much regulatory red tape, it is very expensive to get licensed in their market.

That is how government protects big business. Government + big business = high prices. Greed is bad when it is combined with the power of force like violence or law. Greed in honest competition is what makes the world go around.

Generally I agree with you. And like you, I also have to get my grind on.
 
In the free market, people would be able to buy insurance out of state, instead of being denied access to competition by ... ta da.. the government!

Wouldn't that trample on states rights and end the end screw the consumer anyway?

Ezra Klein - Selling insurance across state lines: A terrible, no good, very bad health-care idea

The big Republican idea to bring down health-care costs is to "let families and businesses buy health insurance across state lines." Jon Chait has some commentary here, but I want to simplify a little bit.

Insurance is currently regulated by states. California, for instance, says all insurers have to cover treatments for lead poisoning, while other states let insurers decide whether to cover lead poisoning, and leaves lead poisoning coverage -- or its absence -- as a surprise for customers who find that they have lead poisoning. Here's a list (pdf) of which states mandate which treatments.

The result of this is that an Alabama plan can't be sold in, say, Oregon, because the Alabama plan doesn't conform to Oregon's regulations. A lot of liberals want that to change: It makes more sense, they say, for insurance to be regulated by the federal government. That way the product is standard across all the states.

Conservatives want the opposite: They want insurers to be able to cluster in one state, follow that state's regulations and sell the product to everyone in the country. In practice, that means we will have a single national insurance standard. But that standard will be decided by South Dakota. Or, if South Dakota doesn't give the insurers the freedom they want, it'll be decided by Wyoming. Or whoever.

This is exactly what happened in the credit card industry, which is regulated in accordance with conservative wishes. In 1980, Bill Janklow, the governor of South Dakota, made a deal with Citibank: If Citibank would move its credit card business to South Dakota, the governor would literally let Citibank write South Dakota's credit card regulations. You can read Janklow's recollections of the pact here.

Citibank wrote an absurdly pro-credit card law, the legislature passed it, and soon all the credit card companies were heading to South Dakota. And that's exactly what would happen with health-care insurance. The industry would put its money into buying the legislature of a small, conservative, economically depressed state. The deal would be simple: Let us write the regulations and we'll bring thousands of jobs and lots of tax dollars to you. Someone will take it. The result will be an uncommonly tiny legislature in an uncommonly small state that answers to an uncommonly conservative electorate that will decide what insurance will look like for the rest of the nation.

As it happens, the Congressional Budget Office looked at a bill along these lines back in 2005. They found that the legislation wouldn't change the number of the uninsured and would save the federal government about $12 billion between 2007 and 2015. That is to say, it would do very little in the aggregate.

But those top-line numbers hid a more depressing story. The legislation "would reduce the price of individual health insurance coverage for people expected to have relatively low health care costs, while increasing the price of coverage for those expected to have relatively high health care costs," CBO said. "Therefore, CBO expects that there would be an increase in the number of relatively healthy individuals, and a decrease in the number of individuals expected to have relatively high cost, who buy individual coverage."

That is to say, the legislation would not change the number of insured Americans or save much money, but it would make insurance more expensive for the sick and cheaper for the healthy, and lead to more healthy people with insurance and fewer sick people with insurance. It's a great proposal if you don't ever plan to be sick, and if you don't mind finding out that your insurer doesn't cover your illness. And it's the Republican plan for health-care reform.
 
[quote]writtenstyle
Quote:
Originally Posted by Demon
Healthcare should not be a profit making business venture. EVERYONE deserves free healthcare, it's a human right you fucks. Any 1st world country should be able to provide free healthcare and free education to its citizens. It boggles the mind that some of you think otherwise. /Demon

writtenstyle Responds,

That is a scary statement. You are saying everyone deserves free healthcare. But what you are really saying is:
Doctors should be forced by law to give up their time and resources to take care of people, without getting compensated.

I wonder if you were running some profitable PPC campaigns and the government came by and said you were to profitable, and it is a right for everyone to be financially stable. Therefore, you have to put other people's affiliate links in your PPC ads, but you keep paying for the ads - if you would still have the same outlook.

