Well, if everyone wants to give me an inch and say off-topic discussion of health insurance (and particularly national health insurance) is in line, I'll go ahead and grab a foot, if not the whole none yards. I'll try to restrain myself from going a full mile, though <g>. 1) Higher taxes for national health insurance? Well, in my own paycheck, the difference between a dollar in the tax column of the pay stub and a dollar in the insurance premium column is exactly nil. I take home the same amount. I currently pay well over 20% of gross income for health insurance. Why is that worse than paying another 20% in taxes? Can someone explain? 2) Choice. With my HMO, my choice of doctors is limited to those who are affiliated (with a few minor exceptions). If I go out of town, things get dicey - maybe I'm covered, maybe not. (BTW, for "I" read "my family.") If my doctor gets fed up and changes affiliation, quits, or moves, I'm in a bind. This happened three times in the last five years. Don't ask me how many times I heard the phrase "Sorry, none of our doctors are accepting new clients at this time." Bottom line, there is a bit of choice, but it's very limited. Why would there be less under a national plan? 3) Freedom. As it stands now, I'm pretty much stuck in my job until I qualify for Medicare (with the assumption I want to be covered by health insurance). I've been the self-employed route, and it sucks. I've had MidWest National decide they would no longer work in New Mexico. Went to another company via an alumni group. That firm severed ties with the alumni group. Went hunting again, and this time my wife was denied coverage due to supposed pre-existing conditions (I won't bore you with the details, but it was specious, based largely on a couple mis-diagnoses of symptoms that were later found to have simple explanations). So a large part of my motivation for making my contract university work into an employed situation was health insurance. (I have the one piano technician job in the state of New mexico that includes health insurance). I'll just mention that if you have a major illness as a self-employed, you will often find yourself dropped, or your premiums bumped way up. And finding another company to cover you will be a lost cause. 4) A nameless bureaucrat deciding what care I get. Well, in my book, there is very little practical difference between a civil servant bureaucrat and an HMO bureaucrat. Except that if things get really bad, I could probably get a congress or senate office to put a bit of pressure on the civil servant - similar pressure on the HMO would only pertain if I were a major stockholder. And the democratic process would write the rules and regulations, as opposed to the HMO accountants. 5) Socialism? Well, I'd say that if national health insurance is socialism, the choice is between socialism and corporatism. Corporatism I'll define as government operated for the benefit of corporations: subsidies for corporations (logging, mining, oil and gas exploration, nuclear plants, trucking, you name it); public money shovelled directly into corporate coffers (particularly the military/industrial complex, where no-bid contracts, cost overruns, and influence peddling are the norm - especially with today's blatant revolving door between the board room and the cabinet); and laws written for the benefit of corporations (eg, ensuring and maximizing profits for pharmaceuticals and HMO's). Socialism I'll define as government operated for the benefit of individuals: police and fire protection; infrastructure like roads, water, sewer, airports; education; Social Security and Medicare; laws written for the benefit and protection of individuals. I can't for the life of me see why public health doesn't belong with categories like these. And I think virtually every European and Canadian would agree - it's a no-brainer. End of tirade. NOW, I'll make use of my earlier apology for going off-topic. This is inflammatory stuff that probably doesn't really belong on the caut list. But hey, if everyone else is doing it? <g> Regards, Fred Sturm University of New Mexico
This PTG archive page provided courtesy of Moy Piano Service, LLC