1 in 4 adults had insurance but still couldn’t afford medical care

[Dragonfli]

8. In a tiered health care system such flaws are features

It is a system where different people are valued differently and it is regressive.

Those with more comfortable financial means are gold valued people and the design allows them to receive care by providing the cheapest copays they can easily afford

Those with the least financial means (*and therefore the least ability to pay copays) are bronze valued people and the design allows them via subsidy to buy mandatory insurance they really can't afford while providing them the highest possible copays to insure they will seldom be able to actually access health care itself.

The bronze valued people, because they pay premiums, help bring down the costs so that the gold valued people can save money while receiving the health care that is financially unavailable to the bronze valued people.

This makes the gold valued people happy, and the bronze valued people, well, they aren't worth very much so who cares anyway? It's not like bronze is worth anything.


A progressive system would work in the reverse, those with the least would pay the least to receive care and those with the most would pay a bit more to receive care. This tired system designed to ration care to the underclass and reduce costs to the upper class is made possible by conflating insurance with health care and is driven by a cynicism that would place different values on people as if they were nothing more than usable resources.

There should only be one tier of health care and the highest and lowest among us should have exactly the same access to it.

But such cynicism that would go so far as to value people differently based on their income would of course simply use the lower classes as premium fodder in order to reduce costs for those valued more highly, this is the true nature of a uniquely American system of healthcare.

Insurance is not healthcare, but rather a means to ration health care and insurance companies only serve one function and it is not to provide health care, they don't even dispense aspirin, they are only there as gatekeepers to provide a care denial system, they serve no other function but to restrict access to actual health care (well, except to profit from restricting access, but that is another story)