ext_98055 ([identity profile] drooling-ferret.livejournal.com) wrote in [personal profile] alexandraerin 2009-09-15 11:39 am (UTC)

That said, I do not believe that scrapping a system that works for 250 million people so that 12-40 million (depending on the source) is the right idea.

300 - 250 = 50. Just sayin'. And this assumes that the system 'works for' anyone with insurance, which it doesn't.

Then there's the whole 'scrap' thing - I wish to hell we'd scrap it and move on, but I don't see any serious proposals to do so. So I object to your framing of the current weaksauce reform proposals as 'scrapping' the current system.

Short version is portability...allow insurance policies to be sold across state boarders

I love that you're anti-big-government, and probably (though I may assume too much here) pro-states-rights, but actively promoting a plan that undermines individual state sovereignty! Loves it!

tort reform...cap damage suits for medical malpractice/frivilous lawsuits

This implied categorization of all or nearly all medical malpractice suits as frivolous is offensive. Ever get hurt by a doctor? Ever get hurt by one who told you that your poor surgical outcome (note: initial surgical outcome, immediately apparent) was because you were lazy, fat, and stupid, and not because he fucked up? Ever try to scrape together a few thousand dollars for a lawyer, and for medical experts to testify on your behalf, so you even have a shot at winning a case?

If you have, I can't see how you buy into this framing.

encourage hsa/msa plans for catastrophic care

Do you understand what this actually means, in practice? Go on, explain how you think this plays out in real life.

and most importantly, EDUCATE THE PUBLIC. It's amazing how little people know about how to utilize their coverage in the most efficient and economical ways possible.

Oh please. Every doctor I go to has one or more specialist staff members whose sole job duty is to figure out how on earth to get the insurance company to pay for what the doctor deems medically necessary. If it were reasonable to expect the average person to be able to figure this out, there would not be schools devoted to training these people, or a strong employment demand for anyone with a few years' successful experience.

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