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How does Healthcare actually work in the US ?

Absolute bull crap, I do not need to be told what to think.

His movie was a smear job against private health care bar none and for you to use it to try to "educate" someone who doesn't understand the U.S. health care system is insulting.
I have watched several of Michael Moores smear jobs and they all do one thing, present highly emotional, one sided half truths.

Why doesn't he mention that Medicare denies more people than private insurance does? or that doctors are turning away some government health care patients because it doesn't pay enough to cover their costs?

I'd like to note that all you are doing is exaggerating or completely making things up in order to gain more support.

Instead you should be honest and say there are problems with our system but not the exaggerated claims made by politicians and smear job hacks like Moore.

Here is a list of all MM movies.

Rodger and me.
SICKO
Farenheit 911
bowling for Columbine
slacker uprising

I don't know if five films constitute "several" maybe you know of some not mentioned?
 
Here is a list of all MM movies.

Rodger and me.
SICKO
Farenheit 911
bowling for Columbine
slacker uprising

I don't know if five films constitute "several" maybe you know of some not mentioned?

I also used to watch his television show he had on when I was a kid.

I know about Michael Moore.
 
SO you have watched SICKO?

Not in it entirety, I sure haven't and won't.
I've seen enough clips and based on his past works, it is nothing more than a giant logical fallacy, an appeal to emotion.

I won't support his movie with my dollars.

He doesn't equally review the facts and only focuses on the positives of government health care.
 
Not in it entirety, I sure haven't and won't.
I've seen enough clips and based on his past works, it is nothing more than a giant logical fallacy, an appeal to emotion.

I won't support his movie with my dollars.

He doesn't equally review the facts and only focuses on the positives of government health care.

fair enough but I ask the question, Should the debate about healthcare reform be entirely about money? Should concern for the less fortunate always be trumped by profit? When an insurance company dumps it's costlier customers to raise the profit margin and raise the stock price is cold capitalism a good thing? I personally cannot separate my emotions from this debate because I have seen too many people suffer for lack of insurance or breaking their back to pay medical expenses.
 
As you might have noticed, I'm French (so sorry for my English !), :newhere: and I hear a lot of things about the healthcare reform. But it's kinda hard to me to get the whole points, as I don't know how it actually works in the US.

Here we have an "universal" healthcare, government pay everything for everyone... more or less :roll: But let's say everything vital will be pay, from an ordinary medical examination to an expensive surgery. So, yeah, sure it costs us a lot, the financial system is in the red since 20 years, critically. But no one can change that. We are afraid that changing our healthcare system will be result in a non-moral system were only the richest ppl could afford the good treatments while the poorest could...go **** themselves. So if our government would try to change that, there will be like another revolution or something :beat:
Actually, we think that is the way it works in the US, but that's one of our cliché. Please enlighten me !

To put it mildly, it works to gain profits for investors rather than for the betterment of the patients.
 
To put it mildly, it works to gain profits for investors rather than for the betterment of the patients.

But surely, despite the profit motive, there is some magic alchemy that produces the best healthcare system in the world for every American?
 
The hospital has nothing to do with it, they do their job and do it well, regardless of the person.

Indeed, having been in a US one Im sure of it. But someone has to bear the cost in the end.

By the way, do you count the legislated requirement not to turn people away from the emergency room as a healthcare system in the same way as elsewhere in the world for those who do not have the same health cover that others do?
 
So basically, you just pay an insurance which is in charge of your treatments costs.
When you're explaining me this, it seems everything's fine, but then , why would be the point of doing such a controversial reform project ?

I didn't have time yet for watching the videos even if I guess there are some answers to that question

Well there are some reforms that need to be made. For one, insurance companies, by state laws, usually have to offer to cover certain things even if a person is not using those services or plans to. Things like coverage for substance abuse counseling services, pregnancies(single males have this coverage), etc.... If we could get the states to relent, and drop those regulations then insurance companies could offer you a policy with more options for the coverages you want to pay and you would be charged less since you wouldn't have to pay for services you won't need.

Also, employer based coverage ties into this as well. If we eliminated employer based coverage, people would be paying a base rate of health insurance based upon their health situations, rather than paying an inflated premium based upon group size.

Tort reform, limiting the amount people can sue hospitals and doctors would be helpful in lowering overall costs.

These are some things we could reform. I would personally make health insurance premiums tax deductible for individuals as well.

