chicago51
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This is a bit long but I would like some honest thought on this:
Been thinking a lot about healthcare, trying not to just be an Obama cheerleader but look at the real issues and the benefits of the law; as well as what the ideal solution would be.
I think came but a more ideal way to confront this issue and have a healthcare “grand bargain”. I asked myself what Teddy Roosevelt would do; as he was the first President that pushed for healthcare? Teddy Roosevelt by the way had an R next to his name but the fact is he displayed the type of progressive (not the same as liberal) solutions that have largely evaporated from both parties.
So using TR’s logic of fair competition, standing up to corporate bullies (in this case the insurance companies / drug companies, which Obamacare does that some with 80/20 premium expense rule but ultimately also has many big benefits for the bullies as well), as well giving help to working class he is what I think should happen:
First off let me say that we need to make sure every person in America has basic health coverage that doesn’t break the bank. To achieve that, Democrats must accept a private insurance industry and Republicans must accept that some people can’t afford decent policies on their own. This “grand bargain” is about liberals agreeing that innovation shouldn’t be regulated out of U.S. health care and conservatives agreeing that justice has to be regulated into it. We also not only keep but expand on consumer options and choices. Here's my idea using Teddy Roosevelt progressive conservative principles as my guide:
1- Keep the Obamacare state exchanges and expand them to the entire country and scrap employer provide healthcare. It is an unnecessary burden on business. Ultimately business through some other taxes may bear some responsibility for healthcare cost but not what they are right now. Having open competition on the exchanges that allow all the whole state to compare rates and plans will drive prices down. It’s also time we got corporations out of the business of running our welfare state — they’ve got enough to do to compete with China and India. Plus this will ensure that every American has access to group rates through health reform’s insurance exchanges.
2- Stand up to the bullies and cap insurance rates, and prescription drug prices. In 1906 through Hepburn Act at that TR got passed Congress was able to cap prices on railroad rates. We should do the same for insurance companies and big pharmaceutical companies. Many of the expensive drugs where developed with the help of tax payer money. Instead using tax payer dollars to subsidized consumers from high cost like Democrats want, and instead of letting the consumers bear the full burden like Republicans we should be doing this. Rates should be capped at a % of income because it is unjust to be spending 25% of one’s income on healthcare and as a top maximum rate because it is also unrealistic for anyone to even a millionaire have to pay say $100k for his or her insurance just make up the cost for everyone else.
Ultimately because of the number of uninsured, including those with pre-existing conditions, joining the market place and the fact the insurance companies should at least make a small profit healthcare rates even with the reduction in drug prices there may still be minor premium hikes. Some subsidies may be needed to help those who can’t afford to them. I would propose funding those subsidies by some the current Obamacare funding mechanisms, as well as adding a small transaction tax on wall street which would generate hundreds of billions of dollars over a ten year period. It also help in preventing speculative trades which is a good thing. The goal is ultimately with rate capping is that less tax payer subsidies will be needed over time.
3 – Bring more efficiency to the healthcare industry. Obamacare’s provision of changing to a fee per patient instead of a fee for service is a good step. It should stop doctor’s from doing unnecessary procedures and test just run up a bill. Ideally doctors should be on straight salary so the ultimate focus is on patient’s care. I’d also replace today’s malpractice litigation lottery with a system that protects doctors from liability so long as they’ve followed evidence-based best practices. This would put an end to the “defensive medicine” that runs up costs — a common-sense reform that Democrats shamefully reject as a sop to the trial lawyers who fund their campaigns.
Edit: Would like to add if Teddy Roosevelt was president today he would also probably take some antitrust action against some of the bigger insurance companies and break them up especially Blue Cross/Blue Shield. FYI my family used to be on Blue Cross the experience was positive but ultimately they control an unhealthy share of the market place.
Been thinking a lot about healthcare, trying not to just be an Obama cheerleader but look at the real issues and the benefits of the law; as well as what the ideal solution would be.
I think came but a more ideal way to confront this issue and have a healthcare “grand bargain”. I asked myself what Teddy Roosevelt would do; as he was the first President that pushed for healthcare? Teddy Roosevelt by the way had an R next to his name but the fact is he displayed the type of progressive (not the same as liberal) solutions that have largely evaporated from both parties.
So using TR’s logic of fair competition, standing up to corporate bullies (in this case the insurance companies / drug companies, which Obamacare does that some with 80/20 premium expense rule but ultimately also has many big benefits for the bullies as well), as well giving help to working class he is what I think should happen:
First off let me say that we need to make sure every person in America has basic health coverage that doesn’t break the bank. To achieve that, Democrats must accept a private insurance industry and Republicans must accept that some people can’t afford decent policies on their own. This “grand bargain” is about liberals agreeing that innovation shouldn’t be regulated out of U.S. health care and conservatives agreeing that justice has to be regulated into it. We also not only keep but expand on consumer options and choices. Here's my idea using Teddy Roosevelt progressive conservative principles as my guide:
1- Keep the Obamacare state exchanges and expand them to the entire country and scrap employer provide healthcare. It is an unnecessary burden on business. Ultimately business through some other taxes may bear some responsibility for healthcare cost but not what they are right now. Having open competition on the exchanges that allow all the whole state to compare rates and plans will drive prices down. It’s also time we got corporations out of the business of running our welfare state — they’ve got enough to do to compete with China and India. Plus this will ensure that every American has access to group rates through health reform’s insurance exchanges.
2- Stand up to the bullies and cap insurance rates, and prescription drug prices. In 1906 through Hepburn Act at that TR got passed Congress was able to cap prices on railroad rates. We should do the same for insurance companies and big pharmaceutical companies. Many of the expensive drugs where developed with the help of tax payer money. Instead using tax payer dollars to subsidized consumers from high cost like Democrats want, and instead of letting the consumers bear the full burden like Republicans we should be doing this. Rates should be capped at a % of income because it is unjust to be spending 25% of one’s income on healthcare and as a top maximum rate because it is also unrealistic for anyone to even a millionaire have to pay say $100k for his or her insurance just make up the cost for everyone else.
Ultimately because of the number of uninsured, including those with pre-existing conditions, joining the market place and the fact the insurance companies should at least make a small profit healthcare rates even with the reduction in drug prices there may still be minor premium hikes. Some subsidies may be needed to help those who can’t afford to them. I would propose funding those subsidies by some the current Obamacare funding mechanisms, as well as adding a small transaction tax on wall street which would generate hundreds of billions of dollars over a ten year period. It also help in preventing speculative trades which is a good thing. The goal is ultimately with rate capping is that less tax payer subsidies will be needed over time.
3 – Bring more efficiency to the healthcare industry. Obamacare’s provision of changing to a fee per patient instead of a fee for service is a good step. It should stop doctor’s from doing unnecessary procedures and test just run up a bill. Ideally doctors should be on straight salary so the ultimate focus is on patient’s care. I’d also replace today’s malpractice litigation lottery with a system that protects doctors from liability so long as they’ve followed evidence-based best practices. This would put an end to the “defensive medicine” that runs up costs — a common-sense reform that Democrats shamefully reject as a sop to the trial lawyers who fund their campaigns.
Edit: Would like to add if Teddy Roosevelt was president today he would also probably take some antitrust action against some of the bigger insurance companies and break them up especially Blue Cross/Blue Shield. FYI my family used to be on Blue Cross the experience was positive but ultimately they control an unhealthy share of the market place.
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