I agree that reducing federal taxation as an economic "stimulus" while running $1T annual federal "budget" deficits is insane. That being said, trusting the federal government to become the single-payer of all US medical care providers after seeing how they "manage" our single-payer DoD while enriching the MIC beyond belief is frightening.
Congress critters work for campaign cash providers and follow the instructions of their lobbyists which is required to keep them in power. Anyone who thinks that folks toss millions to these congress critters (often not even in their district/state) out of some civic duty while expecting no personal benefits (federal pork) in return is kidding themselves.
Exactly. There was a study, I think by Stanford University (sorry, it's been a while, I wouldn't have a link, now) demonstrating that 99.5% of congressional decisions comes from the interest of lobbies, while 0.5% comes from the interest of the people. Frightening, indeed.
What bothers me with the Trump economy is that it *seems* good or is *perceived* as such right now which greatly enhances his electoral chances, but at some point we'll have to pay the price for the astronomical deficit; most likely with a significant delay. Economic factors often have a long delay to show effects. You do something now, the economy looks great, but in 2-3 years there is a detrimental effect. So, many will flock to the 2020 ballot boxes believing that everything is peachy and Trump deserves another term, and then the following year they'll see the disaster that is looming.
I agree that when we look at the bloated and inefficient Veterans Affairs healthcare, it is frightening to think of Medicare For All and the end of the viability of private health insurance. But again, as a centrist, I'm always for the happy medium. If you look at a country like France, which I know very well because I studied, lived, and worked there for five years (and I qualified for, and used their national health system), they were able to set up an extremely smart hybrid system, where everybody qualifies for the national health system where everything is free if that's what they want to use, but can also use a mixed middle system where doctors can charge more and patients have co-pays, or a third sector where doctors charge whatever they want and payment is entirely out of pocket. Patients don't need to pick a sector and be stuck with it. They can for example preferentially go to the public free system but if they want to see a specialist who commands a great reputation for a second opinion and pay out of pocket, they can, or if they want to go to the middle system to avoid waiting times and pay a co-pay, they can. Someone can for example have a primary care doctor in the free system and a specialist in the middle system. People can contract with private insurance to better afford the middle system co-pays if they want, and the premium is much smaller than here because what is left for the insurer to pay is also much smaller in the middle system given that social security does pick up a good chunk of the tab. The existence of the hybrid system and the fee-for-service out-of-pocket system decompresses the free system so that there isn't a lot of waiting time like in the British system. Everybody is happy because patients get great care, and doctors aren't stuck in a state bureaucracy either, given that doctors who are more entrepreneurial can choose to practice in the middle or the fee-for-service systems where they can earn more money, but those will be more competitive while a younger doctor or a more timid doctor can choose to practice in the free system where good business is pretty much guaranteed without much advertising. This is all very clearly spelled out, with doctors, clinics, and hospitals prominently displaying what system they practice in, and patients can just freely pick what they want.
This smart and agile system has earned for France the #1 spot in quality healthcare in the world, according to the World Health Organization. It's a win-win.
Why in the hell can't we have something similar here? Sure, our system is more complex and we have three times France's population, and their individual income taxes are higher than here. But I can't believe that we can't find a way to have a hybrid system here with a public option, and a private option for those who prefer and can afford the latter.
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