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Re: Swing State Blues
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Originally Posted by Greedy,Greedy,Greedy
It is actually much, much harder to cut costs without also addressing the uncovered. What made ACA work was increasing the total pool size nationally; without that increase in pool size, controlling premiums is much more difficult. That cuts costs in the insurance component of care rather than in the care itself, so it gets you cost cuts without affecting quality. Now, if you want to regulate for-profit hospitals like utilities, eliminate patent protection for drugs, or cap physician salaries, you may be able to cut costs without a pool expansion, but those things are not only politically challenging, they are also constitutionally questionable and can have direct impacts on quality of care.
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This is why, heartless bitch that I am, I want to yank those 18 to 26 year olds off of their parents' ERISA plans and put them in the pools where they belong, subsidizing the older folk.
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"In the olden days before the internet, you'd take this sort of person for a ride out into the woods and shoot them, as Darwin intended, before he could spawn."--Will the Vampire People Leave the Lobby? pg 79
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