10% of the nation, at best, would be able to afford care in a cash-only system. I'm sure we can agree on that. Either people are putting their money into the private pool, or they're putting it into the public pool. At least the public pool can't go broke. - ThreadSky

cptjinglepants.bsky.social • 86 days ago

10% of the nation, at best, would be able to afford care in a cash-only system. I'm sure we can agree on that.

Either people are putting their money into the private pool, or they're putting it into the public pool.

At least the public pool can't go broke.

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hxok.bsky.social•86 days ago

For one, taxes fund the healthcare, unless you’re assuming that everyone will get their insurance through their job, which is a big assumption.

Are you assuming that there is just not going to be regulation? When and how a private->public referral is allowed and visa versa already exist in Europe.

cptjinglepants.bsky.social•85 days ago

Technically, in the US, the only real socialized insurance (Medicare) is not paid for through federal taxes. It's paid for through entitlement taxes. This wouldn't change.

Care through employment is equal to golden handcuffs. It makes things more complicated, too, which reduces efficiency.

cptjinglepants.bsky.social•85 days ago

Regulation isn't going to happen any sooner than single payer would. That's a fact. Regulation was attempted by adding amendments to the pro-insurance ACA. Doesn't help when the system is still broken.

There's no argument for private insurers that can hold up to scrutiny.

hxok.bsky.social•85 days ago

I don’t understand why you could think that a system far more radical than that of any European nation, which all still have private insurance to some degree, like almost every single one of them, would hold up to scrutiny either.

cptjinglepants.bsky.social•85 days ago

The purpose of the system is to pay for medical expenses. There's simply no reason why there needs to be a private option. Competition would only drive down care because the inefficiency in cost is the profit margin.

They have one job: pay for expenses. There's no reason for a profit motive at all.

hxok.bsky.social•85 days ago

Do you want nose jobs done on pubic dime? Do you want hair transplants done on the pubic healthcare system?

These are complex procedures that require months of preparation and waiting. The drag on the system would be insane.

There are valid reasons to get them, but very few of them are necessary.

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