You are saying that the government with power of the law, and the ability to enfoce laws (with guns), should hold guns to Doctor and nurses and force them to perform their jobs for free.

You forget that it is a human right to own your own self and not have others be imposed on you. Your statement says doctors and nurses do not have that right.

As for the illness thing. I agree something needs to be done. I dont think Obamacare is the answer, but that does suck that just because of one illness, you are denied coverage. That really sucks.
[/quote]

What the hell are you talking about, if you nationalise healthcare, doctors get paid by the government, through our tax money. It would work out the same anyway, instead of paying $500 a month to some insurance company that has a whole legal team dedicated to screwing you over, it would go through your taxes. And in case you're wondering, GPs in the UK that work in local clinics get paid minimum of £53k up to £80kish. ($77k to $120k) a year. Doctors/surgeons in hospital get similar wages.

You want doctors to trust the government to fairly compensate them? You are allowing the government to determine what doctors should be paid. Would you trust the federal government to fairly compensate you if they forced to share your profitable PPC campaigns with marketers who were struggling?
 
Healthcare should not be a profit making business venture. EVERYONE deserves free healthcare, it's a human right you fucks. Any 1st world country should be able to provide free healthcare and free education to its citizens. It boggles the mind that some of you think otherwise.

A human right??? Only government can give free health care to it's citizens. If the government can give you these "rights" than government can and will eventually take away your rights when they wish.

It shouldn't boggle your mind that most people (at least in this country)are not communist.
 
writtenstyle said:
You want doctors to trust the government to fairly compensate them? You are allowing the government to determine what doctors should be paid. Would you trust the federal government to fairly compensate you if they forced to share your profitable PPC campaigns with marketers who were struggling?
Erm yeah, because if they didn't pay well there would be no incentive for people to go into that field. Medicine is one of the most competitive courses at university in the uk because of this, doctors get paid the highest salaries. If the government ever decided to dramatically reduce the pay, demand would drop significantly, as people would go into different fields. It doesnt really matter who is paying, the government or a private company, because the principle still stands.

A human right??? Only government can give free health care to it's citizens. If the government can give you these "rights" than government can and will eventually take away your rights when they wish.

It shouldn't boggle your mind that most people (at least in this country)are not communist.
LOL. I can't believe it, I actually joked to myself that you would come in here and call me a communist, and you actually did. So believing in free healthcare for all = communist? lol

And Perhaps 'human right' is the wrong term to use, for the same reason that food is not a human right either as pointed out earlier.
 
Erm yeah, because if they didn't pay well there would be no incentive for people to go into that field. Medicine is one of the most competitive courses at university in the uk because of this, doctors get paid the highest salaries. If the government ever decided to dramatically reduce the pay, demand would drop significantly, as people would go into different fields. It doesnt really matter who is paying, the government or a private company, because the principle still stands.

There are already a lot of doctors retiring, and future doctors opting for new career fields. So you are right. Your suggestion of free health care for every one will in fact mean very limited health care for only those who are connected enough.

My wife works for a doctor who just sold his practice to a big corporation because he would not be able to maintain his practice under Obamacare.
 
It's a special case because consumers have so little choice in the health care market due to many negative conditions you brought out.
That is pretty circular.

I know, I know. But employees get health insurance with lots of perks as a tax free benefit, so plans with comprehensive care are popular.
Yes, free stuff is popular. I'm not sure how it is relevant, but it is true.

I agree, and the government would like to allow out of state competition as well, but the insurance companies successfully lobbied against it. They do not welcome the competition.
Do I understand that right? They are not responsible for being persuaded to benefit a special interest class, which supports their re-election?

To a large degree, the health insurance industry is the problem. They prefer the status quo, and have been looking forward to getting an ever-growing share of the US GNP.
That is the same for every industry.

People who get health insurance from their employer don't want some libertarian smarty named guerilla to touch their comprehensive care because it's good for them, the family needs it and damn it they earned it working at the shitty job!
Well at least you can admit it is a race to the bottom, and the consumer is part of the problem.

