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View Diary: First Doctor Visit in Five Years: Why Repubs Want Us Broke or Dead (224 comments)

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  •  It's not that they want you to work harder (5+ / 0-)

    they just want you to pay more.

    Your calculation is very meaningful to those that have to live through it, but there's no attachment on the part of the system to making you work 3 months or 3 years.

    There is, however, an attachment to profit.

    The calculation looks more like this:

    1) Life-or-death care is expensive (profitable).
    2) Preventive care is cheap (less profitable).
    3) People will rarely opt out of life-or-death care.
    4) They will regularly opt out of preventative care if they have to pay out of pocket.

    So, the most profitable scenario is:

    1) Ensure that unprofitable preventative care is relatively expensive for common citizens (relative, that is to their wages) so that they opt out.

    2) Wait for preventative care situations to become life-or-death situations due to a lack of care.

    3) At that point, they will not opt out, but will instead sell a house, a kidney, take out an unsecured loan, whatever, to try to save their own lives—now requiring expensive and often longer-term non-preventative treatments.

    4) Profit!

    But this only works if in step 1 they actually opt out of preventative care. This requires that people be uninsured, which requires that insurance be expensive relative to median wages. It also requires that preventative treatment costs is insurmountable for anyone at such wages.

    Keep the insurance high enough for the bulk of the population to opt out, and the preventative care costs high enough for the bulk of the population to opt out, and you get to milk them absolutely dry once they come to you, hat in hand, to save their lives.

    You can take all of their assets, any assets that financiers are willing to give to them (through loans), etc.

    The patients are just a medium of wealth-transfer at this level; the actual battle is between other parts of the economy and the health care economy to see who will keep the spoils. The health care economy has certain advantages in that they have much more leverage with, and a greater ability to manipulate, the medium of wealth transfer, i.e. the patient, and thus often come out on top.

    -9.63, 0.00
    "Liberty" is deaf, dumb, and useless without life itself.

    by nobody at all on Wed Mar 26, 2014 at 11:28:24 AM PDT

    •  This comment deserves a diary of its own. n/t (0+ / 0-)

      "Let us not look back to the past with anger, nor towards the future with fear, but look around with awareness." James Thurber

      by annan on Thu Mar 27, 2014 at 08:17:24 AM PDT

      [ Parent ]

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