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The Hondo plan

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  • UW_Doog_BotUW_Doog_Bot Member, Swaye's Wigwam Posts: 17,252 Swaye's Wigwam
    2001400ex said:

    Why do you ignore the fact we'd eliminate medical insurance costs? That's the biggest number. Well we'd replace it with Medicare tax. But none of that is taken into account to simpletons like you.
    You're not eliminating it you're shifting the costs from private sector to public. You could make an argument that there would be added benefits to the money freed up from reserves that insurers currently have to carry that the government won't but you aren't. You either buy healthcare services, you pay a private sector purchasing agent(private insurance), or you pay the government to act as a purchasing agent.

    The rosiest of estimates that I've read put savings at 10% for administration (that's putting it at what Medicare's admin costs are which don't capture all government overhead minus the difference from private sector).

    The only other two major savings would be from economies of scale and from the government's ability to negotiate rates with providers. Both of those things are full of pitfalls as any government contractor can tell you. Show me one industry where the government remotely captures these efficiencies and I can give you 20 where they don't.

    ALL OF THIS would still leave us as #1 in costs for health care by a wide margin even by the most polyana estimates. Call me skeptical that we'd launch far ahead in health outcomes. There's little evidence that care or services would markedly improve.

    Somewhat related: The dems had a golden opportunity to simply tax people that didn't buy insurance and give a tax break for those that do. They fucked it all up by calling it a mandate bc they can't get out of their own way and bc they are pussies and didn't want to call a tax a tax. Universal care could have been achieved through simple financial tax incentives while allowing people freedom in an open market. We do it in housing and 10,000 other circumstances so why not health insurance? < super libertarian opinion right?


  • 2001400ex2001400ex Member Posts: 29,457

    You're not eliminating it you're shifting the costs from private sector to public. You could make an argument that there would be added benefits to the money freed up from reserves that insurers currently have to carry that the government won't but you aren't. You either buy healthcare services, you pay a private sector purchasing agent(private insurance), or you pay the government to act as a purchasing agent.

    The rosiest of estimates that I've read put savings at 10% for administration (that's putting it at what Medicare's admin costs are which don't capture all government overhead minus the difference from private sector).

    The only other two major savings would be from economies of scale and from the government's ability to negotiate rates with providers. Both of those things are full of pitfalls as any government contractor can tell you. Show me one industry where the government remotely captures these efficiencies and I can give you 20 where they don't.

    ALL OF THIS would still leave us as #1 in costs for health care by a wide margin even by the most polyana estimates. Call me skeptical that we'd launch far ahead in health outcomes. There's little evidence that care or services would markedly improve.

    Somewhat related: The dems had a golden opportunity to simply tax people that didn't buy insurance and give a tax break for those that do. They fucked it all up by calling it a mandate bc they can't get out of their own way and bc they are pussies and didn't want to call a tax a tax. Universal care could have been achieved through simple financial tax incentives while allowing people freedom in an open market. We do it in housing and 10,000 other circumstances so why not health insurance? < super libertarian opinion right?


    If Fox news says universal coverage would cost $32 trillion. You have to take into account the savings you get. Your first sentence is my whole point. But simpletons like @pawz and @Sledog read $32 trillion from Fox news and shit themselves. Without thinking about anything else.
  • UW_Doog_BotUW_Doog_Bot Member, Swaye's Wigwam Posts: 17,252 Swaye's Wigwam


    You’ve proved you read the text book and showed up to Kane for the test. Still waiting for you to advocate a policy based on your extensive experience analyzing efficiencies, and externalities — not to mention your professional experiences...

    You are full of shit.
    I have a longform post from another forum that I'll dig up that is a "free market" based approach to universal care. I'll try to post it this week if I can find it. You're welcome to criticize it.

    Still haven't heard anything other than an attack out of you. You seem angry that people have an opposing view.
  • SledogSledog Member Posts: 35,869 Standard Supporter

    You're not eliminating it you're shifting the costs from private sector to public. You could make an argument that there would be added benefits to the money freed up from reserves that insurers currently have to carry that the government won't but you aren't. You either buy healthcare services, you pay a private sector purchasing agent(private insurance), or you pay the government to act as a purchasing agent.

    The rosiest of estimates that I've read put savings at 10% for administration (that's putting it at what Medicare's admin costs are which don't capture all government overhead minus the difference from private sector).

    The only other two major savings would be from economies of scale and from the government's ability to negotiate rates with providers. Both of those things are full of pitfalls as any government contractor can tell you. Show me one industry where the government remotely captures these efficiencies and I can give you 20 where they don't.

