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View Diary: Supreme Court, Affordable Care Act: Is the mandate constitutional? (372 comments)

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  •  Perhaps congress should have (1+ / 0-)
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    have levied a tax on all forms of income to cover the cost of providing health care to all, and then paid the tax receipts directly to private, for-profit health insurance companies.  If the aim of the legislation were twofold, to keep the private insurance market in business while at the same time providing universal coverage, this avenue would seem to meet all objections to the current plan.  No individual would be mandated to purchase coverage, rather the federal government would be purchasing coverage on behalf of each individual.

    On the other hand, a tax collected by the government to use to pay health care providers directly for basic care would still allow a private health insurance market to exist in the provision of supplemental insurance to cover such situations not defined as "basic" in the legislation.  This would limit the range of services to be provided by private health insurance companies, but such a market, however curtailed, would continue to exist.

    The path taken by passing the ACA would seem  to have been chosen specifically to bring up such questions as now face the court.  I can't help but wonder why this law was structured the way it was - what powers outside the legislature compelled congress members to choose this complicated, convoluted and legally argumentative  path to reform of the country's health care delivery system.

    "In this world of sin and sorrow there is always something to be thankful for; as for me, I rejoice that I am not a Republican." - H. L. Mencken

    by SueDe on Tue Mar 27, 2012 at 06:47:25 AM PDT

    •  The House version of ACA (0+ / 0-)

      did that ironically.

    •  I wish our government was capable of (2+ / 0-)
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      wishingwell, Mistral Wind

      a direct tax that was unquestionably and incorruptibly applied to the problem it was taken to fix. My locality took an extra 5% dining-out tax and funneled it directly to the schools, resulting in NOT ONE teacher being laid off through the recession. It was so awesome that even the conservatives are backing re-instating the tax (the tax ended as it was written to...which risks cutting off the stream of money but speaks even better to the ethics of the best local Democratic governance EVAR!)

      Today, strive to be the person you want to be.

      by GoGoGoEverton on Tue Mar 27, 2012 at 07:08:15 AM PDT

      [ Parent ]

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