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62% of Americans agree US government should ensure everyone has health coverage
(www.commondreams.org)
this post was submitted on 10 Dec 2024
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This is an interesting idea, but I don't see where that is ever going to be effective either given the massive logistical undertaking that would be required in order to deal with states managing non-profit medical facilities. The only option is to somehow circumvent the middle men.
Circumventing the middle man is exactly why for-profit enterprises resist state care with everything they have. The government is a powerful negotiator that can undercut for-profit business because they don’t need to profit from the work being done.
Yes, but you could say the exact same thing about the creation of single payer state insurance pools could you not? They can force negotiations on medical providers at the state level, and force them to accept state backed insurance if they wish to conduct business in that state. That seems like a way simpler solution than needing to come up with massive amounts of logistical infrastructure that already exists.
Not as effective as the government as a whole. Also singles that state put among others as you said, placing additional adversity between the state and existing or potential employers.
Look, if it were simple, we could do it. Even if much of the difficulty is artificially created by businesses and other monied interests, it still exists and one state doesn’t exist in a vacuum where businesses wouldn’t have the option to leave. Other states would undermine the attempt for political or financial gain. It’s not simple.
I totally agree that no solution is going to be simple. I think what I envisioned was an inter-state compact where it would make it essentially impossible for medical providers to pull away. If we just use the West Coast as an example, what if Washington, Oregon, and California were to create a public option risk pool that could then be joined by other blue states? That is really the idea that I think is the most sensible, and potentially feasible to implement over time.
That sounds like an actual plan. No one state could do it effectively solo.
I guess I didn't really explain my thought process very effectively from the beginning. That was my fault.
No worries. We’re on the same page.