Zonkerbl wrote:popper wrote:Regarding health care reform. One of the things I really like about Obamacare and something that I have been advocating for are community-based health clinics. Every major city should have several that are free to those below the poverty line and conveniently located for easy access.
On the subject of coverage for pre-existing conditions and other charitable govt. endeavors, I suggest the following. Since we all know that there are an infinite number of societal needs, and that there are finite resources available to address them, why not rank them according to importance and then set aside a percentage of GDP to fund them.
If free health care is most important then apply the funds there first. Next comes food stamps perhaps. I'm pretty sure as you get down the rankings that free birth control would probably not make the cut. This is my problem with Dems, they don't seem to grasp the fact that we operate within finite limits. Of course Bush was just as bad so I guess it's unfair to blame only Dems.
On pre-existing conditions -- that's basically a penalty for changing jobs. If you don't change your job you're covered. If you get fired and get a new job you're not. So, not only is that totally unfair and doesn't make sense, it also discourages labor mobility, which is necessary for labor markets to function properly.
So to me, eliminating the pre-existing condition silliness is fair AND corrects a market failure, a no-brainer.
So I wouldn't lump that in with "govt sponsored charitable endeavors." It's a government intervention addressing a market failure, so that markets can function the way they're supposed to.
The whole issue with pre-existing conditions is only a problem because we have illogically attached health care insurance to employment. You should buy health care insurance directly as an individual. If you have health problems, your insurance should cost more. This will incentivize people to take care of themselves and I guarantee it would radically lower the cost of health care insurance for 95% of the population. Those with really dire health care issues (who didn't have the foresight to lock in a long term health care insurance contract when they were healthy) might ultimately be priced out of the market. Government could step in and provide some assistance, but that assistance should be finite. Eventually, those truly high risk people would be uninsurable. It may sound draconian, but it's perfectly logical as public policy. There is a finite amount of health care funds to spend. Health care must be rationed in some way. Shouldn't we be spending most of it on the healthy and reasonably healthy rather than spending a disproportionate amount on those who probably won't last long anyhow?
I'd rather provide free pre-natal care to 20 young pregnant women rather than keep one 75-year-old man with lung cancer alive another 6 months.