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Topic ClosedRomney or Obama (or Third party)

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Poll Question: Which will you be voting for (or, if underage, who do you want to win?
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Epignosis View Drop Down
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Direct Link To This Post Posted: September 20 2012 at 16:16
Originally posted by ClemofNazareth ClemofNazareth wrote:

Originally posted by Epignosis Epignosis wrote:

Originally posted by ClemofNazareth ClemofNazareth wrote:

 
Originally posted by Epignosis Epignosis wrote:

 

My analogy is not confusing.  It's apt.  The CATO article I linked to provides further data.

Personally I'm instantly skeptical seeing the article was written by Stan Liebowitz and published by the hawkishly anti-government Cato Institute.  That said, I also find a basic flaw in his premise at a macro level.  He argues (as do you) that patients use health care services more when a 3rd party (insurer) is footing the bill, suggesting that if patients had to pay the bill themselves that demand, and therefore cost, would decrease.

This is counter-intuitive on several levels, not the least of which is that many health care devices, particularly diagnostic imaging and laboratory equipment, represent very significant capital expenses for providers, who rely on high volumes of usage to make them affordable.  In other words, reducing the 'addressable market' of customers by reducing the number of people with insurance would mean that either those capital investments would not as likely be made by providers, or the cost of those procedures would rise for those who were able to afford them.

The other thing about his theory that doesn't make sense to me is that health care costs have escalated more in the past ten years than ever before, yet during that same time frame the number and percentage of Americans who have health insurance has steadily fallen.  That just doesn't make mathematical sense and strongly suggests there are other, more significant forces at work causing costs to rise.




CATO offers data.  Whether you disagree with them in general or not is irrelevant.  Is their data correct or not?

"Many health care devices" you say...does not mean most.  Very few people relative to the population need a pacemaker, but that does not change the illustration I gave on the previous page. But your second paragraph has a more important implication:  "A lack of insurance causes things to be more expensive."  Please show me in history where this is true in the US.  If you have not read my grocery analogy, then please do so.

For your third paragraph, please provide data.  I'm not interested in escalation.  It was cheaper in 1920, and someone could get a house call.  Nowadays we have to drive somewhere and, if uninsured, pay $135 for an office visit.  What changed and why?
 
 
I suspect we'll never come to a meeting of minds on this, but I'm at least enjoying the conversation...
 
Liebowitz references some statistics which he uses to quantify his problem statement, but I don't see where he offers any data that proves his theory.  As with any scientific theory, Liebowitz needs to test his in order to generate supporting data, which would involve something like a control group of people and a second very similar group who were required to pay for their own health care, and then measure the resulting behavior.  Instead he simplistically relies on historical information and makes inferences about how that old data supports his prediction of future consumer behavior.
 
Getting back to your question about how lack of insurance can cause things to be more expensive, it's simple math.  Let's take your grocery analogy for example.  Let's say your local grocery store decides to start offering fresh swordfish steaks.  And let's say you live in Montana, meaning those steaks have to be flown in daily from the Pacific coast.  So the distributor will only deliver if your store purchases a minimum of one crate per week, which consists of 200 pounds of swordfish and costs $900.  If your grocer can consistently get 50 customers to each purchase 4 pounds of swordfish every week, then he can sell it for $5 per pound, make a profit and have no waste.  If he can only get 20 customers to purchase 4 pounds each, then he either has to charge more per pound to compensate for the unsold fish he will need to dispose of, or he will have to stop selling swordfish.  Now think about a CT scanner that costs millions of dollars and apply the same logic.
 
I suggest you also read about something called the Giffen effect since we're talking about economic theory and groceries, as this theory explains how consumers can be motivated to consume more and more of staple goods such as food even as the price for those goods rise.  Or read Alfred Marshall's theories on indifference curves in which he vigorously disputes the simplistic supply-and-demand economic model in cases where the good or service in question does not have an acceptable substitute or alternative.
 
But IMHO health care is one of those consumer items where economy meets psychology and so sterile economic models don't often work.  I would point instead to psychological theories such as Maslow's Law to explain how people are more likely to view and approach consumer health questions, as opposed to viewing them from a commodity perspective.  Lab tests and preventive health services are not exactly pork bellies, after all.
 


