> Maybe you missed it. Ask the CBO.
>
[quoted text clipped - 8 lines]
> reduce the trajectory of federal health spending by a significant
> amount.""

Signature
"Those are my opinions and you can't have em" -- Bart Simpson
>>>>> The medical industry knows that American purchasing power will
>>>>> decline rapidly in the next few years.
[quoted text clipped - 28 lines]
> All of these examples from "Frontline" say that I am correct. The cost
> of health care in every case is lower than the US.
Yes, but *will* we have reduced cost?
>> http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/
>>
[quoted text clipped - 3 lines]
> The German system appears to be the least effective and the worst case
> with Britain running second.
Aye.
>> Maybe you missed it. Ask the CBO.
>>
[quoted text clipped - 13 lines]
> at the tax increases and not at the reductions in the cost of health care
> experienced by the citizens.
I can't find any data on the cost reductions. Anywhere. Well, other
than the examples set in the Frontline piece. But we're assuming
something will come along to make that happen.
It's *GOING* to be a subsidy. And while I'm trying to be open
minded, I have to express skepticism than this will
result in truly lowered cost.
The Administration needs - *needs* - to be selling this, hard - as
in *in a data-driven fashion*.
The cost reductions are supposed to be:
Health IT investment, which will reduce unnecessary spending in the
system thatresults from preventable errors and inefficient paper billing
systems;
Okay - that's what, 1.3%?
http://www.ushealthcareindex.com/ says savings are on the order of $30B
out of 2.2T.
Improving prevention and management of chronic conditions;
Riiiiiiight. Nonsense. This translates to smoking and fat,
neither of which are very tractable. I'm extremely
skeptical here - it's just far too profound a situation
to hold as fertile soil. It also directly impacts
matters of individual choice, makes us look *more*
like cattle on a feedlot to be "managed"...
Increasing insurance industry competition and reducing underwriting
costs and profits, which will reduce insurance overhead;
Maybe - and this goes to your point. Savings potential - unknown. BCBS
is a not-for-profit, anyway.
Providing reinsurance for catastrophic coverage, which will reduce
insurance premiums;
Cool. No problem here. Sensible.
and
Making health insurance universal, which will reduce spending on
uncompensated care.
Possible ... virtual savings because of renormalization of price
structure. *a* figure of $125B is bandied about, making up about
1/16th of total cost.
> I read the CBO stuff and it says that
> government will be bearing a greater burden of costs for health care.
[quoted text clipped - 16 lines]
> companies has become so overwhelmingly sickening as to end any further
> discussion.
Well, that's what happened with Hillarycare. And if I may, ... it
can't be cheaper to "forklift upgrade" the existing system,
because barriers to entry rise over time.
If you accept the theory of revealed preferences, then the
present cost structure means something. Maybe it means that
insurance companies are good at seeking rent. But that's ...
either unlikely or not the whole story.
> The Congress can pass a bill that puts the insurance
> companies out of business or that will put them out of business if they
> fail to cut costs or I will do all I can to defeat my current
> representatives in the coming elections. That is all I can do but it is
> what I will do.
I understand, and this well-reflects one significant weakness in
doing things this way. I have materials to look at related to the
establishment of the NHS in Britain, but I haven't gone over them
yet. But 1948 was a bleak time there.
> The private health insurance companies, both profit and non-profit, are
> responsible for the escalating costs of health care in this country.
Eh.... I wish that's all there was to it. Maybe it is - I can't really
say.
> Any
> plan that is not at least a stepping stone to addressing that particular
[quoted text clipped - 3 lines]
> stupidity of focusing on government costs is quite telling. It is the
> typical rightarded lying.
I try to be kinder :) - it's half measures which are simply easier to
swallow politically.
--
Les Cargill
Michael Coburn - 21 Jul 2009 00:51 GMT
>>>>>> The medical industry knows that American purchasing power will
>>>>>> decline rapidly in the next few years.
[quoted text clipped - 30 lines]
>>
> Yes, but *will* we have reduced cost?
It depends on how badly the politicians screw up the transition. And
that evaluation depends on proper accounting which we will probably
probably never get.
At present we all feel that we KNOW that the providers are overcharging
the paying customers in order to provide services to the indigent. If
government pays directly for indigent care then will we see a decrease in
the fees charged the paying customers? The AMA says no. If left to the
"market" to realize the savings then we will probably not see much in the
way of savings.
>>> http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/
>>>
[quoted text clipped - 35 lines]
> The Administration needs - *needs* - to be selling this, hard - as in
> *in a data-driven fashion*.
That approach will do not good. Americans are not data weenies. They
believe what the tube tells them.
> The cost reductions are supposed to be: Health IT investment, which
> will reduce unnecessary spending in the system thatresults from
> preventable errors and inefficient paper billing systems;
>
> Okay - that's what, 1.3%?
It is probably a lot more then that.
> http://www.ushealthcareindex.com/ says savings are on the order of $30B
> out of 2.2T.
Like I said: Most Americans will believe what they are told by some
"authoritative source". Unfortunately, most such sources are funded by
the people who want the status quo.
> Improving prevention and management of chronic conditions;
>
[quoted text clipped - 3 lines]
> impacts matters of individual choice, makes us look *more* like cattle
> on a feedlot to be "managed"...
There are good ways to do this and it is highly unlikely that the pols
will do it right. I tend to agree with you on this one.
> Increasing insurance industry competition and reducing underwriting
> costs and profits, which will reduce insurance overhead;
>
> Maybe - and this goes to your point. Savings potential - unknown. BCBS
> is a not-for-profit, anyway.
Not-for profit does not prevent the gouging although it may help.
> Providing reinsurance for catastrophic coverage, which will reduce
> insurance premiums;
>
> Cool. No problem here. Sensible.
YEP!!! BIG ONE!!!
> and
> Making health insurance universal, which will reduce spending on
[quoted text clipped - 3 lines]
> structure. *a* figure of $125B is bandied about, making up about 1/16th
> of total cost.
If left to the market it won't work. Too much greed.
>> I read the CBO stuff and it says that government will be bearing a
>> greater burden of costs for health care. That is _ALL_ it says. It
[quoted text clipped - 25 lines]
> good at seeking rent. But that's ... either unlikely or not the whole
> story.
It is not "unlikely" at all. They add absolutely no value to the
system. Thus, every dime they haul off is _rent_.
> > The Congress can pass a bill that puts the insurance
>> companies out of business or that will put them out of business if they
[quoted text clipped - 23 lines]
> I try to be kinder :) - it's half measures which are simply easier to
> swallow politically.

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"Those are my opinions and you can't have em" -- Bart Simpson