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Healthcare Law Appealed To Supreme Court

26 states and a small business group have filed separate appeals to the U.S. Supreme Court, asking it to strike down Obama's 2010 healthcare law. In August, an appeals court in Atlanta ruled that the individual insurance requirement was unconstitutional, making it almost certain that the bill would go to the Supreme Court. From the article: "The Obama administration earlier this week said it decided against asking the full U.S. Appeals Court for the 11th Circuit to review the August ruling by a three-judge panel of the court that found the insurance requirement unconstitutional. That decision cleared the way for the administration to go to the Supreme Court. The administration has said it believes the law will be upheld in court while opponents say it represents an unconstitutional encroachment of federal power."

1,019 comments

  1. What other products by tripleevenfall · · Score: 5, Insightful

    What other products will they eventually mandate that we buy from corporations, purely by virtue of existing?

    1. Re:What other products by Ferzerp · · Score: 1

      Well, the RIAA and MPAA have infiltrated the government pretty well, and it seems to fit with their ideals....

    2. Re:What other products by FunkSoulBrother · · Score: 4, Insightful

      Clothes. Try walking around town naked and homeless.

    3. Re:What other products by Gr33nJ3ll0 · · Score: 4, Insightful

      Seatbelts, and motorcycle helmets are a couple of good examples.

    4. Re:What other products by tysonedwards · · Score: 5, Insightful

      The distinction here is that health care is pretty vital to "promote the general Welfare" (US Constition - Preamble)
      welfare |welfe()r| (noun)
      the health, happiness, and fortunes of a person or group

      To that end, it seems pretty obvious that the founders of the United States cared enough about the health of it's citizens.

      We the People of the United States, in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defence, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity, do ordain and establish this Constitution for the United States of America.

      --
      Thirty four characters live here.
    5. Re:What other products by Anonymous Coward · · Score: 0

      General welfare doesn't include forcefully taking money from one group of people only to give it to another group of people, or forcing doctors to treat patients.

    6. Re:What other products by Rockoon · · Score: 3, Informative

      The distinction here is that health care ,,,

      We are talking about health insurance, not health care.

      --
      "His name was James Damore."
    7. Re:What other products by Anonymous Coward · · Score: 1

      It is a choice to ride a motorcycle or drive a car. It is not a choice to exist.

    8. Re:What other products by Anonymous Coward · · Score: 0

      Health care is a product that every one will need & use and can unpredictably hit an individual with costs that far exceed their ability to pay. It is quite different than other products. Since we have ethical problems with letting people die in the streets, the cost will be born by someone. Is taxing everyone to pay for the uninsured better than requiring the individual to contribute to their health care costs?

    9. Re:What other products by Shotgun · · Score: 1

      And both have been railed against for the exact same reason as this law. And you don't have to buy or use either. You only have to use them when on public roads (there are a LOT of farm vehicles that don't carry license plates or liability insurance).

      --
      Aah, change is good. -- Rafiki
      Yeah, but it ain't easy. -- Simba
    10. Re:What other products by swamp+boy · · Score: 1

      Not really. The government doesn't mandate that you buy clothes -- just that you wear them. Probably not a meaningful difference for most people, but it may be for the Amish.

    11. Re:What other products by gurps_npc · · Score: 2, Insightful

      The health care law does NOT mandate that we buy. It taxes us if we don't buy insurances. More importantly, the tax it charges is about half the cost to buy insurance. It is not a ridiculously high tax. Just like the IRS taxes more us if we don't buy a home. You know that 50% of americans that don't pay taxes? Almost all of them that make more than 50k a year do it by having a home and taking the tax breaks related to owning a home. The US government charges us for not doing a lot of things. Claiming that it can't do it for health care is an obvious lie. Similarly, the US government charges us not to have children, not to give to charity and a lot of other things.

      --
      excitingthingstodo.blogspot.com
    12. Re:What other products by munky99999 · · Score: 1

      There are many examples of mandatory 'products' but how about the USA joins the rest of the 1st world countries and not have health care be a for-profit product but rather a non-profit service?

    13. Re:What other products by swamp+boy · · Score: 1

      I wouldn't call those good examples. Seatbelts come with all modern vehicles and not everyone even owns a car. Although motorcycle helmets must be worn in many states for street riders, not everyone owns or rides street motorcycles. Your examples are similar, but not a "good example".

    14. Re:What other products by WrongMonkey · · Score: 1

      Seatbelts and helmets are not mandatory because cars and motorcycles are not mandatory. Healthcare is first case of being forced to buy a product just for being alive.

    15. Re:What other products by tylersoze · · Score: 1

      Well that's a dumb analogy, given the fact the person would be given eventually clothes at some point. As far as beging homeless, they would be given some shelter if they were arrested obviously.

      You know, living in a society there are a few things you can actually get free (gasp socialism! everything should be paid for obviously) in a modern society complete glutted with products. I'm really sicked by people that make those arguments that the poor don't have it so bad since they have a TV. Oh it's so hard to acquire a TV. Let's just chuck those old CRT's in the landfill then while we buy our new flat screen TV's rather than give them to people that lack one.

      That said, I really hope the law is struck down so that perhaps we can move towards an actual single player system like every other civilized country, rather than that horrible half-measure combining the absolutely worst of both private and public. Yeah those private health insurers are definitely looking out for my interests more than some government managed system would.

    16. Re:What other products by Toonol · · Score: 2

      The state does, not the federal government. Obamacare might have been constitutional if adapted and managed by the states, on a state-by-state basis. States (are supposed to) have much more power than the federal government in managing their own commerce.

    17. Re:What other products by ArcherB · · Score: 2, Insightful

      The distinction here is that health care is pretty vital to "promote the general Welfare" (US Constition - Preamble)

      welfare |welfe()r| (noun)

      the health, happiness, and fortunes of a person or group

      To that end, it seems pretty obvious that the founders of the United States cared enough about the health of it's citizens.

      We the People of the United States, in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defence, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity, do ordain and establish this Constitution for the United States of America.

      LOL. The Preamble does not give any power to the government. It explains WHY the Constitution was written, nothing more. It is certainly not an enumerated power and does not give the federal government unlimited power to "promoting the general Welfare" or "insure domestic Tranquility".

      --
      There is no "I disagree" mod for a reason. Flamebait, Troll, and Overrated are not substitutes.
    18. Re:What other products by munky99999 · · Score: 2

      Government isn't mandating that you buy health care -- just that you have it.

    19. Re:What other products by EverlastingPhelps · · Score: 1

      The problem is that you are being forced to buy it whether you want to use it or not. They don't make me buy a motorcycle helmet even if I am never going to ride a motorcycle.

    20. Re:What other products by Anonymous Coward · · Score: 0

      So next we should repeal laws stating that emergency rooms have to care for patients regardless of whether they can pay?

    21. Re:What other products by zraider · · Score: 1

      Ahem. That's the preamble, and not an enforcable article of the Constitution.

    22. Re:What other products by Anonymous Coward · · Score: 0

      When faced with two untenable alternatives, consider your imperative.

    23. Re:What other products by tysonedwards · · Score: 1

      However, the receipt of health care in many cases in dependent on health insurance.

      If a patient does not have health insurance, they are entitled solely to a minimum level of health care in emergency situations to provide "stabilizing care".

      And legally, the definition of an "Emergency" with regards to the medical system is:
      (A) a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in:
      placing the health of the individual (or, with respect to a pregnant woman, the health of the woman or her unborn child) in serious jeopardy
      serious impairment to bodily functions, or
      serious dysfunction of any bodily organ or part; or
      (B) with respect to a pregnant woman who is having contractions:
      that there is inadequate time to make a safe transfer to another hospital before delivery, or
      that transfer may pose a threat to the health or safety of the woman or the unborn child.

      --
      Thirty four characters live here.
    24. Re:What other products by DaHat · · Score: 1

      Do the feds require that? Or is it the states that do?

      No one has questioned whether MA (or another state) has the right to require it's citizens to carry health insurance... the issue here is if the feds can require it of all of us.

    25. Re:What other products by ClioCJS · · Score: 1

      100% of Americans pay taxes. 50% of americans don't pay income tax.

      --
      -Clio
      Karma: Bad (mostly from not giving a fuck)
      Blog: http://clintjcl.wordpress.com
    26. Re:What other products by Hatta · · Score: 2, Informative

      Guns, tanks, cruise missiles, aircraft carriers. I don't use any of those, and yet I am required to pay for them.

      --
      Give me Classic Slashdot or give me death!
    27. Re:What other products by Anonymous Coward · · Score: 0

      Aside from a portion of the second amendment, it's the only part most people read.

    28. Re:What other products by tylersoze · · Score: 1

      God and such a terrible burden it is. Of course I guess the alternative in a wonderful libertarian utopia would be deny to medical treatment to anyone not wearing a seat belt during a crash, after all that's that would be the logical thing for an insurance company to do. Yeah let's do that rather than mandating the minor inconvenience in order to save lives and reduce overall health care costs for everyone. I guess you're against speed limits as well? If I want to drive 100 mph in a school zone I have every right!

    29. Re:What other products by DJ+Jones · · Score: 1

      How is it any different than people who are taxed more for not owning a home, being married, or owning their own business? Same concept, different wording. You are taxed based on your choices already. Get over it.

    30. Re:What other products by Rockoon · · Score: 0

      Government isn't mandating that you buy health care -- just that you have it.

      It is doing neither.

      What is with all you liberals that dont know the difference between health care and health insurance? Seriously.. its getting old.

      --
      "His name was James Damore."
    31. Re:What other products by nschubach · · Score: 1

      I agree, but the argument I've hears against that is in regards to poorer states not being able to get enough "healthy" people to cover the costs of the care. Of course, no real numbers were given... only speculation.

      --
      Every time I start to have faith in humanity, I ruin it by driving to work between 7 and 8 am.
    32. Re:What other products by dbc · · Score: 1

      Those words are from the preamble. They don't establish law, not being part of the articles. In any case, it is pretty clear that the authors of the constitution were enumerating limited powers of the federal government, and unless you can find the power listed, the federal government doesn't have it. That has been stretched pretty badly since the days of FDR. The *only* clause in the constitution that can be construed to allow Obamacare is the commerce clause, which gives the federal government the power to regulate interstate commerce. That clause has become the camel's nose under the tent that has enabled the federal government to grow like topsy since the beginning of the FDR administration.

      I challenge you to find any part of the constitution that gives the federal government the power to coerce a citizen into buying a product from any person or company. I challenge you to go read the Federalist Papers and any other contemporaneous writings debating the adoption of the constitution and find in them anything that remotely anticipates the Federal government forcing a citizen to buy any particular product or service. To the extent that you find anything, I suspect it will be commentary of the form: "... and with this constitution, you have a guarantee that sort of thing will never happen..."

    33. Re:What other products by Eunuchswear · · Score: 1

      General welfare doesn't include forcefully taking money from one group of people only to give it to another group of people, or forcing doctors to treat patients.

      Of course it does, you moron.

      --
      Watch this Heartland Institute video
    34. Re:What other products by Anonymous Coward · · Score: 0

      buy, have... same thing. Unless you suggest stealing health care is an option.

    35. Re:What other products by Volante3192 · · Score: 1

      *Federal income tax.

      States are a whole different story.

    36. Re:What other products by Anonymous Coward · · Score: 0

      LOL. The Preamble does not give any power to the government. It explains WHY the Constitution was written, nothing more. It is certainly not an enumerated power and does not give the federal government unlimited power to "promoting the general Welfare" or "insure domestic Tranquility".

      Yeah, lol. Really funny. Funny that the people railing against things like this are so quick to call upon TEH CONSTITOOSHUNZ for debating power and feel-goodiness, but are more than willing to quickly point out how little power it has when someone thinks to actually look it up.

    37. Re:What other products by erroneus · · Score: 1

      So far, auto insurance and health insurance. I guess the next batch of cronies will make that determination, but I'm hoping the next cronies come from Browning, Bushmaster, Mossberg, Colt, Ruger, Smith & Wesson, Taurus, Winchester, U.S. Fire Arms, Armalite or whoever else in that industry. That's the kind of insurance I wouldn't mind being required to buy.

    38. Re:What other products by im_thatoneguy · · Score: 5, Insightful

      The problem isn't that we're mandated to buy it. The problem is that it's a mandatory service that *SHOULD BE PROVIDED BY THE GOVERNMENT*.

      I'm ok with being denied service based on my wages for a lot of things but when it comes to life saving medicine I don't see that as a "would be nice" feature.

      This goes back to the "Do you let them die?" question. Should a hospital let someone bleeding to death die in their Emergency Room if they have no insurance? I think except for at republican debates the answer is "no".

      So we've accepted that getting medical treatment is guaranteed.

      I'm going to probably shock people with this but you're already required to buy all manner of things. Do you want airbags? Too bad, buy a car and you get them. Do you want a life raft space for you on all cruise trips? Too bad, you have to buy one.

      Now yes you can choose to not drive a car or ride a boat but you can't choose to not be born. And once born our medical system is your life's liferaft.

    39. Re:What other products by nschubach · · Score: 1

      "Government isn't mandating that you buy [a yacht] -- just that you have it."

      By simply replacing a word/object your statement, I have to ask:
      Can you steal healthcare?
      How does one "have it" without "buying" it?

      I think I know what you're getting at (your company provides insurance?) and if that's the case, you cannot say that you have not bought that healthcare. You are buying it, at the cost of lower wages.

      --
      Every time I start to have faith in humanity, I ruin it by driving to work between 7 and 8 am.
    40. Re:What other products by Rockoon · · Score: 0

      Thats not what the Democrats wanted when they forced through (only a single Republican vote in both House and Senate, combined) their reforms. They wanted to make everyone send money towards those blue states in New England that have all those massive insurance companies (Hartford, Connecticut is the insurance capital of the world, and the entire region is top-heavy with insurance companies)

      --
      "His name was James Damore."
    41. Re:What other products by Bardwick · · Score: 1

      My aunts household (2 adults, 1 child). Welfare, social security and food stamps for over 20 years. How are they paying taxes again?

    42. Re:What other products by RingDev · · Score: 5, Insightful

      On the other hand, we are forced to pay for Healthcare of others. It's already a socialized system. No one will be turned away from an emergency room. And our payments are bloated to cover the loss from uninsured patients and set-cost payments (medicare).

      So if I'm already forced to subsidize everyone else, why shouldn't they be forced to either subsidize along with me (the socially responsible choice) or to pay a penalty, to atleast put some skin in the game.

      It is unfortunate that we don't have much for non-profit or a government option. Because I'm getting pretty sick of paying 20 cents on the dollar to pay Cigna's CEO's pay check while getting raked for $20k+ a year in health care expenses.

      -Rick

      --
      "Most people in the U.S. wouldn't know they live in a tyrannical state if it walked up and grabbed their junk." - MyFirs
    43. Re:What other products by reebmmm · · Score: 1, Interesting

      It's also not really a choice NOT to participate in modern, American healthcare.

      One of the proposed "fixes" originally was only to "require" insurance of people that partake of the healthcare system which is, at some level, everyone born in the United States. In other words, if you've never or will never use any healthcare, you'd be freed of the obligation. There are lots of practical problems with this, including, what to do with "free riders" or protestors that show up to a hospital, clinic, etc. when they're already sick or in need of healthcare.

      And when people tried to posit scenarios of someone who would never need U.S. healthcare, you get politicians like Rep. Steve King citing babies discarded in dumpsters. http://www.youtube.com/watch?v=OOrBpTdZ2tc&feature=player_embedded

      The fact is, everyone participates in the current healthcare system even if they don't want to. Even those that affirmatively try to avoid the system could wind up there nevertheless via an ambulance and a 911 call. Allowing certain people to NOT participate is highly inequitable and without any rationale basis.

      All of that said, this result of the ACA is largely the Republicans' and insurance companies' fault. The more sweeping, Democratic vision would not have had the same problems and would not be unconstitutional on these grounds.

    44. Re:What other products by tripleevenfall · · Score: 1

      But nowhere was this law justified under "promote the general welfare". The government claims it has the ability to force an individual to buy health insurance because they have the ability to regulate interstate commerce.

    45. Re:What other products by nschubach · · Score: 1

      That said, I really hope the law is struck down so that perhaps we can move towards an actual single player system like every other civilized country

      I prefer multiplayer coop.

      --
      Every time I start to have faith in humanity, I ruin it by driving to work between 7 and 8 am.
    46. Re:What other products by Bardwick · · Score: 1

      They are used on your behalf to defend the United States which is required by our constitution. If they are misused, then you would have (and probably do) have a point.

    47. Re:What other products by Anonymous Coward · · Score: 0

      Yeah those private health insurers are definitely looking out for my interests more than some government managed system would.

      Results matter more than intent, don't you think?

    48. Re:What other products by spidrw · · Score: 1

      Why does everyone think that getting married also comes with a tax break? Ever look at income limits for various deductions and credits? They are never double for married couples, and certainly not MORE than doubled.

    49. Re:What other products by Anonymous Coward · · Score: 0

      Yea, I know that sounds like a solid argument, and I've made it myself many times. That is, until teabaggers started replying "yes, they should repeal those laws". And then when I try to really reinforce my obvious point by saying "so what, there should just be piles of poor people dying outside of emergency rooms?", they just say "yes" again. It was around this point that I realized I no longer support the government helping anyone at anytime, and the best solution would probably just be to launch our entire nuclear arsenal at once and be done with it.

    50. Re:What other products by Anonymous Coward · · Score: 0

      I'm not mandating that you give me your wallet, but I will be smashing your hand with a hammer if you don't.

      Looks like a distinction without a difference. And as for the rest of your examples, your argument is essentially that, because the government already does ten idiotic things with the tax code, it's OK to add an eleventh.

    51. Re:What other products by nschubach · · Score: 1

      Technically, it wouldn't be mandatory since you could leave the country... but that option pretty much sucks.

      --
      Every time I start to have faith in humanity, I ruin it by driving to work between 7 and 8 am.
    52. Re:What other products by Volante3192 · · Score: 1

      Sales tax? Gas tax?

    53. Re:What other products by PianoComp81 · · Score: 1

      I'm really sicked by people that make those arguments that the poor don't have it so bad since they have a TV. Oh it's so hard to acquire a TV. Let's just chuck those old CRT's in the landfill then while we buy our new flat screen TV's rather than give them to people that lack one.

      The complaining's not about the poor having TVs. It's about the poor paying for satellite or cable TV when the basic channels are free over-the-air (that's the theory anyway - assuming they have a good antenna).

    54. Re:What other products by Amtrak · · Score: 1

      These are required by states not the feds. Example: in Michigan when I ride my motorcycle I am required by law to wear a DOT certified helmet at all times I'm on a public road, while in Ohio on the other hand if I want to be an idiot and not wear a helmet then it's perfectly legal. This is what the healthcare debate is about, not that states are allowed to regulate the purchase of something, clearly that is ok states already require, home owners insurance, car insurance, and in the case of Massachusetts health insurance, but the problem is that the Federal government has not been given that power in the constitution.

    55. Re:What other products by Anonymous Coward · · Score: 0

      There is a significant difference between getting a discount for doing something, and being taxed or fined for not doing something.

    56. Re:What other products by nschubach · · Score: 1

      One could replace Welfare with Well-being. Language changes over time. The Constitution was set up to divide power and one of those divisions is the empowerment of the person or individual.

      --
      Every time I start to have faith in humanity, I ruin it by driving to work between 7 and 8 am.
    57. Re:What other products by Denogh · · Score: 1

      "Government isn't mandating that you buy [a yacht] -- just that you have it."

      So now Obama is trying to make me buy a yacht? Bloody hell, how far will this guy go before people wake up. I'm going to write up an email and send it to all my friends. Our president is clearly in the pocket of "Big-Yacht".

    58. Re:What other products by ClioCJS · · Score: 1

      Also the fact that you can't get social security without paying into the system too....

      --
      -Clio
      Karma: Bad (mostly from not giving a fuck)
      Blog: http://clintjcl.wordpress.com
    59. Re:What other products by jmorris42 · · Score: 0, Troll

      > That said, I really hope the law is struck down so that perhaps we can move towards an actual single player system..

      Which is almost certainly what is going to happen. Kennedy won't have the balls to invoke the inseverability of the mandate and thus invalidate the whole thing. But any idiot (I assert Obama, Pelosi, et al weren't being idiots) can see the mandate doesn't pass muster. With the mandate gone and the rest of the bill intact the insurance system will quickly collapse. Even with Divine Intervention I can't see the R's mustering 60 votes in the Senate for a full repeal since every last D sees this (correctly) as a hill to die on, as it is the untold power of life and death for the State to wield forever. So if the rest is still on the books but the funding mech is unconstitutional we get single payer by default.

      Obamacare was designed to fail in this way. Remember the tape Beck had of that Obama stooge saying something like, "People say this is a Trojan Horse for single payer. No it isn't, its right there."

      Hope you like ambulances forming a queue outside hospitals.

      --
      Democrat delenda est
    60. Re:What other products by JordanL · · Score: 1

      Can you give me an example of a society where health services are provided at cost to the entire society?

      This whole debate really uncovers a truth that we as humans don't particularly like acknowledging: we do not have the physical resources to provide everyone with our best medical care. So somehow we must have some people who do not receive our best care. And some who do.

      At the very least, we need to be producing over 1 zetta-joules of energy per year to provide that standard of living to the entire planet, and that assumes availability of materials.

      That seems a bit unreasonable. But we can reduce the materials and energy needed through advancing technology and knowledge.

    61. Re:What other products by almitydave · · Score: 1

      Well, that's a good point - there are laws that require you to have certain things - but you're not required to buy clothes - if you had the means, you'd be fine wearing clothes you made yourself for free, hand-me-downs, etc. Also, the law doesn't care what you wear in private places, assuming it's ok with the property owner - you can go naked at home just fine. Contrast this with saying, "I'm not going to buy insurance, I'll just pay for my own medical care out of pocket when I need it." Are there similar exceptions in the health care law (such as for sufficient means i.e. wealth), or is it truly universal - everyone must buy?

      Similarly, the law prohibits homelessness but not living with someone else for free. You aren't legally required to pay rent.

      IMO, the only fair way to do socialized medicine is simply to say that it's "free": if you need treatment, you go to the doctor/hospital and get it. The costs of care will be spread equally (or whatever) by taxation. This is basically what health insurance is supposed to do - spread out the costs, so each payer is essentially paying the average cost. Unfortunately, this is IMO more prone to waste and abuse than a free market for insurance, with tight regulation on the practice of medicine.

      The problem in the US isn't the quality of health care - the actual practice of medicine in the US is not bad - it's about funding. But people need to accept that a free economy means people will have vastly different financial means to afford important things like medical care. Charities do a great deal to help close the gaps.

      --
      my, your, his/her/its, our, your, their
      I'm, you're, he's/she's/it's, we're, you're, they're
    62. Re:What other products by danlip · · Score: 1

      Do you own a home? Do you have a source to cite for that info? The tax breaks are not that much - you only get to write off the interest on the mortgage. In fact you effectively only get to write off the part of the interest that is bigger than the standard deduction, unless you have a bunch of other things to itemize anyway. In my case that only amounts to about $4000 in deductions (which only saves me about $1000 on taxes), and I have a fairly large home and a new mortgage (which means most of my payment is interest). So I call BS.

      And that is just income tax. There is payroll tax (FICA), sales tax, and of course the property tax that all those homeowner's you are referring to have to pay.

    63. Re:What other products by Anonymous Coward · · Score: 0

      Sales tax - or do they only purchase items that are not covered?
      Property taxes - possibly, but not necessarily.

    64. Re:What other products by dwarfking · · Score: 2

      As others have pointed out, the Preamble does not bestow any powers, it is merely an introduction.

      Now, inside the Constitution in the actual details, that phrase also exists in the Taxing and Spending clause (Article 1 Section 8 Clause 1), but is always taken out of context.

      The text of the clause is:

      The Congress shall have Power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defence and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;

      Notice what follows the general Welfare -- of the United States (and this means the collection of States, not a federal republic).

      Our nation was founded as a union of independent sovereign States. At the time of the writing each State had its own laws, own rules and many had their own currency. The Constitution was written to recognize those States were sovereign, but would come together collectively for defense and dealing with external nations. Prior to the civil war we referred to ourselves as these United States, after that war (which may also have been un-Constitutional since there is no prohibition against States leaving the union, so the 10th Amendment gives them the right to do so) we became known as the United States.

      So the clause refers to the welfare of the States. There is absolutely no authority granted to the federal government to deal with welfare of the people. None of the so called entitlement programs is backed by Constitutional authority, neither are areas like education or EPA regulations that apply only to instate resources. Congress claims all of these powers under the Commerce Clause.

      So no, the Constitution does not grant the federal government any say in the welfare of the citizens of the States.

    65. Re:What other products by nschubach · · Score: 1

      Laws? I think there's only one* law: (passed in 1986)
      http://en.wikipedia.org/wiki/Emergency_Medical_Treatment_and_Active_Labor_Act

      That act comes under great scrutiny in regards to border crossing to get medical attention.

      * Individual states may have them, but I'm not looking them up.

      --
      Every time I start to have faith in humanity, I ruin it by driving to work between 7 and 8 am.
    66. Re:What other products by slashmydots · · Score: 1

      What other products will they eventually mandate that we buy from corporations, purely by virtue of existing?

      If you ignore any end result and take out the politics of it, you can't have the government tell people it's mandatory that they buy something from a private company.

      BUT

      In response to your post, I think I have an idea. They should sell government insurance. They could make it mandatory and it'd be insurance to protect you against damages from stupid government actions, laws, and policies. Now that, I'd buy. Anything else, not so much. Although I am on the fence about requiring everyone to carry some sort of car insurance and my state very recently made it mandatory.

