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(Washington Post)   Let the states decide the future of America's health care   ( washingtonpost.com) divider line
    More: Interesting, United States Senate, states, preexisting conditions, adequate coverage, cost-sharing reduction payments, Sen. Lindsey O., Democratic senators, traditional conservative principles  
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1304 clicks; posted to Politics » on 16 Jul 2017 at 1:08 AM (13 weeks ago)   |   Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



123 Comments     (+0 »)
 
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2017-07-15 06:22:17 PM  
One way to get all the piggy slush funders, I mean, senators to vote on this shiat bill
 
2017-07-15 06:27:02 PM  
And prevent the interstate marketplace from forming to drive the point home to the Reps and Senators
 
stk [TotalFark]
2017-07-15 06:46:19 PM  
Nah, that's ok
 
2017-07-15 06:55:29 PM  
Nope.
 
2017-07-15 07:00:00 PM  
The problem with letting the states handle it is that many states are run by morons.  There's the obvious stuff that will happen, like birth control, contraception, and abortion not being covered by many, and then the ridiculous hatefully gleeful flights of fancy others will try like requiring emergency rooms to check for citizenship and then detaining and calling ICE on those they feel may be illegal.

The blue states will end up with systems that work well and care for the populous at large from the bottom to the top.  The red states will end up with systems that punish the poor for being poor, punish women for being women, and give free boner pills to old white men.
 
2017-07-15 07:04:44 PM  

TuteTibiImperes: The problem with letting the states handle it is that many states are run by morons.  There's the obvious stuff that will happen, like birth control, contraception, and abortion not being covered by many, and then the ridiculous hatefully gleeful flights of fancy others will try like requiring emergency rooms to check for citizenship and then detaining and calling ICE on those they feel may be illegal.

The blue states will end up with systems that work well and care for the populous at large from the bottom to the top.  The red states will end up with systems that punish the poor for being poor, punish women for being women, and give free boner pills to old white men.


Cool.  Let that shiat fester awhile and we'll see the South Rise Again!

/I seem to be spoiling everybody's brandy, cigars and dreams of victory
 
2017-07-15 07:06:49 PM  
Health issues cannot get confined at state borders. If I break my foot in Massachusetts, it won't spontaneously stop being broken if I enter New York state.
 
2017-07-15 07:14:15 PM  
How is Alaska's population density relevant here? People still get sick there, right? They need health care and might not be able to afford it, right?

Jesus Christ. Rural America isn't going to sleep with you.
 
2017-07-15 10:30:13 PM  

TuteTibiImperes: The problem with letting the states handle it is that many states are run by morons.  There's the obvious stuff that will happen, like birth control, contraception, and abortion not being covered by many, and then the ridiculous hatefully gleeful flights of fancy others will try like requiring emergency rooms to check for citizenship and then detaining and calling ICE on those they feel may be illegal.

The blue states will end up with systems that work well and care for the populous at large from the bottom to the top.  The red states will end up with systems that punish the poor for being poor, punish women for being women, and give free boner pills to old white men.


Businesses will move to blue states as well.  If the goal is to divide the country officially, this is a good start.
 
2017-07-16 12:13:21 AM  
Let a blue state do a blue thing and a red state such as mine take a different, conservative approach.

Round up all the sick people and turn them into mulch?  Nah, probably too environmentally friendly for them.
 
2017-07-16 01:09:59 AM  
fark no.
 
2017-07-16 01:15:24 AM  
Because that money would NEVER disappear to another cause like the local pockets would it?
 
2017-07-16 01:16:07 AM  
States had an opportunity to craft their own exchanges and most of them didn't even bother.  Before the ACA all the states had the option to do a lot of things to improve their healthcare, most chose not to.  What he wants is for the states who choose to let a few powerful people to screw over the poor to be able to do it.
 
2017-07-16 01:18:31 AM  
I'm sure that if you left it up to the Missouri state government, they'd ban health care within St. Louis County and the Kansas City area.  No doubt while forgetting that those are the places most people go for serious health issues in the first place.
 
2017-07-16 01:18:37 AM  
Well fark it, let's let states decided our own president then.
 
2017-07-16 01:24:43 AM  
my governor is Rick farking Scott so big ole no farking way in hell
 
2017-07-16 01:25:08 AM  
Single Payer in the blue states and fark You Poor People in the red states?
 
