Why a health care mandate is essential

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cubeless

Diamond Member
Sep 17, 2001
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You clearly don't understand the legislation. Under the proposed plan, a floor-level plan would be defined that all insurance companies must offer. Every company in each state would compete on price with every other insurance company in that state. Company's would also be free to offer more robust plans for higher cost. You, as a consumer, would be free to purchase the lowest-cost floor-level plan, or any higher-level plan, from anyone you wanted.

and then what happens when everyone takes the lowest coverage, and then has a problem beyond the coverage? we get sad stories of bocare bankrupting people? and people with $1000 a month drug req's for pre-existing conditions will be able to buy a plan that 's cheaper than their known net expense?

there's just a couple little details that need to be ironed out, but there always are, so that shouldn't stop this...
 

Patranus

Diamond Member
Apr 15, 2007
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You clearly don't understand the legislation. Under the proposed plan, a floor-level plan would be defined that all insurance companies must offer. Every company in each state would compete on price with every other insurance company in that state. Company's would also be free to offer more robust plans for higher cost. You, as a consumer, would be free to purchase the lowest-cost floor-level plan, or any higher-level plan, from anyone you wanted.

So what is stopping any state from doing this right now?
 
May 16, 2000
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What do you mean "bull"?

In a single state there can be hundreds of insurance companies offering thousands of plans all competing with each other.

Maybe you are too lazy as a consumer?

If you state has a limited number of companies that is the fault OF YOUR STATE LEGISLATURE and the politicians YOU VOTED FOR.

If you think that a company can move into your state and offer a more competitive product, maybe you should start your own insurance company?

See, the fact of the matter is that people like you are too lazy to find a solution and would rather sit back and let someone else do all of the work and then bitch about and a whine to the government to do something.

They must be offering roughly equivalent options or the obvious best would quickly rise to dominate the market and push all others out of business. The truth is that there is VERY little difference in products. The only caveat is that IF you have significant resources you can generally get a product providing better service, but only with a corresponding increase in price. All of the options available to a person of a particular income level are roughly equivalent to one another.

Except that I served my country, campaign for change, work with legislators, educate myself and those around me, etc. The fact of the matter is that people like you want all the benefits and none of the costs associated with living in a society.
 

Ozoned

Diamond Member
Mar 22, 2004
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We need to either get rid of private insurance, or get rid of government insurance. The blend is what doesn't work.

If mandating passes the constitutional muster, then I have no problem with it. The millions that have the ability to self-insure might.
 

Patranus

Diamond Member
Apr 15, 2007
9,280
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The fact of the matter is that people like you want all the benefits and none of the costs associated with living in a society.

Huh? I pay the costs for living in society. I pay for my own health insurance.

People like you want other people to pay for their cost of being in society.

See the difference?
 
May 16, 2000
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Not every form of cost-shifting is morally equal. If the two of us are in the same insurance risk pool, and you happen to get sick, I may have to pay higher premiums. More than likely you getting sick wasn't your fault (although it conceivably might have been). However, if I am in a risk pool and you are uninsured, then you get sick and receive free care that I have to pay for, then I am being penalized because you made a willful decision to not be covered.

Your zero sum argument is off point. What is zero sum is the total cost of treating everyone, insured or uninsured. What is not zero sum is the average cost of healthcare premiums for those who are actually insured. Those premiums are padded because people without insurance receive FREE (i.e. un-reimbursed) care. Basically, the people not insured are leaching off those who are.

- wolf

Not at all. In any instance we're both paying for everyone. With us both covered we're both paying premiums which are based on an amount set by a group that chooses the cost based on available capital...meaning the costs will go up the more people that get coverage purely because there's that much money being held by insurers for reaping by them so they can get away with it. We both also pay taxes. Nothing says the amounts are equal, because we may not earn the same, may live in different cost of living areas, etc. But in theory, we're already paying into a pool for everyone, not paying for ourselves.

