@revelette1,
revelette1 wrote:
Young healthy people will not always be young and healthy, moreover, they could have an accident affecting their health and/or get a medical condition which would require regular sustained medical care and treatment. Medical bill and treatment quickly add up in hurry. It is like no one really wants to pay for full coverage for car insurance until there is an accident then you are glad you have insurance to pay for any medical cost and/or car replacement not to mention the other side if you at fault. And unlike car insurance under the current health care law, your premiums don't go up because you get sick or have a pre-existing condition. Conservative republicans want to change that.
True and as long as I've been independent of my parents, I've had health insurance. Of course it was proportionately less expensive for me back then than it is for young people today. As well, I didn't have the ability to obtain health insurance after I fell sick or was injured, but young people today do.
This has always been a huge problem with Obamacare. It must have young healthy people buying health insurance if it has any chance to avoid the death spiral, but at the same time it has created a incentive for the young and healthy to go without insurance that outweighs the disincentive ( a fine or "tax") for not doing so.
Your analogy with auto insurance is seriously flawed. If you totaled your car tomorrow and had no insurance, you couldn't purchase a policy that would cover the "pre-existing damage" to your car. On the other hand if you totaled your health tomorrow and had no insurance, you could purchase a policy that would cover the "pre-existing damage" to you.
Anyone who wants a national health insurance program that can work should want to change the current conditions that have set off the program's death spiral, but it's unlikely that it will change anytime soon because of course it's a fabulous deal for Americans. Any deal where you can get a product or service for a fraction of what it will cost the provider is a fabulous one. Any time you can deal with an important aspect of life in a way that would have represented an incredibly stupid risk for your parents, but which now presents little risk to you, you're in a good situation. At least until it all goes to hell and
just in time health insurance is simply impossible to obtain.
The 2008 crash happened because irrespective of the almost magical algorithms MIT graduates can develop, fundamental economic principles can't be jobbed. Selling goods or services for a total price that is a fraction of your total expense (which includes losses) is not sustainable no matter how you chop the total expense into tiny pieces and spread them around the world. You can't make money insuring known losses and disabling the law of large numbers and the principle of risk spread, by operating in a system where the people who are most likely to never have losses have a reason to believe they don't need your product, but can always buy it when they do.
Average people understand fundamental economic principles but they are far too often inclined to believe that the ubiquitous
experts who show up everywhere to tell us that some arcane and complex financial product or technique can work economic wonders the way the Philosopher's Stone was believed to be able to allow alchemists to change scrap metal into gold because a) They've been convinced over their lives that
experts are much smarter than them and can find ways to do all sorts of wonderful things they can't possibly understand and b) They want to believe because they want to ignore all the common sense alarm bells going off in their heads and
indulge. They all want something for nothing.
The desire to indulge, "b," is the key here and it is the enabling force behind all sorts of financial schemes that border on or reside deep within the realm of fraud. The irony is that while "a" involves people thinking they are not as clever as they actually are, "b" involves them thinking they are more clever than they have any right to believe.
Quote:
Personally I wish we could fix what is wrong with our current health insurance and work on getting "Medicaid for all" or universal health care.
I'm sure you do, but if the current health insurance system is "fixed," why would we need to move on to State paid and controlled healthcare?
Obamacare was always only mean't as a "stop-gap" or a "way station" on the road to State paid and controlled healthcare. Several Democrats had the honesty or chutzpah to admit this during the legislative process, but how could anyone really have thought otherwise? Despite all of the BS peddled about how Obamacare alone would solve our problems with healthcare costs and insurance, the designers had to know it was doomed from the start which was a big reason for front loading all the goodies they knew people would love and not want to give up even when the **** hit the fan - as is precisely the case today.
Whether the front-loading of cost driving benefits was intended to shield Obama against the eventual **** spraying fan until at least he had a shot at re-election in 2012 or was intended to create a tar-baby from which the Republicans could not extricate themselves in the unlikely even that they gained control of the White House and Congress in 2012, 2016 or beyond, I can't say. For some involved, I'm sure the focus was limited to the former while other Democrats with greater foresight aimed for the latter and the continued progression to State paid and controlled healthcare. Although the Democrats weren't shielded from the fallout, to the extent that he was re-elected and maintained nice approval ratings over his terms, Obama was. Of more importance, in the long run, was the intent of those Democrats with foresight.
As we can see now, the front-loading was very effective in preserving the program despite the GOP taking control of the White House and holding onto Congress in 2016. The feckless GOP will likely manage to make some changes to Obamacare if only because leaving it to rot on the vine is not an option in light of the 2018 Mid-terms, however they will not be able to take back the candy Americans so love and they will not be able to save the plan. So, in the absence of a brand new plan that roots out the
something for nothing aspects of Obamacare and still pleases Americans (a very tall order) a showdown on State paid and controlled healthcare seems to me to be inevitable and sooner than later: i.e. within the next ten years.
BTW - I'm sure you realize that a
"Medicaid for all" or universal health care plan will cost the federal government a lot more than it is spending on healthcare right now. I'm pretty sure I know what your answer will be but I'll ask the question anyway because you might surprise me in some way: Where will the government get the money to pay for your desired plan?