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(Talking Points Memo)   Mitch McConnell admits the GOP has a snowballs chance in shell at repealing Obamacare   (2012.talkingpointsmemo.com) divider line 273
    More: Followup, Mitch McConnell, obamacare, GOP, memorial hospital, American health care, Party leaders of the United States Senate  
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3140 clicks; posted to Politics » on 03 Jul 2012 at 9:53 AM (2 years ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2012-07-03 10:12:35 AM
[romney_with_asclepius_folder_on_desk_portrait.jpg]

Turtle is only saying this because he predicts Robot is going to have a very hard time running from his record of trying to help sick people when the campaign really kicks up. This is just about getting the message straight (and maybe jettisoning a few Teabaggers while they're at it).
 
2012-07-03 10:13:22 AM

CPennypacker: Wow no they wouldn't nevermind, google instead of speaking from the experience of one anecdote CPenny


They would still probably qualify for either the expanded medicaid or the new federal subsidies.
 
2012-07-03 10:13:54 AM

Lost Thought 00: DarnoKonrad: I don't think so. Poverty level for one person is 11k. Medicaid kicks in at 133% Which means they'd have to make less than 14k to qualify as a single person, but if they've got kids and shiat it's different.

The ACA expands that to 200%, I believe, but states can opt out of the expansion if they wish (and stay at the 133%)


The Medicaid provisions of the Affordable Care Act, in contrast, require States to expand their Medicaid pro¬grams by 2014 to cover all individuals under the age of 65with incomes below 133 percent of the federal poverty line.

??
 
2012-07-03 10:14:05 AM

StopLurkListen: I wouldn't say "snowball's chance", just "unlikely."

If the Republicans keep control of the House (nearly certain) and gain a majority of the Senate (better than even odds) and win the Presidency (toss-up, Obama has the advantage, but he is more vulnerable to surprises like an Iran crisis that spikes energy costs, a Euro-driven economic shock, or your garden variety political scandal), then Republicans can either revoke the PPACA outright or destroy it piece by piece through budget reconciliation, which is not subject to filibuster in the Senate.


haha
 
2012-07-03 10:15:36 AM

bindlestiff2600: real question

can anyone yet say what the cost will be to a low income person (less that 20k a year)

a) if they comply

b) if they dont comply

will bow in the direction of the person that provides answer



We don't know and you hadn't given us enough information to even really guess.
First it depends on the state they are expanding medicare by 133% of poverty. If they do that then they would be able to get medicare at no cost.
If not it'll be a tax credit to help cover the cost. At that rate it should cover the vast majority of their monthly payments.
Coupled with the health exchange which should help lower costs and give that customer a wide option of insurance plans.

So either way the cost would most likely be little or nothing if they get insured.
 
2012-07-03 10:15:39 AM
I believe that what he's saying is that this nightmare of a 'law' is already spawning regulations, commissions, committees and various forms of forced action that have already taken root. Still, with the House, Romney and 51 senators, it can be done away with overnight.

They can use reconciliation to kill it, just like the democrat party did to force it down our throats. In fact, there's pleny of stuff Romney could do with executive action (Obama style), to gut the thing on day one.
 
2012-07-03 10:17:10 AM
the GOP had ONE chance to stop Obamacare...and SCOTUS was that one chance. Even if somehow the GOP pulls off a clean sweep, Obamacare is here to stay.
 
2012-07-03 10:17:37 AM

Sgt Stubby: I believe that what he's saying is that this nightmare of a 'law' is already spawning regulations, commissions, committees and various forms of forced action that have already taken root. Still, with the House, Romney and 51 senators, it can be done away with overnight.

They can use reconciliation to kill it, just like the democrat party did to force it down our throats. In fact, there's pleny of stuff Romney could do with executive action (Obama style), to gut the thing on day one.


christ, there is another one of you?
 
2012-07-03 10:17:45 AM

Ned Stark: This debate is pretty much over till '16. Such cases.


There would have to be 60 people willing to end a filibuster. The Republicans won't be able to muster that, even if Obama and Pelosi eat aborted fetuses and get gay married on live TV.
 
2012-07-03 10:18:06 AM
Well, duh!
 
2012-07-03 10:19:13 AM

Sgt Stubby: I believe that what he's saying is that this nightmare of a 'law' is already spawning regulations, commissions, committees and various forms of forced action that have already taken root. Still, with the House, Romney and 51 senators, it can be done away with overnight.