If you're paying premiums and I'm not, your premiums don't go up based on my non-payment, and in fact go down because the available capital pool is less (ie drug manufacturers can ONLY charge what it's possible to be paid, or they go out of business) AND the overhead and required services are less. Either I have to pay my costs myself (impossible because costs are based on a collective capital pool and not individual ones), or they get shifted to financial institutions (if I take loans) or a combination of the providers and the government. That means a slight increase in frontline costs, a slight increase in financial cots, a slight increase in taxes, but lower or stagnant insurance rates. I suffer the same increases as you do, but get none of the benefits.

If neither of us has insurance then we both have more money to begin with. Costs go down significantly because capital is reduced to individual levels. If the government provides care then taxes go up, if we're responsible then our costs go up. If care is out of reach then everyone's costs go up for law enforcement property insurance, etc.

The point is, you're not really paying much more for people who are uninsured, and wouldn't be paying ANY more if there were no insurance pools to throw the system out of equilibrium. Not only that, you're already paying for other people because your insurance pays for everyone else who has it, not just you. There is NO appreciable change in who or what you pay based on insurance coverage so long as insurance exists.

The evil inherent in the system is the EXISTENCE of insurance, not the number of uninsured.
 

Ozoned

Diamond Member
Mar 22, 2004
5,578
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Huh? I pay the costs for living in society. I pay for my own health insurance.

People like you want other people to pay for their cost of being in society.

See the difference?

If you follow the line of thinking in th OP, We already pay for those that are unwilling or unable to pay. The dirty little secret under the proposed legislation, is that nothing will change in WHO pays for it. (People that have the money.) What changes is that the people that allow 60 billion in medicare fraud per year to occur now, will have MORE control.
 

cubeless

Diamond Member
Sep 17, 2001
4,295
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They must be offering roughly equivalent options or the obvious best would quickly rise to dominate the market and push all others out of business. The truth is that there is VERY little difference in products. The only caveat is that IF you have significant resources you can generally get a product providing better service, but only with a corresponding increase in price. All of the options available to a person of a particular income level are roughly equivalent to one another.

Except that I served my country, campaign for change, work with legislators, educate myself and those around me, etc. The fact of the matter is that people like you want all the benefits and none of the costs associated with living in a society.

this is such bullshit... wtf is the difference between the 27 brands of $1.99 deodorant on the shelf at the grocery store? the difference is that 27 companies can compete to sell you the same thing in america! and wtf is different about the 'options available to a person of a particular income level' when they go to the grocery store or to buy a car? they get to choose from things that they can afford...

so we give everyone some level of catastrophic coverage, then what? we get sad stories about people who that doesn't fix... so in the end we legislate the pinnacle of technology to everyone? and people with more $$$ (like liberal liver grabber steve jobs?) have to be legislated against so that they don't get any better/quicker service than the proletariat?
 
May 16, 2000
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Huh? I pay the costs for living in society. I pay for my own health insurance.

People like you want other people to pay for their cost of being in society.

See the difference?


You haven't understood anything I've written if you can say that. I already said I'm 100% behind total single payer health care. If that's refused, THEN I said I can accept 100% government provision because the costs end up the same - you just pay the government instead of the provider. What I will NOT accept is forced payment into a corrupted private system.

Furthermore we ALL already pay the costs of being in society. If you want to live in a country you MUST pay the government for them to provide the services they do (military, diplomacy, trade, infrastructure, etc). If you refuse to provide something required for life (say medical care access) then those who are without it will seek to attain it through means which will increase other of your costs into the system (like law enforcement).

NOTHING you can do in a society will allow you to pay ONLY for yourself. You pay for everyone, or you get out. This is true of ALL governments/nations since the dawn of time.
 

cubeless

Diamond Member
Sep 17, 2001
4,295
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You haven't understood anything I've written if you can say that. I already said I'm 100% behind total single payer health care. If that's refused, THEN I said I can accept 100% government provision because the costs end up the same - you just pay the government instead of the provider. What I will NOT accept is forced payment into a corrupted private system.

Furthermore we ALL already pay the costs of being in society. If you want to live in a country you MUST pay the government for them to provide the services they do (military, diplomacy, trade, infrastructure, etc). If you refuse to provide something required for life (say medical care access) then those who are without it will seek to attain it through means which will increase other of your costs into the system (like law enforcement).

