Another Federal Judge rules Obamacare unconstitutional

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senseamp

Lifer
Feb 5, 2006
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I wasn't speaking specifically about the mandate proposal, just using it as an example. I don't see any mention of health care being a right or something provided by the government in our Constitution, so instead of trying to twist the Constitution's words to fit an agenda, they should spell it out in an amendment.

Medicare is already Constitutional. If you want to argue that it's Constitutional for people over 65 but not for people under 65, you'll be laughed out of the courts.
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,266
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Medicare is already Constitutional. If you want to argue that it's Constitutional for people over 65 but not for people under 65, you'll be laughed out of the courts.


I don't see you would have a problem Constitutionally. All you have to do is sell the idea of a 2 trillion+ a year program and doubling or tripling their taxes. You won't be saving them money, and in fact people will pay more since you'll have universal coverage.

I expect that the doubling or tripling of taxes won't be mentioned, in fact denied, but we've already heard that anything is worth it. No need to be honest about it.

The problem is that you'll have to sell it to the public first, and it will put an end to the Democratic Party, because despite of your fervor for the agenda, the American Public wouldn't vote for them for dog catcher.
 

Tab

Lifer
Sep 15, 2002
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I had a long post, but my computer ate it.

If it were up to me, I'd socialize the whole provider system and probably due a hybrid of UK/Tawian's socialized medicine. The services are free(with co-pays), and obviously independent companies would still exist and they would, in turn, compete with each other to make products, medicines, etc.

Basically, no one would ever have to worry about if they could afford health insurance - ever. I see the necessity of this no different than police, fire department, etc.

You obviously haven't been alive that long.

Right, because of Nazi Germany? Oh wait... Communist Russia? Gone. China? Yea, if they want to eat all our debt.
 

PeshakJang

Platinum Member
Mar 17, 2010
2,276
0
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I had a long post, but my computer ate it.

If it were up to me, I'd socialize the whole provider system and probably due a hybrid of UK/Tawian's socialized medicine. The services are free(with co-pays), and obviously independent companies would still exist and they would, in turn, compete with each other to make products, medicines, etc.

Basic run-down from wiki
Even with all their success in their health care system, Taiwan has suffered some misfortunes. The government is not taking in enough money to cover the services it provides, so it is borrowing money from banks.[15] The revenue base is capped so it does not keep pace with the increase in national income. Premiums are regulated by politicians[16] and they are afraid to raise premiums because of voters. The country is slow at adopting technology except for drugs. There is a low doctor-to-population ratio resulting in too many patients depending on too few doctors. Patients visit the doctor more frequently causing doctors to keep visits short to about 2 to 5 minutes per patient.[17] There is no system to regulate systematic reporting of clinical performance, patient outcomes and adverse events.

They've been using this system with a small population for about 20 years, and it is beginning to fail. If you think you can have the universal coverage of Taiwan with the healthcare quality of the US by magically snapping your fingers, you are grossly mistaken.

Basically, no one would ever have to worry about if they could afford health insurance - ever. I see the necessity of this no different than police, fire department, etc.

So what happens when crime continually increases? You have to hire more police, they have to work longer hours, you have to pay for better equipment, etc. Basically, costs keep going up. How do you make up that money? You think the problem that needs fixing is the police, and not the crime. Same principal. Disease rates, especially the costly chronic diseases, keeps increasing. Making people pay less for insurance isn't going to decrease disease rates, or costs.

If something costs little to nothing to you, you are more likely to use it for frivolous reasons. This increases costs to somebody else. Guess who?
 
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PeshakJang

Platinum Member
Mar 17, 2010
2,276
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Right, because of Nazi Germany? Oh wait... Communist Russia? Gone. China? Yea, if they want to eat all our debt.

Why are they gone?

Why haven't they come back?

You think it's because of the goodness of mankind?
 

Tab

Lifer
Sep 15, 2002
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0
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They've been using this system with a small population for about 20 years, and it is beginning to fail. If you think you can have the universal coverage of Taiwan with the healthcare quality of the US by magically snapping your fingers, you are grossly mistaken.

Hence, that's why I said a UK/Taiwan hybrid.

So what happens when crime continually increases? You have to hire more police, they have to work longer hours, you have to pay for better equipment, etc. Basically, costs keep going up. How do you make up that money? You think the problem that needs fixing is the police, and not the crime. Same principal. Disease rates, especially the costly chronic diseases, keeps increasing. Making people pay less for insurance isn't going to decrease disease rates, or costs.

