The Morality of a Single Payer Health Care System

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Again, you are suggesting the taking my money and my right to healthcare out of my hands and placing it in the hands of an authoritarian system that decides what healthcare I should get and when…
No, I am suggesting they only decide what they will pay for. There is nothing inherently evil about that.
, then suggesting I should be okay with such tyranny.
…just calling taxation tyranny does not make it so in all cases.
And if I don’t like it, I have to take more of my money to get the healthcare I think I or my family needs.
Yes. We have been through this before. It is just like how you have to pay school taxes and then if you want to send your kids to private school you have to pay again.
If we all contribute to the plan? Well, at least you’re honest about it. Many progressives are claiming that the “rich” will pay for it.
Like any taxation decision, there are always detail that need to be decided.
But you are correct, those in the third and fourth lowest quintile of income earners will have to pay more, a lot more in taxes for the privilege of government dictated healthcare.
I didn’t say that.
 
Usually too I don’t get much choice. My employer offers one healthcare plan - I don’t get to pick a different one, and changing jobs is nice in theory but I’ve been in plenty of situations where “any job that pays the bills” is hard enough to come by. Outside of employer healthcare, a private insurance company isn’t going to contract with me, and medishare type groups are going to turn me down - or they’re going to only offer a contract in such a way that it doesn’t much help me. That doesn’t leave a whole lot of options.
A lot of these limitations and costs are because of government. What happens when government regulates industries is that is effectively a tax, which is a cost to the companies in that industry, and they just pass it along to the consumer. They don’t eat it like a lot of big government activists think they should.

One such limitation are regulations that won’t allow companies to sell across state lines. Another is MediCare and MediCaid, run by the government. People who do business with these entities get reimbursed in a very slow manner—IF at all. Would you work not knowing when or even IF part of your paycheck wasn’t coming?

People have limited choices not because companies are mean or don’t want to sell. Have you ever met a businessperson who doesn’t want to sell you their product? It’s because the government raises their costs through unnecessary regulation or they impose tort laws that make it easier to sue doctors. In fact, the main reason health care is so expensive is because of tort laws. All those lawsuits for malpractice just get passed along to the consumer, as do all the Medicare and Medicaid benefits.

If anything government-related, health care should be handled at the state level. This is because state governments are more effective at managing money because it’s theirs and they can’t print it like the fed does.

The bottom line is this: when government picks winners and losers, some people get benefits, but most don’t because government has no incentive to deliver a quality product even as a third-party payer, which really makes it worse. The costs of even high-risk pools would drop with lower taxes, lower regulation and more competition. The biggest lie the pro big-government crowds have always sold is that it’s too big or complicated and only government can solve it----even when government was the problem to begin with.
 
=“LeafByNiggle, post:482, topic:447347, full:true”]
No, I am suggesting they only decide what they will pay for. There is nothing inherently evil about that.
Yes, taking my money, then deciding for me what they will allow me to have. Yep, I see evil in that.


just calling taxation tyranny does not make it so in all cases.
In this case, it clearly is.
Yes. We have been through this before. It is just like how you have to pay school taxes and then if you want to send your kids to private school you have to pay again.
So, now my rights are to be compared to compulsory education, treated as a minor. There is a clear societal reason for education, done st the state and local level. No such societal need exists to force the vast majority of Americans who earn their healthcare through work off of those plans, confiscate their money in order to make decisions for them, without their (name removed by moderator)ut, about their healthcare and that of their family. There is none. No societal cause.
Like any taxation decision, there are always detail that need to be decided.
A dodge, Leaf. How will it be paid for? The general government has debt and unfunded responsibilities well over $110 TRILLION!
 
So, now my rights are to be compared to compulsory education, treated as a minor. There is a clear societal reason for education, done st the state and local level. No such societal need exists to force the vast majority of Americans who earn their healthcare through work off of those plans, confiscate their money in order to make decisions for them, without their (name removed by moderator)ut, about their healthcare and that of their family. There is none. No societal cause.
I think a strong case can be made for just such a societal cause. Just as it is good to have a society composed of educated people, so it is good to have a society where everyone has a base level of health care. We don’t want our people to be sick and dying. It hurts productivity and social cohesiveness.
A dodge, Leaf. How will it be paid for? The general government has debt and unfunded responsibilities well over $110 TRILLION!
It will be paid for by raising taxes. And since people won’t have to pay so much for healthcare themselves, they will have the money to pay those taxes, and then some. See, at least I am honest. I say it will be paid for by higher taxes.
 