My premise is that insurance drives prices up, and that by requiring people to have insurance, the price of healthcare will increase even more. 

Insurance's purpose is to insure someone against a misfortune.  No other insurance I can think of but medical gives a person access to a host of goods or services.  Auto insurance policies, for example, do not let the policyholder get oil changes for $2.  If they did, what do you think the cost of an oil change would be?

Your swordfish steak analogy is not apt (though it does make me hungry Wink).  A doctor will be able to predict how much use they can get out of a piece of equipment (if he cannot, then he probably should reconsider his profession).  Furthermore, if a grocer buys the steaks once and they don't sell, he won't buy another round.  He cuts his losses and learns his lesson.  A piece of equipment does not "spoil" and is still an asset to the doctor's office.  It can be sold, but if the doctor felt, in his professional opinion, that he needed it, he will be getting a lot of use out of it.
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Direct Link To This Post Posted: September 20 2012 at 17:41
CNN?   No one watches CNN anymore, talk about dull--  I think most proggies watch MSNBC with that snappy Chris Matthews and adorably gay Rachel Maddow.


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Direct Link To This Post Posted: September 20 2012 at 17:54
Obama/Biden 2012!!!
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Direct Link To This Post Posted: September 20 2012 at 18:03
Originally posted by Atavachron Atavachron wrote:

adorably gay Rachel Maddow.

I am usually the first one to admit an unusually potent attraction to short haired women, but let's look at the one and only, Exhibit A:




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Direct Link To This Post Posted: September 20 2012 at 18:04
Every other Democrat I've heard from demonizes George W. Bush and praises Barack Obama.  But let's look at the latter's record as President:

1. Conducted a drone war in Yemen and Pakistan.

2. Signed the NDAA, which allows for indefinite detention and the assassination of Americans without a trial.

3. Extended the Patriot Act.

4. Oversees a secret kill list.

5. Waged war on Libya without congressional approval (after having won a Nobel Peace Prize).

6. Sent 30,000 more troops to Afghanistan.


7. Would maintain a presence in Iraq.


8. Expands covert wars.

9. Held the same rendition program as Bush.

10. Instead of closing Guantanamo as he vowed he'd do, he built them a $750,000 soccer field.  Seriously.

11. Extended the Bush tax cuts.

12 .Obama called raising the debt ceiling a sign of failed leadership, but has done so twice.

13. Obama said he would cut the deficit in half.  Instead, he increased our debt to $16 trillion.

14. Obama said that borrowing money from China was irresponsible and unpatriotic, yet he has borrowed more than Bush.

15. Obama said it would be a "one term proposition," yet he is running.

I could go on.  To demonize Bush and praise Obama is quite telling.

What items on this list appeal to you most, Democrats?


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Direct Link To This Post Posted: September 20 2012 at 18:05
Originally posted by Epignosis Epignosis wrote:


My premise is that insurance drives prices up, and that by requiring people to have insurance, the price of healthcare will increase even more. 


As a foreigner, I'm finding this debate interesting but a bit confusing.  What sort of system would you advocate?

Presumably, given the views you have expressed, not a socialised system where no-one is required to have insurance and everyone is provided with decent healthcare funded by taxes?

So presumably you want some system where some (probably significant) proportion of people are uninsured.  What does being uninsured mean in practice in terms of the services you can access?  You said earlier that you were never denied treatment when you didn't have insurance, but I'm curious: are there some restrictions on what sort of treatments you can access?  Is it just emergencies for example?  What happens, for example, if you have a chronic illness that needs some sort of ongoing management?  Or if you need some sort of preventative treatment, or some tests that might catch something early?  Do you still need to pay if you get treatment without insurance?
Bob
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Direct Link To This Post Posted: September 20 2012 at 18:22
Originally posted by ProgBob ProgBob wrote:


Presumably, given the views you have expressed, not a socialised system where no-one is required to have insurance and everyone is provided with decent healthcare funded by taxes?

No, you see taxes are wrong and we can never support them. If it means that we have to be uninsured and pay tens of thousands for a simple operation or medicine, so be it.