2017-07-16 01:28:50 AM  
Sure. Let's further balkanize health care. That'll lower prices for sure.
 
2017-07-16 01:30:59 AM  
Universal single payer. It's so obvious. It's the only proper solution. Consider:

Cost. By eliminating the private insurers' and their massive profits, overall costs will be cut dramatically.
Paperwork: Less parties means less paperwork. Also, as every patient a doctor sees will have the same paperwork, their offices will have a much easier time.
Public health: Far fewer sick people will be running around untreated spreading disease.
Better outcome: People who can't afford treatment now wait until they are desperately ill before seeing care. Without that financial pressure they'll go to their doctors earlier, thus making treatments easier and more effective.
Better emergency care. Emergency rooms will only be used in actual emergencies, rather than for those and basic care for those without insurance.

Just do it already. There are literally dozens of real life systems around the world to study in order to find the best implementation. You don't even have to eliminate private insurers, as they can still function by offering better/faster care for a price as per the UK.

As a general point somewhat related, it always galls me when those on the right accuse us on the left as basing our policies on feelings instead of reason. Because that is utter bollocks. Liberal ideas are based on solid reasoning.
 
2017-07-16 01:35:18 AM  
Yes please. Every blue state would go single payer and all of the red states would devolve into a chaotic mess. Sad as it may be, I'm okay with this.
 
2017-07-16 01:40:23 AM  

Gordon Bennett: Universal single payer. It's so obvious. It's the only proper solution. Consider:

Cost. By eliminating the private insurers' and their massive profits, overall costs will be cut dramatically.
Paperwork: Less parties means less paperwork. Also, as every patient a doctor sees will have the same paperwork, their offices will have a much easier time.
Public health: Far fewer sick people will be running around untreated spreading disease.
Better outcome: People who can't afford treatment now wait until they are desperately ill before seeing care. Without that financial pressure they'll go to their doctors earlier, thus making treatments easier and more effective.
Better emergency care. Emergency rooms will only be used in actual emergencies, rather than for those and basic care for those without insurance.

Just do it already. There are literally dozens of real life systems around the world to study in order to find the best implementation. You don't even have to eliminate private insurers, as they can still function by offering better/faster care for a price as per the UK.

As a general point somewhat related, it always galls me when those on the right accuse us on the left as basing our policies on feelings instead of reason. Because that is utter bollocks. Liberal ideas are based on solid reasoning.


We will get there within 15 years. The Republicans (Like gay marriage) will slowly get pulled into the 21st century. In 50 years the Republicans will say it was their idea in the first place.*

* Not valid if county is destroyed by Donny 2 scoops.
 
2017-07-16 01:46:41 AM  

Amish Tech Support: We will get there within 15 years. The Republicans (Like gay marriage) will slowly get pulled into the 21st century. In 50 years the Republicans will say it was their idea in the first place.*

* Not valid if county is destroyed by Donny 2 scoops.


Ha, they haven't really gotten over hating LGBT people, they just switched to a new target because they can't do anything about gay marriage anymore. Remember the whole bathroom thing?

Also, I'm not sure the US will ever do single payer. We might pull our heads out of our asses and stop f*cking with the ACA long enough to complete the transition to something like the German model though.
 
2017-07-16 01:50:13 AM  

TuteTibiImperes: The problem with letting the states handle it is that many states are run by morons.  There's the obvious stuff that will happen, like birth control, contraception, and abortion not being covered by many, and then the ridiculous hatefully gleeful flights of fancy others will try like requiring emergency rooms to check for citizenship and then detaining and calling ICE on those they feel may be illegal.

The blue states will end up with systems that work well and care for the populous at large from the bottom to the top.  The red states will end up with systems that punish the poor for being poor, punish women for being women, and give free boner pills to old white men.


This! Then when they get sick they will run across the state border begging to not to die because they already sold one kidney to deal with a broken leg.
 
2017-07-16 01:53:18 AM  

mrshowrules: TuteTibiImperes: The problem with letting the states handle it is that many states are run by morons.  There's the obvious stuff that will happen, like birth control, contraception, and abortion not being covered by many, and then the ridiculous hatefully gleeful flights of fancy others will try like requiring emergency rooms to check for citizenship and then detaining and calling ICE on those they feel may be illegal.

The blue states will end up with systems that work well and care for the populous at large from the bottom to the top.  The red states will end up with systems that punish the poor for being poor, punish women for being women, and give free boner pills to old white men.

