To: PMS Witch who wrote (263 ) 11/12/2000 1:18:13 PM From: Gulo Read Replies (1) | Respond to of 37247 Good points. Two tiered: What exactly is two tiered health care, and why is it bad? Does two tiered mean you can pay to get service that is not available to the state insured? Or does it mean you can pay to get better/faster service on services that are insured? Private Health Care: "Private health care" is another term that raises strong emotions in debate, even if the debaters don't know what the hell they they are arguing about. Private health care can mean many things: 1) Private insurance, paid for individually. 2) Private insurance, but funded or subsidized by the state. 3) Private insurance companies offering state prescribed coverage and funded by the state. 4) Private corporations providing medical services (e.g., Doctor's Professional Corporations). This has always been the case. 5) Private corporations providing medical equipment and facilities (private clinics), whether or not funded by the state. We already lease hospital equipment and even buildings. Why not have a company manage it? That way, we could replace the management if it was ineffective. Case study: Corrective eye surgery. Corrective eye surgery is not covered by our state health care insurance. The costs for surgery have decline from around $4000 per eye to about $800 per eye. Does anyone think the price would have declined if the surgery was insured? Personal opinion: We should go to a free market in health care and in health insurance. The state can provide funding each year to each person to pay for private coverage that they then buy on the open market. That way, no one is left without insurance, and people will have choices as to who provides the insurance and insured services. Certain facilities, such as emergency rooms, will be operated by private corporations on contract to the state. The costs to government will be the transfers to people for insurance plus the cost of emergency rooms. Anyone have a better idea? -g