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Edited on Mon Mar-31-08 11:30 PM by Leopolds Ghost
I'd like to get opinions on this. Fans of mandated health insurance please don't argue that point here -- the whole point of this thread is to find a single payer alternative to mandated private health purchases that will be acceptable to a public indoctrinated to believe that it's socialistic for the government to take any action that would allow a major corporation (insurance in this case) to suffer or go out of business.
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If Insurance cos. won't allow Congress to put them out of business, and mandates (as I believe) are both fascist and reminiscent of the Marxist argument that something univerally mandated private health purshases will eventually cause private insurers to "wither away",
then the recent post on the evil of the current US Fed system that JFK tried to abolish (which I fully agree with) got me to thinking.
Rather than go thru the path of total fascism and gov't control of private purchases like Europe did to get to the same goal of socialized health care, why not follow the path of the Federal Reserve with the eventual outcome of dissolving both the Federal Reserve and Federal Health Care (or nationalizing them) to create a single payer, civic system?
It could be done a lot less corrupt than the Federal Reserve, a privately owned, expressly capitalist for-profit body (unmentioned in the Constitution) that controls the US Treasury money supply.
Say we simply require every Insurance co. that offers health insurance to band together in a government-regulated trust -- like Ma Bell (which everyone I know misses) or the Fed. Or Major League Baseball. What the New Dealers wanted Blue Cross to become.
Unlike the Fed, this Federal Health Insurance Co. would:
* Be not for profit (but the existing insurance companies which buy in, plus ANYONE NEW who had the resources and expertise to join in later, would be able to recover profit on a competitive basis by participating in the overal nonprofit system)
* Operate like Fannie Mae, pooling health insurance policies (but unlike Fannie Mae, health insurance would be single payer, a national broker for all BASIC heath care insurance)
* Operate as a national reinsurance agent for Hospitals, like Freddie Mac, to allow for catastrophic and required "optional" procedures like MRIs for indigent persons and inner city hospitals and support hospitals that have a liberal intake policy, to preserve the Hippocratic Oath of helping patients regardless if they're in the system
* Additional health care would be available through each health care provider buying into the system, and most opportunity for private profit would be thru additional optional plans. But basic, catastrophic, and coverage for optional procedures (when precipitated by health crisis) on lower-income Americans would be pooled money available only thru the FHIC.
* The FHIC, like Fannie Mae, would be able to issue stocks and bonds so that the participating insurers (and average Americans) could invest in the system and recover profits through capital gains that are derivative of the systems success, instead of relying on profits from basic health care insurance (which would be eliminated as inimical to proper doctor care, just as we don't require FEMA to be for-profit.)
* An identical system could be set up to complement FEMA for disaster insurance.
Then we can solve the problem now and kill the insurance cos. (and the Fed system) later.
What do y'all think?
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