The problem is, is that the "reform" that is being passed around the halls of congress addresses none of these issues. What has been proposed is that insurance companies must take and treat people with prior existing conditions, and not be allowed to raise rates on those that become more sick. Barack Obama, during his campaign, had put out that he'd like to see the limits on insurance policies eliminated as well. I do not know if that is in this bill, but it all speaks to forcing insurance companies to take on more risk, without letting them charge for it. On top of all this, will be the fact that if your insurance company decides to make changes to the policies they issue, they will then be forced to become a part of "The Exchange" which looks like it is a heavily regulated federal program whose guidelines they will be forced to follow(but without the ability to raise rates or collect taxes as the government can do with the public plan).

While the intent of making quality and preventative healthcare more affordable and available is noble, the government is going about it in the opposite fashion. It appears they are trying to purposefully hamstring the insurance industry, through legislation, to drive it out of business and give people no choice but the public plan. The healthcare reform that is being bandied about is not about providing healthcare, but destroying industry.
 
Well there are some reforms that need to be made. For one, insurance companies, by state laws, usually have to offer to cover certain things even if a person is not using those services or plans to. Things like coverage for substance abuse counseling services, pregnancies(single males have this coverage), etc.... If we could get the states to relent, and drop those regulations then insurance companies could offer you a policy with more options for the coverages you want to pay and you would be charged less since you wouldn't have to pay for services you won't need.

Also, employer based coverage ties into this as well. If we eliminated employer based coverage, people would be paying a base rate of health insurance based upon their health situations, rather than paying an inflated premium based upon group size.

Tort reform, limiting the amount people can sue hospitals and doctors would be helpful in lowering overall costs.

These are some things we could reform. I would personally make health insurance premiums tax deductible for individuals as well.

The problem is, is that the "reform" that is being passed around the halls of congress addresses none of these issues. What has been proposed is that insurance companies must take and treat people with prior existing conditions, and not be allowed to raise rates on those that become more sick. Barack Obama, during his campaign, had put out that he'd like to see the limits on insurance policies eliminated as well. I do not know if that is in this bill, but it all speaks to forcing insurance companies to take on more risk, without letting them charge for it. On top of all this, will be the fact that if your insurance company decides to make changes to the policies they issue, they will then be forced to become a part of "The Exchange" which looks like it is a heavily regulated federal program whose guidelines they will be forced to follow(but without the ability to raise rates or collect taxes as the government can do with the public plan).

While the intent of making quality and preventative healthcare more affordable and available is noble, the government is going about it in the opposite fashion. It appears they are trying to purposefully hamstring the insurance industry, through legislation, to drive it out of business and give people no choice but the public plan. The healthcare reform that is being bandied about is not about providing healthcare, but destroying industry.

We all know that the pre existing conditions and lifetime limits are the tools insurance companies use to separate sick people from their coverage. What do you do if you have a minor heart condition that is covered through your employer based plan and then get laid off? You can get COBRA that is subsidized for a while but eventually you end up with no coverage and no way in hell to get covered. The public option will be there for those people who the insurance companies don't want anyway. If they have a solution to their industry wide blacklisting of sick people then they had better come up with it quick. They have had decades of this problem staring them in the face and done nothing.
 
In reference to the opening post, since you asked, let me lay out for you the actual numbers rather than an opinion.

In France you spend $3,048 per person for health care.

In the United States we spend $7,439 per person for health care.

10.5% of the GDP of France is spent on health care while 15.3% of our GDP here in the United States is spent on health care. We spend more than twice per capita on health care than you do in France. Your health care is paid for by your taxes, while ours is paid for by taxes, individual and employer insurance (which is either part of your compensation or out of pocket), and out of pocket expenses. Essentially, whether money for health expenses is paid for out of personal taxes, insurance, or out of pocket, its all out of pocket the only difference is the collection mechanism in that regard. Anyway you look at it, health care costs us more individually in the United States than it does in France even when you take into account the higher taxes in France that pays for your nationalized health care.

Now you would think that because we pay so much more for health care than you do in France, we would be getting far better results. That is not the case though. In exchange for paying more than twice as much per-capita for our health care that you pay for yours:

United States life expectancy at birth: 78.11 years
France life expectancy at birth: 80.98 years

So you guys get to live on average nearly 3 years longer than we do.

Your infant mortality rate is 3.33 deaths per a thousand live births. Our infant mortality rate is 6.26 deaths per a thousand live births.

