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Originally Posted by The_Real_Hawkeye
By the way, national healthcare and open borders do not mix. Immigration, both legal and illegal, from third world countries would have to stop in its tracks if we were to have nationalized healthcare, or the entire system would soon crash. If they're not willing to do this, there's no way in hell even the most intelligently planned national healthcare system could do anything but crash the nation's economy. If they pursue this, it should be presented as an either or, i.e., either we have nationalized healthcare, or we have open borders, but we cannot have both. If we have it, immigration has to be nearly eliminated, except for people who are already well to do.


Right. Or the government could quit pretending they don't know who's illegally present and who's a citizen or not.

Last edited by night_owl; 05/06/17.


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And that "parallel system" is nothing new. It's called socialism. Giving in to any BIT of it agreeably is a terrible mistake.


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The first problem with national health is you can't have it if you still have open borders and the med/mal tort system we have in place. The alien issue can only be solved by making it a serious crime to be here and to make it a serious crime to hire an illegal. No one really wants to de either of those things. The left wants the bodies and the right wants the cheap labor. The tort system isn't going anywhere either, because the trial lawyers own the democrat party.

One plan that might work if you got the other two above fixed would be to offer a national major medical plan to everyone. You get this at birth, and its paid for through a natl gas tax. It doesn't provide anything except major medical coverage, in other words, no doctor visits, but if you need a hospital or something big happens, you are covered. The deductible can fairly low. That is only meant to be a baseline of coverage. Anyone can then buy a policy to supplement the natl plan. This is where the private competition comes into play. I would think that if the major medical cost is taken out of the equation, there can be a wide range of supplemental plans geared for all ages that could be bought pretty cheaply. This way if a young person doesn't want anything more than the base plan, fine, as they get older they can add onto this plan as they start earning more money. This can also be tied into employer paid health plans, they just piggy back onto the base natl plan. I guess what I am describing is sort of a natl medicare with a supplemental that we can add on at our own cost.

I could probably live with something like that. It would still allow me to pay for what I want without forcing me into a plan I don't need. It also keeps me from having to pay for someone else's healthcare. I suppose the gas tax is sort of a self pay plan. I like it better than a payroll tax as even the poor buy gas.

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Originally Posted by Gus
well yeah. but it's due in large part to the "hybrid" system we are running. market place conditions still exist. the doc, big pharma, and the hospitals are still billing individuals and/or the insurance companies.

at the same time big gov. is setting rules, standards, and regulations that are mandated and have to be followed. no wonder the lawyers are getting rich.

A cogent and reasonable post. What have you done with Gus??

PS The main driver of out of control costs is that the customer has no way of knowing the real price of anything, and thus cannot shop for the best price of any medical service. You really don't even know how much of the bill you will end up liable for till well after the service is provided.

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I live in a country with National Healtcare.. Its great!
We also have a private option. Which is faster..


I personally did not need anything until I was 33.. then I started having some troubles.
Pay out of pocket for the first 15 doctor visits each year. Everything else is covered.
Need Physical therapy.. Pay for the first 15.. rest is covered.
Need a shrink.. Pay for the first 15.. rest is covered.

Those 15 visits, costs $250 combined.

All of those, have private options as well.. they are more expensive.. and somewhat faster service and perhaps with more personal service.


When I needed a MRI of my shoulder, the waiting period of the Public hospital, where 3 months. During national holidays.. which is 5 weeks long.
The private option could do it within 5 days. But I would personally have to pay for that. Around $250 I belive.

My father needed a Stent, in a Coronary Artery. Not urgent.. waited 6-7 weeks. No costs.

My Brother in law, got Intestinal Cancer, and had to remove most of his guts as well as cancers. Waited 2 months for surgery. No costs.

My brothers, sisters, BIL & SIL, has given birth to 9 children, during the last 8 years. Each spent 1-3 nights at hospital, depending on "complications". No costs!




When I say No costs.. I mean is, its payed over the tax bill. Everybody pays... some might end up needing the healthcare... some do not. But, at least we are all covered.


And don`t get me started on medications.. Its cheap.. belive me.


The US in the last 40 years:

Socialism for big corporations and military industrial complex

&

Rugged individualism for the individual.
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And..