Uh, that's a terrible analogy and a terrible solution to your analogy. You could educate your populace, re-think your laws, etc

Of course, making me people pay less for insurance overall isn't going to decrease disease rates but an initiative by the government for people to exercise, eat well and keep a strong mental health would certainly be beneficial.

If something costs little to nothing to you, you are more likely to use it for frivolous reasons. This increases costs to somebody else. Guess who?

Those that misuse the system should and will be fined. Just like any other government program.
 

Tab

Lifer
Sep 15, 2002
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Why are they gone?

Why haven't they come back?

You think it's because of the goodness of mankind?

Is this is a serious question?

There is, literally, no need for the United States' massive military. At all.
 

PeshakJang

Platinum Member
Mar 17, 2010
2,276
0
0
Hence, that's why I said a UK/Taiwan hybrid.

So you want to take all the successful parts, and ignore the downsides.

Uh, that's a terrible analogy and a terrible solution to your analogy. You could educate your populace, re-think your laws, etc

You began using the police and fire as an analogy, not me. The point stands. You think government can force a system to work the way it wants, while ignoring the true reasons for its current failings.

Of course, making me people pay less for insurance overall isn't going to decrease disease rates but an initiative by the government for people to exercise, eat well and keep a strong mental health would certainly be beneficial.

So you pay less, disease rates keep increasing. Where does the additional money come from to make up the difference?

Those that misuse the system should and will be fined. Just like any other government program.

Is that really your answer? I'm not talking about fraud... I'm talking about people going to the doctor for a cold. I'm talking about people people trying to take advantage of every benefit they are entitled to, even if it isn't necessary.

Setting all that aside, let me give you this question:

The leading expense in our heath care system today is treatment for chronic diseases, such as diabetes. Say we get a government system to pay 100% of our medical costs. This year we have X number of people getting treatment for diabetes, and we spend Y dollars. Next year, twice as many people have diabetes requiring treatment. What is the cost in terms of Y?

Most who argue for socialized medicine do some hand waving and insist that Y is not dependent on X. They insist that no matter the disease rate, or the rate of treatment, costs are completely independent and should remain within the realm of affordability.

So, what is Y?
 

PeshakJang

Platinum Member
Mar 17, 2010
2,276
0
0
Is this is a serious question?

There is, literally, no need for the United States' massive military. At all.

The rest of the modern world would disagree with you.

If the US military did not exist tomorrow, you think there is no entity in the world that would take advantage of that fact?
 

Tab

Lifer
Sep 15, 2002
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0
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The rest of the modern world would disagree with you.

If the US military did not exist tomorrow, you think there is no entity in the world that would take advantage of that fact?

Did I saw we should eliminate the military? No. The rest of the modern world thinks, and rightfully so the United States is reckless cowboy.

There is not a single country that's interested in invading anyone, aside from small isolated issues.
 
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Tab

Lifer
Sep 15, 2002
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0
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So you want to take all the successful parts, and ignore the downsides.

No, I minimized the downsides further.

You began using the police and fire as an analogy, not me. The point stands. You think government can force a system to work the way it wants, while ignoring the true reasons for its current failings.

You used the crime example, not police services.

So you pay less, disease rates keep increasing. Where does the additional money come from to make up the difference?

Assuming they would increase.

Is that really your answer? I'm not talking about fraud... I'm talking about people going to the doctor for a cold. I'm talking about people people trying to take advantage of every benefit they are entitled to, even if it isn't necessary.

Sounds awful lot like fraud to me.

Setting all that aside, let me give you this question:

The leading expense in our heath care system today is treatment for chronic diseases, such as diabetes. Say we get a government system to pay 100% of our medical costs. This year we have X number of people getting treatment for diabetes, and we spend Y dollars. Next year, twice as many people have diabetes requiring treatment. What is the cost in terms of Y?

Most who argue for socialized medicine do some hand waving and insist that Y is not dependent on X. They insist that no matter the disease rate, or the rate of treatment, costs are completely independent and should remain within the realm of affordability.

So, what is Y?

Assuming, that is true, one could easily presume, that if the rates of chronic illness increased that would in-turn also reduce the cost of the treatment.
 

senseamp

Lifer
Feb 5, 2006
35,787
6,197
126
I don't see you would have a problem Constitutionally. All you have to do is sell the idea of a 2 trillion+ a year program and doubling or tripling their taxes. You won't be saving them money, and in fact people will pay more since you'll have universal coverage.

