Comments on: My Best Idea http://healthblog.ncpa.org/my-best-idea/ Health Care Policy and Reform Insights | NCPA Sun, 12 Feb 2012 00:03:44 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Kurt Zobel http://healthblog.ncpa.org/my-best-idea/comment-page-1/#comment-48517 Kurt Zobel Thu, 19 Nov 2009 17:02:46 +0000 http://www.john-goodman-blog.com/my-best-idea/#comment-48517 Sounds like a reasonable approach. I would also add in some sort of tax deduction for premiums over the 1500 credit. Perhaps the most detrimental action to affordable and fair helth care was to take away virtually all tax incentives for individuals. Company run 'one size fits' is totally uncompetitive and unresponsive to local individual needs. Just putting the decision back in the individuals hands would be a huge step in lower cost and more efficient plans. Deductibility could be prorated on premium size and on income, to allow those Tax the Rich at any opportunity congressional types a chance to get in their whacks. Sounds like a reasonable approach.

I would also add in some sort of tax deduction for premiums over the 1500 credit.
Perhaps the most detrimental action to affordable and fair helth care was to take away virtually all tax incentives for individuals.

Company run ‘one size fits’ is totally uncompetitive and unresponsive to local individual needs. Just putting the decision back in the individuals hands would be a huge step in lower cost and more efficient plans.

Deductibility could be prorated on premium size and on income, to allow those Tax the Rich at any opportunity congressional types a chance to get in their whacks.

]]> By: Matthias Muenzer MD http://healthblog.ncpa.org/my-best-idea/comment-page-1/#comment-38691 Matthias Muenzer MD Fri, 06 Jun 2008 16:54:58 +0000 http://www.john-goodman-blog.com/my-best-idea/#comment-38691 "People for a New Society" might turn out to end up being "People for a Bankrupt Society with Mediocre Healthcare". Many of the Universal and Single Payer ideas are stunningly similar to socialistic ideas that have been proven wrong and ineffective (at a high cost in terms of lives and uncountable pain) decades ago. Yet, these ideas sound seducative to those who forget history, as seductive as they sounded 100 years ago. Does every generatin have to learn again that "to everybody what they need and from everybody what they can" is a recipe for disaster. Why is the economy of the US so successful? Because of a strong link between giving and receiving, between contribution and reward, between sowing and reaping. Once you eliminate this link, you are doomed, be the society new or old. A great balance between the basic principle of responsibility and compassion are the HSAs. “People for a New Society” might turn out to end up being “People for a Bankrupt Society with Mediocre Healthcare”. Many of the Universal and Single Payer ideas are stunningly similar to socialistic ideas that have been proven wrong and ineffective (at a high cost in terms of lives and uncountable pain) decades ago. Yet, these ideas sound seducative to those who forget history, as seductive as they sounded 100 years ago. Does every generatin have to learn again that “to everybody what they need and from everybody what they can” is a recipe for disaster. Why is the economy of the US so successful? Because of a strong link between giving and receiving, between contribution and reward, between sowing and reaping. Once you eliminate this link, you are doomed, be the society new or old.
A great balance between the basic principle of responsibility and compassion are the HSAs.

]]> By: Jerry http://healthblog.ncpa.org/my-best-idea/comment-page-1/#comment-38617 Jerry Thu, 29 May 2008 15:40:22 +0000 http://www.john-goodman-blog.com/my-best-idea/#comment-38617 DITTO comments from Mr. McHugh,Mr.Burgess and George. You are a great mind; please continuing sharing your economically sound ideas and solutions! Without citizens as you who put the good of America ahead of personal agendas, we would be doomed! DITTO comments from Mr. McHugh,Mr.Burgess and George.

You are a great mind; please continuing sharing your economically sound ideas and solutions! Without citizens as you who put the good of America ahead of personal agendas, we would be doomed!

]]> By: John Goodman http://healthblog.ncpa.org/my-best-idea/comment-page-1/#comment-38600 John Goodman Wed, 28 May 2008 19:16:58 +0000 http://www.john-goodman-blog.com/my-best-idea/#comment-38600 If you don't insure, $1500 will be sent to the local safety net in the area where you live. This does not guarantee that you will get any particular care. And if you do get care, you may be asked to pay for it. This procedure puts a floor on the amount that safety net agencies have to spend per uninsured person in their area. And yes, it does replace the average amount of past uncompensated care. But, that aid is imperfectly and inefficiently meted out and the cost shifting part of it is going to disappear as the market becomes more competitive. So the current system is not viable. If you don’t insure, $1500 will be sent to the local safety net in the area where you live. This does not guarantee that you will get any particular care. And if you do get care, you may be asked to pay for it. This procedure puts a floor on the amount that safety net agencies have to spend per uninsured person in their area.

