Justice Kennedy about to retire?

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Zorba

Lifer
Oct 22, 1999
14,875
10,300
136
Sorry, but it's not. The whole concept of "sin taxes" ( https://en.wikipedia.org/wiki/Sin_tax ) is to increase the price of undesirable behaviors (smoking and alcohol being the most common examples) AND to make money from addictive behaviors. Don't want to pay the mark-up on cigarettes? Don't buy them. It is a tax based on a purchase.

If the individual mandate penalty is a tax, as you propose, then it is levied if you DON'T purchase something. Totally opposite of what a sin tax is and the "broccoli argument" pretty much illustrates how it is an overreach by the government. Yes, it is a slippery slope argument, but if the government can attempt to force us to buy health insurance through taxation for our own good, can they force us to buy a gym membership or get taxed? "Ah....you only checked in to your gym once last week and according to the logs, you only spent 20 minutes on the treadmill instead of the Cardiovascular Health Mandate required 45 minutes. That will be $25. It has automatically been deducted from your account." Where does it stop?

I can appreciate the motivation to try to help the uninsured and to improve the health of the less fortunate; it's a good cause. But, granting the federal government that much power over us isn't the way to do it. We were founded as a country based on freedom and I'm afraid the chipping away of those will lead to serious, serious consequences in the future [/tinfoil hat].

Either way, it is a tax. I don't really like the slippery slope ramifications either, but it is still a tax. I see it no different than a fine for not having car insurance.

The best way around this issues, though, would be single payer.
 

kinev

Golden Member
Mar 28, 2005
1,647
30
91
Either way, it is a tax. I don't really like the slippery slope ramifications either, but it is still a tax. I see it no different than a fine for not having car insurance.

The best way around this issues, though, would be single payer.

You put more faith in the government than I do if you want single payer. Want your healthcare handled by the post office? Removing a gall bladder is a little more complicated than mailing a letter and look at the waste, inefficiency, long lines, apathy, etc. that comes from the post office. How much worse would it be in a government run hospital system? Take the V.A. as an example...that mess is what federal bureaucracy run health care gets you. No, it's not perfect now, nor was it prior to the ACA, but giving Washington more control isn't the answer.

Either way, I'm glad we're both concerned about the slippery slope; it's a principle and not just an issue. Yeah, it's debatable about whether or not we will slide into a situation like that, I hope that if the day ever comes that it becomes a problem, the left and right can unite to stop it.
 

Thump553

Lifer
Jun 2, 2000
12,726
2,501
126
You put more faith in the government than I do if you want single payer. Want your healthcare handled by the post office? Removing a gall bladder is a little more complicated than mailing a letter and look at the waste, inefficiency, long lines, apathy, etc. that comes from the post office. How much worse would it be in a government run hospital system? Take the V.A. as an example...that mess is what federal bureaucracy run health care gets you. No, it's not perfect now, nor was it prior to the ACA, but giving Washington more control isn't the answer.

Either way, I'm glad we're both concerned about the slippery slope; it's a principle and not just an issue. Yeah, it's debatable about whether or not we will slide into a situation like that, I hope that if the day ever comes that it becomes a problem, the left and right can unite to stop it.

Just about every single other developed country in the world is doing fine with single payer systems-people get better delivery of medical services at a hugely cheaper cost and have more longevity. If we could get a single payer system that the GOP didn't spend every last bit of their effort trying to wreck (to prove that the government can run anything) we'd be way better off. As far as the government making healthcare decisions as opposed to huge for-profit insurance companies (which the GOP will drop regulation on to make them supposedly more competitive) give me the government any day of the week.

I stand by what I've said here many times before: abolish the employers' ability to deduct health care expenses so there is no incentive for employer provided insurance, abolish government employee health insurance and phase back military health insurance to active duty and disabled vets. That way a huge chunk of the country will feel the pain we self-employed do. If that happened I guarantee we'd have a good single payer system up and running within five years-probably for half the cost of what we pay now as a country.
 

zinfamous

No Lifer
Jul 12, 2006
110,806
29,557
146
Sorry, but it's not. The whole concept of "sin taxes" ( https://en.wikipedia.org/wiki/Sin_tax ) is to increase the price of undesirable behaviors (smoking and alcohol being the most common examples) AND to make money from addictive behaviors. Don't want to pay the mark-up on cigarettes? Don't buy them. It is a tax based on a purchase.

