Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

BootinUp

(47,143 posts)
Mon Jun 30, 2014, 01:25 PM Jun 2014

Single payer vs. ACA Mandate

All these swipes at the ACA mandate that use the "we should have single payer health insurance" as a supporting foundation are such utter bunk.

Why?

Because single payer where taxes would be used to fund the system is also a mandate. There is no difference from the standpoint of you must help fund the system.

If you want to argue for single payer then do so. I will join in.

If you want to argue against the mandate then you are a voice against Universal Healthcare, not for it.

13 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies

Romulox

(25,960 posts)
1. Mandate to buy *private, for-profit* insurance. Details...
Mon Jun 30, 2014, 01:27 PM
Jun 2014

Single payer advocates want a mandate to provide care to all Americans. Not a mandate to provide profit to private insurers.

IronLionZion

(45,433 posts)
4. Single payer is still insurance, its just the payment system
Mon Jun 30, 2014, 01:40 PM
Jun 2014

who provides the care could still be private for profit providers. There will still be private medical device manufacturers and pharma and suppliers.

Single payer doesn't actually mandate anyone to provide care. If you want to use that terminology, EMTALA really does mandate emergency rooms to provide life saving stabilizing treatment to anyone who needs it.


 

quinnox

(20,600 posts)
2. There is a huge difference between a mandate to buy crappy for profit health "insurance"
Mon Jun 30, 2014, 01:29 PM
Jun 2014

and a government run non-profit universal health care system. Perhaps too much kool-aid and hearing false talking points has confused those who apparently think they are the same thing.

 

Armstead

(47,803 posts)
5. Depends on what the mandate os for. Personally I prefer the public option
Mon Jun 30, 2014, 01:45 PM
Jun 2014

I think a mandate to buy a crappy overpriced product from a provide corporation is not a good mandate.

But SS is a mandate, and the sky didn't fall when it was instituted, and most people accept it as a benefit today.

Personally, I think an option that allowed people to buy into Medicare would have been a better step in the right direction. Hard for people (except the vested interests) to object to something voluntary. And then, down the line, if people realized they'd get coverage at a better price and terms, it could move towards single payer.

frazzled

(18,402 posts)
7. You are totally missing the freaking point.
Mon Jun 30, 2014, 02:05 PM
Jun 2014

The question is ... if a public option or Medicare-for-all plan, paid for by taxpayers, contained a directive to pay for all women's birth control ... would this directive also be challenged and overturned by the Court on the basis of "religious belief"? The answer is yes, it would be the same ... probably worse, because it would affect the financial interests of far more self-proclaimed "religious" people than just the business owners.

This is about women's health and women's rights, and about the application of government laws to all parties (not just those who "believe" in them).

 

Armstead

(47,803 posts)
8. They already pay for things that are potentially objectionable
Mon Jun 30, 2014, 02:30 PM
Jun 2014

There area already many elements in taxpayer funded public health programs that some kind of zealot could challenge in a worst case scenerio.

Heck, a Christian Scientist could theoretically sue the government because any medical treatment goes against their religious values.

Or the Christian Fundies who believe that "mindfulness meditation" opens people up to satanic influences (some do believe that) can object to any wellness programs that teach that for stress reduction.

But short of that-- which all public programs run the risk of -- a "public option" could skirt that because it is optional. Peopel who have objections would not have to buy into it.





frazzled

(18,402 posts)
10. No, the public option is not optional
Mon Jun 30, 2014, 02:34 PM
Jun 2014

It was always just going to be one choice among the many that people are MANDATED to get to cover themselves. And the regulations that applied to the commercial insurance plans would also apply to the public option. The public option changes nothing with regard to the requirement for insurers (public or private) to provide contraceptive coverage.

 

Armstead

(47,803 posts)
11. It's better and more choice than a mandate with no public option
Mon Jun 30, 2014, 02:37 PM
Jun 2014

And if it had been available to the employees of Hobby Lobby, the employees could opt for that over the company plan.

frazzled

(18,402 posts)
6. Not to mention that ...
Mon Jun 30, 2014, 02:00 PM
Jun 2014

It's like unicorn-rainbow-fairy-princess land versus ... well, reality.

I'm not interested in engaging with people on this level. It's like me complaining about the state of my house and saying, "if I only had a million-dollar estate with a gardener and maid." Well, I don't have that, so I will have to deal with the yard work and cleaning. It's sad, but true.

I'm not saying single-payer is not someday achievable, but it's not the hand we've been dealt at the moment, and it's probably a fair long ways off. And the only way we're going to get there is by improving what we've got, step by step. There are no magic ponies.

And yes, you are correct: single-payer is nothing but mandate, and paid for through taxes, so don't act as if today's horrific ruling would have been obviated by a different system.

 

Armstead

(47,803 posts)
9. Could you have possibly fit any more meaningless cliches into that?
Mon Jun 30, 2014, 02:33 PM
Jun 2014

you hit all the bases -- ponies, unicorns, reality.....

You can disagree without being disagreeable.

frazzled

(18,402 posts)
12. Sure I could ...
Mon Jun 30, 2014, 02:41 PM
Jun 2014

But could you overreact any more? Clearly my use of those cliched terms was intentional, and therefore not "cliched" in the end at all: they were being used to a purpose. Sorry if you don't like it. Was it the girly aspect of those terms that offended you? (If so, just "man up" and don't be afraid of the castle/fairy language. Words can't hurt you.)

I guess only certain people with certain views are allowed to be disagreeable. If you disagree with them, then you are somehow labeled "disagreeable." It's a puzzlement.

 

Armstead

(47,803 posts)
13. Your irony was lost on me because it is too often repeated without irony here
Mon Jun 30, 2014, 02:51 PM
Jun 2014

As for the "girly" stuff....well, I'll just let that go without comment.

But overall, I just think the debates -- no matter how heated over the subject -- are more interesting and constructive wothout disparaging people personally (or collectively) for the views they hold.

I'm not immune from that myself (as the previous post proved) but in general.....

Latest Discussions»General Discussion»Single payer vs. ACA Mand...