It will be paid for by raising taxes. And since people won’t have to pay so much for healthcare themselves, they will have the money to pay those taxes, and then some. See, at least I am honest. I say it will be paid for by higher taxes.
I think that’s a low bar to be rewarded with.

A lot of people don’t even invest in health insurance or health care, they prefer to pay as they need it instead of giving their money to an insurance company. I would have thought liberals would appreciate that.

And more taxes means less capital in the economy and into the hands of crony government that will inevitably waste it.
 
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LeafByNiggle:
It will be paid for by raising taxes. And since people won’t have to pay so much for healthcare themselves, they will have the money to pay those taxes, and then some.
A lot of people don’t even invest in health insurance or health care, they prefer to pay as they need it instead of giving their money to an insurance company.
And why should the wishes of such people stand in the way of universal health care? (I could mention that when universal K-12 schooling was not yet implemented, a lot of people did not want to invest in education, or even send their kids to school. Those people’s wishes were similarly denied and they did not stand in the way of universal K-12.)
 
People have limited choices not because companies are mean or don’t want to sell. Have you ever met a businessperson who doesn’t want to sell you their product?
That’s exactly what we’re saying here, yes. Healthcare companies only want to sell healthcare to healthy people. Even if you take all the regulation out, healthcare companies won’t want to sell healthcare to people like me at a rate that can be afforded by someone who’s at an entry-level wage.
 
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SuperLuigi:
People have limited choices not because companies are mean or don’t want to sell. Have you ever met a businessperson who doesn’t want to sell you their product?
That’s exactly what we’re saying here, yes. Healthcare companies only want to sell healthcare to healthy people. Even if you take all the regulation out, healthcare companies won’t want to sell healthcare to people like me at a rate that can be afforded by someone who’s at an entry-level wage.
Health insurance companies are quite happy to sell large group policies to corporations, states for their employees, etc. If the government would get out of the way and allow free American citizens to freely and voluntarily form large associations for the purpose of negotiating with insurance companies and health providers, then individuals would not be in the position of either not being able to afford ACA policies or dependent on government programs like Medicaid.
 
=“JonNC, post:484, topic:447347, full:true”]

I think a strong case can be made for just such a societal cause. Just as it is good to have a society composed of educated people, so it is good to have a society where everyone has a base level of health care. We don’t want our people to be sick and dying. It hurts productivity and social cohesiveness.
Then you have to favor single payer food, and single payer fitness centers, and single payer employment (the unemployed are less healthy, right?). You have to favor the banning of tobacco products, oppose legalization of marijuana, and prohibition.
People are going to die, so to save money for those who benefit the society with their productivity, those who do not produce should be given expensive procedures or medications, only what is needed for them to be comfortable until they die.
The soon to be born who are known to have birth defects should be aborted because they will only cost money and probably won’t be productive.

And firearms? Really? If you want to own a firearm, clearly you are a danger and shouldn’t get healthcare other than what you pay for yourself.
 
It will be paid for by raising taxes. And since people won’t have to pay so much for healthcare themselves, they will have the money to pay those taxes, and then some. See, at least I am honest. I say it will be paid for by higher taxes.
And I appreciate that.

Higher taxes on everyone? If you benefit for it, you pay at least something in? Even those in the lowest quintile?
Or do you agree with demagogues like Sanders that the rich will pay for it?

My complaint is I want to keep my money and care for myself, you know, like a free individual
 
=“JonNC, post:484, topic:447347, full:true”]

I think a strong case can be made for just such a societal cause. Just as it is good to have a society composed of educated people, so it is good to have a society where everyone has a base level of health care. We don’t want our people to be sick and dying. It hurts productivity and social cohesiveness.
Actually, we do have single payer fitness centers. They are called public parks. And we do have certain forms of single-payer food, in terms of school lunch programs for those in need.

