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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?


To: Lane3 who wrote (24314)7/22/2012 7:32:43 PM
From: skinowski3 Recommendations  Respond to of 42652
 
If we have a mess, at least we should use that as an advantage, and allow as much experimentation as possible - aka, deregulate. This, IMO, would be the best way - along with creating a cheap but effective safety net for those who are unable to do much for themselves.



To: Lane3 who wrote (24314)7/22/2012 8:26:49 PM
From: i-node  Respond to of 42652
 
Could be. I think that any change of direction would be an improvement. What we have now is half-assed. The problem with moving forward from half-assed is that you can't learn from it what direction to go. Everyone will blame the failure on the other side's half. You have to do something clearly one way or the other to tell whether it worked or not.


Unfortunately, when it comes to these changes, it basically doesn't matter whether it works or not. Because whatever it is, is, until the next iteration, at which time what would work better won't matter, rather, it will be whatever can be enacted and signed into law, just like Obamacare was.

A subset of the people posting on this thread could sit down and draft the outline of a plan for getting health care to practically every American more efficiently than the current system does, with better health outcomes in the process. In the end, though, RW and I would come to a bitter disagreement -- he would want 100% government operation and I would want 100% private operation, and there you go.

The reality is that it is now totally about politics. Not what is best but what can best pass the legislative muster, worse, whatever can get through the low bar of a corrupt legislative process. Sort of tragic, if you think about it.

Performance measurement just isn't on the radar screen for health care at this point; now, it is about the race to the bottom.