/sarcasm, obviously


Edited by stonebeard - September 20 2012 at 18:22
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Direct Link To This Post Posted: September 20 2012 at 18:31
Originally posted by ProgBob ProgBob wrote:

Originally posted by Epignosis Epignosis wrote:


My premise is that insurance drives prices up, and that by requiring people to have insurance, the price of healthcare will increase even more. 


As a foreigner, I'm finding this debate interesting but a bit confusing.  What sort of system would you advocate?

Presumably, given the views you have expressed, not a socialised system where no-one is required to have insurance and everyone is provided with decent healthcare funded by taxes?

So presumably you want some system where some (probably significant) proportion of people are uninsured.  What does being uninsured mean in practice in terms of the services you can access?  You said earlier that you were never denied treatment when you didn't have insurance, but I'm curious: are there some restrictions on what sort of treatments you can access?  Is it just emergencies for example?  What happens, for example, if you have a chronic illness that needs some sort of ongoing management?  Or if you need some sort of preventative treatment, or some tests that might catch something early?  Do you still need to pay if you get treatment without insurance?


Insurance is supposed to exist to compensate people who are victims of some grave misfortune, not pay for routine things.  "Major medical" is this type of insurance.  Insurance should not cover the gamut of health care services, because that drives up the cost.

The issue is not "how do people pay for health care services," but "why has health care become so expensive?"  If insurance raises the cost of health care, as I think I have shown it does, then the answer is not "make everyone have insurance."  That will aggravate the problem.  Like most US government intervention, it helps in the short term but will be disastrous in the long term.

Hospitals here have social workers who work with uninsured people facing disaster.  That said, it's a shame that long term treatment is so expensive because it can bankrupt people who need it.  But again, the solution is not force everyone into the insurance market- it's to identify reasons for the expensiveness.
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Direct Link To This Post Posted: September 20 2012 at 18:35
Originally posted by Epignosis Epignosis wrote:

Every other Democrat I've heard from demonizes George W. Bush and praises Barack Obama.  But let's look at the latter's record as President:

1. Conducted a drone war in Yemen and Pakistan.

2. Signed the NDAA, which allows for indefinite detention and the assassination of Americans without a trial.

3. Extended the Patriot Act.

4. Oversees a secret kill list.

5. Waged war on Libya without congressional approval (after having won a Nobel Peace Prize).

6. Sent 30,000 more troops to Afghanistan.


7. Would maintain a presence in Iraq.


8. Expands covert wars.

9. Held the same rendition program as Bush.

10. Instead of closing Guantanamo as he vowed he'd do, he built them a $750,000 soccer field.  Seriously.

11. Extended the Bush tax cuts.

12 .Obama called raising the debt ceiling a sign of failed leadership, but has done so twice.

13. Obama said he would cut the deficit in half.  Instead, he increased our debt to $16 trillion.

14. Obama said that borrowing money from China was irresponsible and unpatriotic, yet he has borrowed more than Bush.

15. Obama said it would be a "one term proposition," yet he is running.

I could go on.  To demonize Bush and praise Obama is quite telling.

What items on this list appeal to you most, Democrats?


 
 
SHHHH, you're making a good point, do you want to make their heads explode?


Time always wins.
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Direct Link To This Post Posted: September 20 2012 at 18:35
Honestly Romney would be better for the economy, Obama better for minorities, women and gays and Obama would be better for foreign policy.

But lesser of the two evils is still evil!
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Direct Link To This Post Posted: September 20 2012 at 18:45
Although I'm loathe to agree with some of our libertarian posters, I'm not the biggest fan of Obamacare myself.  Unfortunately, I believe it takes the completely wrong (and a rather conservative) approach to health care reform and insuring that everyone has access to adequate health care (which I believe is a right.).  Penalizing someone for not have health insurance is quite like fining a homeless person for not having a house, or taxing a starving man for not eating three squares a day.  It is also a huge redistribution of wealth from those at the bottom and middle to the health care execs at the top.  I have lived abroad and from my experience single-payer health care is the only way to go. 