Only the best students gets into medical school. Meaning, only straight A´s.. and them some.

They earn 2-3 times the average national salary.

Cost of medical school.. $200 each year.

Last edited by Northman; 05/06/17.

The US in the last 40 years:

Socialism for big corporations and military industrial complex

&

Rugged individualism for the individual.
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Originally Posted by Northman
I live in a country with National Healtcare.. Its great!
We also have a private option. Which is faster..


I personally did not need anything until I was 33.. then I started having some troubles.
Pay out of pocket for the first 15 doctor visits each year. Everything else is covered.
Need Physical therapy.. Pay for the first 15.. rest is covered.
Need a shrink.. Pay for the first 15.. rest is covered.

Those 15 visits, costs $250 combined.

All of those, have private options as well.. they are more expensive.. and somewhat faster service and perhaps with more personal service.


When I needed a MRI of my shoulder, the waiting period of the Public hospital, where 3 months. During national holidays.. which is 5 weeks long.
The private option could do it within 5 days. But I would personally have to pay for that. Around $250 I belive.

My father needed a Stent, in a Coronary Artery. Not urgent.. waited 6-7 weeks. No costs.

My Brother in law, got Intestinal Cancer, and had to remove most of his guts as well as cancers. Waited 2 months for surgery. No costs.

My brothers, sisters, BIL & SIL, has given birth to 9 children, during the last 8 years. Each spent 1-3 nights at hospital, depending on "complications". No costs!




When I say No costs.. I mean is, its payed over the tax bill. Everybody pays... some might end up needing the healthcare... some do not. But, at least we are all covered.


And don`t get me started on medications.. Its cheap.. belive me.
But does your nation spend enough on your military to provide a viable national defense if the US didn't have your back?

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[/b]
Originally Posted by ltppowell
And that "parallel system" is nothing new. It's called socialism. Giving in to any BIT of it agreeably is a terrible mistake.



Yes, it is Socialism. We lost this one. Game over. Truth is we lost the game in 1966 with Medicare. That IS Socialized medicine. Nobody can save us from it. Once I saw that nothing will get passed without pre existing conditions and subsidized premiums, the bold fact that the clock has expired on working this system was obvious.

The best thing the GOP could do now is torpedo this mess in the Senate and have Trump come back sounding like Bernie Sanders on Healthcare. Implement a one payer system, let the market create a private system, find a country that has worked out the bugs and use their model. You cannot "fix" Obamacare and this game is over. Usurp this from the Dems and carry your fight to trade, lower corporate taxes, fixing immigration, supporting the 2A, etc. Once you stop fighting this lost cause and take it on for yourself, you can kill the Dems for the next 40 years. Who would vote against the GOP when they "gave" the people "free" Healthcare?

Conservatives are logic based, and you can show them the score. Don't be Hitler at Stalingrad. Cut your losses, regroup and advance elsewhere!


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good thought provoking post.


ACA hit me hard. I need something to change.


I'm pretty certain when we sing our anthem and mention the land of the free, the original intent didn't mean cell phones, food stamps and birth control.
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Originally Posted by BarryC
Originally Posted by hatari

- Next, allow the market to go back and make a separate, independent market based system. You want to go to a private MD, or a Private hospital that does not participate in National Healthcare? You can buy an insurance policy to cover that or pay cash for doctor's visits. I promise that a market based insurance covers private system would see premiums fall by 50%! America would still have the best healthcare in the World, we would still have innovation, you just won't get the best for "free" .
No, the premiums would NOT fall - because the National HC system would ensure that the system remains bloated. Just like private schools aren't cheaper than public, because public sets the minimum cost standard.



.I don't agree. The private system would not be required to give"fee" care to those who don't pay, shifting the cost of that service to others in the system. In the Private system, you pay, or you go to the Government system. Costs will come down because EVERYONE that utilizes the Private system will support it.


