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| Rod Speed... |
 Posted: Tue Nov 17, 2009 11:14 pm |
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Les Cargill wrote
[quote]Michael Coburn wrote
Anarcissie wrote
Rod Speed <rod.speed.aaa at (no spam) gmail.com> wrote
Anarcissie wrote
tg <tgdenn... at (no spam) earthlink.net> wrote
Anarcissie wrote
I can tell you how buyers' cooperatives work
OK, how do they work when it comes to health care?
The cooperative may act as a buyer of insurance, or it may
operate as an HMO. In either case the buyers make payments to
the cooperative as they would to an ordinary company of the same
type. The difference is that the board of directors of the
cooperative is elected by the membership, and the cooperative
does not strive to profit from its customers but to break even. Hence (one hopes) the administration of the HMO or
insurance
company is focused on providing the highest quality care for the
lowest price possible. If it doesn't seem to be doing this, it
may be replaced by the membership.
Trouble is that coops just plain dont work with health care.
Even kibbutz or monasterys were never stupid enough to try it with modern medicine.
Essentially because there is nowhere for them to get health care
except from the current providers of that.
Well, actually, there are some thriving cooperative HMOs. In
general, though, if hardly anyone wants to do it, cooperatives are
not going to be very large or have much bargaining power. This
raises the question of why so many people prefer authoritarian
models when that choice is objectively against a rational
consideration of their interests, a larger question than the issue
of just medical care and insurance.
I think you are revealing a religious bent here. A single payer
system is most certainly in the best interest of the overall society.
What if the single payer system is objectively wrong about some point of policy? Suppose the head of it decides, in a
fit of madness, that ... diabetes is God's Will, and is able to, through gamesmanship, make this policy?
[/quote]
It gets the bums rush right out the door onto its lard arse.
[quote]Before you "bluster"  , what if that person is Dick Cheney ( goes to feasibility )?
[/quote]
Doesnt happen with an area thats controlled by congress.
Essentially because the congress gets to give it the bums rush, right out onto its lard arse.
[quote]if it were a private entity, you could sue, or use other means of appeal. With gummint, good luck.
[/quote]
No need to bother, congress gets to give it the bums rush, right out onto its lard arse.
[quote]If that were not the case the Canadians would not be doing it.
The Canadians did it because they were part of the Empire in 1945.
[/quote]
Nope. That isnt why all the other modern first and second world countrys did it that way too.
Hardly anyone went for the same detail that britain went for.
[quote]They need to do a bit more outsourcing of high expense procedures to reduce wait times and create more competitive
services within Canada. But that is the way to go.
Meh. I say make it at least congruent with how car insurance works -
you can buy insurance online, with a risk pool as large as they want
to make it. And make corporate insurance somehow subsidize those who don't have employer-based.
[/quote]
Makes a hell of a lot more sense to make medicare universal instead.
That way you get rid of the massive overheads that are inevitable
with any insurance operation that pays for all those paper shuffling
apes and the advertising etc and the profits.
[quote]That's really all it would take to have precisely the same effect as single payer.
[/quote]
Wrong. Single payer eliminates the absolute vast bulk
of the paper shuffling and the advertising and the profits.
[quote]Rig the incentives to where those who show up at the ER are somehow incented to buy insurance -
[/quote]
Not even possible. By definition thats mostly the improvident
who wont bother with insurance whatever incentives you have.
Only compulsion or taxation works with them.
[quote]if you want, have a fulltime consultant at the hospital to help 'em pick a plan.
[/quote]
Wont work, they cant afford the premiums. |
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