If the individual mandate penalty is a tax, as you propose, then it is levied if you DON'T purchase something. Totally opposite of what a sin tax is and the "broccoli argument" pretty much illustrates how it is an overreach by the government. Yes, it is a slippery slope argument, but if the government can attempt to force us to buy health insurance through taxation for our own good, can they force us to buy a gym membership or get taxed? "Ah....you only checked in to your gym once last week and according to the logs, you only spent 20 minutes on the treadmill instead of the Cardiovascular Health Mandate required 45 minutes. That will be $25. It has automatically been deducted from your account." Where does it stop?

I can appreciate the motivation to try to help the uninsured and to improve the health of the less fortunate; it's a good cause. But, granting the federal government that much power over us isn't the way to do it. We were founded as a country based on freedom and I'm afraid the chipping away of those will lead to serious, serious consequences in the future [/tinfoil hat].

If you look at it from that perspective, sure, but look at it from the purpose of the tax: influencing behavior. whether or not is through "purchasing the bad behavior" is irrelevant. If the tax is levied against the bad behavior, is what is important.

So, yes, you are still taxing/purchasing the bad behavior. Not having health insurance is very bad behavior (it means the cost to fix you is going to be disastrously higher for you, and there is no way around that--just like over-indulgence in cigs and booze)
 

zinfamous

No Lifer
Jul 12, 2006
110,806
29,557
146
You put more faith in the government than I do if you want single payer. Want your healthcare handled by the post office? Removing a gall bladder is a little more complicated than mailing a letter and look at the waste, inefficiency, long lines, apathy, etc. that comes from the post office. How much worse would it be in a government run hospital system? Take the V.A. as an example...that mess is what federal bureaucracy run health care gets you. No, it's not perfect now, nor was it prior to the ACA, but giving Washington more control isn't the answer.

Either way, I'm glad we're both concerned about the slippery slope; it's a principle and not just an issue. Yeah, it's debatable about whether or not we will slide into a situation like that, I hope that if the day ever comes that it becomes a problem, the left and right can unite to stop it.

well, that sounds like your problem, then. The rest of the developed world has figured this out. If conservatives weren't so addled by the previous decades of GOP thoughtspeak, this country would have managed to progress into fixing more complicated problems. But here we are, stuck on arguing a rather accepted truism that healthcare in our current age of modern medicine and technology is problem that has long been solved.

But not in the US...because we are jealous of countries like, I dunno, Qatar? lol--they probably have way better Healthcare than us. Oh, and slaves. They still employ slave labor.
 
Reactions: Azuma Hazuki

[DHT]Osiris

Lifer
Dec 15, 2015
14,609
12,733
146
You put more faith in the government than I do if you want single payer.
You put faith in the government to maintain the largest road infrastructure in the world, the most advanced space program in the world, the most complex military in the world, and give birth to more inventions that I care to count (to include the goddamned internet you're using right now), but you're concerned about their ability to take money from people via a tax and give it to hospitals in an orderly fashion? Where are you getting this notion from? In what country do you live, exactly?
 

kinev

Golden Member
Mar 28, 2005
1,647
30
91
Just about every single other developed country in the world is doing fine with single payer systems-people get better delivery of medical services at a hugely cheaper cost and have more longevity. If we could get a single payer system that the GOP didn't spend every last bit of their effort trying to wreck (to prove that the government can run anything) we'd be way better off. As far as the government making healthcare decisions as opposed to huge for-profit insurance companies (which the GOP will drop regulation on to make them supposedly more competitive) give me the government any day of the week.

I stand by what I've said here many times before: abolish the employers' ability to deduct health care expenses so there is no incentive for employer provided insurance, abolish government employee health insurance and phase back military health insurance to active duty and disabled vets. That way a huge chunk of the country will feel the pain we self-employed do. If that happened I guarantee we'd have a good single payer system up and running within five years-probably for half the cost of what we pay now as a country.

There are varying levels of fine. This is an issue that we just won't agree on. Nobody is traveling to Canada or anywhere that has single payer healthcare for the best treatment; they come to the U.S. I do not begrudge you looking out for your best interest as someone who is self-employed. I've seen some premiums from self-employed people and they are ridiculous! We do need to fix the system, but, again, I don't see giving the government the reigns as the best way.

If you look at it from that perspective, sure, but look at it from the purpose of the tax: influencing behavior. whether or not is through "purchasing the bad behavior" is irrelevant. If the tax is levied against the bad behavior, is what is important.

