We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
The change in medical care. I refuse to term it "health care," since health needs no care other than one's own reasonably-sensible and attentive but not health-obsessed life, combined with the main factor - luck. From a commenter at Allahpundit:
Perhaps the concept of ‘insurance’ isn’t the right one for health care?
I always liked the comparison that was trying to be made with car insurance…
Yet for there to be an equivalent your car insurance would have to cover: - maintenance tune-ups, including oil and filter changes - the cost of repairs for any reason - a price break per gallon of gas - an annual detailing - the cost of tires - a new muffler annually - and never, ever raising the cost of your insurance no matter how many accidents you were in, how many tickets you got… anything
Imagine what car insurance would be like if we modeled that on health insurance coverage and you get an idea why health insurance coverage is so high. And why get fuel efficient vehicles if you are getting the gas subsidized? Or bother with the maintenance if you’ll get a brand new engine if you forgot about it? And the cost of such insurance would be… lower than what you have now?
The number of shades of maroon that went into trying to make this entire ‘insurance’ concept work for one’s health is plain nuts. It isn’t ‘insurance’ if you are going to use it constantly… you want something else.
Perhaps a clue.
Health insurance used to be an executive ‘perk’ because it was TOO EXPENSIVE to provide for everyone in the workforce. Businesses got a price break for it to entice people who would not normally come to work to do so during WWII. The war ended. The subsidy via the tax code did not. Strangely enough before this misbegotten idea got infested into the tax code and people’s minds, individuals did not drop over dead in the street and did work out payment schedules WITH hospitals and physicians. Amazingly that worked and there was a strong system of charitable hospitals and care givers to pick up the slack. Then government got involved and screwed it up.
Government is all about money. Government's expertise is perverse incentives. The Obama-thing, like the previous Hillary-thing, is not technically insurance. It's just pre-paid medical costs, spread across populations and subsidized, or not, by income and with bureaucrats deciding what you can get paid on it.
That's not an entirely insane idea, except that whenever government gets involved with things outside their Constitutional mandate, things turn out wrong and over-controlling by the standards of a free country. Always.
I do not believe that most Americans want every detail of their lives politicized. I think they want to be left alone, but maybe I am old-fashioned.
If the government really wanted cheap medical care for all they should consider subsidizing another dozen medical schools; in-country. There are many students who want to get into med school and go through several years of applying before getting admitted or giving up. Imagine adding another 500 doctors to the work force each year?
and they should put in hard limits to medical liability payouts.
When/if doctors and hospitals no longer get sued every few weeks for millions of dollars per case, and sometimes billions of dollars, for usually no sane reason at all, their bills can come down a lot.
And not just because of the direct win of no longer having to set aside a third or more of their revenue to pay for liability insurance or staff lawyers.
But also because they now do a great number of unnecessary diagnostics procedures just to be safe, to be sure they don't miss anything when the actual diagnosis is clear cut and needs none of that.
Like, go in with a common cold and you're more likely than not subjected to full blood work, CAT and MRI scans, and who knows what else, just so the doctor/hospital can make sure that cold didn't mask something else extremely rare and obscure that might come back to haunt them if found a few months later when it's become incurable without permanent disability.
One of the biggest problems with trying to have a discussion is the words we are trying to use have had their meanings bastardized to the point of nonsense.
Insurance that isn't insurance, cost reductions that do just the opposite, increased availability of something that it is illegal to deny, and so on.
Same thing Pat Condell is talking about on the racism link below. The first thing we need to do is to take back the language.
I have been fighting some progressives on some other sites who claim the moral high ground by declaring themselves moderates and superior to us extremists by replacing "moderate" with "common" and "extremist" with "exceptionalist" and just watching their little outrage meters go up in flames.
Insurance is to protect you from an unpredictable catastropic economic loss by spreading the risk over the insured population. Insurance can't pay routine predictable expenses. That's not insurance. I tried to explain this to a person who looked at me like I was an idiot and told me his medical insurance did cover routine expenses.
Dr. Joy, I would reword your comment, "Government is all about money." to "Government is all about power. In it's most benign form, power = money, but as it gets more oppressive, money is the least of what it wants."
But you have to include the inevitable result of all that "free" all-encompassing insurance. The costs will skyrocket, the government will try to contain costs and the only way to do that is with rationing (death panels). One day, everyone of us will hear the doctor say to us or our loved ones that do to cost controls we just can't have that life saving operation or that expensive CT scan while at the same time millions of illegal aliens will be getting "free" insurance with no caps. That is exactly what Obamacare will become.