Nah. Been working on filling the cash register. Originally Posted by Rudyard KWell I've heard it called allot of things....but that about fits it to a tee!
Preferably, it would involve scrapping the employer paid market -- this could be done with a law that says as of today (i.e., the date proposed) and $'s spent on healthcare or other employee benefits must be converted to cash salary on a per capita basis (subject to rules proscribed by the Treasury that reflect age/health and other underwriting factors). That locks in the current employer contributions and gets rid of this "free benefit" insanity.as if your ego hasn't been stoked enough this morning, I'll pile on & add I could live with this I think blowing up the employer paid system is critical to making this work but it is easier said than done. That said I think most business owners/senior managers would tell you privately they'd love to get out of the business of providing health care if it didn't make them the 'bad guy' or place them at a competitive disadvantage.
Then you add a per taxpayer (i.e., married filing joint get two) refundable tax credit (payable monthly) which has an aggregate value equal to the money that will be raised from the new taxable income. That would immediately level the playing field and give everyone an equal dollar benefit (not increasing with income). If you have a gold plated health plan, you will pay a little more tax. If you have an average plan, it will be about a wash. If you dont have a plan, you will get the full credit. BTW, you only get the credit if you have insurance -- getting over that constitutional issue of mandated purchase. (of course, this would be a great time to also consider a flat tax.)
Then get rid of the state based limitations on sales and policy requirements and make insurers get rid of their underwriting restriction (or significantly reduce them) so everyone can buy a policy that fits their needs. Policies should have significant cost sharing per service and annual deductibles and out of pocket limits tied to income. You want the gold plated one that covers everything -- its gonna cost you a ton, but its your choice and your problem -- dont expect me to pay for it. I'm sure the carriers will be very creative in developing bare bone policies that fit within the cost of the credit and designing web and employment based mechanisms to sign people up and to arrange for the credit to go directly from the government to them -- eliminating a ton of costs in the process. Originally Posted by pjorourke
That said I think most business owners/senior managers would tell you privately they'd love to get out of the business of providing health care if it didn't make them the 'bad guy' or place them at a competitive disadvantage. Originally Posted by atlcomedy
Fuc yea they do....the cost are skyrocketing. We have an older population. In that regard we are at a competitive disadvantage in regards to world manufacturing. Originally Posted by WTFRiggghhhtttt!!!! So paying for health care out of their left pocket (via taxes) is cheaper than their right pocket (wages).
In that regard we are at a competitive disadvantage in regards to world manufacturing. Originally Posted by WTFClearly....but it isn't just manufacturing and it isn't just the world...just look at all of the Fortune 500 Cos. with gold-plated health plans (and a culture that holds that all employees are vaulable & a health plan is an unalienable right ) that are outsoucing just about every function they can -- some overseas, some just down the street -- to realize cost savings -- total labor costs being a big one. Believe me these 3rd Parties have a health plan nothing like the place the jobs came from...
Preferably, it would involve scrapping the employer paid market Originally Posted by pjorourkeThat and (most everything else in your post) is probably true. However, the complexity of the current system has nothing to do with health care and everything to do with who benefits from the complexity, so making it simple and equitable will never happen.
That and (most everything else in your post) is probably true. However, the complexity of the current system has nothing to do with health care and everything to do with who benefits from the complexity, so making it simple and equitable will never happen. Originally Posted by npita
Clearly....but it isn't just manufacturing and it isn't just the world...just look at all of the Fortune 500 Cos. with gold-plated health plans (and a culture that holds that all employees are vaulable & a health plan is an unalienable right ) that are outsoucing just about every function they can -- some overseas, some just down the street -- to realize cost savings -- total labor costs being a big one. Believe me these 3rd Parties have a health plan nothing like the place the jobs came from... Originally Posted by atlcomedy
Why is it that people want the same government that will spend $700 on a toilet seat to run health care anyway?That was the Defense Department that bought that seat. Do you want to abolish them also?
Regards, Originally Posted by Iaintliein
When the Constiution was ratified back in 1788 the central position of the Federal Government in providing health insurance to the citizens and anyone fortunate enough to illude border security was emphatically. . . absent.This is somewhat flawed logic. Just because something is absent from the Constitution doesn't mean that it should be none of the federal government's business.
This is none of the federal government's business, pointing to other programs like Medicare which is also none of the federal government's business is like legalizing theft becasue the theif had previously not been caught. Originally Posted by Iaintliein