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IT'S TIME FOR UNIVERSAL HEALTH CARE

 
 
Walter Hinteler
 
  1  
Reply Tue 25 Sep, 2007 02:50 pm
Francis wrote:
And I'm not to tell you income tax rate (which would lead to telling you my income)...


It's between 0% and 40% - correct?
0 Replies
 
Francis
 
  1  
Reply Tue 25 Sep, 2007 02:56 pm
Absolutely incorrect, Walter!
0 Replies
 
cicerone imposter
 
  1  
Reply Tue 25 Sep, 2007 02:57 pm
Income tax rate in France is 10% - 48.09% and VAT is 19.6%.

So we can assume all citizens pay from 29% to 67% if all products and services are also taxed.
0 Replies
 
USAFHokie80
 
  1  
Reply Tue 25 Sep, 2007 02:58 pm
Cyclo, i think that's the first post you and i have agreed (mostly) on. though, i don't think the illegal immigrants could afford to work if they had to pay taxes. i'd still prefer to ship them back - but that's another thread.

i'm not sure that dissolving private insurance companies is the best way to go about this. perhaps instead of destroying those companies, the government could create one of its own. it could run a non-profit, gov't funded insurnace company that anyone could buy into, for cheaper rates. though i think it fair to realize that even that system would have a large set of claims that it would not allow. but perhaps that would allow some of the poorer people to afford insurance while not removing the private insurance that the other half like.
0 Replies
 
USAFHokie80
 
  1  
Reply Tue 25 Sep, 2007 02:58 pm
cicerone imposter wrote:
Income tax rate in France is 10% - 48.09% and VAT is 19.6%.

So we can assume all citizens pay from 29% to 67% if all products and services are also taxed.



ouch.
0 Replies
 
Francis
 
  1  
Reply Tue 25 Sep, 2007 03:00 pm
In some cases you can pay 110%.

Fortunately, we have the EU directives and soon it will be at most 50%, VAT excluded...
0 Replies
 
Walter Hinteler
 
  1  
Reply Tue 25 Sep, 2007 03:01 pm
Tax rates around the world
0 Replies
 
cicerone imposter
 
  1  
Reply Tue 25 Sep, 2007 03:03 pm
A universal health insurance plan should have private and public plans. They could cover the basics such as annual physicals and immunizations that would carry the majority of citizens at the "lowest" premium level. They can also have a garden variety with maximums. There should also be some form of co-pays for all services and drugs based on the plan.

Auto policies come pretty close to what I'd like to see; with benefit in rates for maintaining good health; e.g., non-smoker.
0 Replies
 
georgeob1
 
  1  
Reply Tue 25 Sep, 2007 03:04 pm
Walter Hinteler wrote:
Francis doesn't live in Switzerland, George, where the currency in Franks.

They've Euros in France.

You are correct. I am embarassed by my error.

maporsche wrote:
What is the 'adjusted tax rate' in CA if you include your medical benefits into that equation? Make sure to include your employers contributions.

The difference on the marginal tax rate (the tax rate on the last dollar earned) would be small, given that the employer medical benefit is a fixed amount, independent of income, and that multiple sources of income are involved. However, the net effect would - in every case - be to reduce the marginal tax rate somewhat.

Marginal income tax rates in Europe are, despite Francis' reluctance, generally about 11% higher than they are in this country. In addition most Europeans pay a Value Added Tax on purchases and services of around 12% - a good deal more than Americans pay in State sales taxes.

The net difference of about 14% of income would, for nearly all our population, easily pay for private medical coverage, usually leaving a good deal left over.
0 Replies
 
Francis
 
  1  
Reply Tue 25 Sep, 2007 03:05 pm
Ah, Walter!

Just let me laugh (sadly) about those tax rates!

That maybe true for an employee...
0 Replies
 
Cycloptichorn
 
  1  
Reply Tue 25 Sep, 2007 03:06 pm
USAFHokie80 wrote:
Cyclo, i think that's the first post you and i have agreed (mostly) on. though, i don't think the illegal immigrants could afford to work if they had to pay taxes. i'd still prefer to ship them back - but that's another thread.

i'm not sure that dissolving private insurance companies is the best way to go about this. perhaps instead of destroying those companies, the government could create one of its own. it could run a non-profit, gov't funded insurnace company that anyone could buy into, for cheaper rates. though i think it fair to realize that even that system would have a large set of claims that it would not allow. but perhaps that would allow some of the poorer people to afford insurance while not removing the private insurance that the other half like.