    67. Re:What other products by Anonymous Coward · · Score: 0

      Only a fucking idiot will ride without a helmet.

      I lost a friend recently to this. he had a small accident in chicago on his motorcycle. a helmet would have saved his life. and yes he was a fucking idiot for not wearing one.

    68. Re:What other products by goldspider · · Score: 1

      And using that kind or rationale, they could justify forcing the public to buy anything.

      Imagine, for example, a "Buy American Act" in which the government mandated that we buy American-made cars or pay an additional tax. I wonder if the HCR law proponents would be so quick to cite the Commerce Clause to justify that.

      --
      "Ask not what your country can do for you." --John F. Kennedy
    69. Re:What other products by Anonymous Coward · · Score: 1

      Yes. And the point people who bring this up are making (at least the people who have thought about it at all):

      What funds the federal government? Federal Income Taxes.
      What pays the federal debt? Federal Income Taxes.

      And to top it off think about the debt for a moment.

      Who buys treasury bonds? The rich.

      So what's the effect of more government debt (needed because so many people aren't paying their share -- and I mean their share in the non-Obama-Pelosi-Reid sense)? It transfers money from the middle class to the rich. You'd think people who want to sock it to the wealthy would be against government debt.

    70. Re:What other products by Kral_Blbec · · Score: 1

      Why does it suck? If the argument is that everyone else is doing such a great job where we are failing, then the obvious solution is for you to go over there and not try to make me turn in to them.

    71. Re:What other products by LifesABeach · · Score: 1

      Can one drive on Federal roads without Auto Insurance? In the case of "Obama Care", one pays at tax time, $360? Not bad in my book, I'm currently paying about $3,600 dollars; from my viewpoint, that is over $3,000 I can use to pay my credit card debt. Driving Uninsured on a Federal Road, one gets their car impounded. I'm still trying to figure out why a group of intimate pious hill billies are marching around their breakfast table praising the glories of Health Care companies that have become predatory aggressors. I find myself glad that applications like WATSON are emerging, the Health Care Industry has become an obsolete metastasized cancer.

    72. Re:What other products by Anonymous Coward · · Score: 0

      Actually, you don't have to wear clothes, unless you are perhaps venturing into a public space. And rather than be forced to purchase clothing from a government approved corporation, one could instead choose to make their own clothing.

    73. Re:What other products by tysonedwards · · Score: 1

      My understanding is that the preamble, the 52 words that serve as a preparatory statement to the US Constitution serves to establish a statement of the general intent of what the US Constitution was to serve as for the United States.

      The intent of an action is to define its reason or its purpose. Intent refers only to the state of mind with which the act is done or omitted. It differs from motive, which is what prompts a person to act or to fail to act.

      While I completely agree that if the founders of this country could see what their creation has turned into, they would be filled with pride in it's people and shame in it's administrators, I feel that a mandate that would enable this country's citizens to receive access to health coverage without showing that they have developed a life threatening condition is a morally right decision. Hopefully there will be more in the near future that can better help the citizens of this country.

      --
      Thirty four characters live here.
    74. Re:What other products by LifesABeach · · Score: 1

      Auto Insurance also.

    75. Re:What other products by DaveV1.0 · · Score: 1

      Also, it would probably be constitutional if there weren't a law against selling insurance across state lines. That law prevents interstate trade in insurance, thus putting regulation of same out of the purview of Congress and the federal government.

      --
      There is no "-1 offended" or "-1 you don't agree with me" mod options for a reason.
    76. Re:What other products by Lumpy · · Score: 1

      Stop clouding the foaming at the mouth fest with facts and truths.

      --
      Do not look at laser with remaining good eye.
    77. Re:What other products by Anonymous Coward · · Score: 0

      Try Canada. Very civilized and they have healthcare, economy's doing pretty well by comparison and lots of beautiful women.

    78. Re:What other products by tysonedwards · · Score: 1

      well-being |wl bi| (noun)
      the state of being comfortable, healthy, or happy

      --
      Thirty four characters live here.
    79. Re:What other products by Rockoon · · Score: 1

      If a patient does not have health insurance, they are entitled solely to a minimum level of health care in emergency situations to provide "stabilizing care".

      Even *with* insurance, thats all that you are "entitled" to. What you are and are not entitled to is entirely specified by law, not private contract.

      --
      "His name was James Damore."
    80. Re:What other products by Anonymous Coward · · Score: 0

      Soooo when are we going to apply to have the requirement for Car Insurance removed.

    81. Re:What other products by kevinNCSU · · Score: 1

      Funny that the people railing against things like this are so quick to call upon TEH CONSTITOOSHUNZ for debating power and feel-goodiness, but are more than willing to quickly point out how little power it has when someone thinks to actually look it up.

      There's no contradiction in saying the Constitution which is the supreme law of the land has a lot of power while at the same time correctly pointing out that the pre-amble of the Constitution has little to no bearing on established law and neither grants nor limits federal power or individual rights. From Wikipedia:

      The Preamble serves solely as an introduction, and does not assign powers to the federal government,[1] nor does it provide specific limitations on government action. Due to the Preamble's limited nature, no court has ever used it as a decisive factor in case adjudication,[2] except as regards frivolous litigation.[3]

      You might as well be mad that they consider the Articles of the Constitution important but for some reason refuse to recognize moral obligations cited in Sesame Street Episodes

    82. Re:What other products by Anonymous Coward · · Score: 0

      1. "Everyone" is not true. You can live a healthy full life without paying anymore than birthing costs.
      2. Laws are not to enforce ethics.

    83. Re:What other products by Toonol · · Score: 1

      I think the critical distinction that people miss is the difference between federal and state law. There is no federal law mandating motorcycle helmets. There is no federal law mandating seatbelt use. They don't have that power. Those are state matters.

      More critical than nearly any other issue, more important than healthcare, is that we have a government that respects the rule of law. The constitution must be followed, or amended using the proper procedures. Giving the federal government a power the constitution doesn't allow is extremely dangerous, no matter how good or beneficial that power might be.

    84. Re:What other products by Anonymous Coward · · Score: 0

      But I was against the wars they've been used in, because those wars are costly, irresponsible, misguided, and unjust. That's why I voted against them. Ha! I kid -- the American people were never asked what they thought. I did, however, vote for candidates who were against the wars. Ha! I kid -- there never were any such candidates.

    85. Re:What other products by superdave80 · · Score: 2

      No one will be turned away from an emergency room.

      And that's the big problem. Only EMERGENCIES should be treated at an emergency room. If we would start turning away people that show up for non-emergencies, we wouldn't have so many ERs going under.

    86. Re:What other products by Lumpy · · Score: 1

      "Do you want airbags? Too bad, buy a car and you get them"

      Really? the last car I bought did not have them. I intentionally looked for a barely used older car that was PRE airbags. but then I also dont want antilock brakes or other useless crap. I also like rear wheel drive. There area lot of them out there that are in like new shape. Hell it even came with the old engine ripped out and a brand new LS1 installed with a modern ECM installed that had all the GM DRM removed from it.

      I have that option. I dont want airbags.

      --
      Do not look at laser with remaining good eye.
    87. Re:What other products by Karlt1 · · Score: 1

      What products will they eventually mandate that we buy from corporations, purely by virtue of existing?

      Car Insurance.

      So, if you refuse to buy insurance and you show up to the hospital sick, should the hospital just be able to let you die?

      Right now, the cost of the uninsured is already passed on to the insured through higher premiums as the result of hospital charging you more to cover the cost of indigent care.

    88. Re:What other products by Amtrak · · Score: 1

      You do realize that this argument won't work with most conservative because they think those tax write offs are stupid as well don't you? Most conservatives want a flat tax of say 15%, or a progressive tax that ratchets by 5% every time your income doubles past 50K to a 35% max with no deductions. Because deductions are how senators pay back rich people and businesses back for contributions. i.e. General Electric pays and effective 0% tax rate due to deductions.

    89. Re:What other products by Toonol · · Score: 1

      deny to medical treatment to anyone not wearing a seat belt during a crash,

      There's a difference between 'deny' and 'not give'. No libertarian would try to deny anybody healthcare. They would just object to forcing people to give healthcare against their will.

    90. Re:What other products by TheAlgebraist · · Score: 1

      If I give a kid 50 cents, so that he can put it in a soda machine and get a can of soda, then did he pay for the soda?

    91. Re:What other products by joocemann · · Score: 1

      I would like to see hospitals given permission to turn away the uninsured people who actively participate in voting against mandated insurance programs.

      As of now the hospitals have been ordered by courts to take in all people. As of now, conservatives pretend that they should have cake (not pay for insurance) and eat it too (get treated in emergencies anyway... don't pretend you'd abstain from the ER as your 'personal responsibility' view assumes; in truth you wouldn't).

      It is right to ask hospitals to take all people in emergencies. It is RESPONSIBLE to require all people to have appropriate healthcare coverage.

      Single Payer is what most Americans want, and can be afforded at a cost that is approximately 33% less than what we as a whole are paying already. Conservatives, also known as useful idiots, have learned from liars that this isn't possible, and enforce capitalist insurance through voting --- yet we all know they will go to the hospital when they get hurt or sick.

    92. Re:What other products by polar+red · · Score: 1

      This is the next move from government control to corporate control. Thank you, fascists. [fascism = shut up and obey your superiors.]

      --
      Yes, I'm left. You have a problem with that?
    93. Re:What other products by h4rr4r · · Score: 1

      I agree. Too bad their results suck worse than their intent.

    94. Re:What other products by Anonymous Coward · · Score: 0

      Seatbelts come with all modern vehicles

      Gee, why do you suppose that is? </sarcasm>

    95. Re:What other products by DaveV1.0 · · Score: 1

      You are not required to purchase them for your own personal use.You do not pay for those things. You pay for the government that provides services and protection from hostile countries and peoples. The government purchase those things to protect and serve you and the rest of the country. If you don't like the idea that some of your tax dollars may have gone to those things, you can believe that all your taxes went to NASA and foreign aid and disaster relief and all of mine went to purchasing those things. That is close enough to the truth of it.

      --
      There is no "-1 offended" or "-1 you don't agree with me" mod options for a reason.
    96. Re:What other products by h4rr4r · · Score: 4, Interesting

      I have been in single payer nations, never saw such thing. Are you paid by the insurers or are you their lackey for free?

    97. Re:What other products by Anonymous Coward · · Score: 0

      I'm really concerned as the price for health insurance for my mother is several times what she makes, so if this does go forward, her plan is just to get in trouble. I know I looked into covering my mother-in-law as she lives with me currently, and her alone was going to be twice what I make a month to cover under my employer's plan.

      If we don't get a single payer system now, we may get another opportunity in ~5 years when many people beileve the current system will crash.

    98. Re:What other products by Toonol · · Score: 1

      You think that clause in the preamble gives the federal government license to do anything it decides would benefit the general welfare of the US? Anything?

      The draft? Educational and career choices? Wealth equalization? Imminent domain seizures? Omnipresent surveillance?

      The clause is actually there to present the motive for creating a constitutional government. Later in the document the exact powers of the government are listed, and arbitrary powers to promote the welfare in any way the current administration wishes are very clearly NOT present.

    99. Re:What other products by Jawnn · · Score: 2, Informative

      Mod parent up all the way. He gets it. We (the vast majority in any poll you'd care to cite) believe that health care is a something that should be available to all who need it. That's why, by law, hospital's can not turn away patient's in need of immediate care. The problem then, is that you have to be sick enough or injured badly enough to meet that immediate need test. If not, go away. We don't give away free care when it is likely to be the most cost effective (preventative and/or routine care). We only give it away when it's the least cost effective. That is madness. Every other country in the free world, and a few in the not-free world has figured out that there is a better way. The U.S., alas, has allowed itself to be led around by bullshit scare tactics like "socialized medicine" and "death panels".

    100. Re:What other products by Moryath · · Score: 3, Informative

      Water. Try owning a house in any city without running water. You'll be fined/charged.
      Electricity. Pretty much the same, unless you (like the Amish) can drum up some form of "religious objection." Good luck managing it unless you're Amish or Mennonite.
      Clothing... check. Either you buy it, or someone buys it and gifts it to you.
      Education. You pay, through your taxes, for it. One way or another.
      Retirement. See also: Social Security. You can argue over the semantics all day long, you can argue you are "paying now for someone else and others will pay for you"... end of the day, you are contributing funds to a government program designed to ensure that the elderly are not left Completely Fucking Destitute.

      The list goes on pretty considerably.

    101. Re:What other products by polar+red · · Score: 1

      You'd think people who want to sock it to the wealthy would be against government debt.

      the answer would be the rich paying a fair share, not scrapping health care.

      --
      Yes, I'm left. You have a problem with that?
    102. Re:What other products by McGruber · · Score: 1

      What other products will they eventually mandate that we buy from corporations, purely by virtue of existing?

      We already have to buy car insurance

    103. Re:What other products by shutdown+-p+now · · Score: 1

      This. Why public healthcare can't be run by the states? Heck, Canada does just that, so it's a model that's proven to work.

      (Canadian provinces do cooperate in a money redistribution scheme that also involves Feds, but it is voluntary, and provinces can drop out at will and run their own healthcare programs - or none at all.)

    104. Re:What other products by jmorris42 · · Score: 2

      Actually it doesn't. If you were actually literate and had actually read the Constitution you would realize a couple of things about the infamous 'general welfare' and 'necessary and proper' clauses progressives always misuse. They are syntactic sugar.

      Look where they appear. The Preamble is just that, a short introductory block telling you what the document's intentions are. It isn't intended to be read as black letter law. They could have just ended the damned thing there and replaced the rest of the document with a short section setting up the initial Congress and saying they could then do whatever they thought promoted the 'General Welfare'. But they didn't, they then went into quite a bit of detail specifying exactly which powers the Federal government was to have at it's disposal to achieve the lofty aims set forth in the Preamble.

      The 'necessary and proper' clause was the last item in a carefully enumerated list of powers. Congress has the power to pass any laws 'necessary and proper' to use those powers. Read the whole piece:

      "To make all Laws which shall be necessary and proper for carrying into Execution the foregoing Powers, and all other Powers vested by this Constitution in the Government of the United States, or in any Department or Officer thereof."

      It isn't a wild card grant of unlimited power. This isn't even a new argument, all this was debated and settled in the Federalist Papers.

      --
      Democrat delenda est
    105. Re:What other products by superdave80 · · Score: 1
      Well, hell, I'm NOT mandated to not kill people. The government just sends me to jail if I do...

      You know that 50% of americans that don't pay taxes? Almost all of them that make more than 50k a year do it by having a home and taking the tax breaks related to owning a home.

      I'm having trouble understanding how 'almost all' of the lower 50% income earners make over 50k when the average income is under 50k.

    106. Re:What other products by jmorris42 · · Score: 1

      No, in a perfect libertarian world that would be a matter between a customer and an insurance provider. Just like insurance companies currently charge additional premiums for risky activities like smoking, scuba diving, etc. insurance covering riding a motorcycle without proper industry accepted safety gear would be priced high enough to cover the cost of writing the coverage. Buying coverage that has wearing a helmet as a condition and having an accident without one would leave you totally liable for the medical expenses but then that was a stupid choice you made and in a perfect libertarian world you have the right to be stupid.

      The Right to be Wrong is what I'd call Right #0 because without that one no others are possible. Because without that one someone has to be put in charge of deciding what is Right and forcing everyone to agree.

      --
      Democrat delenda est
    107. Re:What other products by ackthpt · · Score: 3, Insightful

      "Government isn't mandating that you buy [a yacht] -- just that you have it."

      So now Obama is trying to make me buy a yacht? Bloody hell, how far will this guy go before people wake up. I'm going to write up an email and send it to all my friends. Our president is clearly in the pocket of "Big-Yacht".

      It was the result of compromise with the GOP, which calls it a suitable employment program - the only problem is the Yachts will be coming from China, not US factories, so it fails again.

      The people don't understand the ObamaCare plan - not entirely sure I do either, as it's a bit of a Frankenstein plan, rather than best plan which we couldn't get, not because of "Socialism", but because the major Healthcare companies have the GOP (and some Dems) so buttoned up in their pockets that the best plan of all could never get passed (the plan which cuts them largely out of the loop.)

      Imagine if you will, there was no Social Security in the United States and any administration trying to get that system through today, with the way big business interests have so many politicians on a gilt leash. It'd be horrible and the only people really benefiting (besides lawyers, who seem to find a way to prosper from anything) would be businesses, not the people it was meant to serve.

      A basic national healthcare system is in the interests of the people, but they've been so baffled with BS they don't know what they're getting they've completely confused in the debate, often siding against their own best interests and subscribing to slogans like 'It's socialism and it's bad' - right, sure you got there by a car, on a highway, built with federal legislation and funding, but who's speaking up for tearing them all up and turning all the major highways back over to private hands and turnpikes, eh?

      There's a good solution, but it takes a strong leader to make it happen.

      I'm afraid people will finally wake up when healthcare is only affordable to the 1% and some plague is sweeping the country.

      --

      A feeling of having made the same mistake before: Deja Foobar
    108. Re:What other products by fyngyrz · · Score: 1

      Similarly, the law prohibits homelessness but not living with someone else for free.

      Wait, what? The law prohibits homelessness? In the US? Where?

      --
      I've fallen off your lawn, and I can't get up.
    109. Re:What other products by Anonymous Coward · · Score: 0

      The Federal government does not require you to buy auto insurance.
      In fact, there is at least one state that doesn't require it, even if you own/drive a car.

      And then there is the option to not drive a car.

    110. Re:What other products by ravenspear · · Score: 5, Insightful

      People do not have to wait for life threatening care with single payer, just non-immediately needed procedures sometimes. Stop your ignorant talking points.

      What we have now is wealthcare. The wealthy like the fact that they get quicker service for non life threatening care by removing millions of people from being able to access care at all. That's not equal opportunity for all.

    111. Re:What other products by im_thatoneguy · · Score: 4, Insightful

      Yes it is. Move to Canada or Europe if you're so in love with socialism programs.

      Move to Somalia if you want to live in a libertarian fantasy land.

      Or we could both acknowledge that a country's healthcare system is just one small aspect of where you want to live.

    112. Re:What other products by Bob+the+Super+Hamste · · Score: 1
      And now to quote George Carlin:

      Just think of how stupid the average person is, and then realize half of them are even stupider!

      Now do you really want everyone mandated to own a firearm?

      --
      Time to offend someone
    113. Re:What other products by superdave80 · · Score: 1

      How is it any different than people who are taxed more for not owning a home

      People are not taxed less for owning a home.

    114. Re:What other products by geoffrobinson · · Score: 1

      Bingo.

      Car insurance is always cited as an example, which happens to be a state mandate. Not to mention that it is easier to not buy a car as opposed to not existing.

      --
      Except for ending slavery, the Nazis, communism, & securing American independence, war has never solved anything.
    115. Re:What other products by jmorris42 · · Score: 1

      Those also happen to be enumerated powers the Federal government rightfully possesses the power to wield along with the taxing authority to pay for them. If you don't like the way they are being used write to your Congressman or run yourself.

      --
      Democrat delenda est
    116. Re:What other products by Anonymous Coward · · Score: 0

      You are not required to pay for any of these unless you choose to have an income level sufficient to require the payment of federal income taxes.

    117. Re:What other products by idontgno · · Score: 1

      [fascism = shut up and obey your superiors.]

      As opposed to Communism, which is "shut up and obey your superiors, Comrade."

      --
      Welcome to the Panopticon. Used to be a prison, now it's your home.
    118. Re:What other products by Anonymous Coward · · Score: 0

      This. Finally someone who uses the definition as it existed at the time the preamble was written! I just can't believe that it has taken over 200 years for someone to figure out that this is exactly what the preamble meant!

    119. Re:What other products by ArcherB · · Score: 2, Informative

      God and such a terrible burden it is. Of course I guess the alternative in a wonderful libertarian utopia would be deny to medical treatment to anyone not wearing a seat belt during a crash, after all that's that would be the logical thing for an insurance company to do. Yeah let's do that rather than mandating the minor inconvenience in order to save lives and reduce overall health care costs for everyone. I guess you're against speed limits as well? If I want to drive 100 mph in a school zone I have every right!

      Speed limits are set by the states because there is nothing in the Constitution that gives the federal government the power to regulate traffic laws. According to the 10th Amendment, any power not given to the federal government by the Constitution, and that is not prohibited by the Constitution, are reserved for the states, or people. Health care is like speed limits. Since there is no Constitutionally granted power for the feds to regulate it, the power falls to the states. This is why the Massachusetts health care law is Constitutional, but "Obamacare" is not.

      --
      There is no "I disagree" mod for a reason. Flamebait, Troll, and Overrated are not substitutes.
    120. Re:What other products by fyngyrz · · Score: 3, Insightful

      No one will be turned away from an emergency room.

      ER's don't provide reasonable care for anything that can't be fixed immediately. They'll put your arm in a cast or stitch up a cut, but you're not going to get anything even CLOSE to adequate cancer treatment, diabetes amelioration, allergies, and so on.

      It is simply disingenuous to hold up the ER as evidence that anyone can get reasonable medical care.

      --
      I've fallen off your lawn, and I can't get up.
    121. Re:What other products by idontgno · · Score: 1

      How many players can you get into a coop, and doesn't it disturb the chickens?

      And WTF are you doing with those chickens, and WTF does that have to do with health care?

      No, wait, don't answer that last couple of questions; I'd rather not know.

      --
      Welcome to the Panopticon. Used to be a prison, now it's your home.
    122. Re:What other products by fnj · · Score: 2

      You're not being realistic. You must realize that there will be plenty of people without the means to be reasonably expected to pay for their health insurance. Not the way things are now, and not magically the way things are going to be, either. You can't humanely or effectively charge somebody a penalty if they do not have the means to pay the penalty.

      In the present system, the insured pay for the uninsured by being overcharged in order to pay for subsidizing the emergency room. In the pending system, the insured will pay for the insurance of those who can't pay for it themselves, by having their payment adjusted. Exactly what is the difference? Either way, X number of people will use services without being able to arrange payment, and those same X number of people will nonetheless receive care. OK, the new way, the care will perhaps be rendered in more appropriate and efficient settings than the emergency room. But you can't just will or force everybody to have skin in the game.

      The most honest and efficient approach is to raise sufficient taxes for all needs, and some of those needs are a free "floor" for basic health care, nutrition, and housing for everyone. If you want to label what that approach is, feel free. I'm not bothered by labels.

    123. Re:What other products by jank1887 · · Score: 1

      actually, no. we're talking about health care that markets itself under the name 'insurance' in the US even though it goes way beyond insurance. My homeowners insurance doesn't negotiate for me a set cost to install better door locks. They give me a discount on insurance if I show them I have installed better door locks, because it means decreased risk to them. Same with having passive restraint devices in your car. My auto insurance doesn't incentivize regular tune ups and oil changes, as they don't do much to directly change my collision risk. Of course they also don't incentivize me getting a regular brake inspection, which would.

      Current health insurance covers health care. or manages health care. It could be argued that not all medical care is unexpected, so not all care should be managed as a risk/insurance asset. Insurance is about financial protection from extreme unknowns. Not managing costs from more-or-less reasonably expected costs. That's what the thing we call health insurance currently does. At the moment, health care and health insurance are one in the same in the US, whether or not they should be.

    124. Re:What other products by Anonymous Coward · · Score: 0

      What do you think a "state" is? Just a geographic area delineated by imaginary lines? Does it not include the land, water, human infrastructure, and humans who live there? The entire point of the Constitution is to band the citizens of the states together. That's not socialism, that's just society.

    125. Re:What other products by Rich0 · · Score: 1

      The reason this was made law was because it went hand-in-hand with another provision that was made law - insurance companies are now required to cover pre-existing conditions.

      So, under the new law you can not buy health insurance for 60 years. Then you can get cancer and need a $300k/yr treatment regimen. At that point you can buy insurance for $1-2k/month or whatever and they have to pay for your treatment.

      To keep people from waiting until they got sick to buy insurance (which would either bankrupt insurance companies, or force rates so high that nobody could afford it anyway), they required universal coverage.

      You basically get a choice - universal coverage, or no coverage for pre-existing conditions. It just doesn't work out economically for it to be anything else. Either way can allow for the government to be the insurer or not - this is really an entirely separate issue (though government-provided insurance that doesn't have universal coverage is pretty unlikely to happen).

      Personally I prefer doing things this way. The problem with denial of pre-existing conditions is that it is a HUGE loophole that companies would abuse (everybody did it - unless you had a more expensive plan). If you went two months of your life without insurance your insurer would try to argue that the problem arose during those two months even if it was 15 years ago, and good luck fighting that.

    126. Re:What other products by Toonol · · Score: 1

      No, they don't mandate car insurance. ('They' refers to Federal government.)

      States mandate it. That's entirely different. Many people who think that Obamacare is unconstitutional wouldn't have any legal objections to states implementing it.

      It seems that the distinction between state and federal powers is misunderstood by many people. It's as significant a separation of powers as that between the Legislative/Executive/Judicial branches.

    127. Re:What other products by jmorris42 · · Score: 1, Informative

      > This goes back to the "Do you let them die?" question. Should a hospital let someone
      > bleeding to death die in their Emergency Room if they have no insurance? I think except
      > for at republican debates the answer is "no".

      Which is a filthy lie. Even RON PAUL said they shouldn't be left to die. He did correctly note that the Federal government has no authority to get involved. But that as a practicing physician before the Feds got involved he never saw a patient left to die. This is where private charity's place in society lies. There are some things the government should not, must not be allowed to do that still need be done. Progressives tend to be totalitarian though, Everything within the State, nothing without. So if the State isn't paying for the indigent's health care they die. But there used to be a vibrant world between the individual citizen and the State with it's guns and regulators. A multitude of civic, fraternal, religious, even ethnic organizations used to exist and were very active. They provided many services now absorbed by various government agencies. There could exist again.