I expect that the doubling or tripling of taxes won't be mentioned, in fact denied, but we've already heard that anything is worth it. No need to be honest about it.

The problem is that you'll have to sell it to the public first, and it will put an end to the Democratic Party, because despite of your fervor for the agenda, the American Public wouldn't vote for them for dog catcher.

Yeah, Medicare sure put an end to the Democrats.
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,266
126
Point- So you pay less, disease rates keep increasing. Where does the additional money come from to make up the difference?

Quote: Assuming they would increase.

Demographics fail.

I hate to rain on your parade, but every nations health care costs are increasing, and guess what? The US isn't in first, or second, or third... In fact 2007-08 per capita in real terms in the UK was twice that of the US.

Your magic wand is broken. You don't really know anything about health care do you? You don't know about how it's provided, why it costs what it does (hint, salaries aren't it), or much of anything else. "Assuming it goes up". What do you think an aging population is going to do to utilization? It's going to go through the roof. Just the various dementias associated with aging will place a huge burden on the system, but you didn't think of that.

Your magic wand doesn't work.
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,266
126
Assuming, that is true, one could easily presume, that if the rates of chronic illness increased that would in-turn also reduce the cost of the treatment.

OMG I missed this. You think that using more resources will make things cheaper? That having to build long term facilities by the score will make the costs come down? People are cars and you can just pump them through?

Economics fail.

When you have an increase of demand on a resource the price goes UP.
 

mjrpes3

Golden Member
Oct 2, 2004
1,876
1
0
I hate to rain on your parade, but every nations health care costs are increasing, and guess what? The US isn't in first, or second, or third... In fact 2007-08 per capita in real terms in the UK was twice that of the US.

UK is a poor choice of comparison; they already have relatively low health care costs as percent of GDP.



The rate of increase in other countries is what you'd expect to see given the rising costs of technology, drugs, and the fact that health care is a desired service.

The US.... does not fit this mold.
 

Tab

Lifer
Sep 15, 2002
12,145
0
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Point- So you pay less, disease rates keep increasing. Where does the additional money come from to make up the difference?



Demographics fail.

I hate to rain on your parade, but every nations health care costs are increasing, and guess what? The US isn't in first, or second, or third... In fact 2007-08 per capita in real terms in the UK was twice that of the US.

Your magic wand is broken. You don't really know anything about health care do you? You don't know about how it's provided, why it costs what it does (hint, salaries aren't it), or much of anything else. "Assuming it goes up". What do you think an aging population is going to do to utilization? It's going to go through the roof. Just the various dementias associated with aging will place a huge burden on the system, but you didn't think of that.

Your magic wand doesn't work.

Could you act like an adult? I have no reason to debate someone with such as this.
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,266
126
Could you act like an adult? I have no reason to debate someone with such as this.

Imagine yourself dealing with a fervent believer of the Creation Museum in an evolution thread where many of the participants do not understand evolution beyond what they read in a newspaper. That's where I am, and further, some are advocating the CM have significant control over education.

That would be frustrating.
 

IndyColtsFan

Lifer
Sep 22, 2007
33,655
687
126
Medicare is already Constitutional. If you want to argue that it's Constitutional for people over 65 but not for people under 65, you'll be laughed out of the courts.

Not surprisingly, you missed the point. How was it judged Constitutional? I know the answer, but I'll let you answer it and then maybe what I said in my previous post(s) will sink in.
 

Tab

Lifer
Sep 15, 2002
12,145
0
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Imagine yourself dealing with a fervent believer of the Creation Museum in an evolution thread where many of the participants do not understand evolution beyond what they read in a newspaper. That's where I am, and further, some are advocating the CM have significant control over education.

That would be frustrating.

Yea, and it'd frustrating if all the did was throw ad hominens around like there actually an argument. Grow up.
 

PeshakJang

Platinum Member
Mar 17, 2010
2,276
0
0
^^^You brought it up in an earlier post. Why do YOU consider it to be a "lost argument"? Because we actually have lousy results compared to most first-world nations despite it costing way more?

No, because the US is one of the only (if not the only), that keeps statistics on early fetal death. Basically due to our world-class system of intensive care, doctors are able to keep low-birth weight, premature, and otherwise unhealthy babies alive for far longer than any other country in the world. Since these births are already high-risk, there is a very high rate of births that result in death within 1 day. In the US, these are recorded as live-births resulting in infant mortality. In other countries, such as Cube, and almost every other nation in the world, they are not. This is even more true when dealing with premature babies.

