and it is manifestly immoral for profit to be any part of the equation when quality of life and even life itself is hanging in the balance.
It may be manifestly immoral, but it may also be manifestly necessary. Relying on governments to hold down costs, which is the real problem with health insurance in the US, has a long history of failure. The only thing that seems to work is to put profit incentive into the equation.
Put another way, removing profit will ultimately cause any system you can dream up to fail.
Do you really think Paul Ryan and the other Ayn Randians will agree to anything that will strengthen the ACA?????
Depends on who gets the credit for doing it. Politics is, after all, about claiming a victory. Ryan and the Republicans are well aware that they cannot go back to the former status quo. But they’re going to demand that the Dems do their mea culpas and admit that the GOP was right about the ACA being nonfunctional as written before they’ll fix it.
Consider that the primary objective of the bill coming from the House and the first bills proposed by the Senate was to a) gut Medicaid and b) use the funds coming from gutting Medicaid to facilitate revenue neutral tax cuts for the wealthy.
That’s a partisan analysis divorced from reality. The GOP set out to repeal the ACA. Since the ACA RAISED taxes on the wealthy, obviously a repeal rolls back those taxes.
There was no part of their plan that had anything to do with providing good healthcare for anyone.
The same accusation can be levied against the ACA. It provides a very limited level of insurance which is unaffordable without the government paying for almost all of its cost.
Again, unless a scheme provides a way to control health care costs, it doesn’t matter what you want to try == it will eventually become unaffordable.
I’d prefer to get insurance company profit out of the health care equation all together, if Republicans (the reasonable ones) are willing to do things that will genuinely improve the ACA… I say, “Bring it on!”
I wouldn’t. In private insurance, the insurers do a fantastic job of minimizing fraud, because a dollar lost to fraud is a dollar of profit lost to the bottom line.
OTOH, the government programs (Medicare, Medicaid, VA) are rife with well-documented incidences of fraud. It doesn’t take a lot of “connecting the dots” to realize that the difference here is that the insurers know how to minimize it, the government hasn’t a clue how to do so, and that eliminating the insurers could actually RAISE prices, as fraud rates exceed their profit margins.