A sensible approach in your second paragraph. Follow-up ideas:

- nobody could be denied for said plan, even with prior medical problems, but that doesn't guarantee that the plan will pay for the most expensive surgeries; just that, even if you have something expensive, you're still covered for the cheap stuff.

- Combine enrollment in said plan with the 'health savings account' idea; let those who pay the cheapest rates put aside extra money tax-free in order to help cover the stuff that isn't covered under the gov't plan. Use that money in order to help keep the entire system profitable.

- As we're talking about a huge program, there NEED to be a list of drugs that are offered at a significant discount; it doesn't have to be the most esoteric list, but there are a lot of drugs which currently aren't 'generic' any longer due to some finagaling by the drug companies. A large enough pool of buyers could get rid of that.

I'll think about this some more tonight.

Cycloptichorn
0 Replies
 
Walter Hinteler
 
  1  
Reply Tue 25 Sep, 2007 03:10 pm
Well, as a self-employed you've got a voluntary health insurance policy, Francis, which really costs a lot ...
0 Replies
 
USAFHokie80
 
  1  
Reply Tue 25 Sep, 2007 03:16 pm
Cycloptichorn wrote:
USAFHokie80 wrote:
Cyclo, i think that's the first post you and i have agreed (mostly) on. though, i don't think the illegal immigrants could afford to work if they had to pay taxes. i'd still prefer to ship them back - but that's another thread.

i'm not sure that dissolving private insurance companies is the best way to go about this. perhaps instead of destroying those companies, the government could create one of its own. it could run a non-profit, gov't funded insurnace company that anyone could buy into, for cheaper rates. though i think it fair to realize that even that system would have a large set of claims that it would not allow. but perhaps that would allow some of the poorer people to afford insurance while not removing the private insurance that the other half like.


A sensible approach in your second paragraph. Follow-up ideas:

- nobody could be denied for said plan, even with prior medical problems, but that doesn't guarantee that the plan will pay for the most expensive surgeries; just that, even if you have something expensive, you're still covered for the cheap stuff.

- Combine enrollment in said plan with the 'health savings account' idea; let those who pay the cheapest rates put aside extra money tax-free in order to help cover the stuff that isn't covered under the gov't plan. Use that money in order to help keep the entire system profitable.

- As we're talking about a huge program, there NEED to be a list of drugs that are offered at a significant discount; it doesn't have to be the most esoteric list, but there are a lot of drugs which currently aren't 'generic' any longer due to some finagaling by the drug companies. A large enough pool of buyers could get rid of that.

I'll think about this some more tonight.

Cycloptichorn


i have a HSA through my company... it works for me. there is a way to get many expensive drugs for free or at a huge discount. there are actually people whose entire job is to fill out paperwork for people to do this. that being said, many drugs cannot and will not have a generic form for several years. if a company develops a drug, that drug has a patent that is upheld by the supreme court. you can't allow a generic to be made against their will else you will undermine all other copyrights and IP. i know wal mart already has a large formulary of common antibiotics and other drugs that range from $4 to $8 for a month's supply.
0 Replies
 
USAFHokie80
 
  1  
Reply Tue 25 Sep, 2007 03:20 pm
i wonder, cyclo... suppose this system we just spoke about is implemented... will the poor of the country, those without current coverage, bother to buy in? i imagine a lot of them will refuse to as they'll see it as another monthly expense they cannot afford - especially if they know they can keep using the ER as their personal doctor. how do we combat that? would this coverage, at least at the lowest tier, be mandated? and then when going to an er, the patient will be forced to show id or proof of coverage? i can see how this wouldn't help the current situation in ERs any more than the current system would.
0 Replies
 
Cycloptichorn
 
  1  
Reply Tue 25 Sep, 2007 03:21 pm
USAFHokie80 wrote:
Cycloptichorn wrote:
USAFHokie80 wrote:
Cyclo, i think that's the first post you and i have agreed (mostly) on. though, i don't think the illegal immigrants could afford to work if they had to pay taxes. i'd still prefer to ship them back - but that's another thread.

i'm not sure that dissolving private insurance companies is the best way to go about this. perhaps instead of destroying those companies, the government could create one of its own. it could run a non-profit, gov't funded insurnace company that anyone could buy into, for cheaper rates. though i think it fair to realize that even that system would have a large set of claims that it would not allow. but perhaps that would allow some of the poorer people to afford insurance while not removing the private insurance that the other half like.