And yes, Obama has been somewhat of a disappointment.  As I've said before, I'm a progressive first and a democrat by default.  What this country needs is strong progressive leadership.  Alas, no one like that (Bernie Sanders, Elizabeth Warren, etc.) is running.  So we're stuck with a choice between a sometimes right-leaning centrist and someone who will move this country even further to the right.  So, I'm stuck with the former to keep the latter from power.
I can understand your anger at me, but what did the horse I rode in on ever do to you?
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Direct Link To This Post Posted: September 20 2012 at 19:03
Originally posted by Epignosis Epignosis wrote:

Originally posted by ProgBob ProgBob wrote:

Originally posted by Epignosis Epignosis wrote:


My premise is that insurance drives prices up, and that by requiring people to have insurance, the price of healthcare will increase even more. 


As a foreigner, I'm finding this debate interesting but a bit confusing.  What sort of system would you advocate?

Presumably, given the views you have expressed, not a socialised system where no-one is required to have insurance and everyone is provided with decent healthcare funded by taxes?

So presumably you want some system where some (probably significant) proportion of people are uninsured.  What does being uninsured mean in practice in terms of the services you can access?  You said earlier that you were never denied treatment when you didn't have insurance, but I'm curious: are there some restrictions on what sort of treatments you can access?  Is it just emergencies for example?  What happens, for example, if you have a chronic illness that needs some sort of ongoing management?  Or if you need some sort of preventative treatment, or some tests that might catch something early?  Do you still need to pay if you get treatment without insurance?


Insurance is supposed to exist to compensate people who are victims of some grave misfortune, not pay for routine things.  "Major medical" is this type of insurance.  Insurance should not cover the gamut of health care services, because that drives up the cost.

That's not completely accurate for all forms of insurance, many of which offers benefits in addition to disaster protection. Whole life policies for example accrue cash value and in many cases can be used as collateral for loans.  Many premium auto insurance policies (including mine) pay dividends to those who drive safely and don't file excessive claims.  And most homeowner insurance policies provide a variety of benefits in addition to protecting the policy holder from damage to their home.

Actually, my health care 'insurance' isn't insurance at all, it's health care coverage for my family that is fully intended to cover preventive medicine, normal care including things like sports physicals for my children, pharmaceutical discounts and even inoculations like measles shots and the like.  I think you're somewhat fixated on the word "insurance" and seem to equate health care coverage with something like flood insurance.

The issue is not "how do people pay for health care services," but "why has health care become so expensive?"  If insurance raises the cost of health care, as I think I have shown it does, then the answer is not "make everyone have insurance."  That will aggravate the problem.  Like most US government intervention, it helps in the short term but will be disastrous in the long term.

I disagree you have shown this.  As I said before, the number and percentage of Americans covered by health insurance has declined steadily for more than a decade, yet the cost of health care continues to rise, almost exponentially.  As I said before, this is inconsistent with your theory.

Hospitals here have social workers who work with uninsured people facing disaster.  That said, it's a shame that long term treatment is so expensive because it can bankrupt people who need it.  But again, the solution is not force everyone into the insurance market- it's to identify reasons for the expensiveness.

Hospital bills account for nearly two-thirds of all personal bankruptcies in the U.S. today, more than double all other causes combined.  Sadly, 78% of those people had health care coverage, but it was inadequate to cover their needs.  So you are correct that rising health care costs are causing millions of Americans to lose virtually everything they own, even people who are insured.  In fact, given those numbers it seems people without insurance are less likely to go bankrupt, mostly because their expenses are written off by hospitals as charitable expenses, or as operating losses.  This in turn means those hospitals pay less in taxes (charitable loss write offs), or increased costs for the rest of us when hospitals raise their rates for paying consumers to cover their losses.

"Peace is the only battle worth waging."

Albert Camus
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Direct Link To This Post Posted: September 20 2012 at 19:18
Originally posted by King of Loss King of Loss wrote:

Honestly Romney would be better for the economy, Obama better for minorities, women and gays and Obama would be better for foreign policy.

But lesser of the two evils is still evil!
 

I'm struggling to find where Obama has done anything for minorites, women, and gays other than paying them lip service and telling women that everyone else should be paying for their sex life.  Minorities have been hit hard by the Obama administration through their staggering ramping up of both the drug war and immigrant deportation.  That he woke up one morning, recently, and decided that it was now politically acceptable to be pro-gay is not admirable, in the least, because his newfound acceptance lacks substance.

