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Politics : A US National Health Care System?
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To: Katelew who wrote (4043)1/19/2008 4:33:08 PM
From: Lane3  Read Replies (2) of 42652
 
The government could offer a few different plans that have different levels of benefits with differents levels of cost attached.

Yes, but as a practical matter, I wonder.

Let's say we offer three different levels of service. Now, we have half of the population not paying any income tax. Presumably these people would get their coverage free. The rest would choose among the three tiers and pay insurance designed to cover that service lever. Which service level do we provide without cost to half the population? The basic coverage? Or do we flinch at treating them as second class citizens? We would surely end up making the free tier more than just basic, which means that those stuck paying taxes plus paying for their coverage would resent their treatment. My bet is that we'd end up with just one level of service from the public system and those who want more would get additional private insurance just like in France.

So we still have insurance companies and we still have multi-payer and have accomplished what? We've given taxpayer-paid coverage to most those without adequate insurance, that's what. Which is effectively like just putting the not quite poor who are uninsured on Medicaid. Which would be so much easier to do.
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