"Choice" is the biggest red herring in this whole debacle. "Choice" is
meaningless if the choices available don't do you any good. In many
states you have a choice between methods of execution. You could be
electrocuted or die by lethal injection. Whooppie! But what if you
didn't want to die? Oh, well, sorry, that's not a choice.

Yes, you can choose private insurance right now. Or rather, you can
choose to try and get private insurance. Ever tried doing that? I
tried getting coverage through BCBS for my family with individual
under writing. They wouldn't do it. Know why? Because my wife has a
history of back problems. That's it. I was 34, she was 30, 1.5 year
old kid. No cancer, no heart disease, we aren't smokers. Educated,
white, lower middle class, honestly about the lowest risk pool you can
find. But they wouldn't underwrite us because she told the truth on a
questionnaire about being seen for back problems that were never fully
resolved because, well, her back still hurts sometimes. Oh and she
gets migraines. But mostly they didn't like the unresolved back
problems.

It is virtually impossible to tell the truth and get individual
underwriting in the United States. If you do, it will almost assuredly
be really crappy health insurance (talk to me about my plan through
Mega Life and Health that didn't even cover well child check ups so we
had to get immunizations through the county clinic) and it will be
really really expensive. Can't afford $500, $700, $1,000 a month in
premiums? Then guess what, its not a choice.

Only a very few lucky individuals in the current system get any
meaningful choices. And those are often the people that need the
system least anyway. Choice is the very last thing I'm going to worry
about in the health care debate. Get affordable coverage out to
people. Then we can talk about choice.

Judah

On Mon, Feb 16, 2009 at 11:25 AM, Cameron Childress <[email protected]> wrote:
>
> On Mon, Feb 16, 2009 at 2:10 PM, Larry Lyons <[email protected]> wrote:
>> Not really. Most people get their health coverage through their employer. 
>> They
>> cannot change coverage until the current year's coverage period ends. 
>> Therefore
>> you don't have a market choice here.
>
> I see alot of choice there.  You choose your employer.  You employer
> can choose any insurer.  You also have the choice to get your own
> coverage if you wish, even while employed.
>
> -Cameron
>
> 

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