Originally Posted by Jason R
Sorry Ron Paul, hands off approach is not going to work this time. What about the many who will never be able to afford health care, or at best be underinsured? That's my age group; people in my age range tend to be at risk of this the most.
You're right Jason, but I think that most Americans would not be willing to pay the price that's necessary to insure everyone.
I believe that everyone in America should have access to health care. But this is not the same as health insurance.
You can't give
everyone in America health insurance, because by definition, insurance is something that you pay for. Not everyone in America can pay for health insurance. Then, if you subsidize health insurance to some, but not others, then you are discriminating insurance availability based on income or class. You will also end up forcing people to buy levels of insurance that they don't want to keep everything equal. Americans will NEVER approve of this.
The only *simple* way to give everyone health care, is also something that Americans will NEVER approve of. That is to eliminate the private health insurance concept and give everyone free health care, paid for by a large tax increase. (Like many countries do) This would probably work from an administrative standpoint, but I personally don't like it for this reason:
I don't have as much of a problem with higher taxes, or the Federal government regulating or providing health insurance
. But I have a HUGE problem with the Federal government providing health care
. One of the basic principals of humanity is never give a central government power to provide something that you wouldn't want them to have the power to withhold.
Even though the American form of ferderalist republic government is more highly resistant to abuse of powers than any other system in the world, that principle should still hold.
I personally believe that health insurance policy should be provided on a state level, with the federal government regulating states to ensure that they are insuring all of their residents. Medicaid and Medicare should be eliminated completely. Each state should have a plan to collect taxes and offer coverage to every resident regardless of age or income, they should be able to regulate in-state private insurers and offer competing plans. Each state should regulate (with Federal oversight) medical malpractice laws for doctors practicing in their state.
This does several things:
- Gives 50 "testing grounds" for differing health insurance legislative policies, allowing us to see which systems work the best. The states that come up with better systems can be copied by other states.
- Introduces competition between states. States that have more attractive health insurance legistlation will attract more doctors, business, and residents. This will be more than enough incentive for states to keep their policy efficient.
- Lower Federal costs by raising state costs. State taxes will increase while Federal taxes should decrease. Distributes the incredible overall burden of reform to more manageable chunks.
- Reduces the burden of legislation at the Federal level, but allows them input by setting minimum standards for regulation.
However, I can't see this happening in a million years either, because states are so deep in debt right now, that few if any could possible take on this big of an undertaking, nor could they afford it if they wanted to. I also can't see Congress or the President letting go of this issue, because the outcome is so politically important to the careers of these people. I also don't think most Americans will go for it, because they seem to trust the federal government more than state governments.
The point is: I don't see anything good happening anytime soon, because nobody is willing to make the sacrifices necessary for long term, effective reform.