NOTHING you can do in a society will allow you to pay ONLY for yourself. You pay for everyone, or you get out. This is true of ALL governments/nations since the dawn of time.

and the gov't outsources the admin of the program to a private company...
 
May 16, 2000
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this is such bullshit... wtf is the difference between the 27 brands of $1.99 deodorant on the shelf at the grocery store? the difference is that 27 companies can compete to sell you the same thing in america! and wtf is different about the 'options available to a person of a particular income level' when they go to the grocery store or to buy a car? they get to choose from things that they can afford...

so we give everyone some level of catastrophic coverage, then what? we get sad stories about people who that doesn't fix... so in the end we legislate the pinnacle of technology to everyone? and people with more $$$ (like liberal liver grabber steve jobs?) have to be legislated against so that they don't get any better/quicker service than the proletariat?

Just as you say, there is no appreciable differences in the products or services you receive at a given income level. If that prices out a portion of the society then they either must be given an alternative, or they will go outside the system to obtain it at the cost of the society which priced them out. This is the nature of crime, revolution, etc. In the end, you'll pay the price in some other way.

Costs of living in a society are set and absolute...the only difference is rather you slate them for positive, humanitarian ends, or self-serving evil ones.
 

cubeless

Diamond Member
Sep 17, 2001
4,295
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Just as you say, there is no appreciable differences in the products or services you receive at a given income level. If that prices out a portion of the society then they either must be given an alternative, or they will go outside the system to obtain it at the cost of the society which priced them out. This is the nature of crime, revolution, etc. In the end, you'll pay the price in some other way.

Costs of living in a society are set and absolute...the only difference is rather you slate them for positive, humanitarian ends, or self-serving evil ones.

dude... you are nuts... sorry, but how the hell do you come up with "Costs of living in a society are set and absolute"??? people make decisions on what they are willing to do to generate revenue, what they spend their (scarce) resources on... there is a large subset of those 'needing' things who need to learn that you prioritize funding what's important to you.

if you choose to spend your acquired resources on tv's and cellphones and excessive food and... then why should i subsidize you?

that people who have limited resources don't manage them well or appropriately shouldn't be my burden. the question is just how much do i owe them?

and does your last sentence mean get rid of the military and such and spend that $$$ on nice things?
 
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May 16, 2000
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dude... you are nuts... sorry, but how the hell do you come up with "Costs of living in a society are set and absolute"??? people make decisions on what they are willing to do to generate revenue, what they spend their (scarce) resources on... there is a large subset of those 'needing' things who need to learn that you prioritize funding what's important to you.

if you choose to spend your acquired resources on tv's and cellphones and excessive food and... then why should i subsidize you?

that people who have limited resources don't manage them well or appropriately shouldn't be my burden. the question is just how much do i owe them?

For a government to exist, it must have representatives. Those representatives require employees. If you will engage in diplomacy you must have suitable staff. If you will have a military you must pay soldiers. If you will have a transportation system you must build roads, etc. If you will allow commerce you must create regulatory personnel. If you will have citizens you must have laws, and therefore courts with all their required personnel. That also speaks of law enforcement and prison requirements. If you wish you people to be safe you must provide certain other infrastructure requirements (fire departments, emergency services, security, etc).

This all requires a set amount of money as a minimum. You have no choice but to pay for it through taxation, or get out. If you don't want those costs to increase then you must legislate for zero population growth, and zero inflation. Good luck on that. So now we know that these costs will increase as the population does.

The question before us is health care. I think most would agree that in many/most cases it is a requirement for survival. Not luxury, just mere survival. You want everyone to pay a 3rd party for it, but not everyone can afford that (and NOT just because they're bad with money, but due to systemic reasons and the very nature of capitalism as a classed society). If someone is priced out of receiving it, they will obtain it through channels which increase other costs you MUST pay until they are at least the same as just biting the bullet and accepting that health care is one of those infrastructure services which all governments must provide, OR enforcing systemic options and regulations that make it possible for nearly all citizens to pay for their own health care without the governments help.

Those are the two options that can work long term: Government pays it all, or individuals are given a system in which they can. I'm fine either way because the costs are the same, though I'd prefer the personal responsibility system for reasons of liberty.
 
