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Old 08-09-2012, 06:08 AM   #39
EvonsRorgon

Join Date
Oct 2005
Posts
438
Senior Member
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As you know, people with expendable cash are proving time and time again that they are not concerned with the notion of being without health insurance.
People with expendable cash are not the ones who are not paying. Consider your next sentence.
Considering most people are in some sort of debt, adding a few thousand to their bills by using a hospital's services without health insurance seems like a reasonable notion, especially since it's fairly easy to walk away from an unsecured debt.
While I can understand that you need to take care of yourself and your loved ones, and taking on debt doesn't and probably shouldn't stop anyone, the problem is that without an incentive to be ensured against such a circumstance, there really is no incentive, because relying on people's sense of morality and social responsibility is pretty much idiocy.

Interestingly, this is what inevitably happens in a system when insuring people is mandatory, but maintaining insurance isn't*... which is really what is being set up with Obama's healthcare plan. In a system when the average per-capita health spending is $8500/person/year, a penalty of $800 for not being insured, sounds like the most efficient way to maintain your health.
I see people time and time again more than willing to spend their money on beer consumption rather than being insurance protected, so the only answer I can come up with is forcing people, somehow, to purchase health insurance (or face a penalty).
... but clearly you already understand what I am talking about.
Seeing my insurance premiums nearly triple in the last 4 years when I rarely even use it, while doing my best to stay healthy, is quite disheartening. It's perfectly reasonable to understand that hospitals will not force those without insurance to die in the streets, but I am starting to grow tired of being punished for trying to be responsible.
Well, that's the kicker. As long as doctors and hospitals are compelled to treat patients whether or not they will ever get paid (which is the way it should be, we do take an oath after all), there is no easy solution to this problem.

Insurance works when it comes to driving because we do not assume that everyone has an inaliable right to drive, and you are simply not allowed to own or drive a car if you don't have insurance. That isn't the case with health insurance under either a purely private system, or the current hybrid model, either in its current iteration, in its past incarnation, or in the way it will be after Obama's plan fully takes effect.

Other than making the penalty something truly ridiculous (like being equal to per-capita spending), I have trouble coming up with a better idea. If everyone else thought like you and me, and elected to make intelligent choices when it comes to insurance, there wouldn't be a problem. Unfortunately that isn't the case.

*Of note, some major deficiencies in the current system, including its incredible billing complexity, and variable payments, have resulted in a situation where responsible people seeking insurance independent of group rates such as universities or jobs, are pretty much screwed. With less than 60% of the employable age population employed, that's a real problem.
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