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Politics : View from the Center and Left
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To: JohnM who wrote (52076)3/6/2008 1:34:23 PM
From: Lane3  Read Replies (1) of 540884
 
it's our inability to do serious policy work at the congressional level because of the huge role the business lobby now plays.

Congress has not been able to do that during my time trying to implement what they have come up with. I never paid much attention to the role of lobbyists. The mess I was handed always looked to me like design by committee. It would be design by committee whether or not the lobbyists were players.

But insuring the uninsured or assisting the underinsured to have better health care via single payer systems is not egalitarianism. It's providing a floor.

You aren't hearing me. Or maybe you just don't trust me. I have, indeed, talked with people on SI about this who don't want floors, won't settle for floors. They want all of us treated the same.

I believe them because historically Medicare has had elements of that. It's only recently that doctors who accepted Medicare could take payment other that what Medicare gave them. Had a big discussion about that on PfP a few years ago with a doctor whose handle I can't recall and who confirmed my research. The idea was to avoid a two-tiered Medicare clientele. In between the time I first started looking at Medicare and the time I entered it, the law changed so that Medicare patients can now have private agreements with their doctors. So, the most recent steps have been away from that enforced egalitarianism but I don't know where the trend line is. You would be foolish to count on always being able to use a supplemental policy to get a higher tier of service.
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