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comment by thundara
thundara  ·  1454 days ago  ·  link  ·    ·  parent  ·  post: Why everyone hates the GOP's new healthcare plan

    Did you know that 2.5 millilon employees work in healthcare insurance and that a single payer option would probably reduce that in a huge way, creating a massive group of unemployed people? There are dozens of major insurance companies who, in the course of daily business operations, duplicate the work that is being done at competing companies. Obviously, Blue Cross' accounting department isn't going to do the accounting for Cigna, and so you get two accountants doind the same parallel work multiplied across all the companies. But if the US Gov't is going to do all the work in a single payer system, you'll have a massive cut in employment. No way around it. I don't think people realize that the sudden disappearance of probably 1.5 million jobs will be a reality in that case. Esepcially not Trump who has advocated for single payer and ran on a major employment focus.

FWIW, even countries with fully socialized medicine have their own private healthcare insurance industries (ex: UK). But even so, this strikes me as a backwards argument: health insurance is too expensive, so we should preserve the inefficiencies and bloat already present in the system.

So far, the clearest summary of the ACA's shortcomings has been that it addressed health insurance coverage without doing enough to address costs. So now you have fewer uninsured people waiting until the last minute to get treatment instead of preventative care, and fewer insured people being denied the coverage the payed for due to undisclosed domestic violence. But the drugs, the scans, and the doctor salaries are still roughly the same. And medicare still can't negotiate drug prices.

So the delta flow of money is still heavy in the direction of providers.

user-inactivated  ·  1454 days ago  ·  link  ·  

Well they thought they were going to address costs by making healthy people join, lowering the overall risk pool, and thus lowering premiums. But it didn't happen. It's not like they didn't have a logical plan to lower costs.

The idea that medicare can't negotiate drug prices is comical.

"Excuse me Mr. Taxpayer, can you bend over and let my rich friend get right up in there? Oh you can't? What about if I made a law? What now? That's a good chap."

thundara  ·  1453 days ago  ·  link  ·  

On the lists of politicians that you may surprisingly agree with: Bernie Sanders

user-inactivated  ·  1453 days ago  ·  link  ·  

I like Bernie Sanders personally. He's genuine and believes he's doing the right thing. He's not owned by corporations and he cares about his constituents. We don't agree politically in broad strokes, but on this I don't see a downside. Why not let the gov't negotiate like anyone else. Companies can always say no if they would lose money.