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Zorkorist

Diamond Member
Apr 17, 2007
6,861
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By long term, I think you are making things up, because history shows us that people used to work, love, and get health care, withouy being indebted to the Government or insurance companies.

By long term, I guess you mean 14 year olds, are in the "system."

Go ahead and take from the young to feed your insatiable appetite for power.

-John
 
Oct 30, 2004
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ummm, let's just make it more simple: there will be a new tax that everyone pays for healthcare... "mandate" is an obfuscation, it's a tax...

the problem, of course, is that a huge number of the proletariat already pays no tax, so they will not contribute but will receive services (and lots more than the 'emergency room' argument)... this is going to severely burden the system for a long time and cost a ton of new money (cut the bullshit about how wonderfully economical medicare/cade is vs private ins, it just ain't true)...

Cubeless
, what is your plan for the Proletariats? Is it, "Don't get sick, and if you do, die quickly?"

Is it possible that those evil socialist Proletariats don't have money to pay for health care and taxes in spite of working full time at poverty-wage and low-wage jobs because the upper classes are not paying them enough compensation for their labor?

Maybe if the upper classes who pay the taxes hadn't sent all the frickin jobs to Mexico, India, and China, hadn't imported foreigners on H-1B and L-1 visas to displace Americans from knowledge-based jobs, and hadn't imported millions of poor immigrants to displace them from working class jobs and to put downward pressure on wages those people would earn enough to pay some taxes.
 
Oct 30, 2004
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What you fail to see is that there is no choice if the only option is the government. With private insurance, I have a choice between hundreds of insurance companies all competing and providing different products. If an insurance company does not provide the level of service that I expect I can take my business elsewhere.

You only have a choice if you can afford it and if those companies will choose to cover you.
 

paperfist

Diamond Member
Nov 30, 2000
6,517
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www.the-teh.com
People should not be allowed to "opt out" of health insurance because they're not REALLY assuming the risks of their decision. If they or their dependents require treatment they cannot afford, taxpayers and those who do pay for treatment (either directly out of their own pockets or indirectly via insurance premiums) MUST foot the bill in the form of inflated premiums and inflated fees for health services. The rest of us don't have the luxury of "opting out" of paying for those who aren't covered and can't pay.

If you argue, "Let them bleed to death," you know you're being absurd. Furthermore, are you really going to let a young child bleed to death because her parents "assumed the risks" of not being covered?

I don't know where you live, but children in NY are already covered by health care for little or no cost so they won't be 'bleeding to death'.

Also in NY anyone defined as 'poor' are already covered by free health care. The rich, I assume they can afford their own or have it provided for them by the company they work for.

So as a middle class citizen I'm already paying for the poor people's health care and health care for children while they pay nothing.

So now you're telling me I shouldn't be able opt out and instead should be taxed even further then I already am? Great idea.

Look I don't have health care. I get sick I go see the doctor and pay out of pocket. Guess what I get charged 25% less then what would have happened if I had insurance. That cost everyone around me $00.00 while health care for 'everyone' is going to cost me a bundle and afford me no different coverage then anyone else.
 

cubeless

Diamond Member
Sep 17, 2001
4,295
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Cubeless
, what is your plan for the Proletariats? Is it, "Don't get sick, and if you do, die quickly?"

Is it possible that those evil socialist Proletariats don't have money to pay for health care and taxes in spite of working full time at poverty-wage and low-wage jobs because the upper classes are not paying them enough compensation for their labor?

Maybe if the upper classes who pay the taxes hadn't sent all the frickin jobs to Mexico, India, and China, hadn't imported foreigners on H-1B and L-1 visas to displace Americans from knowledge-based jobs, and hadn't imported millions of poor immigrants to displace them from working class jobs and to put downward pressure on wages those people would earn enough to pay some taxes.

i'll start from the bottom and work my way up...

so we tell all the foreign manufacturers who've set up plants here that they have to shut them down and go manufacture somewhere else?

and just like you vote for politicians, if you wanted to stop the outsourcing of jobs you could vote with your pocketbook and not patronize outsourcers... people have voted that they want cheap stuff... vincente fox was right, americans are too good for the shit jobs that our poor immigrants do...

and we have programs for the poor, etc... these could be expanded from the bottom up to include more people, but the waste and fraud in them is so immense that they can't be scaled... as an aside, my company could probably reduce the waste and fraud by huge amounts in a short period of time, but that's not an imperative of the programs...

and i never said that the proletariat was evil... they are just a fact of life... i just would like to understand what level of stuff everyone is going to get and how it's going to be facilitated...
 
