I have an acquaintance who did a lot of business flying and he had cards printed with the various rules regarding what airlines had to do when they screwed up. He claimed it saved him a lot of time trying to reason with gate attendants.
]]>The Massachusetts experiment is going to be helpful for fighting what Hillary proposes and all of the insurance based systems. You can’t require private insurance companies to cover people they don’t want, so you are going to end up with an “assigned risk pool” just like car insurance.
We are seeing foreign doctors and nurses even down here and the interaction with the local version of English is not a pretty sight.
]]>Furthermore I don’t have any choice. My employer chooses my insurance, not me.
I’m just waiting for the Governator to leave office so that his Democratic successor can sign the Canadian-style health insurance bill that the Governator has already vetoed once. The Governator has proposed a Massachusetts-style RomneyHillaryCare system, but the Democrats in the state lege aren’t buying it — they look at Massachusetts and see a mess.
-Badtux the Health Penguin
]]>The GOP keeps taking about choice, but most of the insurance plans in this area tell you which doctors you can see and which labs you have to use for tests. That is really annoying.
]]>I had one encounter with actual socialized medicine, in Austria in 1978. On the whole, it was a very satisfactory encounter, to the extent one can judge anything when one is as sick as the proverbial dog. And I was merely a legal resident for a summer, the kind of person the GOP back home would have argued didn’t deserve public medical care. But the Austrians gave it to me, at a very reasonable cost.
I have no dog in the race regarding the generalities of the system we end up with. I don’t care if it fits in one or another “-ism”; health care is not intrinsically ideological for me. I don’t care, in general, how I pay for it, through taxes or privately, as long as the system is reasonably efficient and distributes both care and costs fairly.
OTOH, I care a great deal about getting good care for a price everyone can afford. Most of us are getting neither of those now. And the private insurance companies are making out like bandits… indeed, they are bandits.
Health care is unlike any other service. It is not like auto repair. There is no body of evidence showing that pooling all our resources would enable us to negotiate better prices for brake jobs; competition does an adequate job there. But there is in my opinion overwhelming evidence that we could do better in health care by cutting out the for-profit middlemen from the payment process. Only a seriously broken political process allows a medical care payment system as disastrous as our current one to continue in place.
For what it’s worth, whig, I pay a friggin’ fortune for individual private insurance. Sometimes that’s what one has to do as an independent contractor with no spouse whose insurance one can ride on. The closer I get to not being able to afford insurance at all, the better all the other systems… France’s, Britain’s, Canada’s… look to me.
And what Bush just did to the children with his SCHIP veto should earn him a free trip to Hell. (Too bad I don’t believe in Hell.)
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