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Tuesday, December 17, 2013

OBAMACARE ISN'T AN EVIL PLOT TO GET TO SINGLE PAYER. IT'S MERELY POLITICAL STUPIDITY.

Too many times, I have read or heard the paranoid ones, the ones who see conspiracy behind every tree claim that Obamacare is a ruse designed to fail only so the U.S. Congress can "ride to the rescue" by replacing Obamacare with a single-payer system.




It is unlikely that any conspiracy exists, whose participants purposely designed Obamacare as a fail in a devious plot to move to single payer.


Medical bills paying insurance is a $620 billion industry of over 1,000 firms which employ over 460,000.


No one kills off industry of that size. Besides, the industry leaders likely have too much clout with the U.S. Congress to be killed off.


Rather, because of its largess, successive U.S. Congresses have put profit strains on insurers since the U.S. Congress is the largest bidder for medicine ($6.50 of every $10 spent on medicine).


That entitlement expenditure is breaking successive congressional budgets, crowding out discretionary spending. Without unencumbered money to blow on supporters, Congresses have nothing.


Those of Congress have seen the writing on the wall. This collusion between Congress and insurance execs is designed to transfer people from government medical welfare (parroted as the rhetorical, sweet sounding health care ) to private insurers, while upping the unearned-through-competition profitability of insurers.



OBAMACARE, THE BREAKER OF ALL THINGS

Obamacare ends up not fixing anything, but rather breaking already distorted markets.


The problem with medical economics rests solely with the U.S. Congress and no one else. Successive congresses have set the rules, which have made themselves the biggest bidder for medicine ($6.50 of every $10 spent on medicine is spent by the U.S. Congress). 

Because of tax laws, employers write-off all expenses related to providing medical bills paying insurance to employees. That gives them an undue competitive edge in hiring better work candidates. Everyone who pays taxes, in effect, are subsidizing employers who provide med bills insurance for workers.

THE EASY FIX FOR MEDICAL ECONOMICS


To fix medical economics, wrongly said as "health care costs" (only Medicaid and Medicare are health care costs of Congress), these things need to happen:

  1. The U.S. Congress needs to reduce their footprint of expenditures for medicine to at most $2 for every $10 and ideally to $0
  2. The supply of medical practitioners needs to rise substantially
  3. Efficiency inducing competition needs to arise to squeeze out unearned profits

Acts that could accomplish the foregoing are these:


  1. Prohibit employers from offering medical bills paying insurance (again, wrongly parroted as "health care" ).
  2. Let insurers compete across state lines.
  3. Fold Medicare and Medicaid into one, means tested program, perhaps only for individuals with incomes of $20,000 or less, limiting the annual payout to ten doctor visits for non-life threatening illnesses.
  4. Encourage states legislatures to break up the monopoly of medical practice licensing to AMA-approved doctors by letting a new, generalist class of doctor arise, one needing far less schooling who can treat aches, pains, the common cold and who set broken bones.