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Politics : View from the Center and Left

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To: Bread Upon The Water who wrote (240868)12/31/2013 10:16:33 AM
From: Sam  Read Replies (1) of 541658
 
I also said we have never put to the test how broad the support is for the Medicare/Medicaid programs by giving people the choice to opt out of them via cancelling their withholding.

The only way these programs actually work is if the vast majority of people participate in them, healthy or not. If given the choice of opting out, many healthy people who that they can just opt in if they get sick or require hospitalization for some reason will opt out until they have the need. Until that need arises, they are paying for someone else's misfortune.

Every other developed country works on some variant of this model, and somehow everyone in those countries pay their premiums. Some people may bitch because of some shortcoming or another in their system (gosh, ya think every system has some shortcomings?), but at least they don't have a couple of million people declaring bankruptcy for medical reasons or fear that that might happen to them and at least they don't have runaway costs in their medical sector and have care that is affordable when they pay their monthly fee. Our employer based model is an historical accident. Every country that has studied the matter has opted to choose a non-employer based system of one sort or another. The only reason we support this system is that it is the one we have and people are always biased to what they have and "know" (whether they actually know it or not!). You seem to be pretending that there is actually a reason for this bias on the part of Americans, and that is just nonsense. It is a crazy system that no one would adopt (or has adopted!) if they were starting from scratch.
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