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Name:
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MartiniMan
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Subject:
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Really?
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Date:
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8/14/2009 5:17:21 PM
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I don't know enough about the subject to provide a definitive answer. I wish I did but the only thing I know for sure is a single payer plan through the government is not the answer to improving quality (which is already the best in the world), reducing the cost of health care (which is where we really have a problem)or insuring those chronically without insurance that actually want it and are eligible.
On the issue of how to control the ever increasing cost of health care, I do think conceptually we need to get the recipient of care closer to paying the cost (either of insurance or the actual care). Only then will the consumer become more informed and more careful about incurring costs, questioning why doctors are recommending tests that are only being done to avoid tort liability (yes I think tort reform is necessary), etc. I just know that the third-party payer system (whether private or government) where the recipient only pays a small co-pay encourages over-consumption and the one and only way for government to reduce costs is to ration health care like they do in every country with socialized medicine (remember, the vast majority of people using the health care system are sick.....rationing is the only way to reduce costs). Maybe that approach even provides a financial incentive for people to take care of themselves (lose weight, exercise more, stop smoking, etc.). It won't work for everyone but it could improve things overall. How to accomplish this is something beyond my understanding.
With regard to quality I relaly believe ours is the best in the world, just too expensive. We should not do anything to negatively impact that quality.
As for the chronically uninsured, there is probably a legitimate role for government involvement in cooperation with the private sector. But the floated idea that there are 45 million uninsured is patently misleading. We probably really have between 8 million and 14 million that really need some options. Let's focus there and not throw out the baby with the bathwater and accept a system of health care that has never worked well anywhere. Unfortunately, Obama outsourced the writing of the bill to Pelosi, Reid et al that gave the job to the staffers and lobbyists and we get a 1,000-page abomination. Like Hillary-care, it needs to be thrown out, they need to step back from the breach, actually bring Republicans and conservatives in the room and do what makes sense.
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