General Discussion
In reply to the discussion: Howard Dean Attacks Important Piece Of Obamacare (updated 3x) [View all]freshwest
(53,661 posts)Last edited Mon Jul 29, 2013, 08:20 PM - Edit history (1)
Single Payer health care financed by general revenue is where such a mechanism makes sense as it maintains basic care for all of its citizens regardless of income.
IMO, the ACA was designed to convince Americans to accept Single Payer in time. But there is a form of 'rationing' in Single Payer countries Americans don't want to accept as a reality. But it is not for profit and is not unjust.
Many Americans see themselves as more entitled than others by the lives they have lived. We have a mixed system since a majority don't really support Single Payer for that reason. The issue isn't in Washington. It's more personal than some are willing to admit.
For example, should a person who is mobility impaired be guaranteed a regular wheelchair or a top of the line, all bells and whistles, high powered scooter?
The answer to that question in a Single Payer system is a snapshot of the prosperity of a nation and its tax funded health care system. It is proof of unspoken beliefs about equality. I was brought up with this meme:
'Budgets are moral documents.'
Because they show what a nation values. Some Americans don't care about equality in that arena, despite their lip service to it.
They have worked hard and their SOL has been good enough to afford what they feel they deserve and pressure the current system to give them the best, even if that mixed system means others get little or nothing.
Freedom isn't free and neither is Equality. People need to consdier the costs before they blithely say it's easy. This is where Single Payer gets down to the Nitty Gritty.
Visualize our population of raging Tea Partiers running around on taxpayer funded electric scooters, cursing socialized medicine.
Or just look at the Tea Party to see arrogance in action to others in need in help. A trip down memory lane during the ACA debate, even before the Republicans called for the death of the uninsured for 'freedom and liberty.' They dare talk about Death Panels?
Oh, well:
Connecting to GDP reflects the overall health of the economies of single payer systems. This doesn't have to be a denial of care issue.
But it'll be demagogued in 2014 and 2016 without looking at the larger picture. Because the media and many people are refusing to discuss what PBO wants us to consider for the path to take:
PBO believes we will not let those 50 million people down in 2014.
It will be hard to get honest discussion of this anywhere.