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Bort - 2017-03-15

Smart people talking about the lessons of Obamacare:

http://www.vox.com/policy-and-politics/2017/3/15/14908524/obam acare-lessons-ahca-gop

The seventh and final lesson is the one that people don't appreciate nearly enough: "Prices are the fundamental challenge in American health care - and reform will remain an exasperating exercise until that changes."

I've been saying that ever since Green Mountain Single Payer collapsed and I realized what went wrong. That was, uh, late 2014.

Nominal - 2017-03-16

Hilldawg shrillary right of center corporate globalist war with syria! Hail Bernie!

Bort - 2017-03-16

Yeah, I've been called a corporatist shill plenty of times, because I can do arithmetic and want a health care system that won't immediately blow up.

One of the smarter things about the ACA is that it is ready to pass savings on to the customer if and when we can start capping medical costs. Insurers have to devote 80%-85% of premium dollars to paying claims, so if the prices of those claims go down, premiums have to go down as well. So here's the conundrum for single payer advocates: if medical costs go down to a point where single payer is viable, will it even be worth the effort to convert at that point?

I know there are plenty of single payer advocates who ultimately don't give a damn about whether single payer helps people go to the doctor when they need to; their motive is ultimately to stick it to private insurers. Those people are in a bind, because there is no clear path to single payer that doesn't also help keep private insurance viable, so they can't really get what they want either way.

Nominal - 2017-03-16

Hey look Bernie is back at it again with his Brand New Congress style rhetoric. Surely this can't spell disaster in 2020.

https://www.washingtonpost.com/news/the-fix/wp/2017/03/15/bern ie-sanders-still-doesnt-know-what-the-democratic-party-stands-for/ ?utm_term=.7517547ce12c&wpisrc=nl_az_most&wpmk=1

If this election cycle has taught anything, it's that anyone using the word "establishment" has a 99% chance of not knowing what the hell they're talking about.

Bort - 2017-03-16

Huh, speaking of people who want single payer for no other reason than sticking it to private insurers, and don't really care whether they've established a viable system.

You know why it's hard for Bernie to see what the Democrats stand for? Because he wants them to stand for something so small it can fit on a bumper sticker, like "eat the rich". The Democrats stand for a number of things that aren't simplistic enough to reduce to bumper stickers, like effective government that tries to balance the many and often competing interests of people and organizations of this country to provide the best outcomes for as many as possible. That sometimes means eating the rich, or at least reining them in; but sometimes businesses do useful things too (such as providing jobs or doing research that separates us from the Amish) so maybe the best solution isn't always to smash businesses like an angry lumbering retard.

Don't forget "neoliberal" as a nearly infallible indicator of not knowing a goddamn thing.

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