Businesses will move to blue states as well.  If the goal is to divide the country officially, this is a good start.


img.fark.net

The red states begged for it, cheated for it, sold their souls for it and screeched about how if it wasn't for the ACA Obamacare would have killed grandma, and isn't it great that TwoScoops is here to save the country from Moose-lambs.  I say, give em what they voted for, all of it.  Maybe they'll learn a thing or two about voting stiggint over their own well being.

That or die off.

I'm good with either.
 
2017-07-16 01:58:36 AM  
As California and Colorado have already figured out, the states can't finance single-payer by themselves. And the GOP isn't going to give them enough money to fill the gap.  So we have to get rid of the GOP before we can have single-payer.
 
2017-07-16 01:58:50 AM  
that's what the senate is
 
2017-07-16 02:00:15 AM  

TuteTibiImperes: The problem with letting the states handle it is that many states are run by morons.


As opposed to the noble geniuses that run the federal government?
 
2017-07-16 02:02:46 AM  

Bith Set Me Up: Health issues cannot get confined at state borders. If I break my foot in Massachusetts, it won't spontaneously stop being broken if I enter New York state.


Neither will it stop being broken if you enter Canada. Their solution to which is to effectively ban immigration of anybody who has a serious medical condition.
 
2017-07-16 02:15:21 AM  

Gordon Bennett: Universal single payer. It's so obvious. It's the only proper solution. Consider:

Cost. By eliminating the private insurers' and their massive profits, overall costs will be cut dramatically.
Paperwork: Less parties means less paperwork. Also, as every patient a doctor sees will have the same paperwork, their offices will have a much easier time.
Public health: Far fewer sick people will be running around untreated spreading disease.
Better outcome: People who can't afford treatment now wait until they are desperately ill before seeing care. Without that financial pressure they'll go to their doctors earlier, thus making treatments easier and more effective.
Better emergency care. Emergency rooms will only be used in actual emergencies, rather than for those and basic care for those without insurance.

Just do it already. There are literally dozens of real life systems around the world to study in order to find the best implementation. You don't even have to eliminate private insurers, as they can still function by offering better/faster care for a price as per the UK.

As a general point somewhat related, it always galls me when those on the right accuse us on the left as basing our policies on feelings instead of reason. Because that is utter bollocks. Liberal ideas are based on solid reasoning.


Yah, our solutions are based on actual evidence.
 
2017-07-16 02:16:45 AM  
So basically we're back to secession? In all but name, anyway. Or is this going to be, Let the states make their own decisions until California, Texas, and New York have single payer and non-residents can't play; at which point it becomes "except when other states can't share!" again?
 
2017-07-16 02:19:30 AM  

Gyrfalcon: So basically we're back to secession? In all but name, anyway. Or is this going to be, Let the states make their own decisions until California, Texas, and New York have single payer and non-residents can't play; at which point it becomes "except when other states can't share!" again?


It has sort of  become that.  Massive inequality amongst people and states.
 
2017-07-16 02:20:34 AM  

Churchill2004: TuteTibiImperes: The problem with letting the states handle it is that many states are run by morons.

As opposed to the noble geniuses that run the federal government?


What... like, right now? Meaning the GOP-led Congress and Trump? Yeah, you have a point, they're all morons. But at the same time, having states decide how good or bad to treat people means you have vastly diverse options. States who treat their citizens great would have to basically keep folks in shiat states from crossing borders and taking advantage of another state's generosity. It should be universal so your coverage is the same no matter where the fark you are.
 
2017-07-16 02:20:47 AM  
encrypted-tbn0.gstatic.com
 
2017-07-16 02:28:01 AM  
Imagine if you had to pay for automotive care like health care. Bundle in depreciation, oil changes, tires, liability and collision insurance, and other maintenance of a car you replace every 4-6 years. You'd be paying $600-$700 a month for an average ride.

Now, compare that to "healthcare" insurance. It covers chronic drugs as well as actual emergencies. We should face "care" and "emergency" as different classes. But I'm paying in to care for that land walrus exhibiting all the signs of type 2 diabetis that must require thousands of dollars per month in insulin to cram the sugar in his shopping basket into his cells. Crap, I suspected I was on a candid camera bit, they were comparing sugary sodas!