Bottom line, our infant mortality rate is higher because our definition of infant mortality is broader, and we are much better at giving babies at least a fighting chance, that they would not be afforded in other countries.

But please, tell us all about the wonderful Cuban medical system.
 

PeshakJang

Platinum Member
Mar 17, 2010
2,276
0
0
No, I minimized the downsides further.

You want to take the good parts of every other system, while ignoring the fact that health care is a global industry, especially in terms of drug research, technology, and education.

If a factory makes gadgets for $10 and needs to sell them for $20 to make enough money to continue operating, but WalMart forces them to sell them for $15 or they won't carry them.. what options does the company have? They need to try to sell them somewhere else for $25 or $26 to make up the difference.

Simplified analogy, same principal. Other nations, Taiwan being a good example, are able to benefit from the research, production, and innovation that our nation provides, with very little domestic investment. When more and more nations begin force-regulating prices while demand continues to increase, companies have a harder and harder time generating the same revenue.

The fact that the US pays so much more than other nations is more of a result of us being one of the few remaining nations that hasn't done this, coupled with our increasingly unhealthy society. If you use the government to force down prices, you need to be prepared for the consequences of less innovation, less development, and poorer overall service.

You used the crime example, not police services.

What? You brought up the police as an analogy, now you are trying to call it invalid? I'm using it in a context that would make it valid. The police are a public service used to control crime. You say health care should be a public service used to control health costs. If you want to complain about the increasing costs of controlling crime, don't say we need to fix the police without figuring out why crime continues to increase.

Assuming they would increase.

They have every year so far, what's going to change?

Sounds awful lot like fraud to me.

If your insurance paid for 4 check-ups a year at no cost to you, is it fraud if you visit the doctor 4 times a year for a checkup? If your insurance pays for all doctors visits with only a $10 co-pay, are you more likely to go for every little bump or cold than if you had to pay $100?

It's not fraud, it's providing somebody with a service that they have no liability in receiving. That's why government in general is so inefficient... nobody has any motivation to make or save money.

Assuming, that is true, one could easily presume, that if the rates of chronic illness increased that would in-turn also reduce the cost of the treatment.

Excuse me? Every fact in realityworld says the exact opposite. This isn't Wal-Mart. If a doctor charges $100 to see one patient for an hour, he won't charge $50 each to see 2 patients in 2 hours. Certain mass-produced things like drugs benefit from volume purchasing, but end-of-life care isn't something that comes in bulk. Heart surgery doesn't cost less if you bring a friend.

THAT is the key to this argument that liberals NEVER seem to understand, as basic as it is. You want to believe that cost is arbitrary and not dependent on supply and demand. You think that as demand INCREASES, price should DECREASE proportionally. That's not how the real world works, and trying to force it through by force of law will eventually lead to failure.
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,266
126
Yea, and it'd frustrating if all the did was throw ad hominens around like there actually an argument. Grow up.

The facts (which are easily accessable) is that the Western worlds population is aging. There are many nations that are far ahead of us in per capita cost increases, and I cited the UK as an example because you used them earlier. That cost tend must increase for all of the industrialized nations with an elderly population. Taking care of people is not a unit of production because time is a necessary component in health care and it's generally agreed among those who provide it that we've gone beyond what is prudent. It's not just a matter of cost, it's about adequate, focused interaction. That does not scale up because providers already at capacity. Increasing output means lowering quality. So the solution is to increase capacity and means more money. Governments are aware of it but no one wants to give bad news, so we have these distractions of band aid solutions which will increase costs but feel good.

The crisis is already upon us and we'll collectively ignore or misrepresent it.
 

Tab

Lifer
Sep 15, 2002
12,145
0
71
Meh.

The bottom line, despite not being perfect socialized medicine is the way to go and nobody is going bankrupt due to it. Nobody should be refused medical care and have to live life 50% or go bankrupt, period.
 

PeshakJang

Platinum Member
Mar 17, 2010
2,276
0
0
Meh.

The bottom line, despite not being perfect socialized medicine is the way to go and nobody is going bankrupt due to it. Nobody should be refused medical care and have to live life 50% or go bankrupt, period.

Wrong. Governments are going bankrupt, or on the way to it. When Taiwan has to borrow money from the bank to pay for it's health care system that's only a couple decades old, where do you think it is heading? Is that sustainable?
 
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