The reason why you guys have not adopted our health care system, and for that matter no other developed nation on earth has, is anyway you look at it, your health care system outperforms ours by a long shot. All you would gain by privatizing it would be to double your infant morality rate, cut 3 years off your lifespan, and spend twice as much per-capita for health care than you do now. I know, I know, WHAT A DEAL!!!!!
 
fair enough but I ask the question, Should the debate about healthcare reform be entirely about money? Should concern for the less fortunate always be trumped by profit? When an insurance company dumps it's costlier customers to raise the profit margin and raise the stock price is cold capitalism a good thing? I personally cannot separate my emotions from this debate because I have seen too many people suffer for lack of insurance or breaking their back to pay medical expenses.

Thank you for being reasonable about this.

For starters I don't even like health insurance but if I am only given the option of a government health plan or my current health plan.
I'll take what I have now over the other any day.

What should be and what is are too separate things, the government should have never got involved with insuring people all those years back before any of us were born.

It has created a market where only giant corporations can work and the little guy paying out of pocket doesn't work.

In all I only want insurance for catastrophic care and leave the rest to out of pocket. Most people can't wrap their mind around the fact that once prices are exposed to people they will start to fall like a rock.

There are other things that need to be addressed but that is a for starters.

P.S. capitalism did not cause this corporatism did.
 
Now you would think that because we pay so much more for health care than you do in France, we would be getting far better results. That is not the case though. In exchange for paying more than twice as much per-capita for our health care that you pay for yours:

United States life expectancy at birth: 78.11 years
France life expectancy at birth: 80.98 years

So you guys get to live on average nearly 3 years longer than we do.

Your infant mortality rate is 3.33 deaths per a thousand live births. Our infant mortality rate is 6.26 deaths per a thousand live births.

Both of those set of numbers are not accurate for accounting health care.
Unless you believe homicide and car accidents are symptoms of inferior health care.
When you remove for those two things the U.S. has the highest life expectancy in world. Be happy about it.

European countries do not account infant mortality the same as us so again a direct comparison is intellectually dishonest.
 
In reference to the opening post, since you asked, let me lay out for you the actual numbers rather than an opinion.

In France you spend $3,048 per person for health care.

In the United States we spend $7,439 per person for health care.

10.5% of the GDP of France is spent on health care while 15.3% of our GDP here in the United States is spent on health care. We spend more than twice per capita on health care than you do in France. Your health care is paid for by your taxes, while ours is paid for by taxes, individual and employer insurance (which is either part of your compensation or out of pocket), and out of pocket expenses. Essentially, whether money for health expenses is paid for out of personal taxes, insurance, or out of pocket, its all out of pocket the only difference is the collection mechanism in that regard. Anyway you look at it, health care costs us more individually in the United States than it does in France even when you take into account the higher taxes in France that pays for your nationalized health care.

Now you would think that because we pay so much more for health care than you do in France, we would be getting far better results. That is not the case though. In exchange for paying more than twice as much per-capita for our health care that you pay for yours:

United States life expectancy at birth: 78.11 years
France life expectancy at birth: 80.98 years

So you guys get to live on average nearly 3 years longer than we do.

Your infant mortality rate is 3.33 deaths per a thousand live births. Our infant mortality rate is 6.26 deaths per a thousand live births.

The reason why you guys have not adopted our health care system, and for that matter no other developed nation on earth has, is anyway you look at it, your health care system outperforms ours by a long shot. All you would gain by privatizing it would be to double your infant morality rate, cut 3 years off your lifespan, and spend twice as much per-capita for health care than you do now. I know, I know, WHAT A DEAL!!!!!


However, it must be said that this is a simplistic, and one-sided, definition designed to fit a predetermined conclusion.

For example, the analysis fails to take into consideration the sociological and geographical differences in the two societies being compared. A simple factor like "number of miles driven per capita" accounts for some of the variation in lifespan. More miles driven means more auto accidents which means more people die which means the life expectancy goes down. Issues such as manufacturing capability, stress factors, etc., all impact the overall life expectancy. In short, the analysis wasn't really an analysis at all ...

As for the financial comparison, the author fails to take into account that the US citizen funds over 89% of all medical and pharmacological research in the world today (so says the New England Journal of Medicine). Simply put, countries with a lower standard of living can't afford to subsidize the medical and drug industries research and development activities, so they are charged a lower price for medicine (thus, the explanation about why you can buy drugs cheaper in other countries). It also fails to account for the difference in economies between the two programs ... simply, a doctor living in Chicago will be paid more than a doctor living in Nice. Again, comparing apples and oranges and coming up with cucumber salad.

