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1thegame said...
I wasnt being personal at all, he is entitled to think that his interpretation of the constitution is what really matters in this discussion, as opposed to you know, actually trying to discuss ideas around fixing a huge societal problem.
Here's the thing, the philosophical debate has already happened. The real philosophical debate in this is what to do with people that cant pay for medical care, refuse the care or put it on societies dime. That question has been answered. There is no appetite in this society (from the far left, the far right or anyone in between) to refuse emergency medical care to people that cant pay for it.
The only debate that remains is who should pay for it. Somehow "conservatives" that constantly rail against big govt and laud personal responsibility want to put it on govt/taxpayers to pay for it and "librerals" want individuals to be on the hook for their own health care costs. Its wacky....I get why its this way, but its still wacky. Just goes to show that political positions are always changing and that liberal policies can become conservative and vice versa and its like people dont even notice, they are so tied to the idea of political party = identity....
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neal990 said...
Characterizing this healthcare bill as promoting "personal responsibility" instead of putting it on the government and tax payers is a pretty big stretch. Yes, it compels individuals to buy health insurance. But most will have their employers paying 2/3 of their premiums, shielding them from the true cost. And everyone will be buying insurance in a heavily subsidized market, also shielding people from the true costs. I get the point you are trying to make, but let's not act like this is some huge welfare reform telling people to get off their lazy asses, dig deep into their pockets, and lift themselves up by their bootstraps. The individual mandate is just saying "you're now forced to enter the heavily [taxpayer] subsidized and gerrymandered market we have created. Bring in your employer if you can."
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dixonownsyou said...
Would the idea be that they would have to use the $250 for and only for health insurance? You'd have to use a debit card model, ala new food stamps. You'd also have to insure somehow--perhaps using similar language to the Obama healthcare bill--that people couldn't be turned down buying insurance because of preexisting conditions.
Or else the $250 per month is worthless.
The $250 per month would be a good enough subsidy for younger, healthier people, but for older people/those more prone to sickness, I'm not sure that would cover your premium. It would subsidize it decently, though. I'd be interested in looking at the numbers for average monthly premium costs for an older American vs. lower monthly premiums + high deductibles.
Interesting idea, though.
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1thegame said...
you're talking at a much more specific policy level than I am. I'm trying to take a step back from all of the specifics and focus on the core issue at hand, which is that somebodys gotta pay for the medical treatment of the uninsured and I want that somebody to be the individual instead of the taxpayer. The specifics around how to best make that happen are certainly up for debate....
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MisterNiceGuy said...
What is the actual law on what hospitals have to do without asking for proof of ability to pay? I mean, clearly they don't have to attend to every need of every citizen - i.e. you can't get free cancer drugs from the hospital if you can't afford them. Is it something like they just have to get the patient to a "stable" condition? I'm just trying to get an accurate picture of what "taxpayers" are on the hook for in relation to the uninsured. Those defending Obamacare are making it sound like taxpayers are footing the bill for comprehensive medical care for these people. I think that's clearly not right, but I don't know where the line is between what kinds of medical treatment uninsured people are entitled to under the law and what they're not entitled to.
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MisterNiceGuy said...
If the "uninsured" is uninsured not because he can't afford buy insurance, but because he chooses not to, then he should be able to cover his medical bills out of pocket in the case of illness, in which case the taxpayer is not on the hook. Who are the "individuals" that are not paying for treatment now that are being forced to pay under ObamaCare?
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1thegame said...
I think you misunderstand the reality of the expenses. A young healthy person can get medical insurance for what 100 bucks a month? 150? maybe even less. A bill that many "can" afford to pay. But if he gets really sick or into a bad accident and has to spend a week in the ER it can cost hundreds of thousands of dollars. At that point, the bill is too much for him and it falls on taxpayers to pay it. Thats the problem at hand.
Kaiser used a real world example about his dad earlier in this thread.....
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neal990 said...
Healthcare costs in this country would probably plummet if Congress commissioned a group of nutritionists and dieticians to come up with a national diet and then mandated that every American must abide by that diet. Similarly, and probably more realistically, Congress could mandate that every American go out and purchase a gym membership. In the aggregate, people making the decision not to purchase gym memberships are imposing huge costs on our system.