/we spend $6 billion a year supporting corn syrup
// and $600 billion treating the diseases
 
2017-07-16 02:31:12 AM  
I live in Maryland so I am probably okay, but it's probably going to be terrible for my friends and family in Ohio and Florida. Lord knows what will happen to the pure red states.
 
2017-07-16 02:37:05 AM  

HerptheDerp: mrshowrules: TuteTibiImperes: The problem with letting the states handle it is that many states are run by morons.  There's the obvious stuff that will happen, like birth control, contraception, and abortion not being covered by many, and then the ridiculous hatefully gleeful flights of fancy others will try like requiring emergency rooms to check for citizenship and then detaining and calling ICE on those they feel may be illegal.

The blue states will end up with systems that work well and care for the populous at large from the bottom to the top.  The red states will end up with systems that punish the poor for being poor, punish women for being women, and give free boner pills to old white men.

Businesses will move to blue states as well.  If the goal is to divide the country officially, this is a good start.

[img.fark.net image 341x228]

The red states begged for it, cheated for it, sold their souls for it and screeched about how if it wasn't for the ACA Obamacare would have killed grandma, and isn't it great that TwoScoops is here to save the country from Moose-lambs.  I say, give em what they voted for, all of it.  Maybe they'll learn a thing or two about voting stiggint over their own well being.

That or die off.

I'm good with either.


This.  However, I'm a Canadian.  I love the US but you guys have some major shiat to work out that dates back to the civil are but more importantly:

www.ethannonsequitur.com
 
2017-07-16 02:39:08 AM  

TuteTibiImperes: The problem with letting the states handle it is that many states are run by morons.

The red states will end up with systems that punish the poor for being poor, punish women for being women, and give free boner pills to old white men.


A few states are run by people so moronic, i would not be surprised if women were the ones to get the boner pills.

www.searcylaw.com
 
2017-07-16 02:42:26 AM  

HerptheDerp: mrshowrules: TuteTibiImperes: The problem with letting the states handle it is that many states are run by morons.  There's the obvious stuff that will happen, like birth control, contraception, and abortion not being covered by many, and then the ridiculous hatefully gleeful flights of fancy others will try like requiring emergency rooms to check for citizenship and then detaining and calling ICE on those they feel may be illegal.

The blue states will end up with systems that work well and care for the populous at large from the bottom to the top.  The red states will end up with systems that punish the poor for being poor, punish women for being women, and give free boner pills to old white men.

Businesses will move to blue states as well.  If the goal is to divide the country officially, this is a good start.

[img.fark.net image 341x228]

The red states begged for it, cheated for it, sold their souls for it and screeched about how if it wasn't for the ACA Obamacare would have killed grandma, and isn't it great that TwoScoops is here to save the country from Moose-lambs.  I say, give em what they voted for, all of it.  Maybe they'll learn a thing or two about voting stiggint over their own well being.

That or die off.

I'm good with either.


I and many good people in my family as well as friends live in Ohio. Are you saying we should just kill ourselves for the cause? Because it sounds like you're telling us to die for you to make a point.
 
2017-07-16 02:43:48 AM  

HerptheDerp: The red states begged for it, cheated for it, sold their souls for it and screeched about how


you gotta stop with this "red state" shiat. 60% is a decisive majority in an election. ignoring the people who didn't show up, can't vote or whatever, you're ignoring the fact that it leaves 40% people living a place with rules they disagree with and a majority they can't get rid of. states are farking complicated places and the people hit hardest by right-wing oppression are racial minorities and lgbt. no one gets to pick where they're born, and not everyone has the luxury to move to an urban safe space. even "deep blue" california and new york saw millions of votes go to the nimrod.

look:
https://en.wikipedia.org/wiki/United_States_presidential_election,_20​1​6#Results_by_state
 
2017-07-16 02:45:45 AM  

Pichu0102: HerptheDerp: mrshowrules: TuteTibiImperes: The problem with letting the states handle it is that many states are run by morons.  There's the obvious stuff that will happen, like birth control, contraception, and abortion not being covered by many, and then the ridiculous hatefully gleeful flights of fancy others will try like requiring emergency rooms to check for citizenship and then detaining and calling ICE on those they feel may be illegal.

The blue states will end up with systems that work well and care for the populous at large from the bottom to the top.  The red states will end up with systems that punish the poor for being poor, punish women for being women, and give free boner pills to old white men.