Simplistic comparisons like this one offer no meaningful insight.
 
However, it must be said that this is a simplistic, and one-sided, definition designed to fit a predetermined conclusion.

For example, the analysis fails to take into consideration the sociological and geographical differences in the two societies being compared. A simple factor like "number of miles driven per capita" accounts for some of the variation in lifespan. More miles driven means more auto accidents which means more people die which means the life expectancy goes down. Issues such as manufacturing capability, stress factors, etc., all impact the overall life expectancy. In short, the analysis wasn't really an analysis at all ...

As for the financial comparison, the author fails to take into account that the US citizen funds over 89% of all medical and pharmacological research in the world today (so says the New England Journal of Medicine). Simply put, countries with a lower standard of living can't afford to subsidize the medical and drug industries research and development activities, so they are charged a lower price for medicine (thus, the explanation about why you can buy drugs cheaper in other countries). It also fails to account for the difference in economies between the two programs ... simply, a doctor living in Chicago will be paid more than a doctor living in Nice. Again, comparing apples and oranges and coming up with cucumber salad.

Simplistic comparisons like this one offer no meaningful insight.

You can make the same comparison with every other developed nation on earth though. Moreover, the likelihood you will die in an auto accident in your lifetime is around 1 in 70000, that in no way explains the differences in life expectancy. Even in large cities where lifestyles are consistent with those of western Europe, our life expectancies still lag theirs significantly. Take New York City for example. The life expectancy there is only 9 months longer than it is for the rest of the U.S.

Why New Yorkers Last Longer -- New York Magazine

As to why we fund the majority of drug research, studies on this have looked at the amount we spent on it versus other nations. The problem with that is that we spend a huge amount of money on drug research because it costs far more to bring a drug to market in the United States than it does in Canada, Japan, or Western Europe because of egregious FDA regulations here. That has far more to do with the cost of drugs than anything else. Moreover, standards of living in many other developed nations with some sort of universal health care plan rival ours so I am not sure that the point is there.

Our problem is that we blow huge amounts of money on unnecessary care due to defensive medicine, physicians simply padding the bill by ordering up expensive yet medically unnecessary tests and procedures, and far too little on preventative medicine. Moreover, we have a system that allows those that make good life choices (eat right, exercise, don't smoke), to subsidize the poor life choices of others who smoke, or are obese. For example, federal regulations and the insurance regulations in most states prevent employers and insurers from charging higher premiums to individuals who are obese. In many cases employers cannot charge higher premiums for their group plan for employees that smoke. You pay the same in Medicare taxes regardless of whether you smoke or are obese. Instead of enacting all these sin taxes such as high cigarette taxes or high taxes on fast food in order to conduct a social experiment to modify individual behavior, we should just be allowing premiums for insurance and taxes for medicare to reflect the true costs of individual choices just like we do with every other form of insurance.
 
You can make the same comparison with every other developed nation on earth though. Moreover, the likelihood you will die in an auto accident in your lifetime is around 1 in 70000, that in no way explains the differences in life expectancy. Even in large cities where lifestyles are consistent with those of western Europe, our life expectancies still lag theirs significantly. Take New York City for example. The life expectancy there is only 9 months longer than it is for the rest of the U.S.

Actually, the life expectancy rate as used by the WHO as a weight for ranking does in fact include non health related deaths such as murder, accidents, and suicide. It is a given that Americans do live in a more extreme fashion.

Something interesting:

oecd-life-expectancy-controlled.jpg


Our problem is that we blow huge amounts of money on unnecessary care due to defensive medicine, physicians simply padding the bill by ordering up expensive yet medically unnecessary tests and procedures, and far too little on preventative medicine.

Preventative health care begins at home. You know, eat right, get good sleep, dont drink or smoke too much, brush your teeth and floss, etc... This has very little to do with ones health care system.

Moreover, we have a system that allows those that make good life choices (eat right, exercise, don't smoke), to subsidize the poor life choices of others who smoke, or are obese. For example, federal regulations and the insurance regulations in most states prevent employers and insurers from charging higher premiums to individuals who are obese. In many cases employers cannot charge higher premiums for their group plan for employees that smoke.