      --
      Democrat delenda est
    128. Re:What other products by Fjandr · · Score: 1

      Only one of those is nationally overseen, and it's not an actual product.

    129. Re:What other products by theangrypeon · · Score: 2, Insightful

      Auto Insurance is mandated by state governments, not the federal government, and is irrelevant to the health care issue.

      It is further made irrelevant by the fact that, as stated millions of times when this fallacious analogy is brought up, there's a difference in being mandated to purchase insurance in conjunction with another product (you don't buy a car, you do not need car insurance), vs. being mandated to purchase something for simply being alive.

    130. Re:What other products by ackthpt · · Score: 2

      Yes it is. Move to Canada or Europe if you're so in love with socialism programs.

      Examples of Socialism in the United States:

      - Army, Navy, Air Force, Marines, Coast Guard and National Guard - notice how these are funded by the collective wealth of the nation?

      - Interstate Highways - There was a time when privately held roads criss-crossed America, they were called Turnpikes, you paid for passage on them. Such a system today would utterly squeeze the life out of interstate commerce, let alone throttle your travel plans.

      - Police and Fire - well, where you don't have a handy group of vigilantes or volunteers. Recruited, trained, equipped by the state and abiding by (and enforcing) state codes. How'd you like to get a parking ticket from PubSafteyCo or get Fire Company No. 539, Inc., to come put your house fire fire out?

      I'm certain somewhere there are people salivating at the prospect of every entity being run by private hands (and influenced by stock prices, because, you know, Wall Street really does care about you!) That would be a pure capitalist system. It would also be Hell.

      --

      A feeling of having made the same mistake before: Deja Foobar
    131. Re:What other products by flaming+error · · Score: 1

      > thus putting regulation of same out of the purview of Congress

      Newsflash: any law that trumps the constitution is null and void. Congress loves to pass these, but you and your state should refuse to comply.

    132. Re:What other products by Fjandr · · Score: 1

      I should amend this slightly, since it's the most likely objection to be brought up: education has national requirements, but they are almost universally intentionally vague and left up to states and local communities to implement. Those states and local communities are also free to opt out of almost every one of them at the cost of losing national education funding. They are still legally allowed to though.

    133. Re:What other products by j-beda · · Score: 2

      This. Why public healthcare can't be run by the states? Heck, Canada does just that, so it's a model that's proven to work.

      (Canadian provinces do cooperate in a money redistribution scheme that also involves Feds, but it is voluntary, and provinces can drop out at will and run their own healthcare programs - or none at all.)

      I believe that there is federal legislation (Canada Health Act perhaps?) that requires each province to enact health care legislation that meets certain minimal standards for each province to meet.

      Hey, looks like I was correct in my memory of the name at least: http://en.wikipedia.org/wiki/Canada_Health_Act

      But it looks like "shutdown" is correct in that the provinces do not in fact HAVE to follow the CHA, but when they step out of line, the feds can (and do) reduce the amount of money the federal government provides in proportion to the seriousness of the infraction.

    134. Re:What other products by PinchDuck · · Score: 1

      It's a classic case of bipartisan stupidity. The Democrats pass a law giving the government essentially unlimited power a) to bankrupt you and b) to push an agenda. So when the Republicans next take power, everyone will be required to buy a firearm for home defense. The requirement that everyone should buy and read a bible will fail, however.
      When the Democrats take power after that, RU-486 will be required.
      When the Republicans take power after that, everyone will be required to take a class in Constitutional Law taught only by Tea Party certified instructors.
      Democrats will then seize on the service (as opposed to a good) expansion the Republicans created and require everyone to purchase (or fund) an abortion.
      At that point, everyone grabs their Republican-mandated firearms and we descend into direct civil war.

    135. Re:What other products by Duhavid · · Score: 1

      "waste and abuse than a free market for insurance"

      I would argue that the waste and abuse get transferred to a corporation where any profitability in such waste and abuse require that waste and abuse.

      If you want the market to affect what is going on, you need a free market for the fundamental care, not in the insurance on top of it. Why would a doctor or practice change their pricing? There is no market to capture, just what the bureaucrats at the insurance company thing is "correct".

      I agree that the quality of care is good here, but I would say that the insurance snarl on top keeps prices higher than they "should" be.

      Either go all the way to single payer, or go all the way to people paying doctors and practices directly. They both have good and ugly points.

      --
      emt 377 emt 4
    136. Re:What other products by Beyond_GoodandEvil · · Score: 3, Interesting

      To that end, it seems pretty obvious that the founders of the United States cared enough about the health of it's citizens.
      You know what is pretty obvious? What James Madison(the guy credited w/ writing the Constitution) had to say about that particular clause. "If Congress can do whatever in their discretion can be done by money, and will promote the general welfare, the Government is no longer a limited one possessing enumerated powers, but an indefinite one subject to particular exceptions." So no, he didn't think that general welfare should be used to let Congress do what ever it wanted.

      --
      I laughed at the weak who considered themselves good because they lacked claws.
    137. Re:What other products by Anonymous Coward · · Score: 0

      Socialism has gone too far! My taxes are used to pay for public roads - many of which I'll never use, emergency services, education for the children of strangers, subsidies for public transport (as if I'd be seen dead on a bus), some utilities, wheelchair ramps at libraries for disabled people (as if they'd ever pay enough taxes to cover those things).

      I'm proud that the time I was mugged, when I was brought in to ER I had the presence of mind to push the doctor away. He was seriously thinking of giving me free treatment, so I yelled "Back away, Johnny Red! I'll pay for my own damned treatment." Unfortunately my wallet had been taken, and my bank was closed. I dragged myself back out in to the street and on to a bus home. I tried to persuade the driver to take non-public roads, but loss of blood was making me far to woozy to press the point.

      Sure I never quite regained full use of an arm, but I'm proud that I struck a blow against socialism, terror and homos.

    138. Re:What other products by Uberbah · · Score: 1

      We're already tired of hearing this false comparison. You chose to drive a car. You don't choose to get pneumonia or cancer.

      You also don't find your auto accident claim denied because you bought your last set of tires from an out-of-network store, or find your coverage canceled due to an undisclosed precondition - a couple of rust spots on your front bumper.

    139. Re:What other products by Trent+Hawkins · · Score: 1

      Can you name a country without socialized healthcare that you'd want to live in?

    140. Re:What other products by timeOday · · Score: 1

      How do they handle the free-rider problem? Live in a low-tax state when you're young and making money, move to a high-tax high-service state when you're old and sick.

    141. Re:What other products by C10H14N2 · · Score: 1

      I challenge you to explain then why the United States Public Health Service, funded by a mandatory payroll tax, was established in 1798. I'd think if this I idea was anathema to the Founding Fathers at the time, it wouldn't have made it past the first utterance of suggestion, much less pass and receive the signature of John Adams.

    142. Re:What other products by Nadaka · · Score: 1

      This is the next move from government control to corporate control. Thank you, fascists. [fascism = shut up and obey your superiors.]

      No...

      Authoritarian = shut up and obey your superiors.

      Fascist has a definition that varies dramatically with time and often includes authoritarianism.

    143. Re:What other products by Adriax · · Score: 1

      If you don't wear clothes while in public and someone sees you it's considered harmful to society.
      Same thing with health insurance. If you don't have it and you get sick, someone still has to pay and one way or another the costs get spread across the local population.

      Of course you could always just force everyone to be OK with seeing a naked obese 37 year old skipping down the street and getting sqeezed up against you and your kids on public transport.
      Just like you could just force the medical field to lower their costs so everyone can afford to sprain an ankle on a sunday without having to pay a months wages for the asprin at the emergency room.

      --
      I don't suffer from insanity, I enjoy every minute of it!
    144. Re:What other products by Rockoon · · Score: 4, Insightful

      With regards to your question... the federal government does not mandate automobile insurance for drivers on the interstates. The federal government mandates compliance with state laws on the interstates, and not all states require automobile insurance (just proof of assets equal to state liability minimums, such as Wisconsin.)

      Are you often caught arguing without the facts?

      --
      "His name was James Damore."
    145. Re:What other products by gearsmithy · · Score: 3, Insightful

      The "auto insurance" canard. There is a big difference between compelling someone (with force) to purchase a product as a condition of exercising a privilege (driving) and compelling someone to purchase a product as a condition of being alive.

    146. Re:What other products by fyngyrz · · Score: 2

      They are used on your behalf to defend the United States

      Not since WWII, they haven't. Not even indirectly. The most you can say for them is they would form a deterrent if we were at risk of invasion -- however, we aren't, and we have not been, for well over sixty years.

      --
      I've fallen off your lawn, and I can't get up.
    147. Re:What other products by Quiet_Desperation · · Score: 1

      Can you steal healthcare?

      I've been known to steal organs. Does that count?

    148. Re:What other products by EraserMouseMan · · Score: 2

      Americans think "freedom" is the freedom from the responsibility to take care of your parents when they get up in age. The freedom from the responsibility to earn money to put your kids through school. The freedom from the fiscal discipline and planning and hard work required to have a stream of income to support you in retirement.

      The list goes on pretty considerably.

    149. Re:What other products by Anonymous Coward · · Score: 2, Informative

      he's federally mandated to be their lackey

    150. Re:What other products by j-beda · · Score: 1

      No one will be turned away from an emergency room.

      And that's the big problem. Only EMERGENCIES should be treated at an emergency room. If we would start turning away people that show up for non-emergencies, we wouldn't have so many ERs going under.

      Unfortunately, in order to turn someone away, you need to figure out what the problem is, and that alone takes up time and resources. Additionally, if you turn away the minor uninsured problems, at least some of them will end up coming back later as major uninsured problems.

    151. Re:What other products by ZombieBraintrust · · Score: 1

      Do they pay rent? If so then they are contributing property tax via their landlord.

    152. Re:What other products by Anonymous Coward · · Score: 0

      You already buy products from government mandates. Why do you think public transporation in the US is as abyssmal as it is?

    153. Re:What other products by sycodon · · Score: 1

      All of the "Plans" miss the mark. They just try to pay for the costs.

      What should be asked is WHY health care costs are so high. Are there not enough Doctors? Are there not enough Hospitals? Are there too many regulations? Are there too many lawyers? Are the drug companies charging unreasonable rates? Should the generic drugs laws be changed?

      Until you figure out and control the reasons costs are going wild, any of the current crop of plans are useless merely enable future out of control costs.

      --
      When Fascism comes to America, it will call itself Anti-Fascism, and tell you to give up your guns.
    154. Re:What other products by Uberbah · · Score: 1

      Car Insurance.

      Not even close. Read what you blockquoted again:

      What products will they eventually mandate that we buy from corporations, purely by virtue of existing?

      Driving cars is a choice, not a natural part of the human existence. Illnesses and diseases, are.

    155. Re:What other products by debiankicksass · · Score: 1

      Very nice tataulogy.

    156. Re:What other products by Fjandr · · Score: 1

      It can and should be, but there are too many people who are enamored of the Federal government running absolutely everything they can get their sticky fingers into whether there are better models or not. The local healthcare in my city is top-notch, and provides coverage for absolutely everyone who is not capable of paying for primary, emergency, and/or specialty care themselves. All voluntarily, through a non-profit, non-governmental organization called Project Access, and there are branches of it in cities nationwide.

      Despite how successful it is, it's almost entirely word-of-mouth. Governments won't talk about it and the media won't talk about it. It doesn't make money, and it doesn't help politicians gain political influence because there is no potential for it to make money. It's just people doing what's right for their neighbors in need.

    157. Re:What other products by Anonymous Coward · · Score: 2, Informative

      The General Welfare Clause is a part of Article I Section 8, not just the preamble. It permits the federal government (namely Congress) to use its taxing powers for the purpose of promoting the welfare of the Union. It is then up to the Court to decide if the law serves that purpose, as Congress may not levy taxes for any reason it pleases.

    158. Re:What other products by Anonymous Coward · · Score: 0

      Canada did this, in a sense.

      Buy a blank CDR? Pay the record company for the songs you might put on it!

    159. Re:What other products by Qzukk · · Score: 0

      there weren't a law against selling insurance across state lines.

      Remarkable! Someone better tell Aetna, Cigna, United Healthcare, Health Care Service Corporation (licensed the BCBS name to sell plans in TX, IL, OK, and NM) and the various government contractors like Trailblazer Health (runs Medicare in TX, CO, NM and OK, and runs the Indian Health Service).

      And all the other insurance companies that sell plans nationwide. Boy oh boy wait until the DA gets a hold of this!

      --
      If I have been able to see further than others, it is because I bought a pair of binoculars.
    160. Re:What other products by erroneus · · Score: 1

      Yes. Yes I do.

      In every place where CHLs and firearms ownership is high, the crime rate is lower. This is without exception. Even stupid people understand guns and the threat they present. And yes, on occasion, people will need to be reminded of that.

    161. Re:What other products by Anonymous Coward · · Score: 0

      It's reverse rationing. We WILL be forced to buy green, buy black, buy chicom, in the appropriate gauge and value, because the Gov. knows what is best for the people of the USA.

    162. Re:What other products by Rockoon · · Score: 1

      Not managing costs from more-or-less reasonably expected costs. That's what the thing we call health insurance currently does.

      You are completely wrong. Traditional health insurance policies in the United States are all about covering routine costs.

      You were describing Catastrophic Health Insurance (aka "High Deductible Insurance") which is not the norm in the United States at all. The norm is the exact opposite.. low deductibles applied to nearly 100% of all doctor visits, mostly routine, and as a result people pay high premiums.

      Were you not aware?

      --
      "His name was James Damore."
    163. Re:What other products by Uberbah · · Score: 1

      we do not have the physical resources to provide everyone with our best medical care. So somehow we must have some people who do not receive our best care. And some who do.

      Just about every other industrialized nation on the planet manages to do just that, while providing better care for less money.

    164. Re:What other products by Synn · · Score: 1

      I live on my boat and I'm not required to have running water or electricity on it. Clothing.. I can live at a nude ranch if I want. Education, I can home school if I want. Social Security is true though.

    165. Re:What other products by Anonymous Coward · · Score: 0

      I keep seeing this. When did Somolia become a recognized bastion of "libertarianism". Seriously, that is just so detached from reality as to be a question of mental illness. I'm not even a libertarian, but, for pity's sake, people actually believe this shit?

    166. Re:What other products by Anonymous Coward · · Score: 0

      Agree to the "should be provided by the gov't"

      Disagree to the "required to buy all manner of things". You are not required to buy a car. You are not required to go on a cruise ship.

      The gov't wants you, by merit of having a pulse and taking breath inside their area of jurisdiction, to pay for something. You didnt ask to be born, you didnt ask to be born here. Everything else is a series of choices.

    167. Re:What other products by Chowderbags · · Score: 5, Informative

      The Congress shall have power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common defence and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;

      Article 1, Section 8

    168. Re:What other products by WrongMonkey · · Score: 1

      In that sense, every law is optional.

    169. Re:What other products by Solandri · · Score: 1

      The problem isn't that we're mandated to buy it. The problem is that it's a mandatory service that *SHOULD BE PROVIDED BY THE GOVERNMENT*.

      Then do it the right way and get a Constitutional Amendment passed which mandates it. After a lot of thought and discussion on this, I'm with you and convinced that a certain level of health care should indeed be a guaranteed human right. But attempting to make that a reality via legislation is simply the wrong way to do it. If it is that fundamental, then the Constitution needs to reflect it. Yes that's a lot harder to do, but that's the point. If we can't convince 3/4ths of the states that it's that fundamental, then it doesn't matter how fundamental you or I think it is - in the eyes of our democracy it is not fundamental and not something that "should be provided by the government".

    170. Re:What other products by maxume · · Score: 1

      I was under the impression that present day human energy utilization was on the order of 15 terawatts continuous.

      That's about 0.5 zettajoules per year, if I'm getting the math right. What standard of living does doubling that bring the entire planet to?

      --
      Nerd rage is the funniest rage.
    171. Re:What other products by bwintx · · Score: 1

      Only if they're healthy organs. Otherwise, not so much.

      --
      Discussion System prefs link: http://slashdot.org/users.pl?op=editcomm
    172. Re:What other products by Fjandr · · Score: 1

      Federal roads

      Unless you're talking about military bases, there's no such thing. If you're talking about interstates, then the answer is "yes." Auto insurance is effected at the state level, as health care should be. There are states that do not have mandatory insurance requirements. Nice attempt at a car analogy, but as usual on /. it's a failed car analogy.

      Also, not everyone opposed to national health care policies is ignorant, nor do they necessarily like insurance companies. The old model was shitty. The new model requires people to buy into what is nominally still the old model, which is shittier. Nice generalized ad hominem though.

    173. Re:What other products by roman_mir · · Score: 1, Troll

      The problem is that it's a mandatory service that *SHOULD BE PROVIDED BY THE GOVERNMENT*.

      WRONG.

      Federal government (at least in USA, by the US Constitution) does not have the authority to make a service mandatory. It subverted the laws, it just doesn't care because nobody challenges the government, but the monopolistic federal government must not have authority to subvert individual rights this way.

      This definitely should be left up to the States, and money should not be taken away from some states to subsidize others either, so federal government shouldn't be able to tax your income.

      I wrote on the entire SS being an unconstitutional ponzi scheme, morally and economically wrong and about the entire issue of health care and insurance being normal products, just like everything else, and being provided at lower cost and better quality when USA had that system, and people did in fact prefer the private insurance and healthcare (my journal entry actually contains information, data from government research. They have wrong conclusions, but they provide good data.)

      In a free market economy the individual liberties are much more important than collective ideology.

      ---

      Do you let them die?

      - it needs to be possible for a person to die if in a free market society he is not taking the necessary steps to provide himself with insurance (which is very affordable in free market system). Yes.

      However the question is loaded. When the cost of major medical insurance policy is 1-2 dollars per person per month (prior to 1965), when cost of a doctor visit is 3-5 dollars and when cost of a single day in a hospital is under 100 dollars, and when the free market is allowed to work then costs of medical care and insurance are normal market level costs, aimed at normal people, not at government provided money.

      So as an example when Henry Ford was hiring people in 1914, he was paying twice as much for good workers than anybody else, because the market regulated him by causing high turn over. So he was paying $5/day, setting 8 hour days and 5 day weeks - no medical insurance, no pension fund, but also no income tax, no payroll tax, no union. He was paying equivalent of 120K after tax then, because gold cost just under 20USD/ounce and people had families with stay at home wives, maybe 5 kids, paid out houses and could buy cars with 4 months of salary.

      The point is people can afford their own healthcare and education and insurance and retirement when government does not mess with these things by making them unaffordable by substituting the normal market participants with government money. Today health care and insurance and education must be MUCH less expensive then they were before 1965 due to all of the new technology, all of the new inventions and discoveries. It can't even be close. If you don't need to do an exploratory surgery and you do imaging instead. When you can use pills instead of surgery. When you have specialization that allows procedures to be done much faster so many more patients can be seen. The entire idea that health care costs must go up rather than down is preposterous, but it's made possible BY the government WITH government money.

      As to people dying in corner cases - in most cases doctors and hospitals do not let people die and in normal market conditions the costs would not CRASH them as they do today, but again, that's because of where government took the costs by free market distortion.

    174. Re:What other products by mollymoo · · Score: 1

      > we do not have the physical resources to provide everyone with our best medical care.

      That's a straw man anyway, of course there is only one top doctor in any given field and they can't treat everybody personally.

      However, it would be bullshit to suggest we can't provide a high standard of medical care to everyone. It's just a question of how we decide to allocate our resources.

      --
      Chernobyl 'not a wildlife haven' - BBC News
    175. Re:What other products by GuruBuckaroo · · Score: 1

      A state-issued ID if you want to vote, in some states (and more soon, if the Republicans have their way). So much for no poll tax.

      --
      Poor means hoping the toothache goes away.
    176. Re:What other products by Anonymous Coward · · Score: 0

      No you are only forced to subsides the health care of others if you go to a hospital. I you stay out
      of the hospital they can't bill you for anything.

    177. Re:What other products by Anonymous Coward · · Score: 0

      "Now yes you can choose to not drive a car or ride a boat but you can't choose to not be born. And once born our medical system is your life's liferaft."

      It'd be nice if it didn't have a lot of holes in it then.

    178. Re:What other products by Quiet_Desperation · · Score: 1

      Canada is a myth. It does not exist.

    179. Re:What other products by Artifakt · · Score: 1

      If you go back to the original roman metaphor for Fascism, it is a bundle of sticks that is much harder to break tied together than it would be to break each stick individually if they were not. Technically, each stick could be said to shut up and go along with all the other sticks as an aggregate. In practice, however, there's never been any attempt at a Fascist government where the bundle of sticks as a whole directly decided where the bundle was going. It's always been that biggest stick in the middle claiming to represent all the rest by virtue of its superior position. I suppose there could be said to be exceptions when the metaphorical sticks are entire governments, i.e. Italian Fascism didn't always go along 100% with Nazi Germany, but when the metaphorical sticks are individual humans, I can't think of a single counterexample.

      --
      Who is John Cabal?
    180. Re:What other products by SunnyDaze · · Score: 1

      Well it's not illegal to be homeless, just illegal to look poor and stay in one place for a length of time (vagrancy). So you are not allowed to occupy "public" space.

    181. Re:What other products by Anonymous Coward · · Score: 0

      "This goes back to the "Do you let them die?" question. Should a hospital let someone bleeding to death die in their Emergency Room if they have no insurance? I think except for at republican debates the answer is "no"."

      This doesn't happen currently.

    182. Re:What other products by Uberbah · · Score: 1

      and arbitrary powers to promote the welfare in any way the current administration wishes are very clearly NOT present.

      Neither is the authority to fund an Air Force, a CIA, an NSA, NORAD, and most of the FBI. As Congress "only" has the power to fund an Army and a Navy.

      Funny how you never hear about conservatives complain about why any of those things are unconstitutional.....

    183. Re:What other products by Fjandr · · Score: 1

      The means matter more than both, combined.

    184. Re:What other products by Meeni · · Score: 1

      Do you claim you will never need medical treatments ? Maybe you are just claiming that you will never need medical treatments whose cost would let you broke, but this is the USA, where saying "hi" to a doctor costs you $10, every subsequent word cost you $5. So, yes, if you don't bike, you don't need a helmet. But unless you don't leave, you need health insurance.

    185. Re:What other products by lgw · · Score: 1

      A city near me doesn't require clothing. (Why yes, I do live in California, how'd you guess?) Some people in my extended family do make their own clothes. These aren't bogus counterexamples.

      And I'd think we could come up with some solution to government-provided healt insurance while keeping government out of health care, but it seems to me the proponents really want the government to run hospitals, and the insurance thing is just the closest the can manage.

      I'd like to see the government provide catastrophic care insurance - insure everyone with a $5k/year deductable and some lifetime cap (maybe a couple million), lets say. That would keep people from the doctors office for every case of sniffles, but would limit unexpected costs to something you could borrow. You don't need insurance for expected costs, of course.

      --
      Socialism: a lie told by totalitarians and believed by fools.
    186. Re:What other products by JordanL · · Score: 1

      I wasn't talking about "industrialized nations", I was talking about humans. Sure, I suppose the US could continue to make our standard of living even better by using up resources that would have greater impact on the less industrialized societies. But then we are living a lie. We're saying within the US that there are no haves and have-nots, and we're doing that by creating more have-nots in other parts of the world.

      How can we be ethically consistent in our "fairness" of applying medical care equally when that requires us to use absurd amounts of resources that frankly don't belong to just the humans within America's borders?

    187. Re:What other products by compro01 · · Score: 1

      Imagine, for example, a "Buy American Act" in which the government mandated that we buy American-made cars or pay an additional tax.

      You mean like an impost (a tax on imports), which is explicitly stated in the enumerated powers of congress?

      --
      upon the advice of my lawyer, i have no sig at this time
    188. Re:What other products by ravenshrike · · Score: 3, Informative

      All of which use separate insurance pools for each state.

    189. Re:What other products by JordanL · · Score: 1

      Well, it brings subsistence and basic medical care to the other 4 billion people who don't live in "1st world" nations.

      Of course if by "health care for all" we really mean "health care for us", then no, we don't need to care about that at all.

    190. Re:What other products by Ferzerp · · Score: 1

      Sadly, how is this different than any other form of government in practice (not in theory).

    191. Re:What other products by Myopic · · Score: 1

      Dude, don't expect to change his mind about the Constitution by quoting the Constitution to him. You will never, EVER convince him that Congress has the Constitutional power to promote the general welfare -- NEVER. He will NEVER admit that. He will NEVER acknowledge that A1S8 exists, or that it gives Congress broad power -- which it does, and does.

    192. Re:What other products by hedwards · · Score: 3, Interesting

      It's constitutional. I'm not sure where you got the idea that the health care overhaul legislation isn't constitutional. The Federal government has the right to regulate commerce. And, the reason why the costs have been spiraling out of control is that nobody truly opts out of health insurance. Eventually they do get sick at which point the doctors and hospitals turn the costs over to taxpayers or insurance companies.

      At this point only a very small section of the law is even in question and it's unlikely that Kennedy is going to side with the folks claiming that it's unconstitutional.

      Absolute worst case scenario is that it's thrown out in court and replaced with either Medicare for everybody or single payer, both of which are way beyond any challenge. The GOP just doesn't seem to understand that it's challenging the compromise that it was given and most of the other options are less palatable to them.

      Beyond that, if this really is that obviously unconstitutional they shouldn't have been pushing for it in the past.

