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Re: OT ?? FOR DAVID IN WALES
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Posted by Matt from CT on July 10, 2007 at 17:08:30 from (76.225.191.73):
In Reply to: Re: OT ?? FOR DAVID IN WALES posted by noncompos on July 10, 2007 at 12:40:11:
We're not competeting against socialized medicine countries. The cost pressure, if any, from foreign competitors come from nations that do not even have socialized medicine as it would be recognized in the West. Our system combines, currently, the worse aspects of socialized medicine and poorly regulated markets. Like socialized systems, most of our premiums go to pay for ordinary, expected expenses. Rather then individuals having responsibility for these and control over "their" money, it's paid in upfront and retrieved as the services beyond your token co-pay. Since it's perceived as "free" since we've already paid for it, there's no rational controls on it's use by people making decisions. Of course, when you change jobs or leave employers and lose the insurance...the surplus paid in to cover those ordinary expenses remain with the insurance companies -- until they spend them on chrome and glass buildings, executive salaries, bribes / graft / political contributions, and eventually some dividends for the shareholders. If you accept the line the socialists were saying about "Single Payer" before they got on their current kick of "Universal Healthcare" of 30% of health care costs being administrative overhead...well, there's only one way markets tolerate that: When the companies are protected behind government regulation. In the case of the U.S. we don't currently enforce our anti-trust laws and haven't for 15+ years to keep companies from aggregating too much market power. At the same time, if 30% inefficiency exists that is evidence at face value that Government has set the bar of entry to high for new competitors. So we have this system that puts the worst elements of socialism into a privated system that's protected from free market competetion by government mis-regulation.
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