Friday, June 19, 2009
Penguins are conservative birds
BadTux takes a good hard look at health care reform and in a rational and intelligent post determines what result would best serve his conservative instincts.
Conclusion: The conservative choice -- the choice that takes the fewest risks with the health of the U.S. population -- is a transition to a Taiwanese/French style single payer system. We have a model for how to do so with Taiwan, and we have a model for how to retain consumer choice on top of the core insurance program with France (via their Medigap-style policies available from private insurers). Furthermore, we have an already-existing singlepayer health care bureaucracy -- the Medicare bureaucracy -- that could be easily expanded to serve the entire population rather than just old people. Medicare already handles 22% of the health care spending in the US, scaling it up to cover the other 78% and bringing it to modern standards of coverage (as vs. 1968 standards) would be much easier than creating a new program entirely from scratch. All other approaches either do not work, we have no blueprint for how to transition to them, or are take unacceptable chances by applying unproven programs to the health of 300 million people and thus are "conservative" only in the minds of radicals who confuse "conservative" with "complies with a specific ideological filter". Single-payer Medicare For All: time-proven, cost effective, the choice of those who are really conservative as vs. radicals out to experiment with the health of 300 million people.Go read how a flightless bird has reached a conclusion that has eluded too many of the overpaid and overbought members of the US Se.nate
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