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GuitarDaddy

Lifer
Nov 9, 2004
11,465
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1) Let the government figure out how to reduce Health Care costs.

2) Let the government figure out how to then take the savings on Health Care Costs and channel it into providing minimal insurance coverage for those that presently do not have it.

3) Let the government the force the insurance companies to remove pre-existing conditions because their costs have come down (See #1)



Auto insurance is a requirement due to the priviledge of using an automobile granted by the state.

Health Insurance can be made a mandate of employers - however, a minimum level of employees should be set and/or a gross income requirements


The only thing I gather from your rambling "let the government" bullet points is you must support a completely government controlled single payer system? Or your one of those that believe you have the right to be irresponsible and let everyone else pay for your healthcare and are just trying to spin it so you don't sound selfish? Which is it?
 

GuitarDaddy

Lifer
Nov 9, 2004
11,465
1
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Look I don't have health care. I get sick I go see the doctor and pay out of pocket. Guess what I get charged 25% less then what would have happened if I had insurance. That cost everyone around me $00.00 while health care for 'everyone' is going to cost me a bundle and afford me no different coverage then anyone else.

Your argument goes to shit the minute your in a car accident, or have a heart attack, or come down with cancer and the bill jumps exponentially way past anything you can afford in just a few days. THEN YOUR SPENDING MY MONEY because you were irresponsible and decided you didn't need insurance coverage.

And not everybody lives in a state that has a state program to cover underage children, so that argurment is hollow as well
 

EagleKeeper

Discussion Club Moderator<br>Elite Member
Staff member
Oct 30, 2000
42,591
5
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1) Let the government figure out how to reduce Health Care costs.

2) Let the government figure out how to then take the savings on Health Care Costs and channel it into providing minimal insurance coverage for those that presently do not have it.

3) Let the government the force the insurance companies to remove pre-existing conditions because their costs have come down (See #1)



Auto insurance is a requirement due to the privilege of using an automobile granted by the state.

Health Insurance can be made a mandate of employers - however, a minimum level of employees should be set and/or a gross income requirements


The only thing I gather from your rambling "let the government" bullet points is you must support a completely government controlled single payer system? Or your one of those that believe you have the right to be irresponsible and let everyone else pay for your health care and are just trying to spin it so you don't sound selfish? Which is it?

I do not want a single government control.

The government at this point has made a bold statement that there must be Health Care Reform.
But they have yet to fully define what it is.
What presently is being bandied about is to create a larger insurance pool of people by including those that can not afford insurance.
To do that , the government is proposing to penalize those that have insurance (less any under table deals) to cover the latter group. Another take from Peter to help Paul.

Many of the Pauls can not afford insurance at present - how are going to they be able to if this UHC is implimented. Unemployment payments barely covers the food/housing costs if that and usually makes one inelgible for other government assistance. Those that are working but can not afford $50/wk of medical coverage still will not be able to. They will have to go to the ER/Clinics. A $10-20 copay to see a clinic and/or get a perscription when sick is much easier to work with than losing $50/wk out of a paycheck and still have to cover the copays for visits and medicine.
CORBA coverage is great when you only have to support oneself and have no other bills.
When you income is cut in half or less, then the CORBA becomes to much aof a luxury.

This "Health Insurance Reform" does not control costs - it just shifts it around. Increasing the insured pool will bring in those that do not need it (at present) along with those that could not get it (price/pre-conditions).

Going back to my bullet points.
  • Let the government figure out how to get the overall costs of health care down.
  • Then the savings can be used to cover the Health Insurance Reform (which is NOT Health Care Reform).

Attempting to shift the current cost structure around is not going to fix the problem - just sweeping the dust from one corner to another - not even under the rug.
 
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