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View Diary: The political vulnerability of subsidies (226 comments)

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  •  Help the poor: Eliminate mandates & subsidies (3+ / 0-)
    Recommended by:
    zeke L, Norm in Chicago, eXtina

    See my diary of today for background at

    Mandates and subsidies reproduce and bolster the inefficiencies and costs of the private insurance-based system.

    Instead, the "public option" should consist of direct government provision of care, without means testing.

    At first this could be done by taking that $800 billion, or whatever, and using it to greatly expand the DVA hospital system, making care at those hospitals and satellite clinics available to non-veterans, no exclusions, no need to prove insurance "coverage" at the door.

    In time, the system would expand to absorb all hospitals and clinics now "private" as people migrate from private insurance to the public system.

    In that case, public health care would directly undercut and destroy the private insurance companies, but only slowly, as the initial public system would not include "choice of provider" and so would appeal primarily to the poor and uninsured, those who need it most.

    It would actually do something to provide the poor with health care, as other proposals do not.

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