Been stuck in meetings all day, so I'll touch on a couple points:
MoebiusLord wrote:
It brings the model of that service in to a more competitive place. Lasik (sp?)_costs used to be exorbitant. Now providers have price wars to entice customers to their centers. Why isn't medicine in general done along the same lines?
It's interesting just how stark the dividing line is between products and services which are subsidized/regulated/mandated or otherwise heavily government controlled, and those which are not. In areas where they are not, the same pattern of competition consistently results in an increasingly superior product at an increasingly more affordable price to the consumer. Where the government is involved, you see the opposite. Costs rise. Product improvements slow to a crawl.
If lasik had been covered by health care systems, anyone want to argue that the price and quality would have improved as much as it has? In a nutshell, that's your argument right there.
Sir Xsarus wrote:
MoebiusLord wrote:
Sir Xsarus wrote:
I'm not sure treating states as competing companies who offer specific services is really a terribly healthy way to look at it, or determine policy.
And yet that, specifically, is among the founding ideals of this experiment we call the United
States of America that has has been largely a resounding success for nearly two and a half centuries.
States governing themselves is. Are you saying that the idea that people should assess all the states and pick the one they like best rather then work to change the state they are in is an ideal?
That's a false dilemma IMO. People can *both* work to make the state they are in the ideal they want *and* choose to move to another state which is either already the way they want, or closer to it and more likely to be movable to that idea. The real dilemma is between a system in which one set of rules exists for the whole country and everyone has to fight over and live with that one result, or a system in which there are 50 different sets of rules allowing both for people to more easily change the rules they live under *or* move to a state where the rules are more to their liking.
If you were to assess which system would allow the most people to live under a set of rules they like, it's pretty obvious that the "keep most differences at the state level" model works best. The absolute best you can do is get 51% of the people to like a single federal system. You can potentially get much much much higher levels of happiness and agreement if you keep that process at the state level instead.
And isn't "pursuit of happiness" one of our founding principles?
As to the original question? We could simply roll back the health care to what it was prior to the passage of the health care bill with minimal effect on anyone right now. What that would do is at least reduce the looming costs associated with said bill. That's not to say that we don't have other looming costs in the form of social security and medicare, but it's a decent start. I frankly never understood the logic of arguing that since we can't afford what we're doing right now, that we should just do more of it. The follow up argument (which I've heard a lot of in the last couple days) that if we can't fix the original problem we shouldn't bother wasting our time on the subsequent problems is equally fallacious.
It's a good start. And maybe if we hadn't been put into a situation where we have to first undo all the spending from the last 2 years piled on top of our already unsustainable spending, we'd be able to focus on the real problems instead of having to dig through 5 feet of garbage just to see it again.