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Politics : A US National Health Care System?

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To: skinowski who wrote (16577)4/10/2010 9:26:58 AM
From: Lane31 Recommendation   of 42652
 
They paid into that insurance their entire lives, and should be able to benefit from it.

Agreed, but they don't have a right to cut-rate access to any particular practice. If a practice doesn't want to participate, it shouldn't have to.

it would be easier to allow those patients who can afford to do so to supplement those payments directly through a concierge arrangement.

I agree. What I dislike most about Medicare, personally, is its constraints on the elderly. Sure, it's a boon to many, but it also restricts liberty. Protecting people also constrains them.

Many of the constraints in Medicare are there for paternalistic protection. Many of them are there to force equality, methinks. Those who have are constrained from using their own resources in order to avoid a multi-tier system. If they can't elevate the bottom enough, you pull down the top until we're all even. This occurs in countries where private health care is illegal or constrained. I suspect that's what is at play in retainer arrangements under Medicare. There's always a tug of war with those whose primary focus is on equality.
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