Wednesday, January 4, 2017

It is healthcare, not a health insurance that is needed

In common with many, I was disappointed with the affordable care act. The Democrats had a great opportunity but lacked resolve. They did not pass the public option aspect of paying for healthcare. Undoubtedly, many were scared off by the effective insurance industry charge of 1992 the 1993. So, the Democrats adopted what was essentially the Republican counterproposal in 1993 one of the great missed opportunities of all-time.

Now, republicans are up to bat. They tend to talk mostly about better health insurance as opposed to healthcare. They are perhaps the most mendacious group of politicians in our history from day one they call the affordable care act a job killer which it clearly was not. They seized upon Obama's statement that if you like your Health insurance you can keep it. Why none of his handlers inserted the simple statement" for the vast majority of Americans" in front of that phrase I'll never know.

The Republicans led by Paul Ryan and Mike Pence are claiming the affordable care act was an unmitigated disaster. The response of the Democrats should be simple. If it is a total disaster as you say, why not just repeal it? Return to the status quo ante of the Bush administration. Nobody should be unhappy. The Republican answer will be some sort of nonsense about driving down the cost of health insurance by market forces and competition. They apparently have never looked at the demand curve nor the fact that in many states market share is our highly concentrated. They also seem to ignore the fact that the cost of healthcare is at the provider level. At this juncture, all health insurance does is provide an administrative cost approximately 15% more than Medicare. The insurance payment scheme is a dinosaur. Health insurance is not really an insurance product anyway. One ensures against costs which may arise. Other than those who have a swift and sudden death, everyone will have health costs and they will largely occur later in life. Paying for healthcare needs to be similar to social security. Everyone should pay over a lifetime including while they are healthy.

In Mike Pense/s state of Indiana, With the blessing of the administration they were allowed to adopt a Medicaid expansion plan but call it Indiana care. It has worked well and incorporates many of the methodologies built into the affordable care act to lower provider costs and make healthcare providers responsible for results instead of the number of procedures. Oddly enough, Pence. doesn't mention this.

I repeat. The Democrats should simply say if it is as bad as you say repeal it, obviously nobody would care and would be happy to return to the wonderful days I'll healthcare under the Bush administration.

No comments:

Post a Comment