    ALL OF THIS would still leave us as #1 in costs for health care by a wide margin even by the most polyana estimates. Call me skeptical that we'd launch far ahead in health outcomes. There's little evidence that care or services would markedly improve.

    Somewhat related: The dems had a golden opportunity to simply tax people that didn't buy insurance and give a tax break for those that do. They fucked it all up by calling it a mandate bc they can't get out of their own way and bc they are pussies and didn't want to call a tax a tax. Universal care could have been achieved through simple financial tax incentives while allowing people freedom in an open market. We do it in housing and 10,000 other circumstances so why not health insurance? < super libertarian opinion right?


    Because the commie asshats would not have control of 1/6th of the economy and your life.
  • CirrhosisDawgCirrhosisDawg Member Posts: 6,390

    I have a longform post from another forum that I'll dig up that is a "free market" based approach to universal care. I'll try to post it this week if I can find it. You're welcome to criticize it.

    Still haven't heard anything other than an attack out of you. You seem angry that people have an opposing view.
    Opposing? I’ll let you know. All I see is tequila-esque posts of meaningless dense text.
  • UW_Doog_BotUW_Doog_Bot Member, Swaye's Wigwam Posts: 17,252 Swaye's Wigwam

    Opposing? I’ll let you know. All I see is tequila-esque posts of meaningless dense text.
    Another attack, good. Still waiting for anything with depth as to why a socialized medical system would be more efficient and result in better health outcomes.

    I guess you prefer shorthand talking points?

    I would try to be more concise but I'm playing to a new and mixed audience. I'd hate to be pigeonholed and dismissed for views I don't even hold.

  • 2001400ex2001400ex Member Posts: 29,457
    For those that actually want to read beyond $32 trillion.

    https://www.vox.com/policy-and-politics/2018/7/30/17631240/medicare-for-all-bernie-sanders-32-trillion-cost-voxcare

    Imagine that.... Total costs are the same but 100% of Americans are covered. Sounds like a better deal to me.
  • oregonblitzkriegoregonblitzkrieg Member Posts: 15,288
    2001400ex said:

    For those that actually want to read beyond $32 trillion.

    https://www.vox.com/policy-and-politics/2018/7/30/17631240/medicare-for-all-bernie-sanders-32-trillion-cost-voxcare

    Imagine that.... Total costs are the same but 100% of Americans are covered. Sounds like a better deal to me.

    Vox, an extremely reliable, non-partisan website that isn't filled with despicable fake news hacks.
  • UW_Doog_BotUW_Doog_Bot Member, Swaye's Wigwam Posts: 17,252 Swaye's Wigwam
    2001400ex said:

    For those that actually want to read beyond $32 trillion.

    https://www.vox.com/policy-and-politics/2018/7/30/17631240/medicare-for-all-bernie-sanders-32-trillion-cost-voxcare

    Imagine that.... Total costs are the same but 100% of Americans are covered. Sounds like a better deal to me.

    100% coverage doesn't mean it's good coverage.

    From the article
    “Lower spending is driven by lower provider payment rates, drug savings, and administrative cost savings,” Yevgeniy Feyman at the right-leaning Manhattan Institute told me. “It’s not clear to what extent those savings are politically feasible, and socially beneficial.”

    The article goes on to admit that there could be "other" associated costs ex. Drug innovation.

    And again, rosy estimates.

    Even if it's essentially cost neutral it seems the preference would be for people to self determine their consumption rather than a federal bureaucrat.
  • CirrhosisDawgCirrhosisDawg Member Posts: 6,390

    Another attack, good. Still waiting for anything with depth as to why a socialized medical system would be more efficient and result in better health outcomes.

    I guess you prefer shorthand talking points?

    I would try to be more concise but I'm playing to a new and mixed audience. I'd hate to be pigeonholed and dismissed for views I don't even hold.

    Keep waiting Milton. In the meantime, why don’t you entertain yourself by reading your Principles of Econ 101 textbook. No need to keep posting it here. They are not really “your” views and no one cares anyway.
  • 2001400ex2001400ex Member Posts: 29,457

    Vox, an extremely reliable, non-partisan website that isn't filled with despicable fake news hacks.
    OBK prefers his news source to only tell half the story.

