Thanks for agreeing with me, even if you don’t realize you did.
What you did, Ron, was erroneously assume what sort of health care system I supported from the get-go. You’ve been doing this in every exchange we’ve ever had on every subject. My read is that You see the term “conservative” and you immediately assume that you suddenly know exactly, in excruciating detail, what that person believes on economic and social issues.
Then, I spend most of my time correcting your misassumptions.
I must have two dozen posts on Medium explaining how a return to a market-driven health care system is neither possible nor desirable. We have a massive cost control problem in health care, which will inevitably leave more and more of us “uncovered” in a practical sense (people might have insurance, but the deductibles would be so high as to make the policy useless except as a backstop against bankruptcy) as time goes on.
Solution? Financially incent all the actors in the market to be more cost conscious. That means enabling patients to shop services and providers by requiring cost transparency, incent doctors and hospitals to “get it right the first time” by throttling reimbursements (the ACA does some of this), and incent providers to join together in larger practices and clinics (think Kaiser) to increase efficiency.
Now, to me, that’s not socialized medicine, even though the government is managing all of it through financial regulations. To you, it might be. OK, fine. Whatever works. What WON’T work here, becuase of the costing problem, is single payer. And if we can avoid that trap and incent the system properly, then we’ve got a shot at fixing this.