Jophiel wrote:
With private insurance, I represent nothing more than an opportunity for the cmpany to try to squeeze the maximum amount of profit from me while providing the absolute least amount of service without me hitting a breaking point of leaving the insurance plan. Because most people's insurance is pooled through their place of employment, the insurance company knows that I can not easily select another plan thus they can squeeze me even harder and provide even less service. I am nothing more than dollar signs to them and every penny they have to spend on keeping me healthy represents a penny lost to them. Therefore, they will do everything in their power to not spend a single penny on me unless they absolutely have to.
Except that they still have to keep the business, right? They're going to provide the minimum service which wont result in their customers canceling their contracts and moving elsewhere. That's the part you kinda skipped over. The profit motive also ensures that they do enough to keep their customers.
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A public option would give people an affordable place to go when the private insurance company is busy trying to **** me over on whether or not they believe I need that gastric scan (never mind the doctor called for it) because, ya know, those things aren't cheap and it's their opinion that maybe I should just take some medication for six months and see how that goes (never mind the doctor already dismissing that option as not going to work).
The exact same pressures to reduce costs exist in public systems Joph. It's naive to think otherwise. The difference is that while the private company wants to maximize profits by providing the minimum service for the highest price, it has to provide sufficient service to be worth paying for. The government is under no such obligation at all. It's cost pressures are going to be purely political in origin. Everyone wants free health care. No one wants to pay higher taxes for it. You don't think this results in cost/service issues?
The one key difference is that with a purely private system, if the customer is dissatisfied, he can take his business elsewhere. He doesn't have the option of not paying the share of his taxes which are paying into a public health insurance system. The threshold at which he'll switch is much higher, meaning he'll "make do" with much lower quality service before he's willing to pay for an alternative. And the cut-off financially for those who can afford to do so is higher as well. Many people who would be able to make such choices today, will simply not be able to if there's some form of government mandated insurance system. The opportunity cost is higher, and the real total cost is as well. It'll leave most middle and working class people 'stuck' with the government provided health care, and only the wealthy with options to go elsewhere.
For me, this still just comes back to what I was talking about earlier. The resources available to provide any/all services for the people are finite. They are a function of total productivity. A system which provides access to those services (including health care) as some function of individual productivity (ie: ability to pay), while not perfect, is always going to be better than an alternative which makes that determination based on some other political pressures. Instead of people "competing" for those services with their personal dollars, they're still competing, but it's about voting blocks and lobbyists.
I just don't see how that can ever be "better". It reduces the motivation to be more productive, while increasing the apparent advantages of simply forming into large blocks of voters. It makes the people slaves to the political process, deriving benefits based not on their own personal accomplishments, but rather on which party or political platform they support. It provides motivation to political parties to keep as many people poor and needy as possible, so that those people will have to vote based on filling those needs rather than other possibly more important things.
It's just a bad thing.