"The Democrat Party looks like Titanic survivors. Partying and celebrating one moment, and huddled in lifeboats freezing the next". Hatari 2017

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Originally Posted by The_Real_Hawkeye
By the way, national healthcare and open borders do not mix. Immigration, both legal and illegal, from third world countries would have to stop in its tracks if we were to have nationalized healthcare, or the entire system would soon crash. If they're not willing to do this, there's no way in hell even the most intelligently planned national healthcare system could do anything but crash the nation's economy. If they pursue this, it should be presented as an either or, i.e., either we have nationalized healthcare, or we have open borders, but we cannot have both. If we have it, immigration has to be nearly eliminated, except for people who are already well to do.



Chitt, the World is ending soon. I agree with you.


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So if the current administration were to take this advice, what would you say becomes of the VA? Could close that down re direct those dollars?


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ACA took all my health care away. I have none now.

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Originally Posted by hatari
Originally Posted by BarryC
Originally Posted by hatari

- Next, allow the market to go back and make a separate, independent market based system. You want to go to a private MD, or a Private hospital that does not participate in National Healthcare? You can buy an insurance policy to cover that or pay cash for doctor's visits. I promise that a market based insurance covers private system would see premiums fall by 50%! America would still have the best healthcare in the World, we would still have innovation, you just won't get the best for "free" .
No, the premiums would NOT fall - because the National HC system would ensure that the system remains bloated. Just like private schools aren't cheaper than public, because public sets the minimum cost standard.



.I don't agree. The private system would not be required to give"fee" care to those who don't pay, shifting the cost of that service to others in the system. In the Private system, you pay, or you go to the Government system. Costs will come down because EVERYONE that utilizes the Private system will support it.



Yup...our socialism will be different. It will work for sure, even though it has NEVER, EVER worked in history.


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Screw the entire lot of you commies!

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Originally Posted by gregintenn
Screw the entire lot of you commies!


I wish we had never gotten to this point. We lost this one. Are you going to be Hitler at Stalingrad and lose 300,000 men over a lost cause, or are you going to regroup and attack on another front?


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My thought as well.


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Originally Posted by The_Real_Hawkeye
Of course, this was the purpose of Obamacare to start with, i.e., to crash and then be replaced by single-payer national healthcare. So this is a victory for the left.


Obamacare was never designed to work, it was to destroy the semi-free market system that we had before and then fail miserably, like it's doing. Out of the ashes was to rise national healthcare, like it's doing. As pointed out by others, no one is discussing free market reforms, everyone's just shuffling the deck chairs around what the government should require and pay for. The democrats have won, national health care is here. We can't just repeal it and not replace, the old system doesn't exist any more and can't be reconstituted.

20 years ago the U.S. had the best healthcare in the world bar none. There's a reason virtually every lifesaving drug and procedure in medicine was pioneered here. Socialism doesn't encourage innovation, the opportunity for a profit encourages innovation. That's going away now, and it'll cost the rest of the world the innovations they relied upon coming from the U.S. Just like Canada and the E.U. can get by with a token military because of their proximity and relationship with the U.S, they also know that they can rely upon the U.S. for medical innovation that will filter out to them. That'll lessen now, once we go full on socialist in our health care the innovation will slow dramatically from the U.S.

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Originally Posted by Valsdad
hatari,

your proposal seems to address the "elephant in the room"............

the working poor, (white, black, "Hispanic", Asian, etc) those who can't afford the rising health care costs we've been seeing for the past decade or two.

These are the folks who want to keep "Obamacare". They can get somewhat affordable insurance. Maybe not high end, but at least they have something. Prior that, they just didn't go to the doctor unless they were dying.

I have a brother in that situation, worked hard all his life, lives in a high cost of living area, getting older......he story of many a good citizen. Universal health care would help him for sure.

For those that can afford it, supplemental system if they don't like the universal.

As you suggest, politically, a smart move. A party would pick up many of those voters on the fence.....vote for some sort of health care they can afford.......or vote for their "conservative" values. Probably pick up a bunch of those pro-labor outdoorsman (union member type) who are losing the battles for employer paid insurance policies they had in the past.

Geno



And what about the non-working (so-called) poor? That is, not counting their drug dealing money.

Need pictures? grin


Slaves get what they need. Free men get what they want.

Rehabilitation is way overrated.

Orwell wasn't wrong.

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Originally Posted by local_dirt


And what about the non-working (so-called) poor? That is, not counting their drug dealing money.

Need pictures? grin


That's your problem. That's how socialism works.


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