    193. Re:What other products by wsxyz · · Score: 1

      I am offended that you consider Germany uncivilized.

    194. Re:What other products by Fjandr · · Score: 1

      Agree with the first statement; not so much the second.

      The wealthy don't use the same health care options that the rest of the country does. They will continue to use the health care system in the way they currently do whether the changes stand or not.

    195. Re:What other products by wintercolby · · Score: 2

      Actually, basic channels for non-HD TV are no longer available over the air. One can get HD channels for free over the air, but it requires an HD TV and an antenna. So, now the poor are required to either purchase a better TV or a set top box to view basic programming. Satellite or cable costs under $100/mo, typically. If one had a pre-existing condition, prior to "Obamacare" one wouldn't be able to get insurance.

      In my area, even fairly basic health insurance plans start at about $550/mo for a family of 4 with no pre-existing conditions. That's about 25% of the gross income of a couple making minimum wage (we're talking about poor people, right?). With the current economic situation, I wouldn't be surprised if a significant percentage of the population was making minimum wage. In 2014 health insurance companies will have to take even adults with pre-existing conditions, and they'll also have to charge people the same rate, without taking into account their current or past health. "Obamacare" isn't just requiring people to buy health insurance, it's also requiring health insurance companies to accept customers that they'd rather not insure. I'd prefer to have a "Government Option" and I'd be quite likely to buy into it. I believe that it would help keep the insurance companies honest. If private industry is so much more efficient, then it should have no trouble out competing the government option.

      --
      Most ignorance is vincible ignorance. We don't know because we don't want to know. --Aldous Huxley
    196. Re:What other products by wsxyz · · Score: 1

      Whoops meant to reply to GP...

    197. Re:What other products by Myopic · · Score: 1

      He quoted those four words from the preamble, but if you had ever read it, you would know that the same four words are found in the list of enumerated powers for Congress.

      Really, dude, try reading it some time. It might be really informative for you. It's a wonderful document which doesn't say many of the things people claim about it.

    198. Re:What other products by Anonymous Coward · · Score: 0

      "The most honest and efficient approach is to raise sufficient taxes for all needs, and some of those needs are a free "floor" for basic health care, nutrition, and housing for everyone. If you want to label what that approach is, feel free. I'm not bothered by labels."

      This is a great example of what true liberalism is. What we have in Obamacare is NOT liberalism, its progressiveism where everyone should be equal regardless of the concept of cost. Its why our country is currently sliding into the shitter.

    199. Re:What other products by compro01 · · Score: 4, Insightful

      Paul said no, but the screaming nuts in the audience certainly said yes.

      --
      upon the advice of my lawyer, i have no sig at this time
    200. Re:What other products by Anonymous Coward · · Score: 0

      Exactly. As a non-American it just bewilders me how Americans think they have a superior system when it's ractically socialized already.

      People who can't afford care will get the care regardless of their ability to pay, this cost is passed down to the paying people.

      People who can afford healthcare have a huge chance of being denied when they do end up sick or hurt. Once again everyone pays the cost.

      I've ever heard more than once of health care companies that simply refuse to pay the quotes from the hospital or doctor, and only pay a portion of the cost. Once again, this drives the cost up for everyone.

      Then you have to account for those pesky profits. Shareholders have to be appeased so constant growth of revenue and profits are required, regardless of the demand for services.

      I don't get how people DON'T want everyone paying in. You are all paying in regardless of whether you see it directly leaving your bank account or not.

    201. Re:What other products by jhoegl · · Score: 1

      The freedom for others to take away your retirement through bad investments and snakeoil salesman.

      Yeah... people who were fiscally disciplined got rapped in 2008 by big business and are currently working even though they planned to be retired by now.

    202. Re:What other products by operagost · · Score: 1

      It's funny you mention that, because the US yacht market (and thus most of the manufacturers) was destroyed when a special luxury tax for yachts was imposed. Obama, who doesn't like learning from history, wants to do the same for the private jet market.

      --

      Gamingmuseum.com: Give your 3D accelerator a rest.
    203. Re:What other products by Fjandr · · Score: 1

      In many places in th eUS, you can be arrested if you cannot provide proof of means and residence. It's rarely challenged because those it affects do not have the means to challenge it.

    204. Re:What other products by Anonymous Coward · · Score: 0

      Yes, but the fact is that the ER care is more expensive than preventative care, not the other way around. I'm not talking about expensive cancer treatments here, I'm talking about regular doctor checkups so that a medical professional knows about the little things you might be worried about but aren't willing to shell out hundreds of $ to get looked at.

    205. Re:What other products by roman_mir · · Score: 1

      Unbelievable moderation.

      You think when I write entire journal entries this is done out of desire to 'troll' somebody? You don't see a legitimate problem with all this stuff, that the government causes prices to go up, that it always causes unintended consequences, that it destroys the free market, that it creates corruption via corporatism by creating monopolies and oligopolies and destroying any sort of competition?

      This is insane, what is this place, Fox news?

      My thoughts on SS

      My thoughts on health care

      You don't like the ideas - leave a comment. Don't be a troll by moderating something you don't like as a troll.

    206. Re:What other products by Fjandr · · Score: 1

      Again, an example of laws that are under state discretion. The two are not comparable.

    207. Re:What other products by Reality+Master+101 · · Score: 1

      Wait, what? The law prohibits homelessness? In the US? Where?

      Vagrancy Laws cover that, as well as loitering laws.

      --
      Sometimes it's best to just let stupid people be stupid.
    208. Re:What other products by hedwards · · Score: 1

      And you're point being precisely what?

      Ensuring that all Americans have access to affordable health care definitely does fit with that particular bit of the constitution. And under the current system the easiest way to do that is to force insurance companies to cover all that apply. But in order for that to not result in only sick patients applying, there has to be some sort of a mandate which requires them to pay before they get sick. So that they get preventative care and can subsidize those that ultimately get sick.

      There are two other options, one being single payer and the other being to reduce the medicare enrollment age to 0 so that everybody can be enrolled. Which would drive the conservatives even more nuts because that would only be the available through the government.

    209. Re:What other products by Anonymous Coward · · Score: 0

      So because we already patch people up and send em out that means we have to provide EVERYTHING? This is the slippery slope argument that makes me not want govt to provide anything...people will take a mile when you give an inch.

    210. Re:What other products by Duhavid · · Score: 1

      By that logic, National Defense should not include forcefully taking money from one group of people only to give it to "Defense Contractors".

      --
      emt 377 emt 4
    211. Re:What other products by operagost · · Score: 1

      The people don't understand the ObamaCare plan - not entirely sure I do either, as it's a bit of a Frankenstein plan, rather than best plan which we couldn't get, not because of "Socialism", but because the major Healthcare companies have the GOP (and some Dems) so buttoned up in their pockets that the best plan of all could never get passed (the plan which cuts them largely out of the loop.)

      Both houses of Congress were Democratic when the bill was passed. The GOP had absolutely nothing to do with any compromises. QED

      Imagine if you will, there was no Social Security in the United States and any administration trying to get that system through today, with the way big business interests have so many politicians on a gilt leash. It'd be horrible and the only people really benefiting (besides lawyers, who seem to find a way to prosper from anything) would be businesses, not the people it was meant to serve.

      Yes... imagine if we didn't have a program in which all the revenue is thrown into the general fund instead of actually being saved for future shortfalls. That would be horrible.

      --

      Gamingmuseum.com: Give your 3D accelerator a rest.
    212. Re:What other products by Attila+Dimedici · · Score: 1

      Can one drive on Federal roads without Auto Insurance?

      If those federal roads are within the borders of a state that does not require auto insurance, the answer is "yes". There is no Federal mandate to buy auto insurance. However, that argument still does not work because if you don't own a car, you do not need to buy auto insurance. Additionally, the auto insurance you are required to buy covers damages you cause to other people and their property, not damage to yourself or your car (you can buy such insurance, but you are not required by law to do so).

      --
      The truth is that all men having power ought to be mistrusted. James Madison
    213. Re:What other products by Anonymous Coward · · Score: 0

      The distinction here is that health care is pretty vital to "promote the general Welfare" (US Constition - Preamble)

      welfare |welfe()r| (noun)

      the health, happiness, and fortunes of a person or group

      To that end, it seems pretty obvious that the founders of the United States cared enough about the health of it's citizens.

      We the People of the United States, in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defence, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity, do ordain and establish this Constitution for the United States of America.

      Promote != Provide

    214. Re:What other products by Anonymous Coward · · Score: 0

      The distinction here is that health care is pretty vital to "promote the general Welfare" (US Constition - Preamble)

      welfare |welfe()r| (noun)

      the health, happiness, and fortunes of a person or group

      To that end, it seems pretty obvious that the founders of the United States cared enough about the health of it's citizens.

      The abject misreading of the preamble aside, your logic is complete leech spit -- unless you are seriously asserting that medical care did not exist in 1787. If universal health care was intended (like universal postal coverage), it would have been listed in Article I, Section 8 -- the enumerated powers.

      On the other hand, the absence of universal laser coverage among the enumerated powers at least has the benefit of lasers not existing when the document was written ...

    215. Re:What other products by Nihilomnis · · Score: 1

      Yes. If one has a job, is one or the company paying for one's expenses? Just because the purpose of the transaction is different (or lack thereof) does not mean he didn't pay for it. Technically it's arguing over semantics.

    216. Re:What other products by hedwards · · Score: 1

      That's not true there are exemptions for those that genuinely can't afford and those that have religious objections to the health care. But, do you have any evidence to support the notion that there are large numbers of people that don't have religious objections to healthcare that truly opt out permanently? As in don't go to the doctor even when they are seriously injured?

      I see this argument over and over again that there are people being forced to pay for insurance that they're never going to use, but it ignores the fact that eventually everybody gets sick, and very, very few people genuinely have the kind of money that's required to pay for a stroke or cancer treatment, and it doesn't cause those folks to turn down treatment paid for by others.

    217. Re:What other products by Fjandr · · Score: 1

      There is a lot of non-profit health care. You just don't hear about it because it doesn't fit with what the government wants to promote. Namely, more special interest money into politicians' coffers and cushy post-political careers as lobbyists.

      Project Access is probably the best of the bunch, and provides free coverage for primary and specialty care for people who are unable to afford coverage on their own.

    218. Re:What other products by thomasw_lrd · · Score: 0

      It's perfectly legal to not wear a motorcycle helmet in my state. Stupid, but legal.

    219. Re:What other products by Anonymous Coward · · Score: 0

      All of them are net increases in effective tax rate. There now you don't have to confusure yourself with words.

    220. Re:What other products by Grishnakh · · Score: 1

      Is it possible to impose a tax on anyone moving into a state? Probably not, but it's one possibility.

      The other one is to make it sorta like a pension program, where you have to pay into it to get stuff out of it later. Long-time in-state residents would have paid into the program over a long time, whereas interlopers wouldn't have, and wouldn't be entitled to any benefits. Then the state could bill the interlopers' previous state for any expenses.

    221. Re:What other products by pnewhook · · Score: 1

      How does one "have it" without "buying" it?

      Be a Canadian.

      --
      Tesla was a genius. Edison however was a overrated hack who liked to torture puppies.
    222. Re:What other products by Anonymous Coward · · Score: 0

      Seatbelts, and motorcycle helmets are a couple of good examples.

      No they are not. Neither are required by law in New Hampshire.

    223. Re:What other products by darkmeridian · · Score: 2

      HAHAHAHAHA. So the answer is "No, don't let them die; let them pray that someone takes pity on them. And I based this on the anecdotal evidence offered by a man who thinks the US government may be trying to fence us in." What if no one takes pity on them. "Well, then they die."

      --
      A NYC lawyer blogs. http://www.chuangblog.com/
    224. Re:What other products by EverlastingPhelps · · Score: 1

      Who says you have to go to a doctor?

    225. Re:What other products by Anonymous Coward · · Score: 0

      It is "PROMOTE" the General Welfare, not "PROVIDE" the General Welfare.

      As in, "You really SHOULD BUY Healthcare Insurance"

      not

      "We the people will pay for your healthcare regardless of how worthless you are to society".

    226. Re:What other products by Anonymous Coward · · Score: 0

      This goes back to the "Do you let them die?" question. Should a hospital let someone bleeding to death die in their Emergency Room if they have no insurance? I think except for at republican debates the answer is "no".

      Don't we all wish that the Republicans were that consistent. Obviously the Republican candidate will say "Yes, the hospital should care for that person" but he or she will fail to think through the consequence of how to pay for that. That's really why we have a problem, because neo-conservatives don't believe in paying for anything they agreed to pay for. This is in contrast to your grandpa's conservative who believed the federal government not only should reduce taxes but also reduce expenses and leave more decisions up to the state governments, who would in turn tax more. What's missing today is the public understanding that somebody has to pay, it's going to be you whether you pay Congress or the state in which you live, or even the county or city.

    227. Re:What other products by pnewhook · · Score: 1

      And you think the US doesn't have socialist programs? It couldn't function without them.

      --
      Tesla was a genius. Edison however was a overrated hack who liked to torture puppies.
    228. Re:What other products by operagost · · Score: 1

      Defense is a responsibility given to Congress in the constitution. Interstate highways often have tolls on them, because they're actually maintained primarily by the states. Police and fire are run locally. So congratulations, you just pointed out things that make sense under a federal constitutional republic.

      --

      Gamingmuseum.com: Give your 3D accelerator a rest.
    229. Re:What other products by Anonymous Coward · · Score: 0

      "Do you let them die" is the wrong question -- no-one with any credibility has ever said "yes, let the freeloaders die."

      The real question is "When do you let them die?" And the government is terrible at making that decision.

      When someone is dying in the ER, and it comes time to treat them, when do you triage and cut your losses? At $1000? At $10k? How about at $100k? Or $10 million? $1 billion? This is further complicated by the fact that you don't even know IF the treatment you are about to pay for is going to even work.

      There are always more treatments you COULD try, at escalating expense. I don't want the government telling me when I've exceeded their per-citizen budget. If I can't afford to escalate my treatment myself, thats one thing -- I can plan for that (or not) and live with the consequences (or not).

      I suspect a significant portion of /. users have done hardware repair on a computer before, so I'm surprised we're not all familiar with the concept that troubleshooting a problem like this can get really expensive really fast. And with people, you generally can't just swap CPUs or RAM or whatever to quickly isolate the problem.

    230. Re:What other products by Grishnakh · · Score: 1

      Wrong. It's unconstitutional for the government to force citizens to purchase things from private companies.

      If you want universal healthcare, then pass a law mandating universal, socialized healthcare, paid for by the government. If you're not willing to do that, then leave it alone. This "reform" was nothing of the sort, it was just a giveaway to big insurance companies, and did nothing for actual healthcare. If I have a broken leg, will it help me to walk into an insurance company office? No, of course not; I need to go to a hospital. Throwing money at insurance companies isn't going to improve actual healthcare at all.

      Beyond that, if this really is that obviously unconstitutional they shouldn't have been pushing for it in the past.

      Since when did something being unconstitutional present a fundamental problem for the Republicans? Just like the Democraps, they'll advocate anything that gets them votes or brings them more bribes^Hcampaign contributions, and those things change rapidly.

    231. Re:What other products by Anonymous Coward · · Score: 0

      RABBLE RABBLE I AGREE! What will they do next? Make us pay for roads, fire and police services, teachers and bridges??

      RABBLE RABBLE

    232. Re:What other products by mr100percent · · Score: 1

      Where have you ever heard of an ER going under? Sometimes a hospital goes under, but not really from the ER (which is partly reimbursed by the state)

    233. Re:What other products by Anonymous Coward · · Score: 0

      Worked with doctors for years in healthcare IT... I don't know a single one who's turned one away because of inability to pay (and yes, we've explicitly discussed it). Most take the "we'll work something out afterwards" approach; and likewise, most drug companies have programs to provide their goods to those who can't afford it.

      More often the issue is people not picking up the phone and calling places explaining their situation. They've decided on their own "I don't have insurance, can't get taken care of".

    234. Re:What other products by brainboyz · · Score: 1

      Interstate commerce. Not commerce in general. It has been abused by claiming that intrastate commerce affects interstate commerce (and thus the Feds can control anything they like), but that's no more constitutional just unchallenged.

      Law also says a tomato is a vegetable and not a fruit. Mainly because at one point vegetables were taxed at a higher rate and the more plants classified as veggies, the better for the government. Also not a logical precedent.

    235. Re:What other products by bcrowell · · Score: 1

      I'm ok with being denied service based on my wages for a lot of things but when it comes to life saving medicine I don't see that as a "would be nice" feature.

      This goes back to the "Do you let them die?" question. Should a hospital let someone bleeding to death die in their Emergency Room if they have no insurance? I think except for at republican debates the answer is "no".

      I'm ok with being denied service based on my wages for a lot of things but when it comes to food I don't see that as a "would be nice" feature. This goes back to the "Do you let them die?" question. Should a supermarket let someone who's starving to death die in their checkout line? I think except for at republican debates the answer is "no".

      What's broken about healthcare in the US is its inefficiency. We spend far more than any other industrialized country, and our health outcomes are worse.

    236. Re:What other products by BJ_Covert_Action · · Score: 1

      So who is going to pick up the dead bodies of the people who bleed out and die on the streets because they were turned away from the ER? The police? Hey, guess what, our taxes are being used to pay for them too! Yay socialized medicine^H^H^H^H^H^H^H^H I mean, socialized corpse removal!

      :)

      Sick and hurt people don't just disappear you know.

    237. Re:What other products by realxmp · · Score: 1

      Either you're trolling or you really do believe you should just let sick people who can't pay rot on the street. The problem of course being that you're forgetting one of the most basic rules of epidemiology, sick people generally tend to make others around them sick. The rich can hoard their money if they like but then it won't stop folks in poverty acting as a reservoir for TB and other similar diseases. So my first point is this, it isn't just their problem, it's YOUR problem.

      Sick people are also economically inactive, meaning they're less likely to be able to work to pay for their insurance and treatment. This means they'll often not be treated fully and either not go back to work or produce reduced output. It's a major investment by the state to school someone, and one that is rather spoiled if they go and die on you. This brings me to my second point, either you go the whole hog with your investment in social programs such as free schooling and healthcare or you kill it entirely and have none. The halfway point you're in, is quite a wasted investment.

      The reason that despite the United States spending the most per capita on healthcare, they do not have the number 1 life expectancy is complicated but boils down to this, you've got a lot of people dragging the average down and your system is inefficient. The UK pays about 9% of it's GDP into healthcare, you pay 15% and yet people live longer in the UK? One way or another healthcare in the US has to be fixed and part of that fix is legislative unfortunately because the market has failed (and yes this probably includes further tort reform).

    238. Re:What other products by fyngyrz · · Score: 1

      No, they don't. Being homeless is quite distinct from hanging around one location (in fact, hanging around one location leans more towards having a home than not.) If you have no home, that doesn't give you a right to treat some random place owned by some other entity (corporation, municipality, state, or the feds, etc.) as a home.

      I'm reminded of the (sane) laws that say you can't pre-emptively hurt or kill someone and the (insane, unconstitutional) laws that say you can't go armed with defense in mind. It's perfectly sane and reasonable for me to say "get off my property." It's not sane or reasonable for me to say "you can't walk by on the sidewalk."

      Any law that says you must have a home is a bullshit law right out of the gate.

      --
      I've fallen off your lawn, and I can't get up.
    239. Re:What other products by Grishnakh · · Score: 1

      Not only that, there's no Federal law enforcement officers who will catch you driving on the Interstate and impound your car for you not having insurance, in fact there's no Federal law enforcement officers on the roads at all. The FBI doesn't patrol for road violations. Only state police (and local or county police) patrol interstate highways.

      You can drive around without insurance all you want, and the Federal government won't pay any attention. Heck, you can drive as recklessly as you want and they'll ignore you to. Car insurance is a state thing.

    240. Re:What other products by RearNakedChoke · · Score: 1

      The "auto insurance" canard. There is a big difference between compelling someone (with force) to purchase a product as a condition of exercising a privilege (driving) and compelling someone to purchase a product as a condition of being alive.

      Yet that difference is irrelevant to the REASON why auto-insurance was mandated. The reasons why auto-insurance was mandated are similar to why health insurance is mandated - the number of uninsured individuals was causing economic inefficiencies and inequalities that began to be overwhelming. These can be mitigated and controlled by mandated insurance. The fact that owning a vehicle is a personal choice hardly factored into the equation, although I'm sure the same wingnuts made vehement accusations of socialism and communism at the time. In hindsight, they all see the benefits now.

    241. Re:What other products by Anonymous Coward · · Score: 0

      Just because they have forced us in the past doesn't mean it's correct and the attitude should continue. Its as if your telling me that slavery should have continued because the government allowed it at one time. Wrong is still wrong. And you are wrong about your list: if you don't want to follow acceptable society you can go and live the life of a vagabond, the choice is still yours/mine. Again, anyone can go off grid it's when you need something from other humans that you have to play by the rules set by that society and that is what we are trying to do have this not set. And everyone in the US already has health care. If you are sick and go to any emergency room they will treat you regardless of if you have a HMO or not. You will pay though the nose for care, but that is your own fault for not having even the basic of the basic health care. Which brings me to the fact that what President wants is multi-level care where you pay in at a certain level which means the rich will still get the best care and poorest while now trying to pay for food and shelter will now have to fork out money they don't have on health care's lowest level which they don't need at the point, making them more destitute up front. There are just so many things wrong with this healthcare bill. But I'll stop here.

    242. Re:What other products by Grishnakh · · Score: 1

      There's an additional big difference in that auto insurance is a state matter, not a Federal matter. The states have a lot more power in what kind of laws they can enact than the Federal government (in theory at least, if you bother to follow the constitution).

    243. Re:What other products by Volante3192 · · Score: 1

      It depends how absurd you want to make the analogy.

      If your intended goal was to imply, "No, I bought the soda," well, where did you get the money from to give to the kid? Your employer. If you're self employed, well, it was from the people and companies that purchase your services. Or their employers. And eventually you could go far enough back to say the government bought the soda because that's where all US currency comes from.

      Arbitrary stopping point is arbitrary.

    244. Re:What other products by Anonymous Coward · · Score: 0

      The federal government is restricted by the 9th and 10th amendments to the powers explicitly granted to it in the constitution. Where is the constitutional mandate for healthcare? States can provide universal healthcare for their citizens if they want. I'd still be against it in principal, but it'd be permissible.

      Your air bag argument is a different context - cars have to be manufactured with air bags, but no one mandates you have to buy a car. You would not be able to get out of the premise of "existence", and thus cannot escape being forced to buy health care.

      The argument you imply is no doctor would provide free care to those who can't afford it, which is 100% untrue. It requires labeling the doctors as tyrants who will not help without the cash. Yes, that's not really the case, but to paint the picture that health care is not obtainable with no means except dollars is ridiculous. Two friends of mine, who are dentists, routinely help those without money get basic care, and will often trade others for work (for example, they traded a painter repainting part of their home for dental work)

    245. Re:What other products by nbauman · · Score: 1

      Project Access, for all its accomplishments, is funded by wealthy contributors and depends on volunteers for a large part of its services.

      Volunteers can only do so much. For medical care, if more people find out about it, they will quickly get swamped.

      I wonder what city you're in that can provide top-notch care for everyone who can't afford it -- unless they're covering most of it with Medicaid.

      One of the big reasons the American Medical Association finally accepted Medicare and Medicaid is that those programs paid them for work that they used to write off as charity. The volunteer hospitals and health organizations will be the first to tell you that they can't do it all themselves.

    246. Re:What other products by Anonymous Coward · · Score: 1

      The powers granted for general welfare are listed below that paragraph

      To borrow Money on the credit of the United States;

      To regulate Commerce with foreign Nations, and among the several States, and with the Indian Tribes;

      To establish a uniform Rule of Naturalization, and uniform Laws on the subject of Bankruptcies throughout the United States;

      To coin Money, regulate the Value thereof, and of foreign Coin, and fix the Standard of Weights and Measures;

      To provide for the Punishment of counterfeiting the Securities and current coin of the United States;

      To establish Post Offices and post Roads;

      To promote the Progress of Science and useful Arts, by securing for limited Times to Authors and Inventors the exclusive Right to their respective Writings and Discoveries;

      To constitute Tribunals inferior to the supreme Court;

    247. Re:What other products by jmorris42 · · Score: 0

      > What if no one takes pity on them. "Well, then they die."

      Uh huh. And if that isn't the perfect example of the product of a totalitarian mind I'd like to know what is.

      Civics lesson time. In our form of government all just power derives from the consent of the governed, right? So if the government is tending the sick it is BECAUSE WE THE PEOPLE want them to. So if we wise up and realize that giving the government the power of life and death over everyone to solve a problem we can solve ourselves at less expense and less risk the poor will still be tended because we do care, we just don't want the STATE doing it.

      On the other hand if We The People really become the dbased, depraved creatures the Progressive enterprise is premised upon us being, we wouldn't fund charities that care for the poor, but we also wouldn't VOTE for people who take our money and piss it away on saving 'useless' people. Am I right? Catch-22 isn't it. Unless you are willing to fess up and admit your true beliefs. That We The People are worthless worms who would revert to cannibalism without the protection and guidence of YOUR vanguard of the Progressive Future, the new, the elite, the ivy league educated better people who were Born to Rule. That letting the People rule themselves is a stupid idea, the idiots would kill themselves, that those teeming masses of idiots are fit only for the harness.

      --
      Democrat delenda est
    248. Re:What other products by HotBBQ · · Score: 1

      The pedant in me wants to change that 100% to 99.9999999999999999999999999999999999999999999999999%.

