universal mandate big hearted uncle sam plays health sector cop ...better he just pimp
its all theatre
the mandate is the last thing the nations health system needed
first and foremost
the health system needed draconian cost controls
in short
first stop back in 09
shoulda been universal premium relief
not universal premium imposition
for the jobbled masses
best woulda been
an immediate freeze
based on a declared national health emergency
folowed by
a huge increase in uncle participation in premium payment
a switch from tax deduction and corporate participation in premium payment
to a covered jobbler/uncle premium cost sharing plan
like cobra became
to avoid an up spiral in premiums
the freeze comes first
-----------------
back drop:
the now 80 year old goo goo project of
health coverage for all
once on the table again in 09
got in the way of immediate relief for the vast majority
very convenient for the various health sector "players" eh ??
thus can goo goo intentions subvert
partially pre empt even completely block
a socially prefered outcome
lower total social health costs.... now !!!!!
the fate of the by passed uncovered ??
a mixed back of folks these uncovered
almost as likely to experience a mandate
as an added uncle based extraction of funds
as they are
to benefit from an added infusion of otherwise
unprovided health services
----------------
the mandate concept has deep poli econ con roots
but its dynamic profile suggested this:
absent a mandate
adverse selection will out
but with equal certainty
this nasty fact will eventually provide its own cure
at that point the scandal of it all
reaches a climax
why sure as shootin
the public itself in its solid wised up majority
will demand universal compliance
demand a mandate
to eliminate the free riders
so whatever the hell we did first
once public money got to flying around here fast and furious enough
we'd get a mandate ....some day
look at great society welfare for a model
in the goodness of time
the parent of it all
lbj's party
produced
its hammer bill clinton
to smash it all ..no ?
in the interim
to add to a premium freeze
a public option matters
and of course universal plan regulations
that "design " and enforce
a socially acceptable minimum plan
on all insurers
then some sort of sectoral mark up market
------------------
if getting there
looks like power politics
it is
nothing but power politics
class on class power politics
and we the people lack the power
to make our better path happen
instead
we get a corporate dictated series of quick and costly "fix its "
the mandate is the last thing the nations health system needed
first and foremost
the health system needed draconian cost controls
in short
first stop back in 09
shoulda been universal premium relief
not universal premium imposition
for the jobbled masses
best woulda been
an immediate freeze
based on a declared national health emergency
folowed by
a huge increase in uncle participation in premium payment
a switch from tax deduction and corporate participation in premium payment
to a covered jobbler/uncle premium cost sharing plan
like cobra became
to avoid an up spiral in premiums
the freeze comes first
-----------------
back drop:
the now 80 year old goo goo project of
health coverage for all
once on the table again in 09
got in the way of immediate relief for the vast majority
very convenient for the various health sector "players" eh ??
thus can goo goo intentions subvert
partially pre empt even completely block
a socially prefered outcome
lower total social health costs.... now !!!!!
the fate of the by passed uncovered ??
a mixed back of folks these uncovered
almost as likely to experience a mandate
as an added uncle based extraction of funds
as they are
to benefit from an added infusion of otherwise
unprovided health services
----------------
the mandate concept has deep poli econ con roots
but its dynamic profile suggested this:
absent a mandate
adverse selection will out
but with equal certainty
this nasty fact will eventually provide its own cure
at that point the scandal of it all
reaches a climax
why sure as shootin
the public itself in its solid wised up majority
will demand universal compliance
demand a mandate
to eliminate the free riders
so whatever the hell we did first
once public money got to flying around here fast and furious enough
we'd get a mandate ....some day
look at great society welfare for a model
in the goodness of time
the parent of it all
lbj's party
produced
its hammer bill clinton
to smash it all ..no ?
in the interim
to add to a premium freeze
a public option matters
and of course universal plan regulations
that "design " and enforce
a socially acceptable minimum plan
on all insurers
then some sort of sectoral mark up market
------------------
if getting there
looks like power politics
it is
nothing but power politics
class on class power politics
and we the people lack the power
to make our better path happen
instead
we get a corporate dictated series of quick and costly "fix its "