On Sun, Aug 2, 2009 at 5:01 PM, Dana wrote:

>
> I have recently been researching the costs of certain drugs and procedures
> and I have found a flaw in the idea that we can reduce costs through
> competition


Apparently one of the ideas floating around is to allow people to shop for
insurance plans across state lines, which you can't do today, on the theory
that greater competition for insurance plans would bring down costs to the
consumer. I'm not sure how, though, at least not on the scale that we need.

It still all comes down to numbers - a big demographic shift away from youth
toward age, and therefore not enough dollars coming from younger, healthier
people to fund older, less healthy people. So what can we do? We can squeeze
costs, we can squeeze the rich, we can squeeze the young, we can squeeze the
doctors, we can squeeze the insurance companies, we can squeeze the lawyers,
but ultimately, we have to squeeze the patients. Whether through rationing
of care in a single-payer system or the limitations of the current
insurance-based system, patients are going to get squeezed. And that's the
first and last problem of the current debate - no one on either side of the
debate wants to admit that patients are going to get squeezed, because when
we say patients, we are really saying elderly voters.


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