    249. Re:What other products by Anonymous Coward · · Score: 0

      As has been said before, the law requires Americans to have health insurance. It is the first law to require Americans to purchase a good or service for no other reason than because they exist, and are citizens. Your examples are not the same- I don't have to buy a car, and a cruise is a luxury most can't or don't want to pay for. The only thing shocking about your post is your equivocation of mandatory safety devices on optional goods/services with a mandatory purchase to continue functioning in our society.

    250. Re:What other products by Anonymous Coward · · Score: 0

      It's actually 7/100 of a cent on your dollar for the CEO of Cigna.

    251. Re:What other products by nschubach · · Score: 1

      - Interstate Highways - There was a time when privately held roads criss-crossed America, they were called Turnpikes, you paid for passage on them. Such a system today would utterly squeeze the life out of interstate commerce, let alone throttle your travel plans.

      There's only one way in or out of a state?

      Also, Turnpikes still exist. There's one that crosses the northern part of Ohio and they get TONS of road traffic from truck and vacationers alike... in fact, Interstates 80 and 90 join with it and serve a majority of cross state traffic. It joins with the Indiana Turnpike on the west side of Ohio.

      I don't see how this makes Turnpikes a bad thing. It's generally the best maintained road in Ohio.

      --
      Every time I start to have faith in humanity, I ruin it by driving to work between 7 and 8 am.
    252. Re:What other products by Duhavid · · Score: 1

      "So somehow we must have some people who do not receive our best care. And some who do"

      Why is that? And why is wealth allowed to be the determinant of this?

      --
      emt 377 emt 4
    253. Re:What other products by Murdoch5 · · Score: 1

      I got the ultimate idea, Free Health Care :-O, The idea is you go to a doctors office or the hospital and get treated for what you need and then leave and don't owe money. if the US had a proper health care system they wouldn't need this law.

    254. Re:What other products by mspohr · · Score: 1

      You can get emergency care in an emergency room at any time and you will be billed (exorbitant rates) for the privilege. However, you can't get treatment for your cancer or any chronic or non-emergency condition. If you have one of these and no money, you'll just have to die at home (to the cheers of Republicans). This is the US "death panel" system.

      --
      I don't read your sig. Why are you reading mine?
    255. Re:What other products by Anonymous Coward · · Score: 0

      But it's not a counter-argument to note that: we still pay for that tremendously expensive & inadequate healthcare uninsured people receive in emergency rooms, and many ER visits are the result of previously-untreated issues that could've been cleared up with proper preventative treatment for far less money. We all pay for the health care of the uninsured. The uninsured still receive inadequate care. That's the problem the health care law is designed to fix.

    256. Re:What other products by Anonymous Coward · · Score: 0

      Car insurance is also needed for owning a car, otherwise you get ticket if the cops find out.

    257. Re:What other products by Anonymous Coward · · Score: 0

      Perhaps you should actually read the enumerated powers of Congress?

      Section. 8.

      The Congress shall have Power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defence and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;

    258. Re:What other products by MimeticLie · · Score: 1

      Which is a filthy lie.

      Did you actually see the debate? Paul said they shouldn't be left to die (although he wasn't enthusiastic about it), but the audience (Tea Party members, you might recall.) were clamoring for the death of the hypothetical poor.

    259. Re:What other products by Anonymous Coward · · Score: 0

      As far as being homeless, they would be given some shelter if they were arrested obviously.

      They'll also be given healthcare if arrested (or maybe I'm assuming too much there - presumably even in America you give healthcare to people who are incarcerated or otherwise held by the government against their will?). If so then it's hard to imagine what point you were trying to make here.

    260. Re:What other products by kisak · · Score: 1

      http://www.huffingtonpost.com/2011/09/12/tea-party-debate-health-care_n_959354.html

      http://www.youtube.com/watch?v=-usmvYOPfco

      --

      --- guns don't kill people, people with guns kill people ---

    261. Re:What other products by Anonymous Coward · · Score: 0

      I don't drive a car or a motorcycle... You are required to purchase these things in exchange for a license to drive. So far as I know, the government doesn't require licenses to live and breathe.

    262. Re:What other products by rcw-home · · Score: 2

      Healthcare is first case of being forced to buy a product just for being alive.

      Except that's not true. You're forced to pay income tax if you make income, which Congress was given carte blanche to do via the 16th amendment. You pay *less* income tax if you buy health insurance. But if you didn't make enough to get taxed that much, then you're not paying for this anyway (you are, however, still getting it).

    263. Re:What other products by russotto · · Score: 1

      Unless you're talking about military bases, there's no such thing.

      Not quite true; the George Washington Parkway in Virginia and D.C. is in Federal jurisdiction; you can get a Federal speeding ticket on it.

    264. Re:What other products by myth24601 · · Score: 1

      When people are old and sick now, they are covered by Medicare.

      --
      No matter where you go, there you are.
    265. Re:What other products by bzipitidoo · · Score: 4, Informative

      No one will be turned away from an emergency room.

      I beg to differ. Some years ago, one of my cousins was turned away from ER. He was uninsured of course, or he probably would have seen a doctor a lot sooner. He was suffering from terrible headaches, couldn't even sit down because that made the pounding worse. He died the next day, presumably from an aneurysm in his head. He was about 45 years old. ER might not have been able to save him, who knows? But it should never have escalated to that point. Could he have been saved if he'd had access to basic health care months before his problem reached the crisis point, when he himself probably didn't think it was anything serious?

      Everyone seems aware of the problems with health insurance. But hardly anyone bashes the medical providers for their crazy billing practices. It's insane, and downright fraudulent the way doctors run the business. You see very few prices up front. They claim they can't give you any price until they know more. Maybe, but there are plenty of known prices they keep from you until well after the fact. If you ask about the price, they'll tell you not to worry (bad for your health, maybe?) insurance will cover it. Then they sometimes demand that you sign a blank check. They push you to sign a form that says you'll pay for something if insurance doesn't. And they won't tell you the price even when it's for something easy. They pulled that one on us for a wheelchair, and not a motorized one either, that turned out to be just over $800. Another stunt they pulled on us was having us keep a medical device for an extra week, unused, without informing us that it cost $1100 per week to rent!

      --
      Intellectual Property is a monopolistic, selfish, and defective concept. It is "tyranny over the mind of man"
    266. Re:What other products by Artifakt · · Score: 1

      Any power the government has includes paying for that power to be exercised with money raised by taxes, and taxation is always backed up by force. You're arguing that the federal government doesn't actually have the power to actually promote the general welfare as granted to it by the constitution. They can only promote the general welfare when they don't spend any taxes doing it. I guess that clause is only decorative. How about this: Common defense doesn't include forcefully taking money from one group of people only to give it to another, so the government has no right to actually buy bullets for its army's guns. See how earth-shakingly stupid that sounds?

      --
      Who is John Cabal?
    267. Re:What other products by HTH+NE1 · · Score: 1

      I imagine that if you could prove your immortality, you wouldn't be required to buy health insurance.

      --
      Oh, say does that Star-Spangled Banner entwine / The myrtle of Venus with Bacchus's vine?
    268. Re:What other products by myth24601 · · Score: 1

      My grandmother has no Auto Insurance at all.

      --
      No matter where you go, there you are.
    269. Re:What other products by Grishnakh · · Score: 1

      It seems like liberals don't like the idea of states having powers that the Federal government doesn't.

    270. Re:What other products by Anonymous Coward · · Score: 0

      Now do you really want everyone mandated to own a firearm?

      In a way, many of us are statutorily required to own a firearm. Militia Acts of 1792. Among the requirements were that every (white) male aged 18-45 (i.e. citizen) would register with the local militia CO, and obtain for himself a weapon suitable to militia use (with a standard bore), and various accoutrements related to its use, militia duty, and that citizens would be required to participate in drills (become well regulated). It also delegated authority of the militia to the President.

      Acts of 1862 effectively removed the requirement to be white.

      Militia act of 1903 created the national guard (organized militia) and recognized the unorganized militia (all males 18-45...available for conscription)

      The laws still effectively stand. By the way, a weapon relevant to militia service today would in fact be the standard service rifle of the armed forces: M16A2-A4... So yeah, it's not enforced, but that's what the spirit of the law says.

    271. Re:What other products by jd.schmidt · · Score: 1

      Guns, what is worse is the Government may also require you to pick up the gun you bought, go to another country and possibly get killed. Come to think of it, lots of the money taken by the Government from me goes to private corporations against my desires.

      Sill I have to agree with your point, socialized medicine would probably be better than the insurance mandate, that way the government would be the middleman and I wouldn’t be giving it to corporations directly with no choice in which one.

      I agree the government doesn’t and shouldn’t own 100% of what your produce, but at the same time if you live in society you are required to contribute to advance our societies chosen goals. So I can’t agree that you should be able to opt out of anything you don’t like, unless you are ready to opt out of being an American. If you think health care is a bad plan, we have a process for that, but you give up some autonomy by joining a society. You argument is flawed and the SC will find it so also in a 5-4 ruling.

    272. Re:What other products by FauxPasIII · · Score: 1

      > as a practicing physician before the Feds got involved he never saw a patient left to die

      Anecdotal evidence is anecdotal, but even so, that can't POSSIBLY be true. I'm only 32 and two people close to me have died because of an inability to afford treatment; one a few years back from melanoma and one just last week from breast cancer.

      I suppose it's possible that Ron Paul managed to work as a physician and never notice the poor dying all around him, but is that really the most likely explanation?

      --
      25% Funny, 25% Insightful, 25% Informative, 25% Troll
    273. Re:What other products by 517714 · · Score: 1

      Not if its from Abby Normal.

      --
      The US government have made it clear that we have no inalienable rights; any we do not defend vigorously will be taken.
    274. Re:What other products by Grishnakh · · Score: 1

      Wrong. You don't have to buy car insurance at all. Just get rid of your car (if you own one), and then you aren't required to have insurance. Or, just move to a state where it isn't required.

      Are you one of those idiots who doesn't understand the difference between Federal and State powers?

    275. Re:What other products by MobyDisk · · Score: 1

      Let me clarify a few misconceptions here:

      This goes back to the "Do you let them die?" question. Should a hospital let someone bleeding to death die in their Emergency Room if they have no insurance? I think except for at republican debates the answer is "no".

      Prior to the Obama healthcare plan, hospitals did not let people bleed to death in the Emergency Room. This law doesn't change that.

      The problem isn't that we're mandated to buy it. The problem is that it's a mandatory service that *SHOULD BE PROVIDED BY THE GOVERNMENT*.

      No, it really is that we are mandated to buy it. The law says that anyone who can afford health insurance must buy it, or you get thrown in jail. This is the first time the government has ever required someone to buy something outright.

      I'm going to probably shock people with this but you're already required to buy all manner of things. Do you want airbags? Too bad, buy a car and you get them. Do you want a life raft space for you on all cruise trips? Too bad, you have to buy one.

      It's not the same because the law does not require you to buy a car just because you can afford one. Nor do you have to buy cruises just because you can afford one. This law says if you make more than $____ per year, you must buy health insurance.

    276. Re:What other products by russotto · · Score: 1

      People do not have to wait for life threatening care with single payer, just non-immediately needed procedures sometimes.

      Because it's just SO much fun walking around on a torn ACL or with a bit of cartilage flapping around inside your hip. Though perhaps if you put it that way to Dick Cheney, he'd get Republicans behind single-payer; he's for torture, after all.

    277. Re:What other products by Anonymous Coward · · Score: 0

      They weren't holding up the ER as an example of anyone getting reasonable medical care.

      They were holding it up as an example of a cost burden that already exists.

      Because it turns out we, as a society, would rather people not die, and so don't give the ER the option to deny access.

    278. Re:What other products by Migraineman · · Score: 1

      "Federal" roads? If you're referring to the Interstate Highway System in the US, the roads are owned and maintained by the states. There is Federal funding applied for construction and maintenance, but the Federal Government doesn't own the roads. Have a look the next time you're driving - you'll see State Police patrolling the highways, not Federal Highway Troopers.

    279. Re:What other products by jd.schmidt · · Score: 1

      LOL, and if you don't agree with what I say Americans think and don't vote the way I vote, you must not be an American. QED

    280. Re:What other products by Fjandr · · Score: 1

      Yes, and it's one program operating mainly by word-of-mouth. The impediments against it are fairly large given the current political climate, and yet it continues to thrive and allow treatment for tens of thousands of individuals nationally.

      The care in my city is provided by Project Access. It is open to absolutely anyone who cannot afford primary or specialty care.

    281. Re:What other products by luminousone11 · · Score: 2

      However in the enumerated powers congress is given to ability to raise taxes for the purposes of general welfare,... And the use of this power for the purpose of health care is supported as several founding fathers voted for and passed the "Act for the Relief of Sick Disabled Seamen July 1798", John Adams signed this into law as the then current president.

      from Article 1 section 8,

      "The Congress shall have power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common defence and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;"

    282. Re:What other products by nschubach · · Score: 1

      Well... wouldn't that be the case with State laws? If you didn't like the structure of law in one State you could always move. With Federal laws, that freedom of choice is taken away.

      --
      Every time I start to have faith in humanity, I ruin it by driving to work between 7 and 8 am.
    283. Re:What other products by amRadioHed · · Score: 1

      Healthcare is not a product someone should be profiting from. The fact that it is treated as such in the US is part of our problem. Healthcare should be treated the same as police and fire protection. And guess what, everyone is required to pay for those, whether or not they ever need them.

      --
      We hope your rules and wisdom choke you / Now we are one in everlasting peace
    284. Re:What other products by Anonymous Coward · · Score: 0

      Agreed, why should I be forced to pay health care for people who *can* afford health care but want a free ride. I assume all those who complain about the health care initiative have purchased health care, if not then you've no business making any comment.

    285. Re:What other products by goldspider · · Score: 1

      No, not like that at all, actually.

      --
      "Ask not what your country can do for you." --John F. Kennedy
    286. Re:What other products by Slime-dogg · · Score: 1

      But it looks like "shutdown" is correct in that the provinces do not in fact HAVE to follow the CHA, but when they step out of line, the feds can (and do) reduce the amount of money the federal government provides in proportion to the seriousness of the infraction.

      This is the same behavior that the US Federal Government has, with respect to providing states with funds for highway maintenance. This applies to the legal age to purchase alcohol, though.

      --
      You need to restart your computer. Hold down the Power button for several seconds or press the Restart button.
    287. Re:What other products by Knackered · · Score: 0, Troll

      and it's not an actual product.

      Neither is healthcare. It's a human right.

      --
      a.
    288. Re:What other products by ArcherB · · Score: 0

      The Congress shall have power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common defence and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;

      Article 1, Section 8

      Are you saying that the Federal Government has unlimited power to anything it wants as long as it claims to promote general Welfare? Keep in mind, this could mean execution of every citizen when they reach the age of 30 ala Logan's Run (Renew!!!). This could mean the rounding up of all people who are homeless and Soylent Greening them. This could mean anything at all.

      So, I ask again, are you saying that the Federal Government has unlimited power to anything it wants as long as it claims to promote general Welfare? Do you honestly think that general Welfare, as mentioned in the article that gives the government power to levy taxes, was meant by the founders to give the federal government unlimited power? Or do you think that it might, maybe, mean that the Feds may collect taxes to promote general Welfare, like building bridges, an interstate highway system and fund things like the FBI?

      --
      There is no "I disagree" mod for a reason. Flamebait, Troll, and Overrated are not substitutes.
    289. Re:What other products by babblefrog · · Score: 1

      In theory, this is true. If you've been living in the US a while, you know that it is not true in practice. They can stretch the "General welfare" clause and the "Interstate Commerce" clause to cover anything. Limited Government is history.

    290. Re:What other products by DaveV1.0 · · Score: 2

      If you look, you will see that it is Aetna of [insert state], Cigna of [ insert state]. What they do is set up subsidiary companies in each state they serve to write and sell insurance. The profits are then funneled up to the parent company. This is why, when there is a major disaster in a state, the individual state companies say they need to raise the rates. A large portion of the premiums have been sent back home to the mother company, leaving the state company short of cash.

      Brilliant way around the law and it is also why, generally, in each state there is a single company that holds most of the business.

      --
      There is no "-1 offended" or "-1 you don't agree with me" mod options for a reason.
    291. Re:What other products by thomasw_lrd · · Score: 0

      What about Muslims, and the Church of Scientology. They are free to not participate because of their religious views. How can this be legal?

    292. Re:What other products by imric · · Score: 1

      And it's bullshit too. If it ain't trauma and you don't have insurance, you get turned away. I know.

      --
      Paranoia is a Survival Trait!
    293. Re:What other products by DaveV1.0 · · Score: 2

      My state is one of the ones suing to stop the law using a version of this argument.
       
      Really, my only problem with the law is what I described. If they want to keep Obamacare, then they need to make it legal to sell insurance across state lines. If they don't want to make it legal to sell insurance across state lines, then it should be left to the individual states as Romney did with MA.

      --
      There is no "-1 offended" or "-1 you don't agree with me" mod options for a reason.
    294. Re:What other products by ArcherB · · Score: 0

      Dude, don't expect to change his mind about the Constitution by quoting the Constitution to him. You will never, EVER convince him that Congress has the Constitutional power to promote the general welfare -- NEVER. He will NEVER admit that. He will NEVER acknowledge that A1S8 exists, or that it gives Congress broad power -- which it does, and does.

      Eugenics supports the "general welfare". Gassing the homeless would promote the general welfare. Enslaving peoples from conquered lands would promote the general welfare. Do you think that A1S8 gives the federal government this power? Tell me, what power does the "general welfare" part of A1S8 is NOT given to the federal government?

      Also, answer this, what does the 10th Amendment mean if the federal government has unlimited power?

      --
      There is no "I disagree" mod for a reason. Flamebait, Troll, and Overrated are not substitutes.
    295. Re:What other products by Fjandr · · Score: 1

      Yeah, I knew there would be a relatively limited number of exceptions to my statement. Listing the exceptions to it being state-enforced is a whole lot easier than the reverse though, which was the main point.

    296. Re:What other products by Coren22 · · Score: 1

      I was very interested when I saw a statistic recently. The US pays the highest healthcare costs of any nation in the world. I think it was by something like 10x too, which is just insane. The Healthcare industry in the US is too big to fail...we need to get rid of it right now...

      --
      APK likes to ask for responses to the same things over and over. Maybe he just likes the responses?
    297. Re:What other products by LifesABeach · · Score: 1

      Is wise to speak for someone that can communicate more effectively?

    298. Re:What other products by nbauman · · Score: 1

      What is your city?

    299. Re:What other products by ArcherB · · Score: 1

      In theory, this is true. If you've been living in the US a while, you know that it is not true in practice. They can stretch the "General welfare" clause and the "Interstate Commerce" clause to cover anything.

      Limited Government is history.

      This is because any time someone claims that the 10th Amendment means something, they are ridiculed out of existence. Glenn Beck, Ron Paul, Rick Perry have all said the 10th Amendment means something or have said that a government program that is not backed up by the Constitution is unconstitutional, and they have all paid the price.

      (Note: I am not a Ron Paul Fan. I have nothing against him, but I see his followers and think, "I'm not going to join with these loons!")

      --
      There is no "I disagree" mod for a reason. Flamebait, Troll, and Overrated are not substitutes.
    300. Re:What other products by Anonymous Coward · · Score: 0

      If they lost all their money due to having investments in risky stocks and derivatives in 2008, with the expectation of retiring within the next couple years, then there is no way on earth you can call those people "financially disciplined."

      One of the prime rules in investing is that as your tolerance for risk gets lower (i.e., you get closer and closer to retirement), you shift your investments to more and more conservative investments - money markets, and high quality bonds. THAT is disciplined investing. "I want to retire in 2010, but I can leave my entire portfolio in high-risk derivatives, international growth stocks, and complex unregulated hedge funds right up until the day I retire" is pretty much the *definition* of undisciplined investing.

      Of course, given the long duration of retirement for most people, it's necessary to leave SOME of your portfolio in more aggressive growth vehicles, but then... since you don't need that money today, you have plenty of time over the next 5-10 years to recoup your losses as the market recovers and shift the money into more conservative investments as you get within a few years of actually needing it.

    301. Re:What other products by b4dc0d3r · · Score: 1

      Are you saying that you are the sole judge of what general Welfare means? Or are you going to leave that up to the people who actually have that responsibility, which is the Supreme Court?

    302. Re:What other products by shutdown+-p+now · · Score: 1

      Canada doesn't have the problem in practice, since all provinces choose to opt into that single scheme (coordinated by the Feds) that evens out spending proportionally to state population. The nice thing about the arrangement is that a province can still leave if there is some major disagreement between them on how things should be run.

      In theory, should the split happen, there's no reason why the province that opts couldn't restrict its public healthcare services to citizens who have been paying social taxes in that province for a certain amount of time. They already do it for non-citizens for some things.

    303. Re:What other products by pipingguy · · Score: 1

      Do you want airbags? Too bad, buy a car and you get them.

      A relatively low-end car I checked out recently had 10(!) airbags. How much did all these add to the overall cost of the car? And do drivers really *need* 10 airbags when wearing a seatbelt is likely good enough?

    304. Re:What other products by Curunir_wolf · · Score: 1

      Well, the RIAA and MPAA have infiltrated the government pretty well, and it seems to fit with their ideals....

      Good point. Canada already does this to their citizens, sort of - they are required to pay for music and movies whether they ever listen/watch or not, but they have a slightly higher standard in that you aren't paying unless you buy some kind of writable digital media.

      --
      "Somebody has to do something. It's just incredibly pathetic it has to be us."
      --- Jerry Garcia
    305. Re:What other products by russotto · · Score: 1

      What should be asked is WHY health care costs are so high.

      Lots of reasons, but the main one, which causes many of the others, is health insurance, especially flat rate plans (HMO/PPO). One you decouple the person receiving the service from the entity paying for it, you remove an important feedback process. Further, the market power of the insurance companies lets them require that they get a break while cash customers get screwed (medicare started this one).

    306. Re:What other products by MYakus · · Score: 1

      The things that needed fixing in health care weren't addressed in Obamacare; like insurance portability across state lines and tort reform. So, doctors now go forward under government control. Private practice is dying, and doctors have all the old burdens plus a lot of new. Medicare was raided for $500Bn to fund Obamacare and the first cut, 30%, in payments to doctors start around December. Add the fact that payments haven't changed in 11 years and then add another 2% cut if the Debt Commission can't get their act together. If you look into the doctor's forums, you'll see that a serious number of them are lining up to quit. The AMA rolled over to help pass the bill and now doesn't have the respect of government or doctors (at least they agree on something). The way the bill was passed was also frightening for the future - "deemed passed". This is a Frankenstein monster.

    307. Re:What other products by Coren22 · · Score: 1

      You do realize that there are tons of pay to ride turnpikes still around. The really funny thing about it is, every single one I can think of is an interstate too.

      The Jersey Turnpike (http://en.wikipedia.org/wiki/New_Jersey_Turnpike) costs a bundle to drive on, and it is just a road that runs through New Jersey, it is not even like there are a ton or bridges on it.

      --
      APK likes to ask for responses to the same things over and over. Maybe he just likes the responses?
    308. Re:What other products by Darinbob · · Score: 1

      Motorcycle helmets, wearing of seat-belts? And we have people who object over their mandatory use as well.

      Of course, we could dump the corporations (and non profits) and go with a pure government program, ala medicare or social security. But that would raise an even bigger stink.

      I think the issue isn't really the mandated coverage of health insurance, that's just the issue that's being latched onto that has some sort of legal argument against it. The real issue is that this is a Democrat sponsored and passed bill and thus it is anathema to many Republicans (even though it is strikingly similar to earlier Republican proposals). Ie, we have Republicans who make their primary legislative goal that of making Obama a one term president; they don't list any plans of their own, no proposals, no solutions, etc. They just want the S.O.B. out at any cost. Getting the health care bill overturned is a part of this goal and they've said this during campaigns and rallies. This anger is not due to having to buy insurance (that they all purchase anyway) or because of some legal underpinnings that don't seem sound.

    309. Re:What other products by 517714 · · Score: 1

      And under which of these does the mandatory healthcare insurance fall? Try again because that article does not apply.

      --
      The US government have made it clear that we have no inalienable rights; any we do not defend vigorously will be taken.
    310. Re:What other products by Fjandr · · Score: 1

      Spokane, WA

    311. Re:What other products by WhatAreYouDoingHere · · Score: 1

      It is certainly not an enumerated power and does not give the federal government unlimited power to "promoting the general Welfare" or "insure domestic Tranquility".

      Perhaps the federal government should try to go around tranquilizing everybody in the country. That would certainly help to insure domestic tranquility.

      --
      "What are you doing here, Elijah?"
    312. Re:What other products by Uberbah · · Score: 3, Interesting

      Actually, it does - how else do you expect to promote the general welfare without the government paying for services, which requires taxation.

      The 'necessary and proper' clause was the last item in a carefully enumerated list of powers.

      Headed, again, by General Welfare, making it's second appearance in the Constitution. And if you're going the "it's a strict list of enumerated powers" route, keep in mind that means that huge parts of the military, intelligence and law enforcement branches are unconstitutional, as Congress "only" has the authority to fund an Army and a Navy.

      This isn't even a new argument, all this was debated and settled in the Irrelevant Papers.

      FTFY, unless you can point out in the Constitution where it specifies that the Federalist Papers define what the Constitution actually means.

    313. Re:What other products by Darinbob · · Score: 1

      It would be simpler overall to just get rid of insurance companies and use government taxes to pay for health care. No way would it ever fly here politically. The health care bill we do have is a severely watered down and ineffective bill anyway, but it's the best that could be had given the obstructions. If the goal is universal coverage (poor, destitute, recently unemployed, disabled, citizens, tourists, illegal immigrants, and everyone else) then how else is it to be accomplished?

