Ponderable

The second reason we do not have a system is that functional “insurance” requires a functioning underlying market, which law and regulation have also prevented from emerging. We can’t reasonably write contracts about who pays the bill when the bill itself is so meaningless.

If there were functional cash markets, health savings accounts could also substitute for much of the necessarily cumbersome functions of insurance. Health borrowing accounts, i.e. HSAs with a preapproved line of credit, which you can tap for unexpected expenses but are not insurance in the sense of transferring overall wealth, would help even more. But without functional (competitive) cash markets, HSAs are not that helpful either.
 
All I'm trying to figure out, is with regard to your POV, if someone gets sick and they can't afford the cure, what are you saying happens to them?
Sick like the common flu, they pay the doctor directly, or stay home and get better.
Sick like cancer, they pay the deductable.
Sick like hemorhoids, pay the doctor.
Sick like a stroke, pay the deductable.
Sick like a few stitches on the chin, pay the doctor.
Sick like a broken hip, pay the deductable.
 
That would be covered under catastrophic insurance...

And again... what happens to people who have a catastrophic accident, but don't have catastrophic insurance?

LOL.. so quick poll. How many of the let em die crowd is also pro-life with regard to abortion? I guess the right to life ends after you're born.
 
All I'm trying to figure out, is with regard to your POV, if someone gets sick and they can't afford the cure, what are you saying happens to them?
Unfortunately, individual long-term policies were one of the first casualties of Obamacare. In the Fall of 2013, a large number of insurers canceled individual policies, most of which were guaranteed- renewable, under ACA requirements. Many customers faced large premium increases, and more restrictive new policies under the exchanges, and may choose to go without insurance instead. Here was a population who did the right thing, and bought insurance, even if badly over-priced, precisely for the right to keep it if they should get sick in later years. And the first act of the ACA, just before the disastrous healthcare.gov rollout, was to cancel that insurance. The only silver lining is the number of voters who began to find out what is really in is really in the system, epitomized by a young woman writing a letter to Pam Kehaly, president of Anthem Blue Cross in California, on receiving a 50% rate hike26. "I was all for Obamacare until I found out I was paying for it."
 
Sick like the common flu, they pay the doctor directly, or stay home and get better.
Sick like cancer, they pay the deductable.
Sick like hemorhoids, pay the doctor.
Sick like a stroke, pay the deductable.
Sick like a few stitches on the chin, pay the doctor.
Sick like a broken hip, pay the deductable.
Basically, you look at the size of your deductable, and then make a decision on which one is more cost effective.
If the deductable is 1500.00, and the procedure is 15,000.00, its a pretty easy decision
Some doctors will knock the cost down if they get paid directly.
Its always smart to ask.
 
Sick like the common flu, they pay the doctor directly, or stay home and get better.
Sick like cancer, they pay the deductable.

Okay... so they pay the deductible and the government picks up the rest via Medicaid/Medicare (or other government program).

Hate to be the barer of bad news, but you understand you're just advocating for another type of socialist, government subsidized health care. In fact, given that Obamacare let people pick and choose their insurance company and your solution is a single payer style Medicaid... not only are you more of a socialist, but you're a fiscally irresponsible socialist. Just saying.
 
Basically, you look at the size of your deductable, and then make a decision on which one is more cost effective.
If the deductable is 1500.00, and the procedure is 15,000.00, its a pretty easy decision
Some doctors will knock the cost down if they get paid directly.
Its always smart to ask.
Public choice is illegal
 
Most people who can afford an I phone can afford to pay something, and everyone has a phone.

Actually prior to Obamacare, most bankruptcies in America were caused by not being able to afford healthcare bills. Ignoring or trying to shame the problem away won't make it cheaper. It just means we letting things fester and get worse, so they are really expensive to fix by the time the person ends up on the government cheese.
 