They can use reconciliation to kill it, just like the democrat party did to force it down our throats. In fact, there's pleny of stuff Romney could do with executive action (Obama style), to gut the thing on day one.


You don't even know what reconciliation is. Any repeal bill will die in a filibuster.

Please refrain from talking about things you don't understand.
 
2012-07-03 10:19:17 AM

bindlestiff2600: real question

can anyone yet say what the cost will be to a low income person (less that 20k a year)

a) if they comply

b) if they dont comply

will bow in the direction of the person that provides answer


It depends on some factors. Is your employer considered a "small" business (less than 30 people). They do not have to supply insurance. But you can purchase it from a state wide insurance bank meant to offer the lowest prices (we will see how this actually works out). If you can afford to buy it but chose not to you will have to pay a "tax" for declining coverage so that you are at least paying something in case you get into a major accident or need major surgery and can't afford it so that taxpayers are not footing the entire bill. If you can prove you cannot afford the insurance though you can get out of the tax.

One other thing, you will be able to deduct more of your health care expenses from your taxes than what you can under existing tax laws. This is just my understanding from a big picture view of it. There will be hundreds of loop holes and rules that will be hashed out over the next few years.
 
2012-07-03 10:20:20 AM

Sgt Stubby: I believe that what he's saying is that this nightmare of a 'law' is already spawning regulations, commissions, committees and various forms of forced action that have already taken root


Except no, it hasn't.
 
2012-07-03 10:21:14 AM
It is amusing when Romney says he will repeal "Obamacare" on his first day as President because it assumes that
1. The President can repeal anything, which is not true, only congress can repeal a law, and
2. That Romney is going to get elected.
 
2012-07-03 10:22:12 AM
Weaver95: the GOP had ONE chance to stop Obamacare...and SCOTUS was that one chance. Even if somehow the GOP pulls off a clean sweep, Obamacare is here to stay


That's what they said about slavery.
 
2012-07-03 10:22:19 AM

devek: Why does he keep repeating the line that it is the finest health care system in the world?


Catapulting the propaganda? Hello?
 
2012-07-03 10:22:57 AM

bindlestiff2600: real question

can anyone yet say what the cost will be to a low income person (less that 20k a year)

a) if they comply

b) if they dont comply

will bow in the direction of the person that provides answer


A) That depends on how many people are in that low-income person's household and what the federal poverty level is like starting in 2014. As of today, the FPL for a single person is $11,170, and for more than one person, you multiply that by the square root of the number of people in the household. Thus, the household would be at ~179% FPL for one person, ~132% FPL for two people, and so on. If the household was a single person, he would have his premium capped at 4% of his income, or $800. If the household was two or three people, they would fall under the threshold for qualifying for the new Medicaid program if their state establishes it which would cost them nothing, or they could also get insurance through the exchange and have their premium capped at 2% of their income, or $400. If the household was four or more people, they would have income under the FPL and would not qualify for insurance through the exchange with a tax credit to reimburse the cost because the expectation was that they would go on Medicaid, so if they got private insurance, it would be 100% of the cost; if they were on Medicaid, it would cost them nothing.

B) That also depends on how many people are in the household. For three or fewer people, the minimum required contribution by the household would fall under the 8% of taxable income threshold, so they would be subject to a shared responsibility payment of 1% of their household income, or $200. For four or more people, because they fall under the FPL, they qualify for the exemption listed in Section 5000A(e)(2) of HR 3590, so they would pay nothing.
 
2012-07-03 10:23:13 AM

Pocket Ninja: Their only chance was to stop it before its real benefits started rolling out and Americans had a chance to see what sort of benefits they were really getting. Now they have to live with the fact that the only real result of all their efforts to stop what's going to become one of the most popular government initiatives since Medicare was to ensure that, for the rest of history, it's going to be associated with Obama's name. Even Roosevelt didn't get that, and that's why it's so delicious.


Yep. The GOP game plan was to make Obama a one term president. Make him just a footnote in the history books, to teach the Democrats and minorities that only white conservatives get to make their mark on the presidency. Now they have to live with Obamacare for the next 20-30 years at least.
 
