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TheKentuckian

(26,314 posts)
21. The real answer is probably after we "fix" NAFTA.
Mon Jul 2, 2012, 12:05 PM
Jul 2012

My answer is after we get a national exchange with universal access, until then a public option is a dumping ground for the cartel to rid themselves of the expensive to cover both by pushing them toward it and by self selection, if you have real problems who do you trust to actually provide care the cartel or Uncle Sam?

Would you select Tricare or Cigna if you had serious ailments or a terrible condition?

If we are betting our asses on "market forces" then it seems imperative that we actually give them a chance to function which means as few and as large a pools as possible and access to the market for everyone depended on it rather than sequestering a small minority into an arena where there is choice and competition.

Laser focus on the public option is probably part of the reason the bill structurally stinks as much as it does because so little pressure was ever applied in the more mundane areas like ending the anti-trust exemption or a national exchange or ramping of the population in to the exchange(s) or even how subsidies would be distributed.

I just think we need to do a hell of a lot to clean up the actual structure before we go back to fixating on features. We probably will find that there are some poison pills we allowed into the bill with the hundreds of TeaPubliKlan Amendments accepted without a single vote. Seems Ensign got a toxic bit in that will allow increases based on health and compliance with advice from wellness visits that allow substantial cost increases for one.

I also find certain treatments of people to be inconsistent like being able to carry a child to 26, in which case we are providing a needed benefit to those just starting out in life that can't afford insurance but also see a 19 year old as a deadbeat who doesn't want to contribute because that kid's parents don't have coverage or refuse to carry them.

These young folks are exactly the same except in their choice of parent but one needs generous and comprehensive help and the other is a welfare queen type that wants a free ride.
Why are the adult children of the middle and upper class in need of more patience and budget wiggle room than the children of the poor and working class without insurance?
Why does an 18 year old helper on a construction site need 8.5% (or whatever) more of their income than a 23 year old working in the same office (making similar money, to boot) I do based on the status and willingness to help of their parents?

If we as a society believe that a person needs to the age of 26 to establish themselves then that should apply to all people below 26 not just those in the more fortunate circumstances. Hell, we didn't even mandate that people carry their adult children, instead we just said if they want to they may.

The whole law is filled with separate and unequal, that shit has to be fixed.

Recommendations

0 members have recommended this reply (displayed in chronological order):

Public option and price controls. GreenPartyVoter Jun 2012 #1
Health care should be nonprofit. Skidmore Jul 2012 #18
It should be, but I don't think we will be seeing that for a while. GreenPartyVoter Jul 2012 #20
Many major insurers are already non-profit. n/t pnwmom Jul 2012 #28
how about now? this is the first step. public option next. single payer last. it will all take time dionysus Jun 2012 #2
Could we do the Public Option state-by-state WHILE we fight for a federal law? Junkdrawer Jun 2012 #4
i think that's how the public option or single payer will finally be achieved. in canada, dionysus Jun 2012 #5
It began as a PUBLIC program. Not a for-profit one. And the lag between the provincial program HiPointDem Jul 2012 #23
Actually, "now" is pretty late. TheWraith Jul 2012 #27
1992 CleanLucre Jun 2012 #3
LOL. But seriously.... Junkdrawer Jun 2012 #6
yes it is serious CleanLucre Jun 2012 #8
Ha ha ha ha ha ha. Bonobo Jun 2012 #7
That's the current situation - our job is to change it. Junkdrawer Jun 2012 #9
First people would need to believe that health care is a right. Bonobo Jun 2012 #10
But that was the whole point of a Public Option vs Universal Healthcare.... Junkdrawer Jul 2012 #12
Private health insurance lobbied heavily against such a scheme, for good reason. Selatius Jul 2012 #15
Not only that, but the Public Option paid hospitals less.... Junkdrawer Jul 2012 #22
Kick Junkdrawer Jul 2012 #11
Never. Line up the same amount of cash that was used to lobby against the Public Option. Selatius Jul 2012 #13
We are told over and over that the ACA is a stepping stone to Universal Healthcare.... Junkdrawer Jul 2012 #16
Junkdrawer, I couldn't possibly agree any more. That's the situation in a nutshell. nt Poll_Blind Jul 2012 #25
i think the next step- some states go for the Public Option. PBass Jul 2012 #14
Wow, after reading DU again (and this thread) I'm reminded that maybe the problem with the PBass Jul 2012 #17
Some of us never stopped doing so. Bluenorthwest Jul 2012 #19
The real answer is probably after we "fix" NAFTA. TheKentuckian Jul 2012 #21
I think the first step is to actually get ACA in its current form up & running OmahaBlueDog Jul 2012 #24
I would hope that a class action lawsuit can be done stating that Cleita Jul 2012 #26
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