    314. Re:What other products by polar+red · · Score: 1

      you mean the "communism" of russia, china and cuba ?

      --
      Yes, I'm left. You have a problem with that?
    315. Re:What other products by Fjandr · · Score: 2

      The ability to seek out care is. Nobody can legitimately prevent you from seeking it, much like nobody can legitimately prevent you from speaking your mind. Nobody has to enable your use of rights for you, though.

    316. Re:What other products by said213 · · Score: 0

      NCLB

      --
      help me fix this "Terrible" karma, please!
    317. Re:What other products by goldspider · · Score: 1

      The federal government doesn't mandate auto insurance.

      --
      "Ask not what your country can do for you." --John F. Kennedy
    318. Re:What other products by Anonymous Coward · · Score: 0

      Then explain nudist colonies. They exist. You should visit sometime... I suggest summer time, in the winter it can get nippley.

    319. Re:What other products by gumbi+west · · Score: 1

      Well, there are problems with this. Like, if and I are writing a book from which i will derive most of my income and you ride a bike without a helmet and die, do I get paid by the insurance company for the lost wages?

      If you hit someone and cause millions of dollars worth of damage to them, how do you pay? The DOT value of a human life is $3 million, but if a private party kills a family member you just get what the person was insured for, which is often the state (regulated) minimum of $100k or so. If it weren't for that regulation, you'd just get a few thousand dollars in most cases (the person's net worth).

    320. Re:What other products by polar+red · · Score: 1

      it's always the 'democratic' component that is missing (in both communism(russia,china,cuba), capitalism(europe) and corporatism(us,uk)

      --
      Yes, I'm left. You have a problem with that?
    321. Re:What other products by LifesABeach · · Score: 1

      When I can have a WATSON App in my phone, interfaced to a medical cloud service, and pay $360 a year for health insurance; why would my family need Kaiser Permanente?

    322. Re:What other products by ArcherB · · Score: 1

      Are you saying that you are the sole judge of what general Welfare means? Or are you going to leave that up to the people who actually have that responsibility, which is the Supreme Court?

      Actually, that responsibility would fall on those writing the laws. For example, the Supreme Court can be disbanded to "Provide the General Welfare". See, you're saying the federal government, specifically Congress, has unlimited power, as long as they claim that their purpose is to "Provide the General Welfare".

      --
      There is no "I disagree" mod for a reason. Flamebait, Troll, and Overrated are not substitutes.
    323. Re:What other products by Anonymous Coward · · Score: 0

      If clothing retailers followed the RIAA's business model, you'd only get to rent clothes by the minute as long as they are worn, and when you leave the country you have to leave all the clothing behind.

      So, yes Health Insurance just needs to be flipped around so that it comes out of gross income taxes, and those not paying or/and cheating the tax system get fined. Nothing new to see here.

      How it works here in Canada, or rather BC is that 5 years ago the government sends you a bill every month for 45$, it's now 60.50. If you work for a company, you can have it automatically deducted from payroll. If you don't work from a company with that capability, then you get the bill. It knows where to find you only if you receive a paycheck. If you don't pay for like 3 consecutive times, they just withhold that portion from income tax refunds, assuming you get any at all.

      Welfare bums (as in people who won't get a job, or pop out babies as an income source from the government) never have to pay for the medical services because if you make less than the taxable amount, you can also get the Medical services plan to give you a 100% discount. Guess who cheats the medical service plan the most? Americans.

    324. Re:What other products by gumbi+west · · Score: 1

      It's called social security and medicare, constitutionally tested and approved.

    325. Re:What other products by Uberbah · · Score: 2

      Speed limits are set by the states because there is nothing in the Constitution that gives the federal government the power to regulate traffic laws.

      Interstate highways, interstate commerce. You figure it out.

      Health care is like speed limits. Since there is no Constitutionally granted power for the feds to regulate it, the power falls to the states.

      General Welfare. It's in the Constitution. Twice. And if you're going to go the teabagger route and claim that Article I, Section 8 is a strict list of enumerate powers, that means that the Air Force/CIA/NSA/FBI/NORAD are also unconstitutional, since Congress "only" has the authority to fund an Army and a Navy. But you never see conservatives make that argument....almost like they're a bunch of unprincipled hacks making arguments of convenience, or something.

      This is why the Massachusetts health care law is Constitutional, but "Obamacare" is not.

      That and there's nothing in the Constitution to force private citizens to buy products from private businesses. But teabaggers seldom see a corporate Koch that they don't beg to suck, and the four most conservative votes on the Supreme Court are no exception to this. So don't be surprised to see the mandate rubber stamped in a ruling from SCOTUS this year or next year.

    326. Re:What other products by smelch · · Score: 2

      Gee, it's almost like income tax doesn't make any sense, and consumption tax does.

      --
      If I can just reach out with my words and touch a butthole, just one, it will all be worth it.
    327. Re:What other products by ari_j · · Score: 1

      They're actively bad examples for the additional reason that they are both requirements of state law, not federal.

    328. Re:What other products by ari_j · · Score: 1

      That's not a police power, it's a spending power. Congress can spend all it wants on the general welfare. The question that the Supreme Court will have to answer is whether Congress can force an individual to spend money on something directly, namely health insurance. They are very distinct issues.

    329. Re:What other products by Fjandr · · Score: 1

      Read the reply I made to my own post here. Already covered.

    330. Re:What other products by Anonymous Coward · · Score: 0

      And in that, we need healthCARE reform, not health insurance reform.

      Healthcare reform is for the good of the general welfare of the United States. Health Insurance mandate fixes nothing and isn't an improvement by much.

    331. Re:What other products by Anonymous Coward · · Score: 0

      You're a liar. Or an idiot. Or both.

    332. Re:What other products by goldspider · · Score: 1

      Everything the government wants to do is for the General Welfare. Therefore they shouldn't be constrained in any way.

      --
      "Ask not what your country can do for you." --John F. Kennedy
    333. Re:What other products by DarkOx · · Score: 1

      Most of which are never contested in appeals court because the people who are charged with them usually are not in a position to obtained qualified legal help for appeals. When anyone who *would* likely be able to the charges get dropped, because the people who wrote those laws and enforce them are perfectly aware they are unconstitutional and don't let them get contested in court.

      --
      Repeal the 17th Amendment TODAY! Also Please Read http://www.gnu.org/philosophy/right-to-read.html
    334. Re:What other products by 517714 · · Score: 1

      Lexy tax, use proceeds to promote general welfare. The Federal Government was specifically empowered under Article 1, Section 8: The Congress shall have power to lay and collect taxes, duties, imposts and excises, to pay the debts and provide for the common defense and general welfare of the United States ... There's your explanation. Where in the Constitution are they empowered to make me buy insurance?

      --
      The US government have made it clear that we have no inalienable rights; any we do not defend vigorously will be taken.
    335. Re:What other products by said213 · · Score: 0

      I'm not reading your journal entries and stalking your comments. I replied to the stupid one.
      You did too.

      Yaaaaay!

      --
      help me fix this "Terrible" karma, please!
    336. Re:What other products by SlippyToad · · Score: 1

      You aren't mandated to buy a product. You're mandated to be a part of the insurance pool that everyone else is already in.

      When you don't buy health insurance, THE REST OF US end up paying for your healthcare when you are finally dragged, unconscious and helpless, into the E.R. So, before you get too far up on your fucking high horse, remember that the mandate exists to get freeloaders like yourself to contribute to a pool that you will, inevitably, unavoidably be drinking from in the future.

      And if you can't get yourself off of that very high horse, let me know. I'm happy to help push you off.

      --
      One day I feel I'm ahead of the wheel / the next it's rolling over me / I can get back on / I can get back on
    337. Re:What other products by Reality+Master+101 · · Score: 1

      Eh, I don't think vagrancy laws are clearly unconstitutional. There is clear precedent to having local laws that prevent people from being a nuisance to other people (e.g., freedom of speech doesn't mean you can get out your bullhorn at 3am). Loitering and vagrancy are a nuisance to people and businesses, and causes people to be intimidated and fearful of traveling in their own town.

      --
      Sometimes it's best to just let stupid people be stupid.
    338. Re:What other products by goldspider · · Score: 1

      "Should a supermarket let someone who's starving to death die in their checkout line?"

      Apparently you believe that supermarkets should be responsible for feeding the poor, otherwise you wouldn't have asked that ridiculous question.

      --
      "Ask not what your country can do for you." --John F. Kennedy
    339. Re:What other products by Caffinated · · Score: 2

      The people don't understand the ObamaCare plan - not entirely sure I do either, as it's a bit of a Frankenstein plan, rather than best plan which we couldn't get, not because of "Socialism", but because the major Healthcare companies have the GOP (and some Dems) so buttoned up in their pockets that the best plan of all could never get passed (the plan which cuts them largely out of the loop.)

      Both houses of Congress were Democratic when the bill was passed. The GOP had absolutely nothing to do with any compromises. QED

      The entire watered-down bill was a result of a year long attempt at good-faith negotiation with republicans. That, of course, was a repeated exercise in futility where the republicans would demand concessions, get said concessions and then move the goal posts. All the while, they used their media mouth-pieces to scare and misinform the public about the bill ("death panels, anyone?") to drive down it's public support.. Once it became apparent that republicans were negotiating in bad-faith, the bill had to further be hacked up to be able to be passed under reconcilliation, which was required to get past the de-facto 60 vote requirement that republican abuse of the filibuster created. So, I think that it's fair to say that the GOP had more than a little to do with the compromised bill.

      Imagine if you will, there was no Social Security in the United States and any administration trying to get that system through today, with the way big business interests have so many politicians on a gilt leash. It'd be horrible and the only people really benefiting (besides lawyers, who seem to find a way to prosper from anything) would be businesses, not the people it was meant to serve.)

      Yes... imagine if we didn't have a program in which all the revenue is thrown into the general fund instead of actually being saved for future shortfalls. That would be horrible.

      Buying treasury bonds doesn't count as saving? Should they just stuff the Social Security surplus under the world's largest mattress?

    340. Re:What other products by SlippyToad · · Score: 1, Insightful

      Canada did this, in a sense.

      Buy a blank CDR? Pay the record company for the songs you might put on it!

      I think this is hilarious. Not only is this one of the more retarded analogies I have ever read, but you are also failing completely to compare Canada's much-loved HEALTHCARE system to ours. Instead you draw a really really stupid, I mean seriously unintelligent, dumb, retarded, brain-dead analogy about CD-R's.

      The republican Kool-aid must be very strong.

      --
      One day I feel I'm ahead of the wheel / the next it's rolling over me / I can get back on / I can get back on
    341. Re:What other products by goldspider · · Score: 1

      They are free.

      --
      "Ask not what your country can do for you." --John F. Kennedy
    342. Re:What other products by Fjandr · · Score: 1

      It is a clarification immediately below the comment you replied to.

      I'll quote since you're too lazy to click once:
      I should amend this slightly, since it's the most likely objection to be brought up: education has national requirements, but they are almost universally intentionally vague and left up to states and local communities to implement. Those states and local communities are also free to opt out of almost every one of them at the cost of losing national education funding. They are still legally allowed to though.

    343. Re:What other products by Anonymous Coward · · Score: 0

      Exactly. We also have to buy shares of an army and spacecraft and roads and stuff.

      And nobody bitches about the socialized army, whose official purpose is to protect our lives... Strange that socialized medicine isn't seen the same way.

    344. Re:What other products by SlippyToad · · Score: 2

      Just because they have forced us in the past doesn't mean it's correct and the attitude should continue.

      What you stupidly fail to comprehend is that the rest of us WILL PAY for your healthcare if you can't be bothered, are too lazy, or too self-centered to contribute to some insurance plan. You will end up needing healthcare some day (AND YOU WILL, don't even waste your pixels denying that) and then THE REST OF US will be here to pick up your freeloading ass.

      --
      One day I feel I'm ahead of the wheel / the next it's rolling over me / I can get back on / I can get back on
    345. Re:What other products by Anonymous Coward · · Score: 0

      I will in a couple of hours. So what?
      I'll tell any religious schizophrenic that if god wanted us to wear clothes, we would be born with them. And unless he can prove actual real harm I caused him, god will punish him for hurting his brethren that didn't do anything bad to him.

      But OK, I have the luck of living at a place where it's nice and warm right now.

    346. Re:What other products by DarkOx · · Score: 1

      Ah but it says promote the GENERAL welfare, so if you have say the bottom 30% that get essential no care, and you raise costs or reduce access for or to care on the remaining 70% you have not promoted the GENERAL welfare but rather the specific welfare of a particular economic group.

      We can argue separately about the social justice around that extra, but general, should apply to almost everyone and the vast vast majority of citizen in aggregate terms will be paying more or getting less as a result of the Affordable Care Act.

      --
      Repeal the 17th Amendment TODAY! Also Please Read http://www.gnu.org/philosophy/right-to-read.html
    347. Re:What other products by SlippyToad · · Score: 0

      Also, it would probably be constitutional

      I want to see your argument that it is unconstitutional. Upon what grounds?

      Just so I can make fun of your Tea-bag damaged brain.

      --
      One day I feel I'm ahead of the wheel / the next it's rolling over me / I can get back on / I can get back on
    348. Re:What other products by Anonymous Coward · · Score: 0

      It has already happened - it's called 'too big to fail' by the banks and government. So far, I've seen no attempt to 'pay back' that bailout (aside from the usual political posturing) - but I -have- read how they have given themselves even bigger bonuses and basically flip the finger to the rest of us Champagne socialism at its best!

    349. Re:What other products by spiralx · · Score: 1

      It's about twice as a portion of GDP, split equally between government and private spending. Here you go.

    350. Re:What other products by Anonymous Coward · · Score: 0

      they tax us enough already.. the problem is that they have no incentive to moderate their spending.. they just borrow and tax..more and more.

    351. Re:What other products by IVI+V+K · · Score: 1

      People who are not required to file income taxes are exempt from the mandate since they are provided Medicaid.
      Religious and numerous other exemptions also exist.

      Income earners are required to pay into social security among other programs.
      Is that unconstitutional?

      The law clearly allows you to not by insurance and pay a fixed sum tax to the government. Therefore you are not required to pay any corporations, only the government.

      Also, what is the difference legally and rationally between:
      A) A tax penalty for those that don't buy compliant insurance. or
      B) Imposing a fixed $750 tax on all income tax filers and then providing an equivalent credit if you own compliant insurance.

      There is no effective difference, and description B is definitely constitutional.

      The government has the constitutional right to tax incomes, this is part of your income tax bill. The uninsured penalty (or insurance credits) result from comercial activity. Almost all tax credits involve comercial activity.

      If anything, Obamacare is a massive subsidy to insurance corporations with a minor tax in income earners who choose to avoid any health insurance.

      If the insurance industry wishes to survive as a FOR PROFIT industry, they better start defending these subsidies, or a single payer system is destined replace it. We cannot afford the massive redundancies and inefficiencies inherent in hundreds of private insurance companies duplicating processes, forms, coverages and profits for the delivery of healthcare insurance.

    352. Re:What other products by cayenne8 · · Score: 1
      Well, yes somewhat.

      Freedom does require personal responsibility to plan and well...act like a responsible adult.

      Freedom does also mean the freedom to fail...or be stupid, and deal with the consequences.

      In general, people are compassionate for those in need....and voluntarily give to charities, etc. This all works best on a local level (state/city) where the power, according to the US constitution, is supposed to reside.

      The federal govt is not mandated by the constitution to be the nanny state, and protect people from themselves....but the interstate commerce clause has been bastardized so badly that the Feds have WAY overstepped their supposedly limited, enumerated powers.

      I hope, hope, hope, hope that this law gets struck down.....maybe I'm overly optimistic, but I'd hope it might lead to review of the many other ways the Feds have overstepped their powers and maybe we can roll back a LOT of crap out there.

      --
      Light travels faster than sound. This is why some people appear bright until you hear them speak.........
    353. Re:What other products by LoyalOpposition · · Score: 1

      The problem is that it's a mandatory service that *SHOULD BE PROVIDED BY THE GOVERNMENT*.

      Why? What I mean to ask is--why should that service be provided by government? What attribute or property is common to all such services that they should be provided through that means?

      I mean--my first thought is that health care is really important. However, that thought doesn't survive even a cursory examination. For example, food. I mean--isn't food more important than health care insurance? If you had a stack of food in front of you and a health care professional, which would you choose? Well, if you just got out of a car accident then you might choose the health care professional, but I'm saying the vast majority of people would choose the food. And the guy from the accident might choose the food, too, if it was going to be the only thing he was going to get to eat for the next month. But most people wouldn't claim that government should provide food. And housing and clothing. A huge number of people have died from exposure. I would guess that more people have died from exposure than have died from other treatable conditions, but people don't say government should provide housing and food. And besides, together food, housing, and clothing take up about 85% of the average American's budget. Shoot, a few more important things and we can just say that government should provide for us from cradle to grave. From each according to his abilities; to each according to his needs.

      I mean, I get defense. It's because defense is indivisible. If everyone in America got exemplary defense, then Loyal Opposition would get exemplary defense as well, because it's not possible for the government to let invading armies across the border just to get Mr. O. So, I get why government should provide defense. And I even get some medical care. I mean, if Typhoid Mary gets to exercise her right to work wherever she wishes (providing she can get someone to hire her) then all the other people get infected. So I see why government would want to either force her to take a cure or keep her from the food service industry.

      So, how is health care like war and pestilence?

      ~Loyal

      --
      I aim to misbehave.
    354. Re:What other products by 517714 · · Score: 1

      Funny how you never hear about conservatives complain about why any of those things are unconstitutional.....

      Perhaps they have a better understanding than you? Those fall under Article 1 section 8 "common defense." The army was specifically mentioned in order to provide a restriction on how appropriations are to be made. The Navy was mentioned specifically so that that requirement would not be imposed on it.

      --
      The US government have made it clear that we have no inalienable rights; any we do not defend vigorously will be taken.
    355. Re:What other products by JordanL · · Score: 1

      Well the disparity exists because of limitations in our resources. As for why wealth is the determinant of that? We, as a society, have been trained to accept that wealth represents value. That those are the same thing. Even people who "hate the rich" generally are describing a system where they want to redistribute wealth because they see it as being the same thing as value.

      Wealth is not value, of course. I'm, in fact, writing an economics theory based on an inverse monetary theory that takes the difference of wealth and value as a premise. But, as we exist right now, the social infrastructure to determine this based on anything except wealth simply does not exist.

      To put it simply, wealth is allowed to be the determinant of this because we have decided to allow it to be. You may have been convinced of it, or trained to accept it, but you have, and I have, and we all have.

      The way for humanity to escape this isn't through revolution or some drastic, romantic sounding event such as that. Quite simply, people must wake up. And in order for them to wake up, someone must create an infrastructure that allows us to accurately assess which things are true and which things are not, then make decisions based on that.

      The problems that money and wealth being used as a measure of value causes in our society cannot be easily fixed. There are no magic words to make it all go away, and there is not political or economic ideology that can be implemented by force to fix everything. Unless we fix the people that make up the system, fixing the system won't last long.

      The sad truth is that people right now don't want the better society you are talking about. Perhaps for emotional, or false reasons; perhaps their minds could be changed; but right now, people en mass want the dysfunction that is at the core of all our problems. They may not like the particular problems, but the core dysfunction is desired. Until the people that compose our society give up the desire for that core dysfunction, all the Mises and Keynes and Marxes of the world can't save people from themselves.

    356. Re:What other products by roman_mir · · Score: 1

      Of-course either those things are a local issue (like maybe something about water, which again, is about the government screwing with the free market, because it gives out franchise privileges to preferred monopolies instead of allowing the market to work), but federal government ran mandatory ponzi scheme like SS is definitely unconstitutional, immoral, bad for the economy (it's my journal I am linking to, it has the entire argument.) Health care is a product, just like any other, must be left to the market, which does a great job when not interfered by government as data shows.

    357. Re:What other products by Fallingcow · · Score: 1

      Can one write off any or all of one's non-business-related rent on federal taxes?

      All other things being equal, does a person paying $1,000/month in rent have a lower, higher, or equal tax bill at the end of the year than/as a person paying $1,000/month on a brand-new 30-year 4% mortgage?

      Home ownership per se, maybe not. Paying mortgage interest rather than rent? I believe the second person's taxes would be lower.

    358. Re:What other products by Anonymous Coward · · Score: 0

      Headed, again, by General Welfare, making it's second appearance in the Constitution

      The word you're looking for is "its".

    359. Re:What other products by cayenne8 · · Score: 2

      Neither is healthcare. It's a human right.

      I think is it more a human responsibility....

      Like most anything in this world, you as an individual are responsible to plan, save and pay for basic healthcare needs. We really should go back to where insurance was what was termed 'major medical'...it was insurance ONLY to be used in major, catastrophic emergencies (heart attack, get hit by a car, etc).

      --
      Light travels faster than sound. This is why some people appear bright until you hear them speak.........
    360. Re:What other products by Anonymous Coward · · Score: 0

      The Congress shall have power To lay and collect Taxes...for.... general Welfare

      Yes, collect taxes, not force the purchasing of a service. Congress's powers are enumerated, and forcing insurance on people is not one of those powers. So it's very obviously unconstitutional.

    361. Re:What other products by roman_mir · · Score: 3, Insightful

      Neither is healthcare. It's a human right.

      - you cannot have a right that imposes an obligation on somebody, anybody.

      There is no such thing as a right to a Ferrari, correct? So there is no such thing as a right to food or clothing or shelter or health insurance or health care or education, it's because this imposes an obligation for somebody to supply you with this stuff, so it cannot be a right.

      Get your definitions straight. You may want to have those entitlements, but as long as somebody must pay for these with their time/money/work those are not rights.

    362. Re:What other products by gangien · · Score: 1

      And do truly believe Somalia suffers from a lack of governing bodies?

      This myth that keeps getting passed around that Somalia is a libertarians paradise shows a complete lack of understanding about libertarian ideas.

    363. Re:What other products by Anonymous Coward · · Score: 0

      general welfare is not something applicable and targeted to specific individuals. There is not a cop following each of us around to protect us from crime. No this obamacare more closely aligns with extortion for organised crime... cause you need protection(health coverage) the mob(government) "offers" its services.

    364. Re:What other products by Anonymous Coward · · Score: 0

      And you only need health insurance if you are collecting a paycheck. Notice you also have to pay taxes when collecting a paycheck... think of it as a tax.

    365. Re:What other products by gangien · · Score: 1

      So if someone is already stealing from me, i should be free to steal from someone else? No. Two wrongs don't make a right.

    366. Re:What other products by Galestar · · Score: 1

      it is provided by the government: if you don't want to buy from any of the corps out there, you can get the public option. Think of it as a tax, where you can directly choose where your tax dollars are spent.

      --
      AccountKiller
    367. Re:What other products by compro01 · · Score: 1

      Note that most of the provinces are the size of multiple US states [1], so crossing provincial boundaries for care is relatively uncommon outside of certain specialties (e.g. pediatric cancers and other rare conditions). Patients are commonly transfered from this city's (30k population) hospital to the relatively nearby larger city (180k), but you're still in the same province. In the US, you'd almost certainly have moved states.

      You may have a level 1 trauma centre that covers 5 states, so crossing state lines for care becomes a regular occurrence, and things get messy with respect to billing, funding, etc.

      [1] Saskatchewan and Alberta are each about the size of Texas. BC is half again that big, and you could fit two of Texas into Quebec with enough room leftover to store Illinois. You could fit most of New England into New Brunswick or Nova Scotia (our 2 smallest provinces, other than PEI, which is a little bigger than Rhode Island).

      --
      upon the advice of my lawyer, i have no sig at this time
    368. Re:What other products by Anonymous Coward · · Score: 0

      This goes back to the "Do you let them die?" question. Should a hospital let someone bleeding to death die in their Emergency Room if they have no insurance?...

      Lack of planning on your part does not constitute an emergency on my part.

    369. Re:What other products by HereIAmJH · · Score: 1

      I'd like to see the government provide catastrophic care insurance - insure everyone with a $5k/year deductable and some lifetime cap (maybe a couple million), lets say.

      I'd prefer they left catastrophic care (Major Medical) to the private industry. First, it would be a lot cheaper and it would truly be insurance, not health care. As a society we don't have to care if you lose all your savings paying for your cancer treatments. OTOH, when our overweight population avoids clinic visits because they have no healthcare coverage and they become diabetic, we will be paying for it when they show up in the emergency room with complications.

      I personally would modify medicare (reduce coverages to a fixed set of manageable illnesses) and expand it to the entire population. Social Security is fully funded, and if it wasn't it could be just by modifying the payroll tax rate. Expanded Medicare costs could be funded the same way. (Although you might have to stop letting people have a free ride for non-earned income, likely through modification of the alternative minimum tax)

      --
      Another day, another update to a Google android app.
    370. Re:What other products by superdave80 · · Score: 1

      Depends on a lot of factors:

      Amount of mortgage interest (higher than standard deduction)?

      Property taxes (if any, for that jurisdiction).

      Also, your landlord probably has mortgage interest that he gets to deduct, thus lowering the rent he needs to charge you to make a profit.

    371. Re:What other products by gangien · · Score: 1

      While i can't find the link off hand..
      James Madison disagrees with you.

    372. Re:What other products by tycoex · · Score: 1

      I don't really agree with the parents opinion but you missed a "that."

      "Almost all of them THAT make more than 50k a year..." Meaning his following statement is only referring to a specific group, particularly, homeowners that make more than 50k a year.

    373. Re:What other products by Uberbah · · Score: 1

      Thank you. Browser spell check helps alot, but lags behind helping people with they're spelling errors irregaurdless of advamancments.