2012-07-03 10:23:59 AM

Sgt Stubby: I believe that what he's saying is that this nightmare of a 'law' is already spawning regulations, commissions, committees and various forms of forced action that have already taken root. Still, with the House, Romney and 51 senators, it can be done away with overnight.

They can use reconciliation to kill it, just like the democrat party did to force it down our throats. In fact, there's pleny of stuff Romney could do with executive action (Obama style), to gut the thing on day one.


Republicans never actually act on their idiotic wedge issues. It's why they generally grow the deficit, add to the federal payroll, never do anything meaningful about abortion, won't ever be able to get a constitutional amendment to ban gay marriage and so on and so on.

If they actually ever addressed this OMFG AMERICA IS BEING DESTROYED issues then they'd have no way to get the retards out to vote.
 
2012-07-03 10:24:02 AM

indylaw: Sgt Stubby: I believe that what he's saying is that this nightmare of a 'law' is already spawning regulations, commissions, committees and various forms of forced action that have already taken root. Still, with the House, Romney and 51 senators, it can be done away with overnight.

They can use reconciliation to kill it, just like the democrat party did to force it down our throats. In fact, there's pleny of stuff Romney could do with executive action (Obama style), to gut the thing on day one.

You don't even know what reconciliation is. Any repeal bill will die in a filibuster.

Please refrain from talking about things you don't understand.


Budget items cannot be filibustered. And if the Senate Parliamentarian rules against them, they'll just fire the Parliamentarian again.

They'll make it happen, no matter how far they have to twist the rules.
 
2012-07-03 10:24:27 AM

Sgt Stubby: I believe that what he's saying is that this nightmare of a 'law' is already spawning regulations, commissions, committees and various forms of forced action that have already taken root. Still, with the House, Romney and 51 senators, it can be done away with overnight.


huh? what are you talking about?

They can use reconciliation to kill it, just like the democrat party did to force it down our throats. In fact, there's pleny of stuff Romney could do with executive action (Obama style), to gut the thing on day one.

actually...no. that has very little chance of working. not only are there a couple of procedural issues that make that plan not very viable but the GOP would face a truly massive PR backlash for trying to back door an attempt to kill a law they didn't like. Not to mention the fact that by doing so they also open the door to allowing the Democrats to sabotage GOP backed 'sacred cow' legislation using the same methods. it's a very, very bad plan.
 
2012-07-03 10:24:51 AM

Sgt Stubby: Weaver95: the GOP had ONE chance to stop Obamacare...and SCOTUS was that one chance. Even if somehow the GOP pulls off a clean sweep, Obamacare is here to stay


That's what they said about slavery.


Yes yes, we get it, taxes are slavery blah blah blah
 
2012-07-03 10:25:02 AM

Sgt Stubby: Weaver95: the GOP had ONE chance to stop Obamacare...and SCOTUS was that one chance. Even if somehow the GOP pulls off a clean sweep, Obamacare is here to stay


That's what they said about slavery.


so you want to kick off a civil war to stop Obamacare?
 
2012-07-03 10:25:09 AM

Sgt Stubby: Weaver95: the GOP had ONE chance to stop Obamacare...and SCOTUS was that one chance. Even if somehow the GOP pulls off a clean sweep, Obamacare is here to stay


That's what they said about slavery.


Well, that was a hardfou-.... aaaaawwhaaaaaaaaaaat?
images.wikia.com
 
2012-07-03 10:25:58 AM

StopLurkListen: indylaw: Sgt Stubby: I believe that what he's saying is that this nightmare of a 'law' is already spawning regulations, commissions, committees and various forms of forced action that have already taken root. Still, with the House, Romney and 51 senators, it can be done away with overnight.

They can use reconciliation to kill it, just like the democrat party did to force it down our throats. In fact, there's pleny of stuff Romney could do with executive action (Obama style), to gut the thing on day one.

You don't even know what reconciliation is. Any repeal bill will die in a filibuster.

Please refrain from talking about things you don't understand.

Budget items cannot be filibustered. And if the Senate Parliamentarian rules against them, they'll just fire the Parliamentarian again.

They'll make it happen, no matter how far they have to twist the rules.




That doesn't get rid of ObamaCare, it just gets rid of the excise on being uninsured. And I can guarantee the insurance lobby is not going to let that happen.
 
