paul1454
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I agree. However, I don't have a philosophical problem because you can avoid paying auto insurance (if you don't drive). That may or may not practical, but there is still consumer choice involved. I DO have a philosophical problem for making people purchase health insurance simply for existing.
I am in 100% agreement here. And, thus, why the individual mandate is really unworkable.
I don't think the cost of health services SHOULD be regulated. Medical providers should operate in a competitive market. In my mind, the labor market for doctors and the consumer market for their services are no different than that for, say, an accountant.
I want to clarify, I am not advocating regulating the profits of medical providers in any way. I am only saying that if the insurance industry were deregulated in such a way that more people were paying out of pocket expenses for certain services fully or partially, it would lead to a more competitive market for medical providers. Currently, consumers are oblivious as to the relative prices of medical providers (as an aside, a while back I had a friend in the hospital. After a bitter fight to get an itemized lists of costs, he realized that he had been charged $15 per tylenol pill while in the hospital - absolutely amazing). Making consumers more concious of these costs would encourage price competition. Additionally, tort reform would also reduce costs without regulating the profits or the services of medical providers.
I have a lot simpler solution. Or to say it another way, an experiment. Scrap the entire 8 trillion page healthcare plan. Have the government start a health insurance company, with rates set exactly to meet the required return on capital which will compete with private insurers (in other words, self-sustaining). If the government is as bumbling and inefficient as everyone thinks it is, it won't last very long. However, if economic theory is correct and selling actuarial fair insurance is optimal, then private insurers will be forced by competition to lower their administrative costs to levels seen in other western nations.
Even if it were to fail, it would continue but simply run at a deficit. Stopping a train like that after constituents have come to rely on the insurance provided under this system would be political suicide. What would likely happen is that it would simply operate at a loss (if it could not stay afloat) and the extent of the loss would be subsidized by taxpayers.