Which kinda baffles me, as the no.1 argument by the pro UHC crowd is that people who have pre-existing conditions cannot obtain coverage. I find it amazingly full of **** that there are regulations that pertain to obesity and smoking. Most likely, obese & smokers or both, are a rather large segment of our society. It would probably be more exclusionary than the pre existing conditions crowd in terms of sheer numbers.

You pay the same in Medicare taxes regardless of whether you smoke or are obese. Instead of enacting all these sin taxes such as high cigarette taxes or high taxes on fast food in order to conduct a social experiment to modify individual behavior, we should just be allowing premiums for insurance and taxes for medicare to reflect the true costs of individual choices just like we do with every other form of insurance.

To be honest, i am indifferent on a health care plan that offers help to those who want it. It will save me quite a bit of money on employee health benefits, and i will still purchase private major medical coverage.

But taxing inferior excise is a powerful way to keep those who have smaller incomes from spending them on booze, cigs, and weed. For the most part, demand for normal goods on higher income percentiles is quite inelastic.
 
Preventative health care begins at home. You know, eat right, get good sleep, dont drink or smoke too much, brush your teeth and floss, etc... This has very little to do with ones health care system.

A new law recently went into effect that states hospitals must give an estimate on demand (within 24 hours) of any procedure a patient has scheduled. I'm not sure if it's just in Washington State or across the board.

Anyway, interesting thing is that the patients don't know about the new law yet. It's going to be interesting when they start shopping around local hospitals and see the differing price tags.

EDIT: It looks like it is just Washington state.

Washington State Hospital Association: Bulletin Details
 
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Which kinda baffles me, as the no.1 argument by the pro UHC crowd is that people who have pre-existing conditions cannot obtain coverage. I find it amazingly full of **** that there are regulations that pertain to obesity and smoking. Most likely, obese & smokers or both, are a rather large segment of our society. It would probably be more exclusionary than the pre existing conditions crowd in terms of sheer numbers.

I don't really fall into the extremes of the pro-uhc or anti-uhc crowds. My point of view on this I guess represents a "third way".

Right now, if you have cancer through no fault of your own or if you are born with a genetic condition, it can be very difficult for you to obtain health coverage because of the financial risk you present to insurers.

However, if you take terrible care of yourself and are significantly obese, more than likely you will be able to still obtain insurance coverage for the same rate that a fit individual pays that exercises regularly and eats right despite the fact that you will statistically cost far more in health care than a fit individual will. The same is true with Medicare, your taxes to pay for it are the same and your rates are the same.

Do away with that ability for people that make poor life choices regarding their health to externalize those costs to others and you will go a long way towards curbing health care costs for everyone.

A perfect example of how ridiculous the current system is are those scooters they advertise for old people. You know the ones where otherwise healthy looking seniors are shown riding around in their electric scooter and the commercials tell about how they can get Medicare to pick up the whole cost for it -

First off, I have never known a doctor to tell anyone not to walk if at all possible. Even if you have significant arthritis or heart failure, they still want you walking as much as you can.

Secondly, I have never seen anyone in one of those scooters that was not either so fat that their ass hung 3 feet off of each side of the seat, or was not a smoker with emphysema.

So basically we have a system now where taxpayers are buying electric scooters for chain smokers and fat asses while a breast cancer survivor gets denied coverage and has to be absolutely financially destitute before she can qualify for public assistance.

If health care reforms don't address that, and none of them are that either side is proposing, then what is the point? We are not going to curb costs and address the moral dilemma of the uninsured and underinsured until we start allowing Medicare, Private Insurers, and Employers offering group plans to charge individuals premiums that reflect the actual costs of the risks of their poor life choices in regards to their personal health. Of course, in a country where nearly half the population is obese, that's not probably not going to happen. Instead we will get more of what we have now, fat asses on disability and loony seniors on Medicare shouting down cancer survivors and muscular dystrophy patients yelling at them "why should I have to pay for your health care" - as if the rest of us don't pay for theirs.
 
"Get your government hands off of my Medicare!"

:rofl
 
WOW!!

Healthcare is all private in the US (Owned by regular business men).

You acquire medical insurance (like auto insurance), it usually has a deductible and then pays 80-100% of medical costs after the deductible. Insurance companies decide what health providers can charge you.

Yes, people (Disabled, illegal immigrants, the poor, etc) think universal health insurance would fix all their problems.

My question is why do I have to pay for someone elses medical insurance when I am perfectly covered?

People want this reform because the New American way is free loader. The american people want everything handed to them without lifting a finger.