Obama's foreign policy has just been W's on steroids.  What's scary is that I can see you being correct in assuming Romney would be worse.  Either way we are headed down a very bad road.
 
Romney would be no better for the economy as he has no plans to make any really cuts and puts military spending off limits.  He is a corporatist, and always has been, and will preserve the federal reserve led corporate welfare state.  I see him as far more likely to promote additional foreign adventurism as a economic booster (embracing the broken window fallacy) than to promote actual free market reforms.
 
By nominating Romney the republicans have actually made it preferable, to anyone who seeks actual change, to endure another 4 years of Obama.  Electing another neo-con republican would just further the blur between the two parties and ensure that any voice promoting liberty would be further suppressed.  The republican party needs to be disolved and rebuilt and losing this election would be far more helpful along those lines than letting Bill Kristol's voice back in the white house.
 
Obama will win, by the way, so I only point all of this out because it's more polite/effecient than personally spitting on all of you who chose A or B in this poll.


Time always wins.
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Direct Link To This Post Posted: September 20 2012 at 19:40
Originally posted by King of Loss King of Loss wrote:

Honestly Romney would be better for the economy, Obama better for minorities, women and gays and Obama would be better for foreign policy.
But lesser of the two evils is still evil!
I'm not sure why being "better for minorities" qualifies as "better president of an ENTIRE nation".
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Direct Link To This Post Posted: September 20 2012 at 19:42
Originally posted by The T The T wrote:

Originally posted by King of Loss King of Loss wrote:

Honestly Romney would be better for the economy, Obama better for minorities, women and gays and Obama would be better for foreign policy.
But lesser of the two evils is still evil!
I'm not sure why being "better for minorities" qualifies as "better president of an ENTIRE nation".

I'm just saying based on certain interest groups. 
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Direct Link To This Post Posted: September 20 2012 at 19:45
Originally posted by manofmystery manofmystery wrote:

Originally posted by King of Loss King of Loss wrote:

Honestly Romney would be better for the economy, Obama better for minorities, women and gays and Obama would be better for foreign policy.

But lesser of the two evils is still evil!
 

I'm struggling to find where Obama has done anything for minorites, women, and gays other than paying them lip service and telling women that everyone else should be paying for their sex life.  Minorities have been hit hard by the Obama administration through their staggering ramping up of both the drug war and immigrant deportation.  That he woke up one morning, recently, and decided that it was now politically acceptable to be pro-gay is not admirable, in the least, because his newfound acceptance lacks substance.

Obama's foreign policy has just been W's on steroids.  What's scary is that I can see you being correct in assuming Romney would be worse.  Either way we are headed down a very bad road.
 
Romney would be no better for the economy as he has no plans to make any really cuts and puts military spending off limits.  He is a corporatist, and always has been, and will preserve the federal reserve led corporate welfare state.  I see him as far more likely to promote additional foreign adventurism as a economic booster (embracing the broken window fallacy) than to promote actual free market reforms.
 
By nominating Romney the republicans have actually made it preferable, to anyone who seeks actual change, to endure another 4 years of Obama.  Electing another neo-con republican would just further the blur between the two parties and ensure that any voice promoting liberty would be further suppressed.  The republican party needs to be disolved and rebuilt and losing this election would be far more helpful along those lines than letting Bill Kristol's voice back in the white house.
 
Obama will win, by the way, so I only point all of this out because it's more polite/effecient than personally spitting on all of you who chose A or B in this poll.



It's just an amusing fight to watch, honestly elections are a complete sham anyways. 
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Direct Link To This Post Posted: September 20 2012 at 20:03
But to vote 'C' is to vote null. I'd rather cast a blank vote (or no vote at all). My vote is up for sale, by the way. My vote goes to the highest bidder.

You know what I miss? Real rebellion. Now all the lazy scum wanna protest electronically, as if civil unrest and political dissent was some survey you could take or a form you could fill out and send in to the Internal Revenue Service. Where are the swinging truncheons, cracked skulls and demolished families? Where's the blood and weeping in the streets? Now everybody protests with video blogs and youtube hogsh*t and facebook posts and amateur documentaries. I don't like that sh*t at all.
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Direct Link To This Post Posted: September 20 2012 at 20:05
Originally posted by King of Loss King of Loss wrote:

It's just an amusing fight to watch, honestly elections are a complete sham anyways. 