And yes, it does replace the average amount of past uncompensated care. But, that aid is imperfectly and inefficiently meted out and the cost shifting part of it is going to disappear as the market becomes more competitive.

So the current system is not viable.

]]> By: Ethan Allen Institute http://healthblog.ncpa.org/my-best-idea/comment-page-1/#comment-38599 Ethan Allen Institute Wed, 28 May 2008 19:15:49 +0000 http://www.john-goodman-blog.com/my-best-idea/#comment-38599 I don’t see how this "guarantees a minimum per capita funding for the safety net." Is this payment the only gov’t subsidy for the safety net? Or is the payment on top of other gov’t funding, in which case it will just displace the other funding? If I'm lower income, what is my incentive to pay premiums, other than the $1500 discount? I don’t see how this “guarantees a minimum per capita funding for the safety net.”

Is this payment the only gov’t subsidy for the safety net? Or is the payment on top of other gov’t funding, in which case it will just displace the other funding?

If I’m lower income, what is my incentive to pay premiums, other than the $1500 discount?

]]> By: George http://healthblog.ncpa.org/my-best-idea/comment-page-1/#comment-38593 George Tue, 27 May 2008 19:52:54 +0000 http://www.john-goodman-blog.com/my-best-idea/#comment-38593 I certainly agree with your five mega-changes, especially # 3; it seems to many people that this is what we are experiencing now. I also like your solution, but it's not "free" (which seems to top too many peoples' wish lists). How about paying for the whole system with productivity and responsible behavior; it's the ultimate cost cutting solution AND the most efficient way to literally produce sufficient "health capital" to sustain the system (as best I can tell) indefinitely. It's outside "the box," but circumstances (see # 3) are pulling us out of that anyway... I certainly agree with your five mega-changes, especially # 3; it seems to many people that this is what we are experiencing now. I also like your solution, but it’s not “free” (which seems to top too many peoples’ wish lists). How about paying for the whole system with productivity and responsible behavior; it’s the ultimate cost cutting solution AND the most efficient way to literally produce sufficient “health capital” to sustain the system (as best I can tell) indefinitely. It’s outside “the box,” but circumstances (see # 3) are pulling us out of that anyway…

]]> By: Michael Burgess http://healthblog.ncpa.org/my-best-idea/comment-page-1/#comment-38591 Michael Burgess Tue, 27 May 2008 16:19:16 +0000 http://www.john-goodman-blog.com/my-best-idea/#comment-38591 As always, brilliant in its simplicity and comprehensiveness. As always, brilliant in its simplicity and comprehensiveness.

]]> By: Mike Korbey http://healthblog.ncpa.org/my-best-idea/comment-page-1/#comment-38589 Mike Korbey Tue, 27 May 2008 15:52:55 +0000 http://www.john-goodman-blog.com/my-best-idea/#comment-38589 <p>Just read your email.</p> <p>Here's an interesting piece.</p> <p><a href="http://articles.moneycentral.msn.com/Investing/JubaksJournal/LetWalMartFixUSHealthCare.aspx" rel="nofollow">Let Wal-Mart fix US health care</a></p> Just read your email.

Here's an interesting piece.

Let Wal-Mart fix US health care

]]> By: Jack McHugh http://healthblog.ncpa.org/my-best-idea/comment-page-1/#comment-38590 Jack McHugh Tue, 27 May 2008 14:56:29 +0000 http://www.john-goodman-blog.com/my-best-idea/#comment-38590 This is similar to the idea that I described at the tale-end of "Expanding Access to Health Care — A Free Market Perspective," a survey of the free market critique and recommendations on the Mackinac Center web site. "My" version is actually the health care plank in Charles Murray's 2006 book, "In Our Hands: A Plan to Replace the Welfare State" (AEI Press). I get "expelled" every time I bring it up in free market/libertarian circles, so it's nice to see I have company. A May 21 op-ed by Rep. Paul Ryan offered another version, and even Cato's Arnold Kling had nice things to say about it. This is similar to the idea that I described at the tale-end of “Expanding Access to Health Care — A Free Market Perspective,” a survey of the free market critique and recommendations on the Mackinac Center web site. “My” version is actually the health care plank in Charles Murray’s 2006 book, “In Our Hands: A Plan to Replace the Welfare State” (AEI Press). I get “expelled” every time I bring it up in free market/libertarian circles, so it’s nice to see I have company. A May 21 op-ed by Rep. Paul Ryan offered another version, and even Cato’s Arnold Kling had nice things to say about it.

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