Saturday, March 6, 2010

Definition of insanity

Obama has been trying to get Americans to buy into his Obamacare. That only by forcing people to buy into his plan, we can have lower costs and less of a deficit. Yet he's never talked about how states have already tried this, and failed.
Massachusetts has had public health care since 2006 and it is a dismal failure. The National Academy of Science has five key areas for health care reform. The coverage should be: universal, not tied to a job, affordable for single and families, affordable for society, and provide high-quality care for everyone. Massachusetts has failed on every single one.
The people have figured out that its cheaper to just pay a fine instead of paying for health care. Yet if they get sick they can still go to the doctor and get free care, with the cost going back to the tax payers. Oh and if it turns out they have a serious medical condition(cancer, diabetes, etc) and decide to buy insurance, the insurance company can't deny them coverage. This, of course raises premiums for everyone.

Businesses too have figured out that its cheaper to pay fines then to pay for health care. As profit margins shrink, this is an expense that is easily cut.

Its not affordable for singles or families. The majority of families fall threw the cracks for state subsidies and can hardly afford skimpy coverage. An individual making around 30k will pay over 9k a year in co-pays and premiums for a "plain jane" plan.

The cost on the state has been..well I don't think an adjective has been thought up for it. In 2007 it cost the state 630 million, two years later it now costs 1.3 billion. Its projected to cost as much as $123 billion in 2020 increasing 8% faster than the states GDP.

Because of forcing people to get health care(whether privately or through the state) there are not enough doctors for the patients. One health center has a waiting list of over 1600 people. Not to mention primary care doctors are leaving the state or the job because of money. They make far less from insurance companies and Medicare than a specialist. New medical students are deciding to follow a specialist track instead of a primary care one. Primary doctors are only being paid for the first 15 minutes of treatment. Therefore the majority of people have to go to the ER, adding time and costs.

So how does Massachusetts solve these problems? They cut coverage to 30,000 legal(not Illegal) immigrants and raised taxes.
Massachusetts isn't the first state to try this. In the 90's Tennessee tried this same thing with TennCare. The result was exactly the same. 94% of the state had some sort of health care, and then when faced with bankruptcy kicked over 170,000 people off of TennCare.

The definition of insanity is doing the same thing over and over again and expecting a different result. If that's the case D.C. must be one big insane asylum.




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