Note that I am not advocating single-payer for every aspect of health care either. The small stuff people can take care of themselves - bandaids, aspirin, vitamins. It is only the catastrophic illness that exceeds most people’s ability to pay for them out of their spare change, which is why people get insurance in the first place - because they know they probably will not be able to afford the costs without it.
You have to favor the banning of tobacco products, oppose legalization of marijuana, and prohibition.
Not sure what that has to do with single payer anything.
People are going to die, so to save money for those who benefit the society with their productivity, those who do not produce should be given expensive procedures or medications, only what is needed for them to be comfortable until they die.
Productivity is only one of the reasons for wanting people to be healthy. Compassion is another.
 
The bottom line is this: when government picks winners and losers, some people get benefits, but most don’t because government has no incentive to deliver a quality product even as a third-party payer, which really makes it worse. The costs of even high-risk pools would drop with lower taxes, lower regulation and more competition. The biggest lie the pro big-government crowds have always sold is that it’s too big or complicated and only government can solve it----even when government was the problem to begin with.
And the “winners” chosen by the government have no incentive to to succeed, because they risk nothing if they lose. The government (aka taxpayer) carries all the risk. Solyndra is a prime example of this.
 
Health insurance companies are quite happy to sell large group policies to corporations, states for their employees, etc. If the government would get out of the way and allow free American citizens to freely and voluntarily form large associations for the purpose of negotiating with insurance companies and health providers, then individuals would not be in the position of either not being able to afford ACA policies or dependent on government programs like Medicaid.
Actually, they’re mostly quite happy to do that because they are compelled to by law. There’s laws around employer healthcare, you know. And a lot of those laws say that they can’t discriminate. It’s actually illegal for a company that provides health insurance to discriminate against an employee that costs more money on the healthcare plan. That’s what makes insurance companies so happy to sell these group policies to everyone - because the law says they have to (and this is well before ACA). I guarantee if you dropped all the laws, what you’d actually see happening is “we’ll only cover certain employees at certain rates, but if we think you’ll cost too much we won’t let you be on the policy.”

Oh, and before ACA, waiting periods of up to 6 months before any health conditions you came in with beforehand would be covered were a pretty common thing.
 
Actually, they’re mostly quite happy to do that because they are compelled to by law. There’s laws around employer healthcare, you know. And a lot of those laws say that they can’t discriminate. It’s actually illegal for a company that provides health insurance to discriminate against an employee that costs more money on the healthcare plan. That’s what makes insurance companies so happy to sell these group policies to everyone - because the law says they have to (and this is well before ACA). I guarantee if you dropped all the laws, what you’d actually see happening is “we’ll only cover certain employees at certain rates, but if we think you’ll cost too much we won’t let you be on the policy.”

Oh, and before ACA, waiting periods of up to 6 months before any health conditions you came in with beforehand would be covered were a pretty common thing.
No, they are not. Insurance companies are not required by law to contract with corporations.
The practice started after WW II as a benefit for employees, to attract workers.
Corporate policies usually cover dependents of employees at a set rate, regardless of prior health.
They negotiate a contract with an insurance company to provide healthcare to their employees and dependents.

Large voluntary associations could do the same if government didn’t prohibit it.
Before ACA, my plan covered my cancer procedure within 6 weeks of diagnosis. It is government healthcare that makes people wait. Ask the folks in Canada
 
LeafByNiggle post:491:
Productivity is only one of the reasons for wanting people to be healthy. Compassion is another.
Correct, and that is why government must not be allowed to turn healthcare into a dictated power.
There is no compassion in government force, no compassion outside voluntary charity
 
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JonNC:
LeafByNiggle post:491:
Productivity is only one of the reasons for wanting people to be healthy. Compassion is another.
There is no compassion in government force, no compassion outside voluntary charity
Sounds like an ideological position rather than an objective fact.
It is a moral position. There is no such thing as compulsory volunteerism. There is no such thing as coerced charity or statutory compassion
 
It is a moral position. There is no such thing as compulsory volunteerism.
I didn’t say there was.
There is no such thing as coerced charity or statutory compassion
True on charity. False on compassion. Government decisions are frequently and correctly made based on compassion. It is statutory because those who disagree with the decision are still bound by it. If you still need an example, consider any instance where the US has sent aid to countries during a natural disaster. Doing so does not always serve the interests of the US, as these victims do not always provide much to us in trade or otherwise. So in those instances such actions can only be because of compassion.
 
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