    How about you refute the information in the article.
  • MikeDamoneMikeDamone Member Posts: 37,781

    Keep waiting Milton. In the meantime, why don’t you entertain yourself by reading your Principles of Econ 101 textbook. No need to keep posting it here. They are not really “your” views and no one cares anyway.
    What are “your” views? You just say Bot is basic and posts things from Econ 101, what’s your orginal plan? You don’t actually debate his points. Just call names and try to be clever with insults to look cool here with the Hondo crowd. I might even suggest you’re a Hondo minion.
  • UW_Doog_BotUW_Doog_Bot Member, Swaye's Wigwam Posts: 17,252 Swaye's Wigwam

    Keep waiting Milton. In the meantime, why don’t you entertain yourself by reading your Principles of Econ 101 textbook. No need to keep posting it here. They are not really “your” views and no one cares anyway.
    Even Hondo has more to contribute.

    I'll be sure to put trigger warnings up for you when advocating for free markets. Hayek references might make you take the gloves off. We all wouldn't want to see that I have no doubt.
  • MikeDamoneMikeDamone Member Posts: 37,781
    This god damn Econ 101


  • allpurpleallgoldallpurpleallgold Member Posts: 8,771

    Please provide a policy that posits more than statism as a solution and I'll happily give you more than a libertarian answer. You guys are just a bunch of tired socialist platitudes about helping the poor, equality, etc.

    Do you want to talk about how to minimize administration costs or how to reform medical collections to incentivize insurance companies to pay bills properly instead of trying to forego payments?

    Do you want to talk about how to deal with an aging population with expanding entitlements and how to maintain solvency of our existing programs?

    Or maybe you want to actually discuss what a single payer looks like, how to pay for it, and how exactly it will affect the open market for healthcare services?

    Nah, you don't want any of that because that would actually take effort instead of hand waving at Europe while never mincing out the complexity of the issue.

    p.s. Not a libertarian, pigeon hole me if it makes you feel better.
    If it looks like a rat and smells like a rat, by golly, it is a rat.
  • 2001400ex2001400ex Member Posts: 29,457

    100% coverage doesn't mean it's good coverage.

    From the article
    “Lower spending is driven by lower provider payment rates, drug savings, and administrative cost savings,” Yevgeniy Feyman at the right-leaning Manhattan Institute told me. “It’s not clear to what extent those savings are politically feasible, and socially beneficial.”

    The article goes on to admit that there could be "other" associated costs ex. Drug innovation.

    And again, rosy estimates.

    Even if it's essentially cost neutral it seems the preference would be for people to self determine their consumption rather than a federal bureaucrat.
    I'm pretty sure people's health determines their consumption and it's mostly not voluntary. Does anyone decide to get cancer or remove a gall bladder?

    That being said, there are sometimes where there's a choice. Has anyone found an insurance company decide on the most expensive option even tho it's the most practical? No they force you to the cheaper option.
  • CirrhosisDawgCirrhosisDawg Member Posts: 6,390

    What are “your” views? You just say Bot is basic and posts things from Econ 101, what’s your orginal plan? You don’t actually debate his points. Just call names and try to be clever with insults to look cool here with the Hondo crowd. I might even suggest you’re a Hondo minion.
    I’ll post “my” views in long post form. Like the bot does. It’s sonewhere here in the tug over the last few weeks. Hayek. Friedman. Burke. It’s a classic!
  • MikeDamoneMikeDamone Member Posts: 37,781

    I’ll post “my” views in long post form. Like the bot does. It’s sonewhere here in the tug over the last few weeks. Hayek. Friedman. Burke. It’s a classic!
    Cool. Let’s see it. Can’t wait.
  • UW_Doog_BotUW_Doog_Bot Member, Swaye's Wigwam Posts: 17,252 Swaye's Wigwam
    2001400ex said:

    I'm pretty sure people's health determines their consumption and it's mostly not voluntary. Does anyone decide to get cancer or remove a gall bladder?

    That being said, there are sometimes where there's a choice. Has anyone found an insurance company decide on the most expensive option even tho it's the most practical? No they force you to the cheaper option.
    I see your point but you'd actually be surprised how variable health care demand can be. It has a high correlation to wealth. Richer people/countries spend exponentially more on health care not necessarily because they are sicker but bc in the end we all die. Rich people can just afford to put off death longer and do so.
  • allpurpleallgoldallpurpleallgold Member Posts: 8,771
    2001400ex said:

    I'm pretty sure people's health determines their consumption and it's mostly not voluntary. Does anyone decide to get cancer or remove a gall bladder?

    That being said, there are sometimes where there's a choice. Has anyone found an insurance company decide on the most expensive option even tho it's the most practical? No they force you to the cheaper option.
    If an insurance company chooses the cheaper option people will just stop using them and they’ll go out of business. It’s called the free market, brah. Look it up.
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