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Old 10-22-2013, 12:00 PM   #72
Fedaykin
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Originally Posted by BBII View Post
Outright defund/repeal?
Try going back and reading what I've written about it..

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True in every aspect of life. But I've never heard it argued that someone should be forced to buy life insurance because if they die their family might become a burden on the rest of us.
Should people be forced to carry auto insurance? Why or why not?

And, of course, we do have a social safety net for people who lose the person supporting them so not really sure what point you think you have there.


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1. One of the main problems in health care is that people can often suffer and die with either minimal cost or extreme cost. Even at the end of the road, people will make vastly different end-of-life decisions based on whether a third party (say Medicare) is paying the bills, or whether they are.
End of the road isn't the problem. People with chronic illnesses are very, very expensive to treat. How many people with diabetes do you think would say "**** it, i'll just die".

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2. ACA does absolutely nothing to mitigate cost. It works overtime to hide cost. Which is problem #1 with our health care system and the employer-based model today.
Yes it does. This has already been addressed dozens of times, see TLB's post for the latest.

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3. You're magic-bulleting this point. Yes, cost is pretty much THE problem. But that problem isn't getting solved by obfuscating payment. When the consumer consumes, he needs to CARE what it costs. The provider needs to know he cares what it costs.

Reinstating this cost-conscious relationship will drive costs down. And drive innovation at the same time.

Single payer can only fix prices and enforce quotas. Those are the only tools in its arsenal. It's one size-fits-all and yet still does little to motivate efficiency.
You're trying to apply non-mandatory, non-emergency consumer market principals to something that is not that kind of market. If you cut your finger off, do you comparison shop or find the nearest medical facility regardless of cost?

When you get cancer, do you shop for the cheapest doc, or the one that has the most chance of treating you successfully?

Right now we spend 2x as much as most other first world countries many of whom have single payer and or other types of socialized medicine, so the idea that the only way to reduce cost is to put the cost in front of the "consumer" doesn't even remotely follow the evidence.
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