2012-07-03 10:26:58 AM

Weaver95: Sgt Stubby: Weaver95: the GOP had ONE chance to stop Obamacare...and SCOTUS was that one chance. Even if somehow the GOP pulls off a clean sweep, Obamacare is here to stay


That's what they said about slavery.

so you want to kick off a civil war to stop Obamacare?


Yes, they do. Best part? They think the military will side with them. LOL
 
2012-07-03 10:28:15 AM

King Something: Serious Black: qorkfiend: 1. Mitt Romney will have less than a year to effect repeal before benefits start rolling out and support for repeal drops.
2. No one, including most Republican members of Congress, wants a full repeal.
3. Since no one wants a full repeal, the process of writing and drafting the bill will take a lot of time.
4. The insurance industry will be adamantly against any repeal which removes the mandate and leaves the new regulatory rules.
5. Half of the states will be adamantly against any repeal which undoes the Medicaid expansion.

Something that might sneak through would be for Congress to expand the waiver program.

You mean like the Empowering States to Innovate Act that was sponsored by Ron Wyden and Scott Brown and was formally endorsed by President Obama last year? Are you aware that you're talking about a political party that has six members of Congress who voted against a bill they co-sponsored for the sole reason that Obama came out in support of it?

Only six?


Six Republicans who co-sponsored the bill (Lisa Murkowski didn't vote because of a family emergency); a total of 23 Republicans voted against the bill. As a double bonus, the bill was the one that would have formally created the Bowles-Simpson Commission that was designed exclusively to reduce the federal deficit.
 
2012-07-03 10:31:52 AM
i.imgur.com
 
2012-07-03 10:31:53 AM

bindlestiff2600: real question

can anyone yet say what the cost will be to a low income person (less that 20k a year)

a) if they comply

b) if they dont comply

will bow in the direction of the person that provides answer


No, because at this point they haven't rolled out the exchange. Let me explain how it works here, in Massachusetts:

if you make less than $33k a year, you get what's called "MassHealth". That's the public option, which this bill doesn't have....yet.

If you make less than $33k in Massachusetts, the state picks up your health insurance. You have to pay co-pays and such, but you get the regular insurance similar to an employer based plan.

If you make more than $33k, or you want a better option, you get the "health connector". This is what the ACA DOES have, and will roll out in 2014.

The Health connector allows you to search for plans based on the level of coverage vs level of price/co-pay/deductible etc.

I looked into it a few times- for me, a single woman age 3311/12ths, , a cancer survivor with a yet to be diagnosed auto immune disorder and a family history of every possible terrible thing you can think of, I would pay $300/mo for health insurance.

Before Romneycare? I was uninsurable unless I went through an employer plan.
 
2012-07-03 10:33:21 AM
Every time I see that loathsome turtle's lumpy misshapen face with that smug, self-satisfied, ignorant, knowitall look smeared across it I can't help but hear Sockable Face Club by Cherry Poppin' Daddies in my head. Everything about him just makes me want to just....POW.

"Everything you do
makes me feel like you
need to have a blackened eeeeeeeye
You got a sockable face!"
 
2012-07-03 10:34:00 AM

Imperialism: I still don't understand saying "it'll be like a western European system!"

Well, yeah. It works. It's not an insult.


It's an insult when your followers blindly believe in American exceptionalism.
 
2012-07-03 10:34:20 AM
But Mitt says he's repealing Obamacare on his very first day in office. Wish they'd compare scripts before they speak.
 
2012-07-03 10:37:51 AM
red5ish: It is amusing when Romney says he will repeal "Obamacare" on his first day as President because it assumes that the President can repeal anything, which is not true, only congress can repeal a law


Obama has already repealed 'Don't Ask, Don't Tell' and he has single-handely repealed immigration law. He's even personally dictating (through ObamaCare) what it means to be a Catholic. He does this, not by 'repealing' laws, by circumventing them through cabinet agencies and unelected czars.

Romeny can do the same thing and just take the thing apart piecemeal. How about a taste of your own, f*cked-up medicine?
 
2012-07-03 10:39:36 AM

Sgt Stubby: red5ish: It is amusing when Romney says he will repeal "Obamacare" on his first day as President because it assumes that the President can repeal anything, which is not true, only congress can repeal a law


Obama has already repealed 'Don't Ask, Don't Tell' and he has single-handely repealed immigration law. He's even personally dictating (through ObamaCare) what it means to be a Catholic. He does this, not by 'repealing' laws, by circumventing them through cabinet agencies and unelected czars.

