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Response to OmahaBlueDog (Original post)

Sat Mar 22, 2014, 03:30 AM

82. Obamacare

Several States are considering moving to single payer within Obamacare. This might be the right way to go, as other States will be able to leverage off their successes and failures.

The only two nations on the planet that currently have single payer are the UK and Canada. Canada has a small population, a small defense budget and virtually limitless natural resources to exploit and sell to pay for their single payer system. The NHS in the UK is good, but I don't know if it is more efficient than insurer provided healthcare in Germany, Belgium, France, Japan or elsewhere. Obamacare is a step in the right direction, and provides fundamental protections regarding pre-existing conditions, lifetime spending limits, etc.

The only problem that I see with Obamacare is that it does not answer the fundamental problem with healthcare in this country, i.e., why is the average PER CAPITA cost of healthcare in the US twice as high as that of other industrialized countries. Despite the fact that not everyone is covered. Despite the fact that longevity and health outcomes in the country are not greater than those of other countries.

I have read that our healthcare is so expensive because a) we have hundreds of protected insurance companies that cannot operate across state lines, b) neither Medicare nor Congress have the ability to negotiate pricing with Big Pharma (although the VA hospital system does; go figure) and c) we are in need of tort reform. France, on the other hand has only 5 insurance companies, negotiates all pricing with Big Pharma and has limitations on lawsuit awards.


The sad truth is that both political parties in this country are beholden to one or more of the three groups (insurance companies, Big Pharma and the ABA), and given our tolerance of lobbyists (institutionalized corruption), meaningful change in the system will not be easy.

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