    374. Re:What other products by trout007 · · Score: 1

      Some state employees don't pay SS.

      --
      I love Jesus, except for his foreign policy.
    375. Re:What other products by roman_mir · · Score: 1

      If the founders were to give the Constitution of USA broad powers under general welfare and interstate commerce laws to the federal government, then the States would have never ratified it.

      Thus you are wrong on all of your points. If you want a federal government with monopoly on all powers, then I understand what you want, but you are looking in the wrong country. USA was not designed to be a dictatorial power or even a country with a strong federal government.

      Also 'general welfare' does not mean individual welfare, it means protection of all individuals in order to establish a more perfect union but only to the extend of authorization by the Constitution.

      The interstate commerce is completely perverted as well as general welfare. Interstate commerce is supposed to be about making sure that separate States do not create barriers to entry against other States. So if you get a driver's license in one State, it's recognized in all.

      The federal government actually is failing in this regard, because it's not promoting general welfare using the interstate commerce clause, because to promote general welfare the federal government would have to ensure that if you get any type of license in any one of the States, it should apply everywhere. So if you get a law or a medical or a financial or an engineer or any other license in one State, you shouldn't have to re-apply and pay over and over in every State - these are the barriers to entry, exactly what the federal government is supposed to remove by using the interstate clause and by upholding the general welfare.

      So you don't know what you are talking about and you will never admit it.

    376. Re:What other products by gangien · · Score: 2

      But what color can the objection have, when a specification of the objects alluded to by these general terms immediately follows, and is not even separated by a longer pause than a semicolon? If the different parts of the same instrument ought to be so expounded, as to give meaning to every part which will bear it, shall one part of the same sentence be excluded altogether from a share in the meaning; and shall the more doubtful and indefinite terms be retained in their full extent, and the clear and precise expressions be denied any signification whatsoever? For what purpose could the enumeration of particular powers be inserted, if these and all others were meant to be included in the preceding general power? Nothing is more natural nor common than first to use a general phrase, and then to explain and qualify it by a recital of particulars. But the idea of an enumeration of particulars which neither explain nor qualify the general meaning, and can have no other effect than to confound and mislead, is an absurdity, which, as we are reduced to the dilemma of charging either on the authors of the objection or on the authors of the Constitution, we must take the liberty of supposing, had not its origin with the latter.

      The Federalist No. 41
      James Madison

    377. Re:What other products by roman_mir · · Score: 1

      Under the 'general welfare' and 'interstate commerce', you are saying you are giving your federal government the ultimate dictatorial power over you, is that what you want?

      I replied elsewhere, but you need a specific reply, so here it goes again:

      If the founders were to give the Constitution of USA broad powers under general welfare and interstate commerce laws to the federal government, then the States would have never ratified it.

      If you want a federal government with monopoly on all powers, then I understand what you want, but you are looking in the wrong country. USA was not designed to be a dictatorial power or even a country with a strong federal government.

      Also 'general welfare' does not mean individual welfare, it means protection of all individuals in order to establish a more perfect union but only to the extend of authorization by the Constitution.

      The interstate commerce is completely perverted as well as general welfare. Interstate commerce is supposed to be about making sure that separate States do not create barriers to entry against other States. So if you get a driver's license in one State, it's recognized in all.

      The federal government actually is failing in this regard, because it's not promoting general welfare using the interstate commerce clause, because to promote general welfare the federal government would have to ensure that if you get any type of license in any one of the States, it should apply everywhere. So if you get a law or a medical or a financial or an engineer or any other license in one State, you shouldn't have to re-apply and pay over and over in every State - these are the barriers to entry, exactly what the federal government is supposed to remove by using the interstate clause and by upholding the general welfare.

    378. Re:What other products by b4dc0d3r · · Score: 1

      It should, but it doesn't. The Supreme Court decides if a law is unconstitutional. Not Congress, unless they feel like weighing in before passing it or repealing it after the fact, but that's optional.

      Congress can pass any bill it feels like passing. It can disband the Supreme Court if it likes, but that would fail the constitutionality test and be thrown out. Most likely, the President would never even sign it so it wouldn't become law, just a bill passed by Congress.

      I've been trolled, I'm sure of it at this point, and replying anyway because there are really people out there this stupid. Just in case. Go ahead and ask me who would throw out such a law were the Supreme Court disbanded by Congress and the bill were signed by the President, I know you want to.

    379. Re:What other products by Coren22 · · Score: 1

      That is the exact graphic I was speaking of, thank you. Just awful that we spend that much for so little.

      --
      APK likes to ask for responses to the same things over and over. Maybe he just likes the responses?
    380. Re:What other products by ghrom · · Score: 1

      There isn't any other anyway.

    381. Re:What other products by Danathar · · Score: 1

      States...STates....STATES!

      These are not Federal requirements. They are STATE requirements which is the WHOLE point of being contested.

    382. Re:What other products by NiteShaed · · Score: 2

      There's a difference between 'deny' and 'not give'. No libertarian would try to deny anybody healthcare. They would just object to forcing people to give healthcare against their will.

      My god if that doesn't sound like something straight out of the Colbert Report. "I'm not denying you medical care, I'm just not giving it to you."

      --
      Some bring out the best in others, some the worst. Some bring out far more.
    383. Re:What other products by toadlife · · Score: 1

      The real question is "When do you let them die?" And the government is terrible at making that decision.

      So I take it you think a profit-motivated private insurance company is better suited to make that decision?

      --
      I don't always use unix-like operating systems; but when I do, I prefer FreeBSD.
    384. Re:What other products by bell.colin · · Score: 1

      "The Federal government has the right to regulate commerce." (don't you mean "The Federal government has the right to regulate Inter-State commerce."?)

      1st. Only "Commerce" that goes across state lines can be regulated by the feds. ("Interstate Commerce" is what is written in the constitution, and it's meaning/interpretation has long been debated by both sides)

      2nd. The feds can not force you to engage in commerce, only regulate it if you do and it is "Interstate" (the feds can not force me to buy a product, but they may under certain conditions regulate the product "if" i buy it)

      The HC bill is un-constitutional because the feds are forcing you to engage in commerce even if you are not crossing state lines.

      So by your logic if the Gun-loving right-wingers passed a law requiring everyone to buy/own/carry guns or be fined for not doing so that would be Ok then? (actually i would like to see that passed just for the entertainment value)

    385. Re:What other products by NiteShaed · · Score: 1

      Glenn Beck, Ron Paul, Rick Perry have all said the 10th Amendment means something or have said that a government program that is not backed up by the Constitution is unconstitutional, and they have all paid the price.

      Yeah, because aside from their comments on the 10th Amendment, there's nothing else that they do that make them look crazy. Nope, not a thing.

      --
      Some bring out the best in others, some the worst. Some bring out far more.
    386. Re:What other products by Wyatt+Earp · · Score: 2

      Israeli Kibbutz communism.

      http://en.wikipedia.org/wiki/Kibbutz

    387. Re:What other products by NiteShaed · · Score: 2

      Good point, you could go to an undertaker instead.

      --
      Some bring out the best in others, some the worst. Some bring out far more.
    388. Re:What other products by khellendros1984 · · Score: 1

      I don't have kids, and I don't know that I will. I'm forced to support the education of others' children through my taxes. *shrug*, they paid for me. I don't think there's really an escape to paying education taxes.

      --
      It is pitch black. You are likely to be eaten by a grue.
    389. Re:What other products by Fjandr · · Score: 1

      Or Thailand. US-trained doctors, first-class amenities.

      The only thing you don't get is malpractice coverage, so you only pay 1/10th the cost of the US.

    390. Re:What other products by roman_mir · · Score: 1

      That's why you have freedom of speech though, isn't it?

      Beyond that, maybe those people are just assholes, but in reality, in the depth of economic truth, they are correct. Society needs a well functioning economy, which is destroyed by government trying to 'remove risk' from everything. If there is perception that there is no risk, then everything becomes equally risk-free (perception wise), and this creates an environment that eventually destroys the economy due to all of the things that people believe are risk free and they do those things without paying the price immediately. Eventually the errors in the system multiply, the moral hazards cause massive imbalances, but the perceptions stay, and they get even stronger over time.

      Eventually the economies crash because everybody wants government to participate in order to 'remove the risk' whatever it takes. Be it making ridiculous loans, 'insuring' bank deposits, 'insuring' people against health problems, 'insuring' people against bad economic decisions, 'insuring' that people will not have to deal with the actual world.

      Price controls, exchange controls, always rising taxes, always increasing government apparatus, always needing yet another war, always hoping for government to step in, always wanting government to give you everything, from jobs, to social security, to basic income, to education, to health, to transportation, to cheap energy, to clean environment, to non-discrimination, to moral satisfaction, to sexual gratification (I am joking here, sort of), everything.

      Eventually the risks multiply, the mis-allocation of resources gets out of control, the government size destroys innovation, the regulations destroy risk taking as an opportunity to make money by destroying opportunity to compete, be it competition against government subsidized monopolies or competition against trying to save and invest, everything becomes mis-allocated, mis-aligned, mis-appropriated, mis-represented, mis-communicated, misunderstood, mis-directed, basically all balances are lost in this supposed risk-free environment.

      This eventually destroys the economy, because eventually this makes cost of investment and cost of employment and cost of doing business so high, the system no longer allows for any of this just with the size of government apparatus.

      At this point the system must crash in order to be restructured and re-calibrated. There is no other way. The imbalances must be removed from the system one way or another, and pushing this eventual outcome further into the future only makes it more difficult, as they grow bigger, and the eventual correction will feel and look like a cataclysm. And it may just become a cataclysm.

      Unfortunately that's where it will end up and it's because the idea is to do good.

      Nobody should be allowed to die - that was a good idea (unless gov't kills them of-course via punishment or in wars).

      Nobody should be allowed to fail - that was a good idea (unless they are the actual citizens, who will suffer the biggest failure of all - the failed economy and society).

    391. Re:What other products by said213 · · Score: 0

      You're a very serious person. Congratulations on that... Just to be obstinate, I am holding my right hand over the portion of the screen which is displaying whatever text you're quoting.

      Further, I will allude to what is known as "The Draft," which is comparable, but exceeds a cash requirement and goes directly for your life.

      --
      help me fix this "Terrible" karma, please!
    392. Re:What other products by HereIAmJH · · Score: 1

      One you decouple the person receiving the service from the entity paying for it, you remove an important feedback process.

      I've heard this many times, I'd like to see some study that supports it. Do people with lower co-pays go to the doctor more often than people with larger ones? It seems like there should be enough data to compare # of visits vs co-pays to give a good analysis. More often I hear of doctors running more tests and trying more treatments than necessary to avoid malpractice suits. Doctors are normal people, they aren't omnipotent. So rather than saying "I don't know" they'll run every test they can think of. And when their patient comes in and says "I have restless leg syndrome", their doctor will prescribe medicine that the pharma company insists has no long term side effects rather than argue.

      I have never run into any of those "I have the sniffles, I'm going to go see my Doctor" people. But most of the people I know work for a living and there are costs involved with missing work, so maybe I just don't see the hypochondriacs.

      --
      Another day, another update to a Google android app.
    393. Re:What other products by Anonymous Coward · · Score: 0

      He implicitly said yes if you are being intellectually honest. If a person cannot afford insurance, and Ron Paul thinks the government should not provide health care for him, then this theoretical person simply dies. What other option is there according to Ron Paul?

    394. Re:What other products by Anonymous Coward · · Score: 1

      - you cannot have a right that imposes an obligation on somebody, anybody.

      Actually I can and do. I have the right to a trial by jury, for example. That means a jury of my peers can be ordered to appear. I might also have rights in contracts, and they impose an obligation on others, and guess what? The state has an obligation to make that happen.

      [quote]There is no such thing as a right to a Ferrari, correct? So there is no such thing as a right to food or clothing or shelter or health insurance or health care or education, it's because this imposes an obligation for somebody to supply you with this stuff, so it cannot be a right.

      Get your definitions straight. You may want to have those entitlements, but as long as somebody must pay for these with their time/money/work those are not rights.

      My state's constitution disagrees with you then, as education is a right and an obligation of the government. It also says I have rights to free navigation on the surrounding rivers and waters, which again, impose obligations on others, which the state is REQUIRED to fulfill. I also have rights to other transportation infrastructure as well, which again, they are obligated to provide.

      Your specific example of a Ferrari is excessive, because it tries to create a confusion for a luxury item while ignoring the reality of transportation. Which is actually required by my local municipality, it is in the city charter, they can't ignore it. If they didn't provide buses, they'd have to fulfill their obligations in other ways.

    395. Re:What other products by Fjandr · · Score: 1

      Like almost every other "counter-example" given in the comments here, those are state laws.

    396. Re:What other products by Anonymous Coward · · Score: 0

      The Congress shall have power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common defence and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;

      Article 1, Section 8

      If you weren't so goddamned retarded, you'd know that "general welfare" has NOTHING to do with social services. It has to do with the nation's ability to pay it's debt.

    397. Re:What other products by erroneus · · Score: 1

      Show me I'm wrong. In every state in the US where CHLs were allowed, doom sayers exclaimed blood in the streets. It never happened. Never in any state so far.

      You, instead, are making assumptions based on your hollywood belief that guns will turn people into wild beasts. No, show me an example of where I am wrong. Remember, I made the challenge first by saying "without exception." You just need to find ONE.

    398. Re:What other products by Fjandr · · Score: 1

      Actually, no. When health insurance becomes universally mandated, it becomes health assurance. There is no more risk pool.

      With auto insurance, it is kept affordable by the vast majority of safe drivers and the ability of insurers to refuse to cover those who consistently cause accidents or engage in unsafe behavior. If an insurer cannot refuse coverage for someone that they can guarantee will exceed any payments that coveree makes, it is no longer insurance.

      I'm not making a judgment on whether universal coverage is good or not in this post. Whether it is good or not is irrelevant. This is not, under any rational definition, health insurance.

    399. Re:What other products by electrosoccertux · · Score: 1

      The Congress shall have power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common defence and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;

      Article 1, Section 8

      Giving every child an iPad promotes the general welfare of the United States. These fantastic learning devices will ensure all our students are able to compete with foreign students learning calculus in middle school!!
      http://img.scoop.it/hiaMoz62ihDCGpVe-FQtnTl72eJkfbmt4t8yenImKBU8NzMXDbey6A_oozMjJETc

      Exactly what government program doesn't promote the general welfare?
      This is a slippery cliff that the left has jumped right off of. No burden of proof required, just say it promotes the general welfare.

    400. Re:What other products by JesseMcDonald · · Score: 1

      That's not a police power, it's a spending power.

      It's not even that. Any unbiased reading of the passage would show that it is merely a power of taxation—just because Congress has the power to collect taxes does not mean they have the power to spend the money so collected on anything they choose. That is what the remaining clauses are for. "[C]ommon defence and general Welfare" is just a summary of the other enumerated powers—the reason the taxes are collected—not a power in its own right.

      If this first clause were sufficient to take any action "for the common defense and general Welfare", as opposed to merely imposing "Taxes, Duties, Imposts and Excises", the remaining powers would never have been enumerated; what would be the point?

      --
      "The state is that great fiction by which everyone tries to live at the expense of everyone else." - Bastiat
    401. Re:What other products by Archangel+Michael · · Score: 1

      Define "Life Saving Medicine" in such a way that it eliminates Smokers dying of lung cancer, Drinkers dying of Liver and Kidney Disease, McDonalds Snackers dying of Heart failure, idiot motorcycle riders falling off and cracking their skull etc etc etc.

      Or how about "Emergency Rooms" that are being filled with NON-EMERGENCY health problems ... simply because they cannot refuse to take someone .. ever.

      Which gets to Rationed care, because there is no such thing as UNLIMITED MEDICAL RESOURCES so that all people can get all the care they WANT. Should my 80 Year old mother get her back operated on, or should she be passed off for some young motorcycle accident victim?

      When one starts to apply specifics to the platitudes of the Socialists, one can quickly see why looking at the world through rose tinted glasses doesn't make the world rose tinted.

      We have the best medical care in the world here, and people want it for free, which will only bring us down to 3rd world care in short order. AND when it does, we won't be able to unwind the horrific consequences short of National Bankruptcy. We are already seen unintended consequences of the law, AND some pretty scary bits that are actually IN the law.

      People who want the platitudes don't care enough about the specifics. Just ask them and you'll see them pan the questions I'm asking here. They don't care about the results, they only care about intentions.

      To top all of this off, there are TOO MANY (D) people calling on the suspension of Democracy right now to ever let them have office ever again. Talk about scary.

      --
      Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
    402. Re:What other products by roman_mir · · Score: 2

      I don't know what 'your' state is, but you are not talking about the federal US Constitution.

      As to right to a fair trial - criminal code will put your life on the line, and since you actually have a RIGHT to life, liberty and pursuit of happiness, then you are ENTITLED to a fair trial.

      Whether this is done with jury or not is irrelevant. The system is violating your right to life, liberty and pursuit of happiness if it puts you in a position, where you have to defend yourself against criminal accusations, so at this point the system is in possible VIOLATION of your right, so it has a mechanism (which may include juries), to make sure that in fact it does not end up violating your principal rights, which are again: to life, liberty and pursuit of happiness.

      Now, live, liberty and pursuit of happiness is in the Declaration of Independence, but it declares that those are your "unalienable rights" or sovereign rights, so if somebody is trying to take away THOSE rights, they better have it covered with the correct procedures.

    403. Re:What other products by webnut77 · · Score: 2

      Actually, basic channels for non-HD TV are no longer available over the air.

      Incorrect! We get about ten channels, each with two or three sub-channels. We get PBS, ABC, NBC, CBS, and FOX. You would check out TV Fool.

    404. Re:What other products by Anonymous Coward · · Score: 0

      "With respect to the words general welfare, I have always regarded them as qualified by the detail of powers connected with them. To take them in a literal and unlimited sense would be a metamorphosis of the Constitution into a character which there is a host of proofs was not contemplated by its creators."
      -- Madison

      "General Welfare" doesn't give them powers, it directs them how to use the powers the government was given. In other words, use the powers granted to promote general welfare != you can do anything you want so long as it promotes general welfare.

    405. Re:What other products by Anonymous Coward · · Score: 0

      Except, the Obamacare penalty is not a tax. See also the Obama administration's claim affirming this.

    406. Re:What other products by JesseMcDonald · · Score: 2

      Are you saying that you are the sole judge of what general Welfare means? Or are you going to leave that up to the people who actually have that responsibility, which is the Supreme Court?

      The meaning of the Constitution is not up to the Supreme Court. That would be ridiculous, since the Court's power is itself derived from the Constitution. At most the Court has the (self-appointed) power to restrict the other branches of government from taking actions which, in its view, are not authorized by that document. In other words, to declare (or decline to declare) any action of the government unconstitutional. It is not within their purview to declare anything constitutional, any more than a normal court can declare someone "innocent"—only "not (proven) guilty".

      The powers granted by the Constitution are, in turn, derived from the People. If there is any legitimacy to the government or the Constitution at all, it exists only at the sufferance of the People. Only they can possibly have the authority to affirm the constitutionality of any judicial, executive, or legislative act.

      --
      "The state is that great fiction by which everyone tries to live at the expense of everyone else." - Bastiat
    407. Re:What other products by andymadigan · · Score: 1

      No, there's a constitutional right to interstate travel (obviously doesn't apply if you're under a court order to remain in the jurisdiction, or in prison). No state can prevent you from entering or leaving, nor can they tax you on it. Likewise, they can't set up customs offices on the state borders.

      --
      The right to protest the State is more sacred than the State.
    408. Re:What other products by euroq · · Score: 1

      Real liberals wanted health care, not health insurance.

      --
      Just because the U.S. is a republic does not mean it is not a democracy. Democracy/republic are not mutually exclusive.
    409. Re:What other products by Anonymous Coward · · Score: 0

      Except for the people offering those financial instruments who were committing fraud by claiming they were safe investments when in reality they very much were not.

      But if the financial mavens had actually been honest about what they were offering, you'd have a point. Since they weren't, you don't.

    410. Re:What other products by ackthpt · · Score: 1

      Buying treasury bonds doesn't count as saving? Should they just stuff the Social Security surplus under the world's largest mattress?

      George W. Bush proposed floating Social Security on Wall Street - when the 9/11/ attacks occurred a flaw in the plan became evident - as the stock market followed the twin towers down people would have been skint. Through most of the succeeding years the DJ Industrials failed to recover very strongly, then plummeted again in mid-2008 (while Obama was not president) and anyone who had recovered from 2001 would have been pounded again.

      As for T Bills, the Social Security Fund has nothing more than an I.O.U. sitting there, no interest to be paid, for around 3 trillion, last time I looked. Present recipients are being paid by present contributors.

      --

      A feeling of having made the same mistake before: Deja Foobar
    411. Re:What other products by Anonymous Coward · · Score: 0

      I suspect you got moderated troll for arguing that people should be allowed to die to preserve the purity of a free market solution, and for the conspiracy theorist's "the fed has no authority to..." assertion. Also, you post a lot of really fringe stuff to the point where I suspect many have largely dismissed you as an idealogue who can't cope with the need for impure solutions to real-world problems (such as a balance of multiple economic models), and you're rarely receptive to anyone else's points.

      Many believe that "pure free market" like "pure communism" can't exist, and that appeals to "but it will just work if we REALLY try it" are unconvincing. For one thing, you presume that there are no pathological end-states, which basic fucking game theory (prisoner's dilemma) suggests are commonplace when you let people act out of immediate interest. I get it, you'd rather see people make stupid choices and suffer. Many of us wouldn't. Being a democratic republic, if we outvote you, you lose (and vice versa).

      As for the latter, well, government has exactly the authority that the courts accept that it does. The constitution isn't software that runs deterministically, it means exactly what the courts say it means. If the courts decide that the first amendment really means that we all have to wear chicken suits whenever we exercise our free speech rights, that's what it means. You can disagree all you want, but that won't change reality. I personally think that using the interstate commerce clause to regulate solely intrastate matters is ridiculous, but I'm not in charge, and my opinion and $2.50 is worth a cup of bad coffee.

      I also think you're factually wrong, insofar as corporations do just fine on many fronts without the government helping them. If anything I think the problem is corporate involvement in government, not the other way around.

      Certainly the fact that hospitals will treat dying poor people and then pass the bill on to us has a lot more to do with human nature, and the fact that narcissism and sociopathy are thankfully *not* ubiqutious, than it does with governmental interference. We already *have* socialized medicine, it's just really fucking inefficient. Meanwhile, despite your claims, there are several efficient single-payer systems working just fine around the world where they pay far less than we do per capita. This alone suggests your arguments are full of crap.

    412. Re:What other products by almitydave · · Score: 1

      I tend to agree. When customers have no incentive to shop around, or it's not feasible to do so, providers have no incentive to price competitively.

      I would argue that the waste and abuse get transferred to a corporation where any profitability in such waste and abuse require that waste and abuse.

      The assumption is that in a free market, competition would reward corporations that avoid waste, and consumers purchasing responsibly would reward corporations that avoid abuse.

      The other issue is personal liberty - if I have the right to refuse treatment, shouldn't I also have the right to refuse to buy insurance for that treatment? I don't think "it's good for you, you have to do it" is what was meant by "promote the general welfare," although that's a hotly debated idea these days.

      --
      my, your, his/her/its, our, your, their
      I'm, you're, he's/she's/it's, we're, you're, they're
    413. Re:What other products by ranton · · Score: 1

      His entire point was that Health Insurance in the US does not act like insurance at all. It works like managed health care. I'm sure he agrees with you that High Deductible Insurance is more like the traditional definition of insurance.

      --
      -- All that is necessary for the triumph of evil is that good men do nothing. -- Edmund Burke
    414. Re:What other products by JesseMcDonald · · Score: 1

      The distinction is only significant when the transaction was voluntary to start with. In a normal transaction, the other party can't leave you worse off than you started should you choose not to pursue the discount; at worse they can choose not to sell to you at all. A fine, on the other hand, is either something you already agreed to as part of a contract, or repayment for some harm or another which you caused. It may be result of a previous voluntary agreement, but at the time the fine takes effect you have no choice but to pay it.

      When it comes to taxes, however, there is no meaningful difference between a "discount" for behaving "correctly" and a "fine" for failing to do so. Either way, you have to do as they ask just to keep (some of) what is rightfully yours.

      --
      "The state is that great fiction by which everyone tries to live at the expense of everyone else." - Bastiat
    415. Re:What other products by russotto · · Score: 1

      Doctors are normal people, they aren't omnipotent. So rather than saying "I don't know" they'll run every test they can think of.

      Because there's no cost to them (in fact, sometimes profit) in doing so, and often no or minimal cost to the patient. No one has an incentive to push back except the insurance company, and they don't have the knowledge or inclination to know when to push back and when not to.

    416. Re:What other products by compro01 · · Score: 1

      What other option is there according to Ron Paul?

      The usual libertarian answer : charities. He specifically mentioned churches.

      --
      upon the advice of my lawyer, i have no sig at this time
    417. Re:What other products by Anonymous Coward · · Score: 0

      Neither are required to buy just because you are alive.

      You are forced to buy them because you choose to drive cars and motorcycles.

    418. Re:What other products by Anonymous Coward · · Score: 0

      What if the hospital doesn't have enough staff to handle that person bleeding to death? What plenty of people fail to realize is that health care services are a _finite_ good. Just because government says, "Poof!", doesn't mean there is magically an infinite supply available now.
      Yes, there should be more of a free market surrounding these things. It's only gotten worse since government got so involved in the 60s.

