Originally Posted by B-Large
A discussion about cutting spending is almost worthless unless you discuss the big 3, Medicare & Medicaid, SS and Military outlays. To me, there will have to be some further mean-testing of Social Security and Medicare in the future to stablize the budget, as well as pretty substantial cuts to miltary outlays as well.
What's strikes me as ironic is Conservatives are 100% deadset, rabidly aginst the Affordable Care Act, but when you think about it, it is the test kitchen for privatizing parts of Medicare... if the ACA works and comes out as a cost effective solution to healthcare, there is more likelihood of success in proposing that Amercians with certain asset levels in retirement will be routed to he ACA to purchase private coverage in their retirement instead of being a Medicare recipient. to me, they are fighting a Pyrrhic War on the ACA that will ultimately crush one of their long-term strategies in he future. If the ACA rocks it and GOP makes it work, what possible defense could people have to not consider privatising Medicare,or parts of it?
Good post. But the biggest theoretical problems with the ACA are that it doubles down on what the real enabler of expensive American Health Care is. Universal Cover-Everything insurance allows the medical system and Pharma to gouge people, because people have no incentive to be smart consumers. And the nail in the coffin is that it attempts to pay for the sick by coercing the healthy. Which violates the entire concept of insurance. And will cause the whole thing to crash down around itself in a fairly short period of time. And then team Proggy will pronounce "See! We tried 'the market' and it doesn't work!"
When in reality they turned market principles upside down as only government can.
The plus side of it is that it may help to eventually break the employer-coverage model. That needed to go away a long time ago.
Insurance in general though needs to be for catastrophic loss and not everything under the sun. Your mechanic would charge a hell of a lot more if he knew nobody gave a **** what he charged.
And health insurance needs to be structured more like life insurance. You buy in when you're young and usually healthy, and are guaranteed a certain payment (plus some kind of standard inflation rate) for the rest of your days.
End employer-based coverage. Encourage HSA/catastrophic coverage programs. And lifetime or at least long-term insurance rating would do wonders for Healthcare in the US. Then the government would only have to function to fill in a few gaps.