Sorry, Cycloptichorn --
I missed your post when you first submitted it, and only notice it now that it's quoted.
Cycloptichorn wrote:If only diabetes were that simple, I would understand what you propose.
I'm not proposing anything. I'm presenting you with a scenario and asking you how Obama's plan would deal with it. Diabetes isn't simple, and I'm not saying that it is. But the options for preventing freeloading are also not as simple as Obama's scenario about "when you show up in an emergency room requesting free service...."
Cycloptichorn wrote:So, those smokers who develop problems - are they going to be forced to quit smoking, or get kicked out of the system? Are fat people going to be forced to lose weight, or get kicked out? Are people who don't exercise going to be forced to run? I think that you will see that no matter how much prevention we give people there will still be a large amount who don't take advantage of it.
You tell me! You're the Obama supporter. You're the one who apparently knows his intentions beyond what he's written down in his plan.
Cycloptichorn wrote:I guess what I mean is that there are difficult questions to solve about who is getting a 'fair deal' and who is cheating the system no matter whether you have mandates or not.
I disagree. Omitting mandates makes it much easier to cheat, and many more people will get an unfair deal. With mandates,
everybody receives the benefits of being insured, and
everybody pays to insure the risk that they may catch a costly disease later in life. Without mandates, some people will chose insurance. Some will not, betting that they'll stay healthy. Heads they win the bet. Tails the public loses because they join the system later and reap the benefits paid by those who got insured in the first place. Insured people get a bad deal because uninsured people game the system. This kind of abuse is
not as easy to catch as Obama suggests in his emergency room story. I agree the questions you mention are difficult. But they are
much more difficult under Obama's plan than under a plan with mandates.
Cycloptichorn wrote:And like Soz said, people don't like being forced to do things. It's better to make it attractive enough that they would be fools not to do it.
I am a libertarian. Believe me, I sympathise with this argument; I
want to believe (TM Fox Moulder) that the voluntary approach works best. Ideologically I am quite uncomfortable with the conclusions I've reached on the topic of healthcare. But unfortunately, I'm also a man who is open to empirical evidence. And in this capacity, the experience with voluntary seatbelt usage vs. mandatory seatbelt laws provides discouraging precedent for a voluntary approach to healthcare. People are fools not to wear seatbelts. But it wasn't insight that made people wear them and drive down traffic fatalities. It was mandatory seatbelt laws.