If I understand your article, it seems you are arguing that all healthcare should be free to the…
Rick Fischer

If we maintain the high quality and rapid response and availability of care that the US now provides, that would simply bury all of us in high taxes. Someone always has to pay.

Simply stating something authoritatively doesn’t make it true, no matter how many times it is repeated, or by how many. America is the last holdout against universal health coverage in the developed world and we have worse outcomes that cost us more for that. This is no longer subject to debate no matter how badly you may wish to or how much you really, really want it to be different.

Insurance is the business of offering a degree of socialism to those who can afford it, spreading risk over a great number of individuals who understand that there will be winners and losers in the deal, plus a profit for those who administer the policies. Once it was decided that no one would be denied access to the actual care that insurance pays for the risk pool suddenly included everyone, which would have broken the industry immediately had the government not accepted the most at risk demographic of the elderly with Medicare. We also added the nation’s veterans and the poor to the government funded risk pool with VA and Medicaid.

Had those demographic groups not been separated from the cost shifting of unpaid billing to insured patients the insurance industry would have been belly up, along with health care providers, decades ago. The insurance industry, and their paid for representatives in government, are now wanting to give themselves the ability to further define segments of the risk pool and force higher premiums on more high cost demographics, such as those with pre-existing conditions. This doesn’t decrease the cost of care for anyone, and only protects the profits of the companies until cost shifting of the added numbers forced out of the insurance market catch up with them or the government socializes more demographic segments of the population.

There are only two possible paths forward, and those define the sides of the debate over health care and its payment. We can simply make health care unavailable to those who can’t pay for it, greatly reducing costs to those who can and profits for the insurance industry, or we can socialize all demographics with single payer, which greatly lowers the per capita cost to the government. I don’t think you’ll ever sell Americans on denial of care for anyone, or at least I hope you can’t. That means you would be wise to participate in the discussion of how best to administer single payer instead of pushing nationalistic lies. It really is the best way forward for conservatives as it streamlines government by making numerous agencies redundant and it benefits providers by offering streamlined administrative functions with only one set of rules and forms to deal with. It would likely bring back the single doctor/nurse practice that everyone liked so well.

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