A sensible approach in your second paragraph. Follow-up ideas:

- nobody could be denied for said plan, even with prior medical problems, but that doesn't guarantee that the plan will pay for the most expensive surgeries; just that, even if you have something expensive, you're still covered for the cheap stuff.

- Combine enrollment in said plan with the 'health savings account' idea; let those who pay the cheapest rates put aside extra money tax-free in order to help cover the stuff that isn't covered under the gov't plan. Use that money in order to help keep the entire system profitable.

- As we're talking about a huge program, there NEED to be a list of drugs that are offered at a significant discount; it doesn't have to be the most esoteric list, but there are a lot of drugs which currently aren't 'generic' any longer due to some finagaling by the drug companies. A large enough pool of buyers could get rid of that.

I'll think about this some more tonight.

Cycloptichorn


i have a HSA through my company... it works for me. there is a way to get many expensive drugs for free or at a huge discount. there are actually people whose entire job is to fill out paperwork for people to do this. that being said, many drugs cannot and will not have a generic form for several years. if a company develops a drug, that drug has a patent that is upheld by the supreme court. you can't allow a generic to be made against their will else you will undermine all other copyrights and IP. i know wal mart already has a large formulary of common antibiotics and other drugs that range from $4 to $8 for a month's supply.


Yeah - but there are ways that companies get around the 'generic' formulations, ie, they make meaningless changes in order to get granted new patents. Like the color of the pill, for example. Another example, my GF has asthma; her inhalers - a quite common device, with the basic formulation unchanged for years - aren't generic any longer, due to changes in the accelerant used to propel the drug out of the device. So what used to cost her $5 is now closer to $45. Gotta do away with that.

Cycloptichorn
0 Replies
 
USAFHokie80
 
  1  
Reply Tue 25 Sep, 2007 04:01 pm
Cycloptichorn wrote:
USAFHokie80 wrote:
Cycloptichorn wrote:
USAFHokie80 wrote:
Cyclo, i think that's the first post you and i have agreed (mostly) on. though, i don't think the illegal immigrants could afford to work if they had to pay taxes. i'd still prefer to ship them back - but that's another thread.

i'm not sure that dissolving private insurance companies is the best way to go about this. perhaps instead of destroying those companies, the government could create one of its own. it could run a non-profit, gov't funded insurnace company that anyone could buy into, for cheaper rates. though i think it fair to realize that even that system would have a large set of claims that it would not allow. but perhaps that would allow some of the poorer people to afford insurance while not removing the private insurance that the other half like.


A sensible approach in your second paragraph. Follow-up ideas:

- nobody could be denied for said plan, even with prior medical problems, but that doesn't guarantee that the plan will pay for the most expensive surgeries; just that, even if you have something expensive, you're still covered for the cheap stuff.

- Combine enrollment in said plan with the 'health savings account' idea; let those who pay the cheapest rates put aside extra money tax-free in order to help cover the stuff that isn't covered under the gov't plan. Use that money in order to help keep the entire system profitable.

- As we're talking about a huge program, there NEED to be a list of drugs that are offered at a significant discount; it doesn't have to be the most esoteric list, but there are a lot of drugs which currently aren't 'generic' any longer due to some finagaling by the drug companies. A large enough pool of buyers could get rid of that.

I'll think about this some more tonight.