Actually prior to Obamacare, most bankruptcies in America were caused by not being able to afford healthcare bills. Ignoring or trying to shame the problem away won't make it cheaper.
Unfortunately, individual long-term policies were one of the first casualties of Obamacare. In the Fall of 2013, a large number of insurers canceled individual policies, most of which were guaranteed- renewable, under ACA requirements. Many customers faced large premium increases, and more restrictive new policies under the exchanges, and may choose to go without insurance instead. Here was a population who did the right thing, and bought insurance, even if badly over-priced, precisely for the right to keep it if they should get sick in later years. And the first act of the ACA, just before the disastrous healthcare.gov rollout, was to cancel that insurance. The only silver lining is the number of voters who began to find out what is really in is really in the system, epitomized by a young woman writing a letter to Pam Kehaly, president of Anthem Blue Cross in California, on receiving a 50% rate hike26. "I was all for Obamacare until I found out I was paying for it."
 
Actually prior to Obamacare, most bankruptcies in America were caused by not being able to afford healthcare bills. Ignoring or trying to shame the problem away won't make it cheaper. It just means we letting things fester and get worse, so they are really expensive to fix by the time the person ends up on the government cheese.
IV. Health Insurance
I and others have written a lot about how to fix health insurance, so I won’t repeat that all here. To summarize briefly, health insurance should be individual, portable, life-long, guaranteed-renewable, transferrable, competitive, and lightly regulated, mostly to ensure that companies keep their contractual promises. “Guaranteed renewable” means that your premiums do not increase and you can’t be dropped if you get sick. “Transferable” gives you the right to change insurance companies, increasing competition.

Insurance should be insurance, not a negotiator and payment plan for routine expenses. It should protect overall wealth from large shocks, leaving as many marginal decisions unaltered as possible. “Access” should mean a checkbook and a willing supplier, not a Federally-regulated payment plan. Such insurance would, of course, be a lot cheaper. And insurance can be all these things, in a free or lightly- regulated market.
 
Actually prior to Obamacare, most bankruptcies in America were caused by not being able to afford healthcare bills. Ignoring or trying to shame the problem away won't make it cheaper. It just means we letting things fester and get worse, so they are really expensive to fix by the time the person ends up on the government cheese.
Why do we not have a system? First, because law and regulation prevent it from emerging. Before the ACA, the tax deduction and regulatory pressure for employer-based group plans was the elephant in the room. This distortion killed the long-term individual insurance market, and thus directly caused the pre- existing conditions mess. Anyone who might get a job in the future will not buy long-term individual insurance. Mandated coverage, tax deductibility of regular expenses if cloaked as “insurance,” prohibition of full rating, barriers to insurance across state lines – why buy long-term insurance if you might move and are forbidden to take it with you? – and a string of other regulations did the rest. Now, the ACA is the whale in the room: The kind of private health insurance I described is simply and explicitly illegal.
 
Unfortunately, individual long-term policies were one of the first casualties of Obamacare. In the Fall of 2013, a large number of insurers canceled individual policies, most of which were guaranteed- renewable, under ACA requirements. Many customers faced large premium increases, and more restrictive new policies under the exchanges, and may choose to go without insurance instead. Here was a population who did the right thing, and bought insurance, even if badly over-priced, precisely for the right to keep it if they should get sick in later years. And the first act of the ACA, just before the disastrous healthcare.gov rollout, was to cancel that insurance. The only silver lining is the number of voters who began to find out what is really in is really in the system, epitomized by a young woman writing a letter to Pam Kehaly, president of Anthem Blue Cross in California, on receiving a 50% rate hike26. "I was all for Obamacare until I found out I was paying for it."

Right... Obamacare was plainly so misguided that in no time I expect we'll see the republican congress jump of repealing it back to the way things were before because it was so cheap and awesome. Said no one ever LOL
 
And again... what happens to people who have a catastrophic accident, but don't have catastrophic insurance?

LOL.. so quick poll. How many of the let em die crowd is also pro-life with regard to abortion? I guess the right to life ends after you're born.
The only one talking about letting people die is you.
 
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