Just because these ideas would work doesn't mean Congress has the authority to pursue them. [Although if the individual mandate passes constitutional muster then the gym membership thing likely would as well.]
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MisterNiceGuy said...
Ah, yes, the good old "living Constitution" theory. Reminds me of what Captain Barbossa says about the Pirate Code in Pirates of the Caribbean: Curse of the Black Pearl - "the code is more what you'd call 'guidelines' than actual rules." Me, I prefer a "dead Constitution." The Founders provided a mechanism for "progression" - it's called the amendment process. Once you depart from the original intent of the document's authors, judges have no reference point from which to interpret the Constitution other than their own idea of "fairness" and "progress."
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1thegame said...
I think you misunderstand the reality of the expenses. A young healthy person can get medical insurance for what 100 bucks a month? 150? maybe even less. A bill that many "can" afford to pay. But if he gets really sick or into a bad accident and has to spend a week in the ER it can cost hundreds of thousands of dollars. At that point, the bill is too much for him and it falls on taxpayers to pay it. Thats the problem at hand.
Kaiser used a real world example about his dad earlier in this thread.....
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bmacumd said...
Okay, I'm going to seriously respond to somebody who thinks "Living Constitution" theory reminds them of a Disney movie based on a ride at Disney World?
So the only time our federal government does anything is if there is an amendment to do so?
Also, as much as auto insurance is mandated by individual states, most state require motorists to have car insurance. Some states are stricter then others for what is required. Nobody screams about this, or their screams fall on deaf ears.
I fundamentally would be opposed to this for the following reasons. There are too many states who would refuse to enact mandatory health insurance. Why? Because they are literally dumb and uneducated. These same state legislatures are so backwards they want creationism to be taught in the classroom and our country will be a bunch split between educated people in the northeast (those with reputable college degrees and understandings that the world does not revolve around a religious fable) and those who think the world was created in 7 days and a 300 year old man lived inside of a whale. If you literally believe that the world was created in 7 days then your opinion does not count in anything that affects others. Period. End of story.
So, yes, I know our founders (community organizers, elitists) would laugh at these f'ing rednecks and half-ass law school grads like Ken Cuccinelli who are backwards to common sense on 75% of real issues.
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bmacumd said...
I fundamentally would be opposed to this for the following reasons. There are too many states who would refuse to enact mandatory health insurance. Why? Because they are literally dumb and uneducated. These same state legislatures are so backwards they want creationism to be taught in the classroom and our country will be a bunch split between educated people in the northeast (those with reputable college degrees and understandings that the world does not revolve around a religious fable) and those who think the world was created in 7 days and a 300 year old man lived inside of a whale. If you literally believe that the world was created in 7 days then your opinion does not count in anything that affects others. Period. End of story.
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tecmoHOOperbowl said...
It's really hard for any person, regardless of youth, to get a decent policy (i.e, not high-deductible) for $100/mo. $150 is probably reasonable for young, healthy men. For women, young = child-bearing age, and you can't get anything decent for so little money.
Obviously if the employer subsidizes it, then the costs could be affordable, but I think the public has a pretty skewed idea about the cost of health insurance for unemployed or self-employed people.
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MisterNiceGuy said...
What is the actual law on what hospitals have to do without asking for proof of ability to pay? I mean, clearly they don't have to attend to every need of every citizen - i.e. you can't get free cancer drugs from the hospital if you can't afford them. Is it something like they just have to get the patient to a "stable" condition? I'm just trying to get an accurate picture of what "taxpayers" are on the hook for in relation to the uninsured. Those defending Obamacare are making it sound like taxpayers are footing the bill for comprehensive medical care for these people. I think that's clearly not right, but I don't know where the line is between what kinds of medical treatment uninsured people are entitled to under the law and what they're not entitled to.
Many of Pitt's 58 "rushing attempts" were the result qb Tino Sunseri fleeing the pocket like a man whose clothes were on fire.
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Official SCOTUS Thread (Prop 8, DOMA arguments)