Cycloptichorn


i have a HSA through my company... it works for me. there is a way to get many expensive drugs for free or at a huge discount. there are actually people whose entire job is to fill out paperwork for people to do this. that being said, many drugs cannot and will not have a generic form for several years. if a company develops a drug, that drug has a patent that is upheld by the supreme court. you can't allow a generic to be made against their will else you will undermine all other copyrights and IP. i know wal mart already has a large formulary of common antibiotics and other drugs that range from $4 to $8 for a month's supply.


Yeah - but there are ways that companies get around the 'generic' formulations, ie, they make meaningless changes in order to get granted new patents. Like the color of the pill, for example. Another example, my GF has asthma; her inhalers - a quite common device, with the basic formulation unchanged for years - aren't generic any longer, due to changes in the accelerant used to propel the drug out of the device. So what used to cost her $5 is now closer to $45. Gotta do away with that.

Cycloptichorn


i don't see the problem... i mean, the patent was for the drug chemical and any change made would require a new patent. the old one would still expire at some point and then could be made by any company. i suspect in your gf's case, either the accelerant is more expensive or no other company picked up the formula.
0 Replies
 
cicerone imposter
 
  1  
Reply Tue 25 Sep, 2007 07:39 pm
We'll have to wait for universal health care for our children until we have a president that prefers spending our tax dollars on our children over wars.


House votes to expand insurance for kids

By CHARLES BABINGTON, Associated Press Writer 24 minutes ago

WASHINGTON - The House voted Tuesday to expand health insurance for children, but the Democratic-led victory may prove short-lived because the margin was too small to override President Bush's promised veto.
0 Replies
 
Miller
 
  1  
Reply Tue 25 Sep, 2007 10:40 pm
USAFHokie80 wrote:
i wonder, cyclo... suppose this system we just spoke about is implemented... will the poor of the country, those without current coverage, bother to buy in? i imagine a lot of them will refuse to as they'll see it as another monthly expense they cannot afford - especially if they know they can keep using the ER as their personal doctor. how do we combat that?


In Massachusetts you have to buy health insurance or face a severe fine.
0 Replies
 
Miller
 
  1  
Reply Tue 25 Sep, 2007 10:44 pm
Cycloptichorn wrote:
USAFHokie80 wrote:
Cyclo, i think that's the first post you and i have agreed (mostly) on. though, i don't think the illegal immigrants could afford to work if they had to pay taxes. i'd still prefer to ship them back - but that's another thread.

i'm not sure that dissolving private insurance companies is the best way to go about this. perhaps instead of destroying those companies, the government could create one of its own. it could run a non-profit, gov't funded insurnace company that anyone could buy into, for cheaper rates. though i think it fair to realize that even that system would have a large set of claims that it would not allow. but perhaps that would allow some of the poorer people to afford insurance while not removing the private insurance that the other half like.


A sensible approach in your second paragraph. Follow-up ideas:

- nobody could be denied for said plan, even with prior medical problems, but that doesn't guarantee that the plan will pay for the most expensive surgeries; just that, even if you have something expensive, you're still covered for the cheap stuff.

- Combine enrollment in said plan with the 'health savings account' idea; let those who pay the cheapest rates put aside extra money tax-free in order to help cover the stuff that isn't covered under the gov't plan. Use that money in order to help keep the entire system profitable.

- As we're talking about a huge program, there NEED to be a list of drugs that are offered at a significant discount; it doesn't have to be the most esoteric list, but there are a lot of drugs which currently aren't 'generic' any longer due to some finagaling by the drug companies. A large enough pool of buyers could get rid of that.

I'll think about this some more tonight.

Cycloptichorn


I can see that you don't practice patent law...
0 Replies
 
Miller
 
  1  
Reply Tue 25 Sep, 2007 10:57 pm
georgeob1 wrote:


The net difference of about 14% of income would, for nearly all our population, easily pay for private medical coverage, usually leaving a good deal left over.


This would depend on which part of the US you lived in. If your net income is $30,000/year after taxes that would amount to about $2500/month.

In Boston, a one bedroom apartment is now about $1500, in NYcity, it would be closer to $2000. Figure food at about $200-$300/month, electricity, gas, phone, etc into the equation, I don't think you could afford the health insurance premium of
$30,000 x .14=$4200/year or $350/month.

Also the premium would depend on whether this was for a single individual or for a family.
0 Replies
 
 

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