Romeny can do the same thing and just take the thing apart piecemeal. How about a taste of your own, f*cked-up medicine?


Look everybody. It's that kid who likes to create alts and post stupid shiat. Let's all point and laugh at him.
 
2012-07-03 10:40:17 AM

Sgt Stubby: Obama has already repealed 'Don't Ask, Don't Tell' and he has single-handely repealed immigration law. He's even personally dictating (through ObamaCare) what it means to be a Catholic.


You're silly.
 
2012-07-03 10:41:16 AM

Sgt Stubby: red5ish:


You're stupid. Go away.
 
2012-07-03 10:43:51 AM

Sgt Stubby: He's even personally dictating (through ObamaCare) what it means to be a Catholic.


LOL talking points.
 
2012-07-03 10:43:58 AM

IrateShadow: Imperialism: I still don't understand saying "it'll be like a western European system!"

Well, yeah. It works. It's not an insult.

It's an insult when your followers blindly believe in American exceptionalism.



Funny part is when you show them infant mortality rates, education rankings and wealth/person of the US versus the rest of the world. Well, it's not so funny to watch cognitive dissonance in action, but you get my point.
 
2012-07-03 10:45:39 AM

Epoch_Zero: Sgt Stubby: Obama has already repealed 'Don't Ask, Don't Tell' and he has single-handely repealed immigration law. He's even personally dictating (through ObamaCare) what it means to be a Catholic.

You're silly.



I have him farkied as "no one could possibly be this dumb without getting paid."
 
2012-07-03 10:45:48 AM

devek: Why does he keep repeating the line that it is the finest health care system in the world?


That's what I really don't get, because if its one thing the GOP does well, it's to control the message. And they simply cannot get away with this "best health care in the world" shiat, because people KNOW better. Even those idiots who think that Obama is a muslin Kenyen socialist white hating fake harvard grad have experienced how screwed up the health care system is.

There isn't a single person in this country- save the 1%- who doesn't know of someone who's life has been turned upside down by health INSURANCE problems. Not health problems- we understand that our bodies are flawed machines that need maintenance and repair, but problems PAYING for said repair.
 
2012-07-03 10:45:51 AM

Sgt Stubby: D...e...r...p


Breitbarted that for you.
 
2012-07-03 10:45:51 AM

cameroncrazy1984: Sgt Stubby: He's even personally dictating (through ObamaCare) what it means to be a Catholic.

LOL talking points.


Well to be fair,according to people like him, being Catholic means letting poor and uninsured people starve and die on the streets.
 
2012-07-03 10:45:56 AM
McConnell and Romney are almost on the same page.

McConnell: everything Obama does is bad
Romney: everything Obama does is bad unless it conflicts with what I use to support and but have not effectively distanced myself from yet.
 
2012-07-03 10:46:42 AM

Mrtraveler01: Well to be fair,according to people like him, being Catholic means letting poor and uninsured people starve and die on the streets.


It does. Read a little bit about the history of Catholicism. It's not a very nice organization.
 
2012-07-03 10:47:43 AM

Sgt Stubby: red5ish: It is amusing when Romney says he will repeal "Obamacare" on his first day as President because it assumes that the President can repeal anything, which is not true, only congress can repeal a law


Obama has already repealed 'Don't Ask, Don't Tell' and he has single-handely repealed immigration law. He's even personally dictating (through ObamaCare) what it means to be a Catholic. He does this, not by 'repealing' laws, by circumventing them through cabinet agencies and unelected czars.

Romeny can do the same thing and just take the thing apart piecemeal. How about a taste of your own, f*cked-up medicine?


What the hell are you talking about with DADT? The process was started by the DADT Repeal Act of 2010 that was approved by both chambers of Congress and signed by the President; the only thing that he unilaterally did to end the policy was sign a certification that was also signed by the Secretary of Defense and the Chairman of the Joint Chiefs of Staff that the armed forces were ready to have the policy be repealed, and this certification was outlined in the act itself.

With the immigration decision, how exactly is he repealing immigration law by executive fiat? Does the law require that the federal government actually deport every single person who is in the country illegally? If that's the case, I'd say that every single president that has ever held office has failed miserably at this and should have been impeached for dereliction of duty.