This really. We might act like it's a big deal, but there's a good reason most of the campaigning is held in 5 or so states. They're the ones who essentially decide the election, and this year it will be close. So even if your vote does count in those few states, you basically have the choice between the same things, maybe with minor differences. In the end you know what you're getting with Obama, because he has a record for four years. Then we have a record for Romney, and he's flip flopped on his positions so many times I'm surprised the earth hasn't been thrown off its axis. So I have to guess that he'd be a conniving a****le who loves the rich, ignores social problems, and is as hawkish as they come. Again, so much guessing because he is a void of all opinion, just waiting to be filled with whatever the Republicans think will win the election or hurt the Democrats. And yes, yes Obama, NDAA, drones, of course of course. This interventionist thread in American foreign policy runs deep, and it is wrong, but let's please not pretend Romney would actually be different. Let's acknowledge the two big parties have deep interests in perpetuating the status quo.

If most Americans vote with how well they'd want to have a beer with the candidate, however, this election will be a goddamn slam dunk for Obama.


Edited by stonebeard - September 20 2012 at 20:13
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Direct Link To This Post Posted: September 20 2012 at 20:08
Originally posted by Alitare Alitare wrote:

But to vote 'C' is to vote null. I'd rather cast a blank vote (or no vote at all). My vote is up for sale, by the way. My vote goes to the highest bidder.

You know what I miss? Real rebellion. Now all the lazy scum wanna protest electronically, as if civil unrest and political dissent was some survey you could take or a form you could fill out and send in to the Internal Revenue Service. Where are the swinging truncheons, cracked skulls and demolished families? Where's the blood and weeping in the streets? Now everybody protests with video blogs and youtube hogsh*t and facebook posts and amateur documentaries. I don't like that sh*t at all.

Because reasons.

-People don't actually have it that bad.
-It's hard to justly place the blame on a specific person or group of people.
-The rule of law usually means something.

I do think we're heading that way. I actually love this new video blogging and widespread internet. It's shining a light on injustice, and eventually people will realize voting now is just the illusion of change. Maybe it always was. But if we shine a light on specific instances of injustice with no justice in the court to follow, well then just maybe there can be truncheons.
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Direct Link To This Post Posted: September 20 2012 at 20:20
The health care question is a difficult one, no question, but Rob is on the right track when he says the problem lies with escalating costs, not the fact thta some people are uninsured. If we could get costs under control, a lack of insurance would not mean that a simple operation would bankrupt you for your entire life.

There are a couple of ways to bring down costs, and they all involve a freer market. Right now, government regulations dictate what kind of insurance plans companies can offer and to whom they can sell them. These means that competition is restricted, since I can't buy insurance from a provider in another state. Also, in many places you can't buy a plan that only covers emergencies, you must pay for things like elective procedures, which drives up costs.

Tort reform and dealing with frivolous malpractice lawsuits is important to bring down costs as well, although it's certainly not the whole picture.

Personally, I believe a major problem with the system is the extremely rigorous requirements to practice medicine and the artificially constrained supply by the AMA. Medical schools and licensing entities are structured in such a way as to keep prices high and limit the number of practicing doctors. It also means patients have less choice in their treatment options. If you want to see a doctor, you must pay for a fully accredited one. If you want treatment, you must pay for the state of the art. This is all well and good for those who can afford it, but most of us cannot. The government doesn't force us to buy caviar instead of canned tuna, it shouldn't force us to pay for the most expensive medical care instead of a cheaper option.

If we were allowed to see a doctor with less expensive education, the ones with more education would have to justify their services with either demonstrably superior quality or lower prices. If we were allowed to buy medication over the counter, there would be fewer demands on the doctor's time and therefore lower prices.

Basically any way you can make the market for health care more free will result in lower prices, which means increased access to healthcare for everyone. Sadly, this will never happen  because the AMA has convinced the public that we need them to ensure our safety rather than trust our own abilities as savvy consumers.
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