Do you really think that parents that take their kids to the ER for a fever and/or ear infection are going to suddenly stop taking their kids to the ER and go to their regular doctor?
Well yeah, they'll have insurance. These people aren't hopeless morons, and they love their children and what whats best for them. Indigent homeless are trickier, but you see a lot of working homeless families lining up around the block to get their non-emergent medical needs addressed. Under a
In some states that can be Robamacare and in others it can be insurance and tort reform. Tort reform would save the system more money then any of the current proposals.
You forgot to call the President "hopey changey," or make a reference to the "democrat party." Minus two points.
Tort reform is a bit of a red herring. Orrin Hatch's Tort Reform proposals in '09 would have saved about $54 billion [washingtonpost.com], which isn't chump change, but it would only reduce total national health spending by 0.5%. So we could claim that money on the table, but the limitations in Hatch's proposal specifically were extremely low, to the extent that they reduced pain and suffering awards to a slap on the wrist and would probably cause incidents of malpractice to increase.
State-by-state solutions are doomed in the US because of regulatory arbitrage. Employers and tax units in states with expensive programs can simply move their paper addresses to states with lower tax liability. Insurance companies can shop around for states that offer them the most favorable regulation (the ones with the least customer protections), and employers can play states off each other to obtain favorable tax treatment. States simply can't design their own programs when the employers within it can simply evade the costs of the system by filing paperwork, while enjoying all the benefits of the system by dumping their employees into the state public program. A state-by-state healthcare system in the US would end up looking a lot like the consumer credit card system in the US, which is to say, we'd all have whatever rights the North Dakota and Delaware legislature had agreed to, because they were the highest bidder for the health insurance company's business.
"States' Rights" has been keeping 60's-style state capitalism alive for decades, by giving employers a huge stick with which they can extract free services from a state government, guised under the threat of "killing jobs." An employer simply threatens to move unless they can stay tax-free, dumping the costs of roads, schools, police, and health care on everyone else.
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