> Sam wrote:
> What does not having a solution to a health care system most people
> like have to do us being screwed?
>

But unfortunately "most people" are also ignorant to the forces and
trends at work in health care.

Everybody has a villain.  The true villain is, however, congress.
They've failed to properly regulate the market and now we've got a
huge market failure since no individual was incented or empowered to
fix it.

So Congress can do 2 things now: properly regulate the market or, I
guess, take over the industry.

I am baffled by those who in face of Congress' massive failure of
leadership to regulate now want to give them the whole industry.

What's the logic there?  Giving congress money is a time-proven way to
eliminate special interests?  People just aren't thinking.

It's pretty simple to me:

(1.) Private market: doctors charge bills patients can't afford so
patients finance it via insurance.

But since doctors, clinics, labs, hospitals, etc are spending
insurance's money they've no incentive to keep costs down and a LOT of
incentive to jack them up: profits!

The best-meaning doctor in the World, when faced with lawsuits, is
going to order those 5 tests.  What's he care?  It's not his nickle.
And what's the patient care?  She's insured.

Until premiums go up.  But even then the patient doesn't connect those
5 test to her higher premium.  I wonder how that would be different if
the patient had to pay the bills directly?  Hmmm ...


(2.) Public.  Medicare is able to avoid administrative costs through 2
standard claims forms (vs. the 10,000 in public space).  However
Medicare doesn't cover much (e.g., no annual physical, no coverage
after 90 days, etc).  That's where you get the genius imo part C plans
- they cover what medicare doesn't but that's public again.  Plus
Medicare processing is bidded privately.

So, in the end, while Medicare works well, it's going broke and even
if it weren't claims are still privately processed.


CONCLUSION: All healthcare systems in the US are going broke.
Changing the private financier to public and thinking that'll lower
costs, is nuts.  Since when does giving Congress more money lower
admin costs, reduce special interests, and create efficiency?  I mean
isn't that almost laugh out loud funny?

The ONLY solution is well regulated healthcare market, period.
Medicare Advantage plans seem to work quite well in this space.  And
Holland and Switzerland's system work this way and work quite well.

You've seen the town halls.

"Socialized medicine" will NOT WORK IN THE US.  I get the logical
point about Medicare.  But we've seen the Town Halls no matter who
sent those people.

When you've got the AMA opposing it on one side and patients opposing
it on the other ... na. ga. doit.

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