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Health Care: Common Decency, Common Sense - No matter how simple the initial proposal, the final result will be complex

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Medicare for All is appealing because the program already works well for senior citizens & the disabled, at a cost lower than private insurance.  So why not just expand it to cover everyone? The question is HOW to reach that goal.  The answer should be pragmatic. 2 provisions are essential: a public option ( Medicare for all who want it), and allowing Medicare to negotiate drug prices. We should leave private health insurance alone becasue private insurance is a problem that will resolve itself -- employer-provided plans will be going away as fast as employers can make employees into independent contractors.  Employees who like their plans now will soon be begging for Medicare.  And individual plans won’t be able to compete with a public option. So overall, Such a cautious approach to health care reform will let Democrats keep the campaign’s focus where it ought to be: on Donald Trump.


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At www.laprogressive.com

 

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I began teaching in 1963,; Ba and BS in Education -Brooklyn College. I have the equivalent of 2 additional Master's, mainly in Literacy Studies and Graphic Design. I was the only seventh grade teacher of English from 1990 -1999 at East Side (more...)
 

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Susan Lee Schwartz

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(Member since Oct 25, 2009), 23 fans, 19 articles, 4235 quicklinks, 7824 comments, 2 diaries (How many times has this commenter been recommended?)
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Smart thinking from the article: "Bernie Sanders and Elizabeth Warren support Medicare for All, though Warren has said she won't try to pass it until her third year in office. The other candidates have been skeptical, mostly on the basis of cost projections that Sanders and Warren don't accept. But the moderates worry that voters will be scared off by the cost, and that those who have employer-provided or other private insurance would be loath to give it up.

"Upon reflection I have concluded that the skeptics have a point. Or three.

1st point: "even if Democrats control both houses of Congress and the presidency, the process of enacting any new health care program will inevitably be messy. No matter how elegantly simple the initial proposal, the final result will be complex, ugly, and maybe worse than what we have now."

2nd point: "a comprehensive reform, when put into practice, will not work as intended. There will be glitches, some major. Some (perhaps many) people will feel that they are worse off than before."

3rd point: "people who are used to the plans they have now, people who haven't yet been screwed by their insurance companies, really won't want to change to something new and untried, and they really will vote against someone who promises to make them change."

Submitted on Tuesday, Dec 31, 2019 at 7:59:48 PM

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George W.Reichel

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Reply to Susan Lee Schwartz:   New Content

Sorry but I don't know of anyone who hasn't been screwed by their insurance tapeworms,

Submitted on Thursday, Jan 2, 2020 at 1:29:25 AM

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Susan Lee Schwartz

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Author 40790
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Reply to George W.Reichel:   New Content

This is a huge mess!

Submitted on Thursday, Jan 2, 2020 at 4:20:26 AM

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