The thing about medical insurance now is it reimburses based on procedures and not necessarily outcomes. There's little drive to reward good behaviors, just payment for catastrophic events. There's no incentive to pay for preventative rehabilitation at the cost of a few hundred per session over the course of months when you could have a $50,000 orthopedic operation when everything goes wrong.
I'd argue it's not that doctors are paid too much, it's that some doctors are paid too little. Your run of the mill general practitioners may not even be making 6 figures yet they are the ones with the greatest influence on the most health outcomes. As an MD, why work like dog and be paid little when you could be a dermatologist and be reimbursed for every mole you excise.
Rewinding... the only way health costs can be controlled are by removing commercial interest in health care, encouraging preventative behavior, increasing incentives for primary care and reducing accessibility to tertiary care. Or basically a whole bunch of impossible stuff.
Which is something NEITHER party has any desire to address.The thing about medical insurance now is it reimburses based on procedures and not necessarily outcomes. There's little drive to reward good behaviors, just payment for catastrophic events. There's no incentive to pay for preventative rehabilitation at the cost of a few hundred per session over the course of months when you could have a $50,000 orthopedic operation when everything goes wrong.
Pretty darn close.Rewinding... the only way health costs can be controlled are by removing commercial interest in health care, encouraging preventative behavior, increasing incentives for primary care and reducing accessibility to tertiary care. Or basically a whole bunch of impossible stuff.
Last edited by VdubChaos; 03-28-2012 at 03:11 PM.
This Obamacare isn't really about healthcare. It is designed to set the precident that the federal government can force you to buy something. On that basis alone, it is unconstitutional and I pray is struck down.
Ask yourself this: What's next? Forced to buy an electric car?
Don't think it can happen in 'Merika? Think again. People give up liberty every day for perceived security.
Obama doesn't give a rats' patoot about your health or anyone else's. 2000 exemptions for his croonies and counting.
Last edited by GroovOn-SLC; 03-28-2012 at 03:49 PM.
I honestly don't care if they throw the mandate out, I lean well-Left and even I dislike the mandate.
If the SC strike anything from the ACA (and I don't know that they will) I bet they keep in "the good stuff" (breastfeeding protections, coverage even if pre-existing conditions, coverage for young adults up to age 26 on parents' plans, protections against Insurance companies dropping you when you get sick) even if it means pieces like the mandate get stricken.
I'm a Progressive, I wanted a single-payer, basic healthcare for all system like every other 1st world country has. Don't tell me we can't do it because there are too many people in the US. Figure it out, and make it happen.
I don't mind paying more taxes if it means basic healthcare for everyone ala Canada. Same as I don't mind my taxes paying for schools, fire, police, roads, etc. All for one and one for all.
I do mind a mandate that forces me to send money to the Insurance Companies with the best lobbyists.
Your point was an excellent one, except it was predicated on the concept of servitude on behalf of those providing the good and services. I simply pointed out that people that provided those goods and services did not have their liberties infringed upon. They entered their professions by choice and are compensated for their work. As I said, if they had their own liberties infringed upon in order to meet a goal of "the public good" or their services were extracted involuntarily, then yes, your point would have been valid. But that does not apply, and as such your particular argument is moot.
"We'll not risk another frontal assault... that rabbit's DYNAMITE!"
it's dead. thank god. which means Obama will be a lame duck if he gets re-elected. his Presidency has been an utter failure.
No thanks to Death Panels, a mandatory RFID chip implant, 1/6 take over of the economy by government....
we've all seen the level of quality of government services - the DMV, IRS, etc.....they're all beauracracies, that never sustain themselves.
You have a 2500 page law that NOBODY in government has read in its entirety "We have to pass it to see what's in it" -Pelosi-
Does healthcare need some work? Yes. Is this the solution? Nope. I do not want anymore socialism.
This is a President who has shunned and juked around the Constitution whenever he feels like it.
It's pretty much a win for Conservatives no matter how you cut it - it probably is dead. If it survives it'll probably kill Obama's election b/c 60-70% of the country doesn't want it.
Not to mention no one knows if it's dead or not yet. The justices asked very pointed questions, yet they've done that in many a case beforehand and ruled opposite to what the media thought.