“Who knew it was so complicated?”

Repeal and replace! CBO says a 10 year 300 billion dollar saving is accompanied by 11 million person loss of health protection to be followed by 13 million more in three years.People between 50 and 61 will bear the brunt.Younger people can select catastrophic plans or none at all.’Cross state enrolling will allow competition to lower drug and treatment costs.etc.’ It’s balderdash,companies including big pharma and health care providers know how to cooperate in fixing prices.It is really pretty simple.You lower costs by spreading risk.If you value lives and productivity you have as large a pool as possible;single payer systems( government) work best.Not possible here? Then let it be ACA but American Health Care which is voluntary and penalizes pre-existing conditions leaves a whole lot of people in deep trouble.



  1. Lowering costs by “spreading risk” is true and also simple. It is simple because there are other ways to do this good thing and this good thing if done without the others can mean that we are lowering the cost of an immensely overpriced item only to that of a largely overpriced item. But Daedal2207 too conveniently eliminates the best means to do this good thing by claiming that “health care providers know how to cooperate in fixing prices”. He is telling us that they are secure in committing a felonious act, that of price-fixing collusion. If this is true, wouldn’t it be easier and also more important to enforce existing law thereby forcing companies to compete to attract our dollars. “More important” means that such competition incentivizes companies to price below the competition, provide excellent product, and do it efficiently.
    Other dynamics worth thinking about: It is likely that health care companies can defraud more easily a “single payer” government than they could multiple competitors. Also, the brainpower found in a government entity is likely to be greatly limited compared to that dispersed throughout a competitive world of free market healthcare and all that supports it. Happily surprising innovations (new and often cost-cutting) are much more likely to evolve from millions of brains interacting in a widespread economy than from a relatively few directing activities from a centralized control system.

    1. Somehow the health of our nation even more than its education level and its armed might ,doesn’t seem an appropriate item for “free market” competition.Those who see the function of government as ” deconstructing” itself will not agree.

      1. Lots of things are other than the way they “seem”. Hopefully our effort is to determine with supporting evidence “what works best”. I don’t know of any movement of significance that would advocate that all governments should have as a major function the “deconstruction” of themselves. Obama apparently believed this of our historic government when in 2008 he famously proclaimed that his administration would “fundamentally transform the United States of America”. In general, I think that we can all think of many specific “governments” around the world that for the better human future should engage in self “deconstruction”.
        If an equal access to healthcare FOR ALL is the goal, the use of government dictates “seems” like a straightforward means. If the creation of the HIGHEST QUALITY healthcare made available for THE GREATEST NUMBER is the goal, the use of government coercion “seems” like a foolish idea. Incentivizing the fullest blend of talents to willingly contribute to this cause when and where called for at levels of cost appropriate to myriad variables “seems” with good reason to be beyond the capability of a centralized command-control system. Reading and understanding only the first four chapters of Thomas Sowell’s book “Basic Economics” would provide powerful evidence to this fact.

        1. Those familiar with this blog will recognize the recurrence of this argument and hopefully my dialogue contention that health,more specifically disease can be and has been weaponized.Unless we make emergency rooms unavailable to the poor for their routine care,they will be unavailable or severely compromized by virtue of being overwhelmed,for first line intervention against epidemic assault.( viral & or poison)Health care is much more than a commodity.(Death Panels anyone?)

    1. There is much to fear in this world. Daedal2207 tells us that emergency rooms may be “unavailable or severely compromised by virtue of being overwhelmed, for first line intervention against epidemic assault”. He seems to be of the belief that if a socialized healthcare system prevails somehow “the poor” (whom it is assumed will no longer overuse emergency rooms) will be less prone to be early victims and/or spreaders of diseases intentionally inflicted by an enemy. Many questions arise, but the following may be the most poignant: Why would there necessarily be more who are susceptible to disease if the efficiencies of a decentralized market system provide overall better care for more people and are more likely to expand the arsenal of cures and treatments?
      The dictionary defines “commodity” as “something which is useful”. A health care system COULD be among the most important of useful things. Therefore, health care IS a commodity. The system that is most efficient (in all its functions) will be the design that is most saving of life.
      I don’t know how “Death panels” necessarily have anything to do with a healthcare considered to be a commodity. Given that there will ALWAYS be for our entire population more demand for levels of care than can be supplied, some form of allocation will ALWAYS be unavoidable. If allowed, market forces allocate resources automatically. Talent is attracted to where needed. New resources are created and distributed – incentivized by profits and losses. It is when people are chosen to decide who receives and who does not that we can identify something that closely resembles a “death panel”.

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