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The health insurance exchange idea, where individuals can go online and buy the cheapest plan will never work.
Montana has some of the lowest health insurance premiums in the nation. (Although Ed would argue that title belongs to Ohio, so let's placate him.). Miami among the highest.
What happens when everyone in Miami decides to buy insurance from Ed in Ohio because he has low rates?
Ed would make so much money (even at his low rates) he could devote full time to his association and this forum.
But it wouldn't take long for the OH carriers who were writing their low premium policies in Miami to figure out this is a money losing proposition. When that happens, the rates in OH rise to cover the claims and folks in Miami start looking for cheaper rates.
Like Thailand . . .
Yes there is a reason the rates are lower in Montana than NY. the reason is less state mandates and lower cost of care.
Obama's pollyanna view of things is that care should be the same in all areas ie: community rating. This is misguided as there are always regional differences in housing, wages etc. It is not likely to be any different without a single payer system.
Their intent is to weaken the insurance companies to the point where they can force a single payer system in place once the insurance companies are too powerless to defenf their turf, he said as much last night when he mentioned the entrenched employer based plan.
All he needs to do is destroy that and replace it with a tax payer funded single payer system which is the only way a mandate ever would work. That is the plan and by the look on Ron Williams face he knows it.
He neglects to mention of course the reason why Europe has single payer national healthcare. The reason is World War II; after the decimation of the war there was very little health infrastructure left.
In 1948, Great Britain passed the National Health Service Act that provided free physician and hospital services for all citizens. The system was later amended, now charging a small fee for the filling of prescriptions and the purchasing of eyeglasses and dentures; it is funded jointly by a health-insurance tax and by the national treasury. Doctors are salaried by the government and receive an additional allotment per patient and for the performance of special services.
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