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View Diary: Voters don't accept the GOP's false choice about health reform repeal (63 comments)

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  •  There are some additional reforms (8+ / 0-)

    which have really good optics, IMNHO.

    1. Require that there be health insurance competition in each state, and each large city within the states. Instead of allowing large companies to compete across state lines, set limits on the market share a company may own, and require divestitures.
    1. Allow people over 55 but under 65 to purchase Medicare if they so choose at a price which reflects the actual cost to the USG to provide said Medicare.

    In theory, there is no difference between theory and practice; but in practice, there always is a difference. - Yogi Berra

    by blue aardvark on Wed Jan 19, 2011 at 11:24:07 AM PST

    •  Don't limit the Medicare buy-in age (9+ / 0-)

      It should be priced to reflect the actuarial costs of providing coverage, plus the 3% of overhead Medicare generates.  Such a price would dramatically undercut private insurers, and the competition would force their rates down dramatically.

      It's a public option, but one so big regulators wouldn't dare sabotage it.

      •  3% overhead vs. 50% profit margins. (1+ / 0-)
        Recommended by:
        Dallasdoc

        What the f*ck were they thinking?

      •  It would be more expensive than private insurance (0+ / 0-)

        the way it is now.

        And remember that people have been prepaying into Medicare all their working life BEFORE they start.

        Premiums for Medicare B must be 25% of the cost. Taxes pick up the rest of the costs. No way the budget could take that. That is insane.

        The premiums are per person as are the copays and deductibles and you need a separate policy from a private insurer to cover medications.

        If you earn more the premiums go up, they double and more — for each individual.

        Remember, 20% copay on everything but hospitalization (in patient) there is an $1100 copay.

        I'm asking you to believe. Not in my ability to bring about real change in Washington ... I'm asking you to believe in yours. Barack Obama

        by samddobermann on Thu Jan 20, 2011 at 02:18:29 AM PST

        [ Parent ]

    •  Not much chance of item 1 happening (2+ / 0-)
      Recommended by:
      Dallasdoc, blue aardvark

      Much as I agree with the sentiment of breaking up health insurers that dominate a particular market, I just don't see it as happening.

      The problem is that we haven't seen that sort of aggressive enforcement of antitrust law in years -- and judging by the approval yesterday of the NBC Universal/Comcast deal, it doesn't seem that we're going to see it under Obama any more than we did under Clinton.

      Political Compass: -6.75, -3.08

      by TexasTom on Wed Jan 19, 2011 at 12:01:34 PM PST

      [ Parent ]

      •  anti trust law doesn't apply to insurers. Thus (0+ / 0-)

        neither Clinton nor Obama can do anything about it. I doubt that fact will stop your complaining.

        I'm asking you to believe. Not in my ability to bring about real change in Washington ... I'm asking you to believe in yours. Barack Obama

        by samddobermann on Thu Jan 20, 2011 at 02:25:38 AM PST

        [ Parent ]

        •  But the truth is... (0+ / 0-)

          ...that antitrust enforcement has been weak in everything, not just health care.  So what's the excuse?

          Pretending that Obama (or Clinton, for that matter) is perfect in all respects is every bit as delusional as those who go to the opposite extreme and declare that he's no better than the Republicans.

          Political Compass: -6.75, -3.08

          by TexasTom on Thu Jan 20, 2011 at 06:02:17 AM PST

          [ Parent ]

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