Businesses will move to blue states as well.  If the goal is to divide the country officially, this is a good start.

[img.fark.net image 341x228]

The red states begged for it, cheated for it, sold their souls for it and screeched about how if it wasn't for the ACA Obamacare would have killed grandma, and isn't it great that TwoScoops is here to save the country from Moose-lambs.  I say, give em what they voted for, all of it.  Maybe they'll learn a thing or two about voting stiggint over their own well being.

That or die off.

I'm good with either.

I and many good people in my family as well as friends live in Ohio. Are you saying we should just kill ourselves for the cause? Because it sounds like you're telling us to die for you to make a point.


Y'all could get your fellow non-crazy citizens out to vote consistently. That would work too.
 
2017-07-16 02:48:59 AM  

wildcardjack: Imagine if you had to pay for automotive care like health care. Bundle in depreciation, oil changes, tires, liability and collision insurance, and other maintenance of a car you replace every 4-6 years. You'd be paying $600-$700 a month for an average ride.

Now, compare that to "healthcare" insurance. It covers chronic drugs as well as actual emergencies. We should face "care" and "emergency" as different classes. But I'm paying in to care for that land walrus exhibiting all the signs of type 2 diabetis that must require thousands of dollars per month in insulin to cram the sugar in his shopping basket into his cells. Crap, I suspected I was on a candid camera bit, they were comparing sugary sodas!

/we spend $6 billion a year supporting corn syrup
// and $600 billion treating the diseases


There is no reason at all health insurance could not be severable in much the same way auto insurance or homeowners insurance is. It's just more profitable to the big companies to sell an all-or-nothing policy like they were doing you a favor.

But really, they could as easily have catastrophic only, for serious accidents and acute illnesses; female and male coverage so women could have mammograms and men could have prostate exams as separate coverage; mental health add-ons;  chronic care coverage at a different rate. Just like you can get liability only or powertrain or full coverage with unlimited towing for your car.

Then, they could have wellness care that is exclusively for preventive care; so that the more you use that, the less likely you are to have to use your catastrophic care, and then you get a premium reduction. Like car insurance if you never have an accident.

It's not impossible; it just means the insurance companies would have to work a little harder and plan a little more, and god knows we can't have that.
 
2017-07-16 02:51:53 AM  

Mangonel: Pichu0102: HerptheDerp: mrshowrules: TuteTibiImperes: The problem with letting the states handle it is that many states are run by morons.  There's the obvious stuff that will happen, like birth control, contraception, and abortion not being covered by many, and then the ridiculous hatefully gleeful flights of fancy others will try like requiring emergency rooms to check for citizenship and then detaining and calling ICE on those they feel may be illegal.

The blue states will end up with systems that work well and care for the populous at large from the bottom to the top.  The red states will end up with systems that punish the poor for being poor, punish women for being women, and give free boner pills to old white men.

Businesses will move to blue states as well.  If the goal is to divide the country officially, this is a good start.

[img.fark.net image 341x228]

The red states begged for it, cheated for it, sold their souls for it and screeched about how if it wasn't for the ACA Obamacare would have killed grandma, and isn't it great that TwoScoops is here to save the country from Moose-lambs.  I say, give em what they voted for, all of it.  Maybe they'll learn a thing or two about voting stiggint over their own well being.

That or die off.

I'm good with either.

I and many good people in my family as well as friends live in Ohio. Are you saying we should just kill ourselves for the cause? Because it sounds like you're telling us to die for you to make a point.

Y'all could get your fellow non-crazy citizens out to vote consistently. That would work too.


So now all of this is the fault of my family and friends because our neighbors voted to hurt us, and we just let it happen, despite voting?
I mean, I'm willing to personally take the blame for it, because I always could have done more, am a terrible person, and am only alive being a leech on the system, but my family and friends have had a lot of shiat happening all last year. They could not have done more, and if you say they could have, you can leave right now.
 
2017-07-16 03:07:08 AM  

Gordon Bennett: Universal single payer. It's so obvious. It's the only proper solution. Consider:

Cost. By eliminating the private insurers' and their massive profits, overall costs will be cut dramatically.
Paperwork: Less parties means less paperwork. Also, as every patient a doctor sees will have the same paperwork, their offices will have a much easier time.
Public health: Far fewer sick people will be running around untreated spreading disease.
Better outcome: People who can't afford treatment now wait until they are desperately ill before seeing care. Without that financial pressure they'll go to their doctors earlier, thus making treatments easier and more effective.
Better emergency care. Emergency rooms will only be used in actual emergencies, rather than for those and basic care for those without insurance.

