…theory does not practicality make.

Why can’t people extend logic just a smidge? An iota? A scintilla? If you have the creative capacity to dream up scenarios to defend your shitty, weak hypotheses, what is the harm in thinking an additional minute or two to ensure your idea isn’t completely off-base or entirely wrong? Wouldn’t it make it easier to sell? Wouldn’t it make it believable? Because, when you don’t take that extra five minutes or so, you’re left with being challenged by some nitwit, healthcare consultant in the South who doesn’t care much for people and certainly isn’t agreeable when she identifies significant gaps which she, in her distorted sense of ethics, deems immoral.

Alas, no. Logic is not a consideration in Conservative decision making. Neither is decency. Nor humanity. If it was, these assholes wouldn’t be hijacking government via “special sessions” (imma lookin atchu, NC General Assembly) and the Senate wouldn’t be voting to repeal the Affordable Care Act when they should otherwise be in bed, fucking their rent-boys.

A few things to note:

The costliest demographic to providers and insurers in healthcare is the chronically ill, age regardless.
The general public will never escape the burden of funding care for those who cannot pay the bill.

In a society that relies on employer subsidized healthcare as the model, eliminating the consumer’s protection with respect to preexisting conditions is reckless, irresponsible and immoral. There is absolutely no guarantee any person can maintain constant employment. Costs for non-subsidized health insurance are unrealistic for middle and lower class citizens without opting for a deductible that is unreasonable.

With Ryan’s plan, the state and federal governments are still involved. The insurance providers are still involved. They’re still subsidizing the cost. Your tax dollars are still paying for this albeit less efficiently because you have diluted the market, as a whole. Your insurance premiums will still be offsetting the cost for the providers.

“For sick patients who cannot continue coverage, Ryan’s plan calls for a return to state-run high-risk pools. These pools allow sick people to buy insurance separately, while states, insurers and the federal government help subsidize the cost. The president-elect’s website says he supports risk pools.

Risk pools have a long and controversial past. Before the ACA was passed, 35 states ran risk pools for people with preexisting conditions ranging from cancer and diabetes to more minor afflictions such as arthritis or eczema. Premiums for risk pool coverage were as much as 250 percent more than a healthy person would pay for individual insurance, and some states, overwhelmed with sick patients, had wait lists for coverage or imposed other restrictions, said Fish-Parcham.”

Additionally, as we see in other business models, when there is shrinkage or loss, the cost of business is passed along to the consumer. Do you honestly believe providers (practices or hospitals) are not going to inflate their charges to the consumer to make up for the bad debt of others? Do you think you’re not going to be stuck assuming that burden? YOU WILL BE.

And so forth. Further reading here.

http://www.nytimes.com/2012/01/22/nyregion/chefs-butlers-and-marble-baths-not-your-average-hospital-room.html?_r=1&src=me&ref=general

The New York Times Headline catches my eye,
“Chefs, Butlers, Marble Baths: Hospitals Vie for the Affluent”,
Something here seems quite incongruent,
When many can’t afford healthcare,
The elite receive more than their share,
There is no logic there to follow,
It’s a very bitter pill to swallow,
Capitalism truly put to the test,
Survival of the fittest and then screw the rest?
What’s at the heart, what makes this system tick?
It’s an odd thing when a healthcare system is sick.