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I'm having some conflicting views on health care reform...

A vehicle is the creation of man and it take the work, time and resources of man to create. Are you claiming you have a right to people time, work and resources? I assume this argument isn't new to you, so can you tell me how it has no merit?

I'm not necessarily making that argument. However, RiverDad insisted that driving is a privilege and therefore he was claiming he (or some other elite) has the right to people's time, work and resources.

What are your opinions on the individual mandates for auto insurance? Should we repeal those as well? Repeal the mandates despite the cost to third party individuals?

And I assume you wish to repeal EMTLA as well?
 
We can test your proposition. EMTALA has not been in place since the Mayflower era, so we could analyze whether the pre-EMTALA era was really a Social Darwinist nightmare or something far short of that scary rhetoric.

EMTALA was passed for a reason, this is quite obvious. If EMTALA is repealed, then it's quite likely that the conditions that prevailed before it's passing will once again resurface. Don't fret though, there are a LOT of liberals around who will care for such people and I'm sure that they, being such caring folk, will come forth with plenty of donations to provide these people with the care that they need. Liberals love people. They tell me that all the freaking time.

Seriously though, as we see with Catholic Hospitals and other hospitals, they were, and are, quite willing to provide charity care when they feel the circumstances warrant such care. A life and death situation would be handled differently than a non life-threatening incident. I believe that a hospital, after giving charity care to a patient on a first meeting basis, has the moral high ground in refusing to provide further care if they inform the patient that in the future he will need to have insurance coverage and they can recommend him to either an insurance company or a charitable foundation which subsidizes health insurance. If the patient refuses to look after himself, then everyone else, meaning society, cannot be expected to be our brother's keeper, and the person must face the consequences of their own decisions.

It's definitely a lot more complicated than that. Simply put, the indigent would be absolutely dependent on the kindness and generosity of strangers for health care. Given that people die TODAY (despite the EMTLA in place) because the individual doctor doesn't wish to be charitable at the moment, who's to say it would be better without EMTLA?
 
It's definitely a lot more complicated than that. Simply put, the indigent would be absolutely dependent on the kindness and generosity of strangers for health care. Given that people die TODAY (despite the EMTLA in place) because the individual doctor doesn't wish to be charitable at the moment, who's to say it would be better without EMTLA?

You present quite a telling test here.

You show that a physician, who has taken the Hippocratic Oath, decides that he is personally unwilling to bear the burden of saving the life of the patient before him and yet you expect me to sacrifice the wellbeing of my family in order to save a stranger that I don't know, I don't see, who is not before me, and whose death wouldn't bother me in the least. Why are you placing a greater burden no me than on the physician? Why are you prepared to use the threat of government violence to get me to comply with your request that I fund this patient's healthcare?

Here's the solution - the indigent could qualify for government health care of a minimal sort. Everyone else should pay and get a health plan tailored to their premium level.

What we really need to institute is price and quality factors in the health care market. When people buy cars and homes and go on vacations, there are a multitude of quality options available to them. Everyone doesn't buy a Mercedes. Everyone doesn't buy a McMansion. Everyone doesn't take a 3 month cruise around the world. With medical care though everyone expects top notch care with the most expensive diagnostic equipment and the latest drugs regardless of their ability to pay. That's not right.
 
Looks truthful. Care to explain welfare is not exactly what that picture says it is?

I guess paying taxes to fund law enforcement is "protection money" and "extortion". We can play the spin game all day.
 
What?

.."but that the thinking in which someone calls something theft when it isn't is the same."

I explained why one is theft and the other isn't. You can't just say I didn't cover this crap when I did.

And you're wrong. neither is theft. It is quite frankly silly t suggest either is.


Nice explaining your reasoning. If I pay taxes that go to you and are meant for your troubles that is theft. You are taking my money with force to pay for you. It is the definition of theft. Taxes can and are used as theft. Are they are always theft? No. But that doesn't change they are used in such a way.


First, you're not doing that. This is not to cover someone else specifically, but all of us as so needed. So, you're misguided to start with. That mistake in your logic leads you to a false conclusion.

I enjoy tangents.

Does this mean you do know or don't know?
 
People can make all sorts of arguments, and many of them might even be valid. None of that matters though if the Constitution doesn't permit the government to implement a plan. Giving the government the authority to FORCE you to engage in commerce, to FORCE you to buy a specific commercial product, is the craziest damn thing I've ever heard. I'll fight tooth and nail to prevent government having that much authority over people.

So, we're going to pare back the federal government to a strict interpretation of the Constitution? No more FAA, no more NASA, end the war on drugs, no restrictions of any sort on bearing arms (not just guns!), all the way back to the 17th. century?

