Tyrone Slothrop |
08-12-2005 04:12 PM |
Quote:
Originally posted by Spanky
I think Aristotle also said that only a Moron bets against the house. The problem is that whole personal responsiblity thing Penske keeps talking about. You can't always save people from themselves.
Health care is different. You just can't let bleeding people die on the street. So your health problem becomes my health problem. Just like your national security problem is my national security problem.
So you have to compromise. You want to let people have as much personal responsiblity as they can but you have to also keep costs down and take care of those that can't take care of themsevles (I know that makes me a pinko). So I figure my solution is the best compromise. You are not forcing people to pay for health insurance. They don't have a right to use the public roads. You are just charging a fee for their use of the public roads. And yes, you are charging people through taxes to take care of other people but in this case humanitarian reasons trump the evil of taxation. In addition, the system I propose makes the system more efficient than the one we have now. And so far I have never heard of a better alternative.
|
I think wonk has already explained that if you go to the emergency room, you get a bill. The health-care system has many problems, 't'is true, but I remain unconvinced that people getting free care by going to ERs and then skipping out on their bills is a big problem. Maybe RT will tell me otherwise.
My point about Las Vegas was only that people might be acting rationally in declining insurance, in the same way that it might be rational for you or I to decline to buy earthquake insurance. I agree that it becomes a problem for the rest of us when those people lose their bets.
I think the bigger health care problems can be seen in the fact that wonk, who I suspect is about as informed and rational a health-care consumer as there is, can be whacked $5000 for the trip to his ER doctor. The complexity of the contractual arrangements necessary to purchase health-care defies the efforts of any reasonable consumer to act rationally. The transactions costs are massive, and the benefits enjoyed by repeat players are overwhelming.
|