So, yes, you are still taxing/purchasing the bad behavior. Not having health insurance is very bad behavior (it means the cost to fix you is going to be disastrously higher for you, and there is no way around that--just like over-indulgence in cigs and booze)

I agree, that not having insurance (at least catastrophic protection) is terrible behavior. But, that's the thing...I think we, as competent adults, SHOULD be able to make terrible decisions. It's not up to the government to dictate what is best for me. The second I give them that ability, they have control. The term "nanny state" is thrown around often, but it seems like more and more people are willing to give the government that power over their lives.

The fact that it's a "tax" on something we don't do is not just relevant; it's essential. It's a method for control. It's economic coercion. It's making us do what they want. Again, it is a slippery slope argument, but I am not comfortable granting the government the power to decide what is best for me because what if they change their minds about what "best" means. I get that others are (or don't see it as a threat), but I am just not willing to. It's the same argument as granting more power to executive; a lot of people on the left supported Obama's "I've got a pen and I've got a phone" approach. We railed against that and the left supported it. Now that Trump is President, a lot on the left want to limit his power to use executive orders. Good! We should! Let's unite on that and agree that the President shouldn't have that much power over our lives. Let's unite on that concept; not on the personality in the executive office!

well, that sounds like your problem, then. The rest of the developed world has figured this out. If conservatives weren't so addled by the previous decades of GOP thoughtspeak, this country would have managed to progress into fixing more complicated problems. But here we are, stuck on arguing a rather accepted truism that healthcare in our current age of modern medicine and technology is problem that has long been solved.

But not in the US...because we are jealous of countries like, I dunno, Qatar? lol--they probably have way better Healthcare than us. Oh, and slaves. They still employ slave labor.

I think we just see this differently. I may be too paranoid about government overreach [checks for black helicopters outside], but so were our founders. That's why they set the U.S. government up how it is: so there would be those checks and balances to prevent us becoming what we just fought a war against (tyrannical government). I'm an adult; I don't need Big Brother telling me what's good for me or what I should do.

We agree that healthcare is full of problems; just not on the solution. The rest of the world doesn't have it figured out and more often than not adopt a two tiered system: the public system and private (good) health care. It's an insanely complex issue and the fact that the post office or the DMV (yes, it's not federal) have become punch lines just illustrate the inefficiency of government programs. I just don't see how people would want Washington in charge of health care...
 

kinev

Golden Member
Mar 28, 2005
1,647
30
91
You put faith in the government to maintain the largest road infrastructure in the world, the most advanced space program in the world, the most complex military in the world, and give birth to more inventions that I care to count (to include the goddamned internet you're using right now), but you're concerned about their ability to take money from people via a tax and give it to hospitals in an orderly fashion? Where are you getting this notion from? In what country do you live, exactly?

I really don't put faith in them to do it correctly, no. Barring the fact that most roads in the US are managed by the states or municipalities, ever seen workers on a highway where 8 are standing around watching one guy work? It's a meme for a reason. That's not even getting into the crony capitalism and corruption that is rampant in the highway system.

Space system? Such a small part of the budget, but yeah, still a lot of inefficiency there. Ask yourself why Elon Musk and Space X are doing more amazing things with technology at a fraction of the cost spent by the feds. Is privatization the answer to everything? No, but there needs to be incentive in the federal government to be more efficient.

Military? Still a lot of wasteful spending, but breaking and killing is many, many times easier than healing...and the government screws up the former regularly. Internet? Are you calling for the government to take control of the internet and manage it? No, I wouldn't be for that, either. That being said, the private sector has come up with exponentially more inventions than the government, so that's not even a close comparison. I'm not an anarchist, so I recognize the government's job to set conditions in which it's citizens can operate and then get out of the way. There is a balance and I think we just disagree on what that balance should be.

Yes, I am questioning the federal government's ability to manage single payer healthcare. I live in the US where picking up an envelope, driving it across town, and dropping off said envelope can result in astronomical wait times, errors, and no accountability. Do I want a post office like system to schedule and perform an emergency appendectomy? No, and I really don't see why you would want them to.

Again, I just don't think we'll agree on this. You want the government to manage healthcare (not to put words in your mouth) and I don't think they can manage it well. Yes, I am extremely skeptical of any government's ability to run my life, but I recognize there are some things that they should be doing.
 

