To provide affordable health care by any means has been a
huge problem in all societies. Some countries have found solutions, which invariably
involve government intervention of some sort. Obamacare is the attempt of the
American people to solve the problem. It is hybrid system mimicking social
security; government supervised and subsidized insurance but mainly privately paid
by those who can afford it.
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The problem of providing health cares is that free
enterprise does not work for anything that has a required demand, which removes
the free choice option. We all grow old and suffer sickness and accidents. Public
schools and prisons are other social programs or systems where circumstances remove
the element of free choice. Children have to be educated and we have to protect
ourselves from wrongdoers.
As a veterinarian, I have had clients say that I should do
everything possible to save their pets no matter what it costs. There is a
strong client doctor relationship. Physicians do not have this same “billing” relationship
with their patients; they most often have a third party payer standing between
them and their patients. In addition, they have a drug companies, and hospital corporation
acting as in independent billing system. Medical devices manufacturers, ambulance
services medical laboratories and malpractice lawyers are standing ready to
reap the benefits of your illness; vulture medical beneficiaries. Each one of these
parties is standing ready to capitalize on an unfortunate situation for which
you have no choice.
These disinterested non-empathic beneficiaries have a single
motive: profit. Medical monopolies, hospitals the only one in town for example
or many hospitals owned by the same corporations with the non-contested power
to set prices, insurance companies with the power to dictate; thus, mold their coverage
and premiums to “earn” a profit;
preexisting conditions, age discrimination, and physicians ordering tests to pay for the
new multimillion dollar x-ray scanning instrument. There is no competition,
there is no option to modify demand; there is not free market. Logarithmic
increases in pre-Obamacare medical care costs prove beyond any doubt that free
enterprise does not work in medical care. With all those hands in the pot at the
“end of the rainbow”, no wonder it was so hard to get a law passed. Why would we want to return to that imbalanced
world?
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