Somehow, that doesn't seem too practical to me.
 
Why are you prepared to use the threat of government violence to get me to comply with your request that I fund this patient's healthcare?

Here's the solution - the indigent could qualify for government health care of a minimal sort.

Do you see the inherent contradiction in your contrasting statements? An individual insurance mandate is the use of government violence to get you to comply with my request that you fund this patient's healthcare. A "government health care of a minimal sort" is the use of government violence to get you to comply with my request that you fund this patient's healthcare.

My only argument is that if we're going to have some law that states people shouldn't be denied care simply because of their income level, that there should be some way to fund that mandate. I'm not ready to take your suggestion and repeal the law that prohibits the denial of health care based on the income level of the patient.
 
I'm going to catch hell for this, I always do, but the only real solution is to put the cost factor back into the pockets of the consumer.

As it stands with most insurance, someone else pays the majority of the bills. So people go to the doctor for EVERYTHING.

Without going into all the why's, this is what I would do:

Ban (yes ban) Comprehensive Health Insurance, but still allow Major Medical Insurance.
Allow Health Savings Accounts to roll over into IRA's at the end of the year.

Just the initial ban of Comprehensive Health Insurance would save so much money that we'd be one of countries that spends the least on health care...and not because people quit going to the doctor.
 
I'm going to catch hell for this, I always do, but the only real solution is to put the cost factor back into the pockets of the consumer.

As it stands with most insurance, someone else pays the majority of the bills. So people go to the doctor for EVERYTHING.

Without going into all the why's, this is what I would do:

Ban (yes ban) Comprehensive Health Insurance, but still allow Major Medical Insurance.
Allow Health Savings Accounts to roll over into IRA's at the end of the year.

Just the initial ban of Comprehensive Health Insurance would save so much money that we'd be one of countries that spends the least on health care...and not because people quit going to the doctor.

The problem I have with that is preventive care. eg catching things like cancer early from my understanding can greatly improve outcomes medically and financially.
 
I'm going to catch hell for this, I always do, but the only real solution is to put the cost factor back into the pockets of the consumer.

As it stands with most insurance, someone else pays the majority of the bills. So people go to the doctor for EVERYTHING.

Without going into all the why's, this is what I would do:

Ban (yes ban) Comprehensive Health Insurance, but still allow Major Medical Insurance.
Allow Health Savings Accounts to roll over into IRA's at the end of the year.

Just the initial ban of Comprehensive Health Insurance would save so much money that we'd be one of countries that spends the least on health care...and not because people quit going to the doctor.
i take it that is how small government conservative do NOT meddle in private commerce


almost as grotesquely funny as republicans being the party of family values
 
Do you see the inherent contradiction in your contrasting statements? An individual insurance mandate is the use of government violence to get you to comply with my request that you fund this patient's healthcare. A "government health care of a minimal sort" is the use of government violence to get you to comply with my request that you fund this patient's healthcare.

Do you think that I added the qualifier "minimal sort" for no reason? I must have added it for some reason, don't you think? If I did add it for a reason then why would you assume that the outcome "fund this patient's healthcare" would remain the same between my vision and yours? A minimal sort might suggest that immediate care from the relief of pain and suffering be provided. A minimal care would not include, sorry Winston, a heart transplant for an indigent person living on the streets.

I really don't like the principle of everyone demanding Cadillac care in the health market. This completely guts all the value that price discipline brings to many other markets.

I'm not ready to take your suggestion and repeal the law that prohibits the denial of health care based on the income level of the patient.

I can respect your position and as I've noted elsewhere on the forum I completely favor liberals starting their own universal health care system where they decide to invite all of the people that they say they care so much about into the system and they will pay the premiums needed to make the system so kind and generous and embracing. If you don't believe in denying healthcare based on income, that's terrific, do something about it with your own wallet. I won't work to stop you.
 
The problem I have with that is preventive care. eg catching things like cancer early from my understanding can greatly improve outcomes medically and financially.

And what is stopping you, as an individual, from paying for preventative screenings on your own dime? To put this very crassly, if your life and health are not worth you spending your own money, then why should your life and health be worth me spending my money to help you get preventative screening?
 
And what is stopping you, as an individual, from paying for preventative screenings on your own dime? To put this very crassly, if your life and health are not worth you spending your own money, then why should your life and health be worth me spending my money to help you get preventative screening?

I was talking about in context within the other posters plan.
 
I was talking about in context within the other posters plan.

I'm not following you. Under his plan you'd have to pay for your own preventative screenings and only major medical events would be covered.
 
I'm not following you. Under his plan you'd have to pay for your own preventative screenings and only major medical events would be covered.

And I said the problem I had with his plan is that catching things like cancer early yields better out comes both financially and medically.