Just do it already. There are literally dozens of real life systems around the world to study in order to find the best implementation. You don't even have to eliminate private insurers, as they can still function by offering better/faster care for a price as per the UK.


But socialism! Not having the freedom to die a miserable, preventable death is tyranny!
 
2017-07-16 03:09:25 AM  
America can't even adapt to the metric system, why would it be able to handle joining the rest of the world in ANYTHING, especially healthcare?
 
2017-07-16 03:26:17 AM  

Pichu0102: HerptheDerp: mrshowrules: TuteTibiImperes: The problem with letting the states handle it is that many states are run by morons.  There's the obvious stuff that will happen, like birth control, contraception, and abortion not being covered by many, and then the ridiculous hatefully gleeful flights of fancy others will try like requiring emergency rooms to check for citizenship and then detaining and calling ICE on those they feel may be illegal.

The blue states will end up with systems that work well and care for the populous at large from the bottom to the top.  The red states will end up with systems that punish the poor for being poor, punish women for being women, and give free boner pills to old white men.

Businesses will move to blue states as well.  If the goal is to divide the country officially, this is a good start.

[img.fark.net image 341x228]

The red states begged for it, cheated for it, sold their souls for it and screeched about how if it wasn't for the ACA Obamacare would have killed grandma, and isn't it great that TwoScoops is here to save the country from Moose-lambs.  I say, give em what they voted for, all of it.  Maybe they'll learn a thing or two about voting stiggint over their own well being.

That or die off.

I'm good with either.

I and many good people in my family as well as friends live in Ohio. Are you saying we should just kill ourselves for the cause? Because it sounds like you're telling us to die for you to make a point.


Just roll with it. The Fark Liberal Progressive Bernie Brigade (tm) are just Trumpers with blue hats. They are an exact copy with a color pallet swap and hate everyone else to death who lives in the red zone. They are part of the problem they wish to find a final solution to. They don't want to be a part of the discussion, just throw shiat and feel their tiny peckers move once in a while.
 
2017-07-16 03:38:43 AM  
Pass it off to the Free Market. Look at this video. Isn't it beautiful? The Free Market - with no burdensome, job killing, over regulation - has opened all these wonderful opportunities for these people, even the youngsters! Living the DREAM!

The Children Working On Indian Coal Mines
Youtube 0ZA5Az09Zj4
 
2017-07-16 03:58:25 AM  
"Let the states decide" is code for "destroy it all", if history is anything to go by.

The supporters of this "healthcare" bill are attempted murderers, plain and simple.
 
2017-07-16 04:29:12 AM  

wildcardjack: Imagine if you had to pay for automotive care like health care. Bundle in depreciation, oil changes, tires, liability and collision insurance, and other maintenance of a car you replace every 4-6 years. You'd be paying $600-$700 a month for an average ride.

Now, compare that to "healthcare" insurance. It covers chronic drugs as well as actual emergencies. We should face "care" and "emergency" as different classes. But I'm paying in to care for that land walrus exhibiting all the signs of type 2 diabetis that must require thousands of dollars per month in insulin to cram the sugar in his shopping basket into his cells. Crap, I suspected I was on a candid camera bit, they were comparing sugary sodas!

/we spend $6 billion a year supporting corn syrup
// and $600 billion treating the diseases


So much this - when i went back to the US for holidays this summer, I was shocked by how much fatter everyone was - easily 6 out of 10 people are grossly overweight. Without solving your obesity crisis, your healthcare system will remain right farked - single payer or no.
 
2017-07-16 04:59:41 AM  

BarkingUnicorn: As California and Colorado have already figured out, the states can't finance single-payer by themselves. And the GOP isn't going to give them enough money to fill the gap.  So we have to get rid of the GOP before we can have single-payer.


Regional healthcare system. California, Oregon, and Washington should create PacCare. It will be difficult, but it could be done. I am not sure what it would look like. It could not be single payer, and would require federal cooperation.
 
2017-07-16 05:01:05 AM  
"Let individual states attempt to form a system which is only practical if it's universal. Oh gee, guess that didn't work. Guess you were wrong to try."
 
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