[DHT]Osiris

Lifer
Dec 15, 2015
14,609
12,733
146
I really don't put faith in them to do it correctly, no. Barring the fact that most roads in the US are managed by the states or municipalities, ever seen workers on a highway where 8 are standing around watching one guy work? It's a meme for a reason. That's not even getting into the crony capitalism and corruption that is rampant in the highway system.

Space system? Such a small part of the budget, but yeah, still a lot of inefficiency there. Ask yourself why Elon Musk and Space X are doing more amazing things with technology at a fraction of the cost spent by the feds. Is privatization the answer to everything? No, but there needs to be incentive in the federal government to be more efficient.

Military? Still a lot of wasteful spending, but breaking and killing is many, many times easier than healing...and the government screws up the former regularly. Internet? Are you calling for the government to take control of the internet and manage it? No, I wouldn't be for that, either. That being said, the private sector has come up with exponentially more inventions than the government, so that's not even a close comparison. I'm not an anarchist, so I recognize the government's job to set conditions in which it's citizens can operate and then get out of the way. There is a balance and I think we just disagree on what that balance should be.

Yes, I am questioning the federal government's ability to manage single payer healthcare. I live in the US where picking up an envelope, driving it across town, and dropping off said envelope can result in astronomical wait times, errors, and no accountability. Do I want a post office like system to schedule and perform an emergency appendectomy? No, and I really don't see why you would want them to.

Again, I just don't think we'll agree on this. You want the government to manage healthcare (not to put words in your mouth) and I don't think they can manage it well. Yes, I am extremely skeptical of any government's ability to run my life, but I recognize there are some things that they should be doing.
Well, the private sector has done such a stellar job with the healthcare system, why not just let them continue to exploit it? You specifically state that it needs to be fixed, but then go on to state that the only other entity which could (the government) should stay out of it, that makes no sense.

By the way, from your list:
Roads: Those guys standing around are contracted, probably by the hour. Private sector.

Space: Yep, inefficient, mostly by design from congresscritters. Still doesn't change the fact that private orgs would NOT have done the R&D to make it happen.

Military: Yep, lots of wasteful spending, find a way to make it cheaper, and the govt will pay you big cash.

Post office is accountable if you pay for accountable shipping. Cheap shit is for garbage mail. Pay for tracking.
 

kinev

Golden Member
Mar 28, 2005
1,647
30
91
Well, the private sector has done such a stellar job with the healthcare system, why not just let them continue to exploit it? You specifically state that it needs to be fixed, but then go on to state that the only other entity which could (the government) should stay out of it, that makes no sense.

By the way, from your list:
Roads: Those guys standing around are contracted, probably by the hour. Private sector.

Space: Yep, inefficient, mostly by design from congresscritters. Still doesn't change the fact that private orgs would NOT have done the R&D to make it happen.

Military: Yep, lots of wasteful spending, find a way to make it cheaper, and the govt will pay you big cash.

Post office is accountable if you pay for accountable shipping. Cheap shit is for garbage mail. Pay for tracking.

It does need to be fixed, but I don't see single payer as the answer. False dichotomy: leave healthcare how it is or single payer. I said it's a complex issue and there are many other options of fixing it besides single payer.

Yes, contracted out and paid by the federal and state governments, often with kickbacks, graft, nepotism, etc. See above "That's not even getting into the crony capitalism and corruption that is rampant in the highway system".

We agree that it's inefficient mainly because of Congress; that's great! I don't know what would have happened; maybe we'd be in the stone age or maybe we'd be driving flying cars by now. I do know that it seems, today, that Space X is doing amazing things with much, much less money and much, much more red tape compared to NASA. Who knows, they might fail and go bankrupt. But, that would mean Musk "wasted" his money not mine and yours. I'm Ok with that.

We agree on wasteful spending in the military, too! I'm all for making it cheaper and even scaling it back wholesale.

True, the post office is accountable if I send something certified. But, I have had them lose a certified letter before (sent to me; not from me). Yeah, they're accountable for that lost letter, but I don't want the government to be accountable for performing an adenoidectomy instead of an appendectomy. "Well, his appendix burst and he died waiting for another surgery...sorry. Sue? HA! We're the federal government; good luck!" The consequences are too severe to let them handle it, in my opinion. (yes, private sector health care makes mistakes, too, but they are often accountable for them)

Do you think CongressCritters won't make healthcare inefficient, too? Again, I do not have that faith in them.
 
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