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A Republican Version of Universal Health Care?

Health Care Republicans 2009

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#1 QueenTiye

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Posted 13 April 2009 - 05:28 PM

http://politics.thea...health_care.php

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The Republicans could instead offer a consumer-controlled universal coverage system, like that in Switzerland, in which the people, not the government, control how much they spend on health. There are no government health insurance programs. Instead, the Swiss choose from about 85 private heath insurers. Rather than being stuffed into the degrading Medicaid program, the Swiss poor shop for health insurance like everyone else, using funds transferred to them by the government. The sick are not discriminated against either -- they pay the same prices as everyone else in their demographic category. Like the US, Switzerland is a confederation of states that, as in the US, oversee the insurance system. Enforcement by the tax authorities has produced 99 percent enrollment.

I think this article makes a very interesting case - and it would be a dream come true if the Republican party could pull themselves together long enough to propose something like this.  I'd bet they'd get the Blue Dog dems on their side with this... and we could finally have a real health care debate...

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#2 Chipper

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Posted 13 April 2009 - 05:36 PM

Interesting.
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#3 Nick

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Posted 13 April 2009 - 05:47 PM

Very.

But they won't go for it.

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the Swiss poor shop for health insurance like everyone else, using funds transferred to them by the government. The sick are not discriminated against either -- they pay the same prices as everyone else in their demographic category

I don't believe the Republicans would ever get behind having taxpayers foot the bill for poor people's healthcare, nor outlawing discriminatory coverage for people with pre-existing conditions.  Republicans have consistently opposed social programs and increasing industry regulation, especially ones related to product and service pricing.

However, in the exceedingly unlikely event they did get behind the Swiss or similar system, I think it would be a brilliant move.  They'd be taking one of the Democrats' favorite binkies away.

#4 Cardie

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Posted 13 April 2009 - 06:20 PM

Isn't the Massachusetts plan something like this in broad outline?

I've always thought that if certain requirements for private plans like no discrimination for pre-existing conditions, subsidies for those whose incomes can't cover a good basic plan, and a real effort to make healthcare and drug prices reasonable we'd be better off without a government controlled plan.  But there have to be some inducements to the insurers to sign on.  The prospect of having most of their subscribers lured away by the public-private consortium would be a start.  And it couldn't allow lots of health care providers to refuse to honor the plans' payment schedules, as often happens with Medicare.

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#5 Nick

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Posted 13 April 2009 - 06:35 PM

^The plan's interesting, and any realistic and bold plans from the Republicans would be welcome if only for the discussion.  However, I believe Switzerland has the highest per capita healthcare costs in Europe, and I don't see how the Swiss Plan address the tremendous waste, fraud and outright corruption that makes American healthcare the most expensive per capita in the world.  It doesn't seem to be working very well for them, so I'm very skeptical it would work well for us.

#6 Captain Jack

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Posted 13 April 2009 - 08:49 PM

Nice find, QT. :cool:  It is interesting.
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#7 Godeskian

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Posted 14 April 2009 - 12:55 AM

Quote

Rather than being stuffed into the degrading Medicaid program, the Swiss poor shop for health insurance like everyone else, using funds transferred to them by the government

OMG SOCIALISM!!!!

Sorry, thought I'd get it out of the way early.

I'll look into the Swiss model because I don't want to comment until I know more about it, but doesn't this have a very similar problem to the current US one, where it is treated as a business and the companies involved therefore have a vested financial interest in denying people healtcare because it affects their bottom line?

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#8 Cardie

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Posted 14 April 2009 - 01:48 AM

One of the provisos of the Swiss system is that they can't deny anyone healthcare, but, yes, it's still a business and I imagine those with pre-existing conditions have to pay substantially higher premiums there.

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#9 Omega

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Posted 14 April 2009 - 08:00 AM

So the system takes care of the poor, instead of taking care of those who can afford it too.  Makes perfect sense to me.  Maybe I should add Switzerland as one of the places I might consider moving to if things go straight to hell here. :)

#10 Nick

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Posted 14 April 2009 - 09:58 AM

View PostCardie, on Apr 14 2009, 02:48 AM, said:

One of the provisos of the Swiss system is that they can't deny anyone healthcare, but, yes, it's still a business and I imagine those with pre-existing conditions have to pay substantially higher premiums there.

Cardie

Actually, I don't think they do:

Quote

The sick are not discriminated against either -- they pay the same prices as everyone else in their demographic category


#11 Cardie

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Posted 14 April 2009 - 11:53 PM

View PostOmega, on Apr 14 2009, 09:00 AM, said:

So the system takes care of the poor, instead of taking care of those who can afford it too.  Makes perfect sense to me.  Maybe I should add Switzerland as one of the places I might consider moving to if things go straight to hell here. :)

Good luck getting in.  The Swiss have very restrictive immigration policies I believe.

Cardie
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