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View Diary: Paul Ryan unveils 'health reform' plan, pitches his budget plan (95 comments)

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  •  The faulty rationale (3+ / 0-)

    All of these voucher plans, and other schemes about lowering health care costs, are based on a "market driven" concept where we will make wiser consumer choices if we have "skin in the game". In effect, we will ration our own care rather than willy-nilly accepting every test and treatment that is offered knowing somebody else will pay for it.

    Of course, the problems with that are obvious. Those who can't afford any coverage at all can't pay for care out of pocket either - thus effectively rationing their own care to zero - by force. Those with coverage are not in much of a position to make "wiser consumer choices" if they are in a state of severe pain, bleeding, unconscious, etc. There is one elephant in the room, and that is extreme cost and heroic measures at the end of life; but having that discussion got nixed as a "death panel" to "kill grandma".

    In short, it is obvious to us that health care is not anything like an optional consumer good; but they can't seem to see that.

    from a bright young conservative: “I’m watching my first GOP debate…and WE SOUND LIKE CRAZY PEOPLE!!!!”

    by Catte Nappe on Wed Sep 28, 2011 at 09:31:27 AM PDT

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