Libertarian ideals don't trump human nature.
I never say they do. But if one wants to make a claim to morals (doing right by the less fortunate, what is fair) then human nature as you see it, doesn't support your position. People do not want what is fair, they want what is in their interest. They do not want what works for everyone, they only want what works for themselves.

Politicians are human, and also have human nature. They don't give a shit about you or some granny. They only care about being re-elected.

It's imperfect because they had to legislate in the real world, not in a purist libertarian fantasy world.
You don't have to get petty because you are struggling to articulate a coherent argument. I'd like to think you are better than that.

The way I see it, belief in the benevolence of government is the real fantasy. People think their political rulers (yes, they do indeed rule by force) are somehow more moral, intelligent and righteous, and that they are motivated by altruism and a burning desire to accomplish the common good. While that may be generally true of someone like Ron Paul, most of them are idiots, liars, and power hungry thugs who will do almost anything to keep themselves on top. Seriously, who thinks Nancy Pelosi is actually a decent human being? Or Dick Cheney?

The people who make the world a better place are the producers, not the moochers or looters.

In short, the government is not as much a problem as the special interests.
Without government power, special interests have no clout.

Government in this case is working within the system and stepping in to stop the insurance industry from running roughshod over consumers.
How? They are not increasing competition, and they are forcing millions more people to buy private insurance.

They setup a system where consumers cannot succeed, and then they compound it by removing consumer choice.

If one wants to be compassionate to the poor and less fortunate, setting them up for a fall by destroying the free market is a strange way to do it.



And now I am really going back to work.
 
Laws have been put in place over the last 100 years that allow insurance companies to make more money at the expensive of patients. Now if this was a situation where patients loose a dollar and the companies gain a dollar that would even be OK - but it's not. There are huge dead weight losses in the industry. As it stands now it's more like the patients loose $6 and so the companies can make $1. If you don't understand what that means or what a dead weight loss is feel free to pick up an economics book.

This simply isn't a beneficial situation for our country overall. We have laws that allow a small percentage of the population to make money off the rest at a greater expense then the money they make. Now this exits in almost every industry to some extent but it's pretty much the worst in the health care industry and also health care is a bit more required then plenty of other things.

There are no simple instant fixes but it would help if people could have more rational discussions on this.

Also the entire idea of changing or putting in place a system for our entire country at once is just plain stupid. How can anyone expect to be able to come up with the best system simply through any other method besides experimentation? Once one system goes up it won't be changed quickly or anything no matter how bad it is. That would be like starting a hugely expensive campaign and just using the first LP you designed and just stick with it for a years then maybe try a different one. We all know what split testing is and how important is from day 1 on a campaign. It's sad the government doesn't currently doesn't seem to know this.

Any sound approach to changing most laws would involve first testing the changes versus the current system in different areas and then drawing conclusions from those tests. This is one of the best arguments for federalism.

Health care CANNOT be COMPLETELY free to ALL citizens, that's one system it doesn't take a genius to figure out wouldn't work. There is no doubt in needs some serious changes though.
 
The way I see it, belief in the benevolence of government is the real fantasy. People think their political rulers (yes, they do indeed rule by force) are somehow more moral, intelligent and righteous, and that they are motivated by altruism and a burning desire to accomplish the common good. While that may be generally true of someone like Ron Paul, most of them are idiots, liars, and power hungry thugs who will do almost anything to keep themselves on top.

Slightly (only slightly) off-topic...

I have been discussing this with a friend. He is receptive to ideas of freedom, but oddly veers toward Marx rather than Mises. He does agree, however, that man (defined as a rational actor) is driven by his/her self-interest in every decision made.

I asked him, "How then can you conceptualize placing such an actor in a position of coercive authority over others, and expect something other than the oppressive system against which you rail?"

This is a disconnect for him. It is a disconnect for many people.

If a person believes every rational actor is driven by self-interest, then arguing that a rational actor placed in a state role will abandon his self-interest for the good of others is optimistic. Further, it is entirely unsupported by history.
 
I think if some of you guys were exposed to having family members lose nearly everything over an accident of some sort, you'd have some altered perspectives.