As for defining what it means to be Catholic, the Bishops' opposition rests on a complete rejection of the doctrine of double effect that not only is the basis for virtually all moral teachings of the Catholic Church but has also been used as a legal doctrine in many areas, including laws regarding self-defense.
 
2012-07-03 10:49:23 AM
 
2012-07-03 10:49:30 AM

Sgt Stubby: Obama has already repealed 'Don't Ask, Don't Tell' and he has single-handedly repealed immigration law.


Don't forget he also personally put a bullet through Bin Laden's eye socket.

/I always enjoy Obama the All Powerful/ Supreme Dictator/ Tyrant Day much more than Empty Suit/ Ineffectual/ Needs-more-experience Obama Day.
 
2012-07-03 10:49:47 AM

Tigger: Republicans never actually act on their idiotic wedge issues. It's why they generally grow the deficit, add to the federal payroll, never do anything meaningful about abortion, won't ever be able to get a constitutional amendment to ban gay marriage and so on and so on.

If they actually ever addressed this OMFG AMERICA IS BEING DESTROYED issues then they'd have no way to get the retards out to vote.


QTF

Glubdammit, how did we end up with Pure Evil as a viable political position? Don't people have any farking sense any more?
 
2012-07-03 10:51:01 AM

quatchi: Sgt Stubby: Obama has already repealed 'Don't Ask, Don't Tell' and he has single-handedly repealed immigration law.

Don't forget he also personally put a bullet through Bin Laden's eye socket.

/I always enjoy Obama the All Powerful/ Supreme Dictator/ Tyrant Day much more than Empty Suit/ Ineffectual/ Needs-more-experience Obama Day.


Oh, that's today? Damnit, I got my calendar wrong again! I thought it was Empty Suit Day today. I need to go adjust everything again...
 
2012-07-03 10:51:10 AM
The "repeal and replace" idea works, so long as the GOP has a plan for what to replace it with. Which, as of now, they have plenty of ideas, but no plan.

The problem with health care in America is that everyone is thinking about it in exactly the wrong way - they're using health insurance as a proxy for health care. But health insurance is worthless if you don't have enough providers to provide the care you need.

What this country needs is a totally different approach to financing health care. We need to stop assuming that all health care purchasing should be done with insurance. That causes more problems than it solves. And we make it worse by tying your insurance to your employment, which only makes sense for tax reasons. The idea that if you lose your job you lose your health insurance is just assinine. It's never really made sense.

Here's what we need to do in broad strokes:

- Eliminate the employers tax deduction for purchasing health care or extend it to individuals.
- Require health insurance plans to be sold across state lines.
- Pass legislation requiring price transparency in medical care - consumers should have the right to know exactly what the costs are on either a per-service basis or an hourly basis.
- End the tax and regulatory restrictions on HSAs (one of the worst parts of ObamaCare)
- Allow for easier access to high-deductible insurance plans for real medical emergencies - those situations where it actually makes sense to use insurance.

Basically, what we're doing is trying to artificially increase access to health care by fiat. That never works - because it violates basic economic principles. You can't give people more of something without finding a way of paying for it - but government is trying to both reduce the cost and increase access through artificial means. What happens is that you end up with shortages - it's no more going to work in health care than it worked for Gosplan's bread rations in the Soviet Union.

The real solution is to reduce costs. And the way you reduce costs is to eliminate as many middle men as possible. Get rid of the insurers for most health care transactions - it just adds cost and overhead. It's cheaper for people to pay cash on the barrellhead for routine purchases and basic illnesses than it is for them to pay to insure. For predictable expenses, that's where credit comes in. If you're planning to have a baby, that's an event you can save for or pay off over time, same as a car or a house. And if you know the costs up-front, you can make better educated decisions about how to handle it.

For emergency situations, then it makes sense to use insurance. But that insurance should be absolutely personal, absolutely portable, and available in a national market. That's how you deal with "preexisting conditions" - if you can change jobs or lose your jobs and still keep your insurance, preexisting conditions are not as much of a concern. (And you can use high risk pools to capture the rest.)

But our current system where your insurance is tied to your employment and used to finance all health care purchases makes absolutely no sense. It creates unnecessary overhead, adds costs, and puts bureaucrats between the person who needs the care and the people who provides it. Making the government into the Mother of All HMOs just takes all the worse parts of that system and magnifies them.

There's a better way to do it, but it involves giving more control to the people and less control to the bureaucrats.
 
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