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comment by mk
mk  ·  4618 days ago  ·  link  ·    ·  parent  ·  post: Broccoli and Bad Faith
A cynical part of me wants to see the mandate struck down. IMO as a result, the US will be put on a one-way street to a public option, which (relying on the rest of the developed world as evidence) will be the most affordable type of universal coverage.

I can see this court ruling either way, and can think of reasonable explanations for both scenarios. However, in the end, I think that the US will eventually end up with universal coverage one way or another.

If the mandate is struck down, I can see the Dems doing better in November, as it will take the wind out of the sails of the GOP (Without Obamacare to rail against, and an improving economy, Romney won't have a strong rallying cry). Whenever the Dems get a house majority again, they will probably create a version of a public option in order to fight the continuous rise in costs. I could see this coming at a State level option, maybe as an extension of Medicaid. Alternately, if the mandate isn't struck down, I see some states figuring out effective coverage solutions within the new scheme, and these spreading to other states that want to emulate their success.

At any rate, conservative intellectualism seems homeless in this country.





thundara  ·  4618 days ago  ·  link  ·  
I was discussing this with a friend and his thought was that if the government provided its own option to citizens, at a cost, it might be more acceptable.

I forget if it was discussed on here or somewhere else, but the reason the costs of pills are lower in other countries is that the single-payer gives the government a lot of leverage in bargaining with pharmaceutical companies to decide their prices. Medicare has a similar power, too a lesser extent, too, but the increased fragmentation of the insured population in the US lowers each's bargaining power.

mk  ·  4618 days ago  ·  link  ·  
Ironically, Bush's Medicare Prescription Drug, Improvement, and Modernization Act prohibited the Federal government from negotiating prices for prescription drugs. My guess is that he did it for that very reason. The negotiating power of the government would precipitously drop drug prices, and folks might get the idea that public healthcare isn't such a bad thing.
thundara  ·  4618 days ago  ·  link  ·  
Wow, today I learned...that's pretty terrible, plus it would have helped reduce the cost of medicine for old people massively.
mk  ·  4618 days ago  ·  link  ·  
No kidding huh? So much for leveraging market economics.

That is an example of failure-by-design IMO.

b_b  ·  4618 days ago  ·  link  ·    ·  
    At any rate, conservative intellectualism seems homeless in this country.

I disagree. It is alive and well in the Democratic Party. Let's not forget that the mandate was the brain child of Republicans back in the early 90s when the Clintons were trying to adopt universal health care.

thundara  ·  4618 days ago  ·  link  ·  
Badged, so now you must decide between deleting this comment or the one with mk's reply. Or refuse to correct this unnecessary redundancy in the comment system.
b_b  ·  4618 days ago  ·  link  ·  
Shit. When I first submitted, I got an error message. I reloaded the page, but didn't see it. Anyway, I'll be damned if I delete this one. I've been waiting patiently for a badge forever.
b_b  ·  4618 days ago  ·  link  ·  
This comment has been deleted.
mk  ·  4618 days ago  ·  link  ·  
Ooh, maybe I'll badge the other one. :)
b_b  ·  4618 days ago  ·  link  ·  
    At any rate, conservative intellectualism seems homeless in this country.

I disagree. It is alive and well in the Democratic Party. Let's not forget that the mandate was the brain child of Republicans back in the early 90s when the Clintons were trying to adopt universal health care.

mk  ·  4618 days ago  ·  link  ·  
Touché. :)