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LuckyTheDog Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jul-07-09 09:29 PM
Original message
One way to think about health care...
What do you want as the primary moral impulse behind providing health care... 1) A fiduciary duty to provide the biggest profit possible to the shareholders; or 2) The General Welfare clause of the U.S. Constitution?

For me, it's no contest.
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slipslidingaway Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jul-07-09 09:39 PM
Response to Original message
1. A fiduciary duty to shareholders....
:puke:

No contest for me either.

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pkdu Donating Member (621 posts) Send PM | Profile | Ignore Tue Jul-07-09 09:41 PM
Response to Original message
2. If I might make a suggestion..
The primary issue is access to affordable Health INSURANCE ...most Americans , once they get access through insurance are relatively happy with their Health CARE provider(s).

Thats why a public option or single payer is such a big deal ( or deal-breaker)

Cheers
P
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slipslidingaway Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jul-07-09 09:51 PM
Response to Reply #2
3. There is a big difference between the public option and single-payer
not for profit health care.



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pkdu Donating Member (621 posts) Send PM | Profile | Ignore Tue Jul-07-09 09:54 PM
Response to Reply #3
4. I'll take either over the bullshit that Senator Baucus is pushing or the status quo
Edited on Tue Jul-07-09 09:56 PM by pkdu
but my point was we must have Insurance coverage...the rest is important but secondary
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dflprincess Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jul-07-09 09:59 PM
Response to Reply #4
5. " A fiduciary duty to provide the biggest profit possible to the shareholders; "
Is the status quo and is exactly what Baucus is pushing.
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slipslidingaway Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Jul-08-09 08:57 AM
Response to Reply #4
6. But being able to finance this insurance is not secondary....
:shrug:

By Don McCanne, MD

http://www.pnhp.org/news/2009/july/paygo_that_builds_r.php

"As expected, Congress ran into problems when they tried to figure out how to pay for health care reform. They stubbornly adhered to the principle that reform must be built on our dysfunctional system of profitable private plans for the healthy and taxpayer-financed public programs for the sick, even though numerous studies have shown that this is the most expensive model of reform.

Before the process began it was already understood that health care has now become so expensive that a health plan with adequate benefits would require massive public subsidies to make it affordable for average-income individuals and families. It is the size of the subsidies that would be required for them to work that would be the budget busters. Now that they are at the point that decisions must be made, they are relying on a process analogous to innovation in the marketplace, shunning their obligation to be responsible public stewards.

For the average American, they are establishing a standard of a bottom-tier package of benefits (a bizarre concept that requires greater out-of-pocket spending for those needing health care than that required of the wealthy with their higher-tiered plans). They are paring back the income eligibility levels such that there would be no subsidy above 300 percent of the poverty level ($32,500 for an individual or $66,000 for a family of four). These numbers simply do not make health care affordable for middle-income Americans when you consider that the Milliman Medical Index is now $16,771 (the average cost of family health care for the healthier sector covered by employer-sponsore plans). That doesn’t even count the taxes that middle-income Americans pay to support the massive government spending on health care programs.

Congress’s “market innovation” for pay-go is to fully fund the waste built into the private insurance model of health care financing, and pay for it out of the pockets of middle Americans who happen to need health care - defeating the very purpose of health care reform..."





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