The real issue that needs to be faced is the ability for someone to sue healthcare for malpractice. The free loader will avoid this because their the one sueing healthcare for millions when a doctor made a typo on their work order which had no significant effect on them.

Right this very moment the federal gov't policy states that no hospital may turn away any patient. This means the illegal hispanic, the drunks, the people that OD on crank, etc.. Are getting free help from hospitals because they have no job or healthcare. I on the otherhand have to pay high premiums for these people abusing the system.

Let the Crank addict die on the sidewalk. MY concern is if this reform passes we will have overcrowded hospitals, higer taxes, healthcare wages will drop, people will flee that scene quickly, and fewer doctors to do the job which will decrease the quality of our already S$%TY healthcare.
 
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The biggest problem here is that when the word POOR is mentioned all some people see in their mind is a bunch of fat lazy drunks and drug addicts. What about the single mom working two minimum wage jobs? She can get her kids covered by some state subsidized program but what about her? What about any low income working person? That is the true face of the uninsured. Should they be penalized just because some of the people in their tax bracket abuse the system? Most of the freeloaders you mention are a drain on the system but so are the honest working people who have no where else to turn. You would deny them a low cost alternative to outrageously expensive private insurance just to spite drug addicts and illegal aliens?

Let the Crank addict die on the sidewalk.

Kind of sounds like you want a death panel to sit in the door of an emergency room telling the doctor who to treat. Get real, most doctors do not help such people because the law says they have to, they do it because they are doctors. Any doctor that could just let anyone die because they cost too much is already working for a private insurance company to deny claims and making a killing. Most normal doctors however would kick your ass if you tried to stop them from saving anyone because of cost alone.
 
What about the single mom working two minimum wage jobs? She can get her kids covered by some state subsidized program but what about her? What about any low income working person? That is the true face of the uninsured.

So lets convert to socialism and make all healthcare equal with everyone. Then obama won't stop there and he will reduce wages within healthcare, this will in essence reduce the amount of nurse's, doctors, and specialists. Now we have overcrowded hospitals, and lack of medical personnel. Funding will be reduced and the quality of healthcare will be greatly reduced.

So the person that always had medical coverage breaks his leg but can't see a docotor for 5 days because the 100 people before him have cold like symptoms.

The mom made that choice and the children get free healthcare through the gov't because they deserve a healthy childhood because they have no choice in the way their mom is raising them. We live in the USA where anything is feasible. I earn my dollar just like anybody else.

But when the gov't wants to take my dollar to reform healthcare for those that want freebies in life. Who is getting jerked? I am!

I am not saying that doctors don't have a kind heart and yes they want to save those who are in need of nuture. But when a crank addict is admitted several times a month for overdose but the hospital has to keep treating this person, this increases health costs.

A hospital is a business which has costs to keep open. People abusing the system hurt these places of business. We have to look at healthcare in a different perspective but not reform it as universal gov't controlled.
 
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Socialism – An economic system based on “You get your share no matter what your contribution is”.
 
The biggest problem here is that when the word POOR is mentioned all some people see in their mind is a bunch of fat lazy drunks and drug addicts. What about the single mom working two minimum wage jobs? She can get her kids covered by some state subsidized program but what about her? What about any low income working person? That is the true face of the uninsured. Should they be penalized just because some of the people in their tax bracket abuse the system? Most of the freeloaders you mention are a drain on the system but so are the honest working people who have no where else to turn. You would deny them a low cost alternative to outrageously expensive private insurance just to spite drug addicts and illegal aliens?



Kind of sounds like you want a death panel to sit in the door of an emergency room telling the doctor who to treat. Get real, most doctors do not help such people because the law says they have to, they do it because they are doctors. Any doctor that could just let anyone die because they cost too much is already working for a private insurance company to deny claims and making a killing. Most normal doctors however would kick your ass if you tried to stop them from saving anyone because of cost alone.

Sorry -- not even close.

The federal government's own reports state that approximately 11 million (of the infamous 47 million) could get state/federal health insurance assistance (Medicaid, Tricare, or Medicare), but choose not to sign up. An additional 14 million make over $50,000 per year, and could afford to buy their own insurance, but make a conscious decision not to. They further estimate that 4-6 million could have insurance (paid for by their employer, with some portion paid by them) and they choose not to. Further, they recognize that approximately 9 million are "transient", in that they are simply between jobs (for an average of four months). That means that about 6 million who actually do not have access to health insurance. (That's about 2% of the country).
 
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