IOW I can see his plan being more expensive in the long run.
 
I'm going to catch hell for this, I always do, but the only real solution is to put the cost factor back into the pockets of the consumer.

As it stands with most insurance, someone else pays the majority of the bills. So people go to the doctor for EVERYTHING.

Without going into all the why's, this is what I would do:

Ban (yes ban) Comprehensive Health Insurance, but still allow Major Medical Insurance.
Allow Health Savings Accounts to roll over into IRA's at the end of the year.

Just the initial ban of Comprehensive Health Insurance would save so much money that we'd be one of countries that spends the least on health care...and not because people quit going to the doctor.

I agree with you in some respect, especially in regards to why care has become so expensive. However, this thread is specifically about the individual insurance mandate being debated today and its relationship to a similar mandate on individual auto insurance (albeit one is state-wide consensus while the other is being debated federally). The thread is also about using that insurance mandate to pay for the unfunded liability known as the EMTLA.

Two straight-forward questions I would like to pose to you are:

Would you repeal the EMTLA?

Are you opposed to mandated auto insurance coverage for the same reason you oppose the individual healthcare insurance mandate being legislated and debated today?
 
Do you think that I added the qualifier "minimal sort" for no reason? I must have added it for some reason, don't you think? If I did add it for a reason then why would you assume that the outcome "fund this patient's healthcare" would remain the same between my vision and yours? A minimal sort might suggest that immediate care from the relief of pain and suffering be provided. A minimal care would not include, sorry Winston, a heart transplant for an indigent person living on the streets.

Regardless, a "government health care" of ANY sort is and will always be a use of government force (a better substitution for "violence") "to get you to comply with my request that you fund this patient's healthcare." Someone's taxes will inevitably be extracted to fund this care, and inevitably one or more individuals will be affected by mandates, enFORCED regulations, licensing procedures, laws, etc.

I really don't like the principle of everyone demanding Cadillac care in the health market. This completely guts all the value that price discipline brings to many other markets.

You added the Cadillac part. I was comparing the medical insurance mandate to the auto insurance mandate for a very good reason. The auto insurance mandate, at least in the state of California, demands that all drivers enroll in at least the absolute minimum, bare-bones policy that amounts to something like $5,000 in liability payments. The purpose of such a mandate was, as I stated, to reduce the judicial congestion brought on by countless lawsuits arising from no-insurance accidents. My conflicted idea regarding the insurance mandate for healthcare would be similar in nature and purpose. It is not my personal preference to infringe on the individual's right to liberty. HOWEVER, rational libertarians also realize that some minor infringements on personal liberty are necessary for the welfare of society (or rather for the protection of individual, non-participatory third parties). For instance, rational libertarians would agree with a law that prohibits you from dumping your toxic waste water down a public stream, for that public stream is utilized by a third party. In this case, I am conflicted because I personally refuse to agree to repealing EMTLA but I also demand that it should not go unfunded. Instead, like minimalist auto insurance policies which are mandated to reduce the burden on non-involved taxpayers, this insurance mandate would go a long way in reducing the healthcare costs on innocent third parties who are inevitably stuck with the overhead created by the uninsured.

I would like to pose a straight-forward question:

Would you be willing to tolerate a society in which individuals are forced to die in the streets because every hospital in the nearest vicinity has refused them care for their inability to pay? I realize that charitable organizations and charitable people do exist and we can depend on them for a lot of things. I am still a libertarian. However, sometimes these organizations are not large enough.If a person lives in a rural area, their access to medical care is far more limited to someone in the urban area. As well, it would be unreal to expect at least one free hospital for every 20 or 30 square miles.

I can respect your position and as I've noted elsewhere on the forum I completely favor liberals starting their own universal health care system where they decide to invite all of the people that they say they care so much about into the system and they will pay the premiums needed to make the system so kind and generous and embracing. If you don't believe in denying healthcare based on income, that's terrific, do something about it with your own wallet. I won't work to stop you.

You're trying to lump me in with another group of like-minded people. And if you want to rely on charity completely to solve the problem of the indigent, then you must consider that not all people will be able to reach the charitable hospital which can save their life.
 
I guess paying taxes to fund law enforcement is "protection money" and "extortion". We can play the spin game all day.

Can I go out and buy the service from the public? Is it possible to have a police service in the public? Does it exist because people can't afford the private choice? You can spin things any way you wish, but good luck with your examples.
 
RiverDad said:
What we really need to institute is price and quality factors in the health care market. When people buy cars and homes and go on vacations, there are a multitude of quality options available to them. Everyone doesn't buy a Mercedes. Everyone doesn't buy a McMansion. Everyone doesn't take a 3 month cruise around the world. With medical care though everyone expects top notch care with the most expensive diagnostic equipment and the latest drugs regardless of their ability to pay. That's not right.

I have to agree. We shouldn't be focused on the best care available to all people but care they can afford. The problem with this is of course is people won't accept simple market principles in this field because of personal issues, but I do feel its the only way to fix the problem.
 
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And you're wrong. neither is theft. It is quite frankly silly t suggest either is.

Another great argument by Boo.

First, you're not doing that. This is not to cover someone else specifically, but all of us as so needed. So, you're misguided to start with. That mistake in your logic leads you to a false conclusion.

I can get care in the service that exists now so there is no reason to put me into another system when the system works perfectly for me now. The system you wish to create would exist to open care up to them because they can not afford the level of care you wish for them to have. In the new system I would not only be paying for me like I do now but I would be paying for all those people. Being dishonest is not helpful for you.


Does this mean you do know or don't know?

It's a tangent. In the healthcare system I support I would not.
 
I agree with you in some respect, especially in regards to why care has become so expensive. However, this thread is specifically about the individual insurance mandate being debated today and its relationship to a similar mandate on individual auto insurance (albeit one is state-wide consensus while the other is being debated federally). The thread is also about using that insurance mandate to pay for the unfunded liability known as the EMTLA.

Two straight-forward questions I would like to pose to you are:

Would you repeal the EMTLA?

No. The reason is EMTALA does not cost us as much as the stupidity of having comprehensive insurance. Think of it like this, comprehensive health insurance adds about 200 per person. If 270 million people have comprehensive health insurance, taking them off of that save $648 billion in administrative costs per year.

Are you opposed to mandated auto insurance coverage for the same reason you oppose the individual healthcare insurance mandate being legislated and debated today?

Do we really have to discuss the stupidity of that fallacy? Are you required to have car insurance? NO! Don't own a car that you drive on public roads and you are good to go.
 
I can get care in the service that exists now so there is no reason to put me into another system when the system works perfectly for me now. The system you wish to create would exist to open care up to them because they can not afford the level of care you wish for them to have. In the new system I would not only be paying for me like I do now but I would be paying for all those people. Being dishonest is not helpful for you.

You can now, but may not later. None of us know the future. So, no, you are also providing for what you might need in the future.

Anyone claiming taxes are thieft is the one being dishonest. ;)



It's a tangent. In the healthcare system I support I would not.

Since the comment has nothing to with what you support, but what you are actually doing now before reform, I have to assume you don't know what you're doing now. Do you know that you are paying for others right now, not by taxes, but by what it costs you to go to the hospital?
 
Yes because a fair and affordable payment plan causes people to go into bankruptcy.......:doh

Key word: "affordable"

Not all hospitals will work with their clients (former patients) to make low-cost payment arrangements to off past-due medical bills.

ElijahGalt,

Glad to see you're starting to come around on this health care mandate issue. I don't 100% agree with it myself, but can certainly see the logic behind it from an economic, social needs and individual responsibility standpoint. I found this article from the New England Journal of Medicine of interest arguing on behalf of the individual mandate's constitutionality. Perhaps you might find it worthwhile as well. (Note: The article was written before the PPACA was signed into law.) Nonetheless, as you've accurately stated, if the "treatment mandate" were removed from Emergency Medical Treatment and Active Labor Act, we likely would not be debated the constitutionality of the individual mandate under the PPACA.
 
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You can now, but may not later. None of us know the future. So, no, you are also providing for what you might need in the future.

Speculation. Speculative arguments are not a good debate tactic.

Anyone claiming taxes are thieft is the one being dishonest. ;)

If you wish to continue to think you are not stealing from me to provide for yourself be my quest. I'm tried of your denial.




Since the comment has nothing to with what you support, but what you are actually doing now before reform, I have to assume you don't know what you're doing now. Do you know that you are paying for others right now, not by taxes, but by what it costs you to go to the hospital?

I'm well aware of what I'm paying for now. That doesn't change the fact that its a tangent that I will not address.
 
Speculation. Speculative arguments are not a good debate tactic.

Not speculating in the way you suggest. It is reasonable to say none of us know the furture. Planing for the worse and hoping for the best is reasonable. As you too will be able to access this aid should you need it, you are goving for yourself as well as anyone else.



If you wish to continue to think you are not stealing from me to provide for yourself be my quest. I'm tried of your denial.

No, no stealing is taking place. And I shoudl point out, you don't know if I'll need any more than you know if you will. Stop speculating. :lamo





I'm well aware of what I'm paying for now. That doesn't change the fact that its a tangent that I will not address.

If you're aware, then you clearly have no problem paying for others. The fact is, you could hardly pay more than you are now.
 
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