    419. Re:What other products by Anonymous Coward · · Score: 0

      Except that this says they can collect taxes to pay for the general welfare. No where in Article 1 Section 8 Clause 1 does it give them the authority to force citizens to buy a product or service from a third party.

      The clause they use to prop up this nonsense on is Clause 3 by claiming that healthcare falls within interstate commerce:
      "To regulate Commerce with foreign Nations, among the several States, and with the Indian Tribes."

    420. Re:What other products by Duhavid · · Score: 1

      "The assumption is that in a free market, competition would reward corporations that avoid waste, and consumers purchasing responsibly would reward corporations that avoid abuse."

          That only works when the consumer is picking. When intermediates get involved ( the insurance companies in this case ), market forces often become non-existent, become perverse, and otherwise don't work for the consumer.

      "The other issue is personal liberty - if I have the right to refuse treatment, shouldn't I also have the right to refuse to buy insurance for that treatment? I don't think "it's good for you, you have to do it" is what was meant by "promote the general welfare," although that's a hotly debated idea these days."

          I think so, while seeing that there are many issues and nothing seems to do well on all fronts. My personal opinion is that we should go single payer, as the least worst option. Then you would have the option to opt out of treatment. You would not have the option to opt out of the tax burden allocated to you, though. Single payer with exemptions? But if you opt out, you *really* opt out. Course that doesn't answer the objection that what if your illness is communicable and likely to spread to other untreated, causing worse problems for others. Quarantine if you have opted out for that case?

      --
      emt 377 emt 4
    421. Re:What other products by Anonymous Coward · · Score: 0

      No one is forcing you to drive in a car or ride a motorcycle. So, those aren't mandated purely by virtue of existing. Same with car insurance, home owner's insurance and, oh, any other product in existance today. This would be an unprecedented increase in Government control over our lives by forcing use to purchase something we may not want or use, with no way of opting out.

    422. Re:What other products by roman_mir · · Score: 1

      "but it will just work if we REALLY try it" are unconvincing

      - no, it has been tried, it wasn't ideal, but it was tried in USA in nineteen century, before 1913 happened and the federal system figured out a way around the limitations imposed upon it by the Constitution, it figured out a way to start growing uncontrollably while denying people the opportunity to stop it. This was done with the Federal reserve and income tax system.

      USA became worlds largest creditor nation, innovator and producer of cheap high quality goods under that system, it became the wealthy country that people wanted to come to because they saw opportunity there due to the freedoms FROM the government intervention that were absent in most other places.

      Today USA is no longer that country and people are leaving and so are businesses.

      As to the 'purity' of the system - you make me laugh. What you have today is an invasive fascist environment, that is so far removed from the idea of a free society that the former communist China is beating USA in freedoms that allow people to operate businesses, which is really the key right after the life and liberty part. Because if you are denied ability to do business and to make economic decisions that allow you to prosper, you are denied means of survival and means that allow one to pursue happiness.

      The entire system is corrupt and you are talking about 'purity'.

      Read my journal if you want to leave specific comments but don't bother me with generalizations.

    423. Re:What other products by Anonymous Coward · · Score: 0

      Seat belts and Motorcycle helmets are regulated at the state level, which is much different than the feds mandating that you purchase something from a private company. Some states require helmets and seat belts, some don't. However seat belt laws are pushed by the federal government but not mandated with transportation funding, or lack thereof if you don't want to comply.

    424. Re:What other products by painandgreed · · Score: 1

      Article 1, Section 8

      Upon my two minute reading and pondering over that snipet, I'd have to say that "provide" means give or pay for. If those were the only powers of the government, they'd have to collect Taxes, Duties, Imposts and Excises and then pay for whatever general Welfare they want to provide. That would be what they do already with Medicare and Medicaid and completely legal.However, that's not what they are doing.

    425. Re:What other products by Anonymous Coward · · Score: 0

      If the choice is between you walking around with a torn ACL and a dying person getting life saving care, or you getting your knee scoped and that person dying, I'd choose the former. Thankfully, though, most people I know in single-payer systems do NOT have to wait for treatment except for truly cosmetic things, and even then, they're free to pay for it out of pocket.

    426. Re:What other products by DaveV1.0 · · Score: 0

      I want to see your argument that it is unconstitutional. Upon what grounds?

      U.S. Constitution Article 1, Section 8, Paragraph 3:

      To regulate Commerce with foreign Nations, and among the several States, and with the Indian Tribes;

      U.S. Constitution Amendment 10:

      The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.

      McCarran-Ferguson Act of 1945 Grants states the right to regulate insurance plans within their borders, protects insurance firms in each state from interstate competition, and exempts the business of insurance from most federal regulation.

      Because McCarran-Ferguson prevents interstate trade of insurance, and reserves for the states the right to regulate insurance plans, including health plans, Obamacare is unconstitutional under both Amendment 10 and Article 1, Section 8, Paragraphy 3 of the Constitution of the United States of America.
       
       

      Just so I can make fun of your Tea-bag damaged brain

      Any other questions or are you done making an ass out of yourself? Perhaps if you were not brain damaged, you would actually have bothered to learn about the laws and arguments.

      --
      There is no "-1 offended" or "-1 you don't agree with me" mod options for a reason.
    427. Re:What other products by nbauman · · Score: 1

      Cynical as I sometimes am, I am impressed by the generosity, sense of community and effectiveness of the Spokane Project Access. I'm going to file this away for future reference.

      However, it's not correct to say that people are doing this without the federal government. Two-thirds of its funding comes from the federal and local government.

      According to the 2008-2009 annual report,

      http://www.spcms.org/projectaccess/annual_report_6.pdf

      Project Access has received new federal grant funding for 2 years now with the help of Rep. Cathy McMorris-Rogers, and Sen. Patty Murray.

      According to the pie chart on P. 21 of the latest annual report, Project Access gets 32% of its money from an HRSA Federal grant, and 31% of its funding from city and county government.

      Also, according to their eligibility requirements, they serve only patients who are not eligible for Medicare or Medicaid.
      http://www.spcms.org/projectaccess/patients.htm

      This is the way charities work nowadays. The federal government does the heavy lifting, and the private charities fill in the cracks.

      There are many great private charities around the country, but they always say that they need the federal government too and can't make up for the federal government.

      I'm also surprised that there wasn't more media coverage about it. This is the kind of thing that the Journal of the American Medical Association used to love to write about.

    428. Re:What other products by rhendershot · · Score: 1

      none of those are mandated by the federal government except education - and that's the one of the list that is failing in the most obvious and insidious way, so there ya go.

      as to SSI - Obama has already declared (to our military no less!) that it's not a product and not a guarantee. He's right. It's a tax. And it's also one of your list which is so badly managed, so often raided, so nearly broken so much of the time as to have needed major reconstruction. It's also of the few that are federally managed. so there ya go.

      For the record, I say this but I'm not a Democrat and I think the individual insurance mandate is most certainly unconstitutional. As to any other qualification about it, that's a full on stop. If we citizens wish to mandate and can change the constitution to reflect that we would *then* be in line with a government ruled by law. Whatever else you say about federal efforts (from all three branches as well as the czars, bureaus, and departments not elected) you could hardly make the case for constitutional conformity.

      and the list goes on.

    429. Re:What other products by Fjandr · · Score: 1

      No, it's not done without Federal grants, but then it's nearly impossible to get through much of the legal maze and hurdles without expecting major projects to do so. The grants exist, so people apply for them. That said, I wouldn't say that the Federal government does the heavy lifting in this case. All of the real work is done by those who volunteer their time and effort to coordinate the effort and perform all of the medical procedures that are the backbone of the program. For the most part, the government acts as a silent partner, since they don't do anything but provide funding and income verification.

      My major point though, is that there is a great deal that can be done at a level below the Federal government. Such things are also far more accountable to the people they directly impact, whereas pretty much anyone paying attention understands that there is really no accountability at the national level. I think the latter is one of the most important, and least recognized, issues that impact national versus state/local policies.

      In large part, this is a return of money that originally came out of the community to begin with. Re-working the tax distribution could remove the need for Federal grants by keeping more money in states. The additional steps to redistribute it are a tremendous waste of time and effort that could be better spent elsewhere. Really, the states should be doing the heavy lifting and the Federal government should be filling in the cracks with things that actually require national coordination to accomplish.

      If an organization that flies as far under the radar as Project Access can provide the kinds of services they do, think of what can be done if there was more focus put on those sorts of community organizations. It's really not much of a stretch to say more can probably be done with less if there was actually an effort made to promote access at the community level, rather than enriching entrenched special interests with mandatory compulsion to purchase their pre-existing services.

      They actually do serve those eligible for Medicaid, prior to approval for it. They just require that people apply for Medicaid and continue coverage under that program if they are accepted. They serve as an immediate entry point to health care coverage prior to approval, even for those clearly eligible.

    430. Re:What other products by Genda · · Score: 1

      Again and again, it is made clearer by the day. Government must provide a healthy environment in which freedom, enterprise, and the liberty of all people may flourish. To do so, it must be free of influence from any source but people themselves. We need to implement separation between church and state, between corporation and state and between organized affiliation and state. Additionally, we need to ensure that our representatives, are able to run without the burden of excessive campaign cost. Campaigning should have free media access, and a limited budget (though people should be free to volunteer to their hearts delight.) By eliminating the barrier of campaign financing, we free potential legislators from being beholden to a contributor, and we open up the field to any potential candidates, not just the ones who are best at selling themselves to the highest bidder. Another benefit, is that we begin to take campaigning out of the realm of sound bites and Wallstreet marketing and place it back in the realm of two or more people explaining what they have to offer the American people.

      Of course there are hundreds of individual issues to be addressed, from reinstating checks and balances, habeus corpus, the Geneva Convention, a free and independent media (that is able and willing to have public conversations about the issues of the day, and no "The Daily" show doesn't count!) to ensuring the Bill of Rights is maintained, enforced and expanded to include new technology as it arrives and that the drive to profit doesn't exceed the drive for human dignity and compassion.

      Most of all, its time to address this century and its needs, stop living in the last century. Its time to address the critical threats to human existence, and civilization, and mindless dogma and magical beliefs will simply not carry the day.

    431. Re:What other products by treeves · · Score: 1

      No, they are not. I'm not required to operate a car or a motorcycle.

      --
      ...the future crusty old bastards are already drinking the Kool-Aid.
    432. Re:What other products by RazorSharp · · Score: 1

      Actually, this happens, especially in private hospitals. Where I live, the two hospitals in our town merged to form one mega-hospital. One was a 'community' hospital whereas the other was owned by some Catholic corporation. The Catholic hospital basically took over the community one. I remember immediately after the business deals were completed, some nurses were complaining about how they had to turn down all these patients because they weren't 'emergencies' according to new guidelines implemented by the Catholic corporation. Oftentimes people would suffer from something, get turned down, and then they'd have to return a week or so later when their condition worsened to emergency status. Of course, this is detrimental to the patient and also can end up costing the hospital more to treat them.

      People go to the emergency room for non-emergencies because they don't have health care, and if they do, it's shitty to the point where they still can't afford to make an appointment with a doctor. If everyone was just taxed for full-coverage health care then there would be less emergencies because more people would go to the doctor for check-ups rather than waiting until a condition becomes unbearable enough to warrant going to the emergency room.

      --
      "From the depths of my skeptical and rationalist soul, I ask the Lord to protect me from California touchie-feeliedom."
    433. Re:What other products by bwen · · Score: 1

      You can get "turned away" from an emergency room. EMTALA states that you are entitled to a screening exam to determine if you have an actual emergency. If you don't, the hospital does not have to provide uncompensated care and patients are typically given directions to local clinics/urgent care centers. Headaches are not typically screened out. I have never - never heard of a doctor not working a patient with a significant condition because of insurance status. Usually the ER doctor doesn't even know insurance status. The amount of people with sore throats and leg pain for months that show up at emergency rooms would surprise most. Negotiating price of services in emergent situations is probably not a good idea BTW. If the fear of lawsuits was taken away and certain patient expectations were more realistic, costs would probably go down...

    434. Re:What other products by one+cup+of+coffee · · Score: 1

      Correct me if I'm wrong, but doesn't health care, if it will save your life, fall under the the "Life" part of said unalienable rights?

    435. Re:What other products by Anguirel · · Score: 1

      While they're certainly allowed and make sense... they're also socialist. You know who else has a Federal Constitutional Republic? Most of Europe. Also Canada. And they happen to also have more socialist programs. You know who didn't have those things that "make sense"? The United States of America, while it was still a Federal Constitutional Republic, just a hundred years ago. Maybe in a hundred years, they'll think this healthcare thing "makes sense under a federal constitutional republic", and be arguing about some new socialist proposition using the exact same rhetoric we're seeing here...

      --
      ~Anguirel (lit. Living Star-Iron)
      QA: The art of telling someone that their baby is ugly without getting punched.
    436. Re:What other products by Anonymous Coward · · Score: 0

      doctors existed back then, you didn't see a federal mandate

    437. Re:What other products by CrimsonAvenger · · Score: 1

      We need to implement separation between church and state, between corporation and state and between organized affiliation and state.

      How can you have separation between corporation and state when corporations are inventions of the state?

      Before governments started giving special privileges to businesses it wished to encourage, there was no such thing as a corporation.

      And since a corporation is an entity that was granted special privileges by the government, how can you reasonably expect it to be "separated" from the government?

      --

      "I do not agree with what you say, but I will defend to the death your right to say it"
    438. Re:What other products by roman_mir · · Score: 1

      You are wrong and I am going to correct you.

      Your rights are not given to you, the point of government is to protect your right to liberty FROM government.

      What do you think Constitution is? It is a document, designed to keep your federal government in check against taking away your liberties, your life, your property and your ability to pursue happiness.

      The founders were mostly libertarian, in that they understood the importance of keeping you safe FROM your government. The government is the evil force that you need protection from. All other forces are not as evil as government though they can kill you.

      For example your neighbor can kill you, but that's not what Constitution is about. Your neighbor (or your corner convenience store) are not your government, which has the ultimate ability to kill you.

      The reason that your government has this ability is because it is devised in order to keep the power vacuum filled, which exists without any government force. If there is no government of any kind, then some government will form. What you want to do is to control what will form, thus you form it, give it shape but you understand that what you are forming is the ultimate evil - powerful force that has ability to destroy you. So you must protect yourself, and you do this by limiting the role of government via the law that applies to the government - Constitution.

      Now, federal gov't in USA would not be able to form if it was more powerful than any State in terms of what it could do to people living in the State. Federal gov't was there to occupy that power vacuum and to present the republic to the world, and protection of borders became a centralized thing, though even this now is a problem - the monopoly of federal government on the military power within the republic is dangerous at this point. Of-course that's what second amendment is about (and you shouldn't need amendments, all your rights are there, so amendments only muddy the waters, but people sometimes do irrational things, so they wanted to enumerate certain things that shouldn't even have been enumerated.)

      The point is that your right is in the denial to your government to kill you, steal your property and stop your business.

      That's what your rights are.

      Federal government is not authorized for anything else than protecting your liberty, life and pursuit of happiness from government itself and from foreign invasion.

      Saying that government must give you something is meaningless, because government doesn't have anything to give. But it can take. That's what rights are for - so you can stop this.

    439. Re:What other products by CrimsonAvenger · · Score: 1

      Buying treasury bonds doesn't count as saving?

      When they're ZERO INTEREST intragovernmental T-Bills, they don't count as savings.

      Should they just stuff the Social Security surplus under the world's largest mattress?

      This is essentially what they did. Except that they put IOU's under the mattress and spent the money.

      --

      "I do not agree with what you say, but I will defend to the death your right to say it"
    440. Re:What other products by riverat1 · · Score: 1

      Oh, when you said "10x" you were using binary. ;)

    441. Re:What other products by roman_mir · · Score: 1

      Oh, and I have to leave soon, but just in case you take exception about something that has to do with the criminal code: you are not going to argue about your rights with a killer.

      So if a private person wants to come and kill you and steal your property and such, that's not an argument about rights. The criminal code is also given to the government by authorization to uphold, but your government most likely will not protect you against those things if somebody really wants to do that kind of damage.

      So you won't be arguing about your rights with a thief or a murderer, you will have to deal with those, and the most obvious way of prevention here is to set up private security and/or local police to do something about things like that.

      But rights are about government power, not about some thief or murderer or other type of a criminal. Rights and constitution is about protecting you from your government becoming that sort of a criminal, and the reason why it is set up this way is because the founders knew enough about other forms of governance, where a person was just a subject and didn't have any rights and could be killed by the King or some other feudal.

    442. Re:What other products by Anonymous Coward · · Score: 0

      Helmets are at the state level not federal. http://www.usff.com/hldl/frames/50state.html

    443. Re:What other products by khallow · · Score: 1

      The water, education, and retirement examples are all taxes and/or fees for government provided services. Taxation (of certain kinds such as income or excise taxes) by the federal government for the general welfare (whether or not something actually is for the general welfare) is within the bounds of the US Constitution.

      Requiring clothing is due to the recognized power of a society (at the local government level) to enforce a basic standard of morality and only applies to public spaces. The US Supreme Court has recognized the English common law system as the basis for US common law. Public nudity and similar issues fall under that category. Further, you aren't required to wear clothes in private spaces. And most places don't require you to buy electricity.

      Further, most of these are state or local examples not federal ones. It's very important to note that. For example, the state of Massachusetts implemented a plan a few years earlier under Romney that was similar to Obamacare. It didn't fail the Constitutional test (or not as hard, let us say) because the state of Massachusetts has different powers and restrictions than the federal government does. It's not just a "me too" government strictly beholden to the federal government.

      Just because a local government can require you to buy electricity or water doesn't mean that the federal government can do the same.

      In summary, your examples aren't as good as you seem to think they are. And you don't seem to get that the federal government has, for good reason, constitutional restrictions on it that a local or state government doesn't have.

    444. Re:What other products by drinkypoo · · Score: 1

      Which is just another reason why it ought to just come out of taxes and be paid for by all of us for all of us, since we all benefit both by having a safety net (health care even if we are poor) and by having other people have a safety net (not surrounded by the sick, dying, and desperate.)

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
    445. Re:What other products by Anguirel · · Score: 1

      Unless that home was bought this year, and it was the first house purchased. Or that home is being used as collateral for a loan. Or that home is being used as a tax-shelter for re-directing gifts and income in a tax-free fashion (via the 14-day tax-free rental income clause).

      --
      ~Anguirel (lit. Living Star-Iron)
      QA: The art of telling someone that their baby is ugly without getting punched.
    446. Re:What other products by khallow · · Score: 1

      Suppose we presume your assumption above, we end up with serious problems when we look at extreme cases. For example, if my life can only be saved with a 100 million dollar procedure, then society needs to provide that procedure. Suppose now that everyone can be immortal and in perfect health for that 100 million dollars apiece. Since health care is a right, then society and government is required to come up with that money, even if they can't.

      Rights are not enforceable only if the money is there or we feel like it. They have to be always enforced no matter how extreme the costs or they aren't rights, but privileges and entitlements.

    447. Re:What other products by khallow · · Score: 1

      The entire watered-down bill was a result of a year long attempt at good-faith negotiation with republicans.

      Nonsense. It was a very incompetent year long attempt to get the more conservative Democrats to go along. The Republicans were under no obligation to support this bill and I'm glad that their resistance crippled that Congress so effectively.

      It would have been better if no bill had passed at all and nothing had been done!

      Buying treasury bonds doesn't count as saving? Should they just stuff the Social Security surplus under the world's largest mattress?

      It's perfectly legal for Congress to pass a law which wipes out the alleged Social Security bonds. They can also at any time change the obligation and taxation parts of Social Security (which they have done on occasion). The "saving" is all fantasy. Social Security taxes got redirected via the bond purchase mechanism into the general fund and spent that year.

    448. Re:What other products by geminidomino · · Score: 1

      But that's not the case anymore. If insurance WAS still 'major medical' like you say, you'd have a point. As it is now, the insurance companies have driven up healthcare costs for everyone, since they apparently got a law that said you can't bill an uninsured patient less than an insured patient. Now, the billing process usually works like this:

      Provider does something medical (anything, really, from office visits to surgery).

      If the patient has insurance, doctor bills $X to the insurance company. Insurance company replies that they will only pay $Y. $(X-Y), not including deductables and copays, are written off as 'insurance adjustments'. Because of this, $X is maximized based on what the providers' networks will pay for that 'code.' With the right subset of networks, $(X-Y) can run into hundreds of dollars for non-surgical, in-office procedures.

      If the patient has no insurance, doctor bills $X to the patient directly. Patient is responsible for the full $X.

      Gods forbid you have the audacity to want healthcare when the insurance companies have decided you're unprofitable. You're still fucked, even though you don't fit any of the idiotic rhetorical devices (too cheap, too lazy, can't be bothered) that people use to argue why the public option was a bad idea. The claim that "anyone can get coverage, they just have to pay more" is patently false.

    449. Re:What other products by Smurf · · Score: 1

      With regards to your question... the federal government does not mandate automobile insurance for drivers on the interstates. The federal government mandates compliance with state laws on the interstates, and not all states require automobile insurance (just proof of assets equal to state liability minimums, such as Wisconsin.)

      Ah, you mean because of this?

      Well, I have bad news for you. The laws changed last year. The current information provided by the state government reflects that. More details on page 4 of this PDF.

      Those are hits 1, 2, 3, 5 and 6 of googling "wisconsin auto insurance laws" (without quotes).

      Are you often caught arguing without the facts?

      Not really. Are you? Mmmmhhhhmmmm....

    450. Re:What other products by roman_mir · · Score: 1

      Furthermore, you are now putting moral obligations on a government, which is a strange way to deal with morality and eventually leads to collapse of morality.

      By the way, here is an interesting piece about UK UHC doctors talking about stopping the terminal cancer patients from being able to continue their treatment because there are no resources for it (obviously, a system that is dead set on removing all risk eventually collapses under the weight of those impossible to meet obligations. This applies to health care as well as education and money, everything.)

      http://www.dailymail.co.uk/health/article-2042172/Dont-terminal-cancer-patients-drugs-just-prolong-lives-say-experts.html

      The point is that resources are actually scarce, government systems make the treatments more expensive by putting government money there, and this ends up costing lives at the end, while in a free market the medical costs would be coming down, not going up all the time, because technology actually makes things more efficient and costs come down. So if in the past an exploratory surgery was needed for something that only requires an imaging procedure today, and if somebody is taking pills against something that they would have a surgery for decades ago, etc., that means technology allows efficiencies to go up and costs to come down, but government money prevents the costs from coming down and forces them up.

      Obama by the way, came to an agreement in his plan, with pharma companies, which gave those companies extension on their patents. What do you think that does to the costs of drugs? Right. Any government involvement into any industry causes costs to go up, never down. It's impossible for costs to go down with government intervention, after all, it's an entire system set up to regulate and impose bureaucracy over innovative fields and ideas and technology. And it provides government money, which means more money is chasing the scarce resources. Of-course costs go up.

      So more money is introduced into the system.
      More regulations, that cause costs to go up.
      More protections against competition.

      How can anybody expect costs to come down with government involvement? If costs are high, competition is low, then there will be more death.

    451. Re:What other products by Anonymous Coward · · Score: 0

      I wouldn't say they are good examples. No one in America is forced to buy these things and certainly not by the Federal Government. For instance, with motorcycle helmets, you might be forced to wear one depending IF you wanted to ride a motorcycle and IF you were in a state that required it, but there is no law on how you get it. Seat-belts, motorcycle helmets and car insurance laws are all left up to the state. Health Insurance should be left up to the state as well.

    452. Re:What other products by SETIGuy · · Score: 2

      We mandate that hospitals provide care to everyone regardless of ability to pay. This just mandates that everyone at least provide some payment toward that end in an inefficient way. The optimal way would be, of course, to use tax dollars to provide health care to everyone. Then nobody needs to buy anything, and the problem that is health insurance companies goes away.

    453. Re:What other products by rtb61 · · Score: 2

      Healthcare like many other products utterly fails when left up to the market and only a biased tool could believe otherwise. Simple reason why, selecting the lowest bidder in the free market, often results in selecting a ponzi scammer. Those that take in money without any intention of paying out and bleeding as much as possible into the own pockets before going under. Result is people are left without any insurance when they need it and under your lying privatised scheme die.

      Now add rinse and repeat, as scammer after scammer repeats the same scheme and you see exactly how the free market routinely fails. Of course to cover your typically free market bull shit lie, that the good companies survive. Scammers simply buy the good companies, paying more than they are worth, because they intend to use the trust in that company, to conduct the same free market ponzi scam of taking in as much money as possible, bleeding out as much as they can for themselves before it all collapses.

      The free market never works, it always sinks to the lowest common denominator and that means liars, cheats and thieves. Caveat Emptor "Let the buyer beware", is thousands of years old. Government regulation stems not from fantasy but from repeated private free market failure after private free market failure. After each and every private free market failure new regulations were added to try and prevent social destructive recurrences. Thousands upon thousands of them (those failures all had to occur more than once before laws were set down). Psychopaths and narcissist ensure free market failure and those same greedy and selfish people obviously run around promoting the free market for exactly that reason.

      --
      Chaos - everything, everywhere, everywhen
    454. Re:What other products by SETIGuy · · Score: 1

      Freedom from the need to listen to someone who has ignored most of the last 400 years of history is also on that list.

    455. Re:What other products by bzipitidoo · · Score: 1

      No, of course haggling has no place in ER. But I was talking about a wheelchair and other situations that were definitely not emergencies. You suggest patient expectations and lawsuits are the reasons for the high prices? I disagree. Sure, those are issues, but they aren't the primary reasons health care is so high in the US. Ultimately, it's the lack of competition.

      The medical provider can pull stunts like having a patient rent a device longer than necessary, or take all sorts of extra tests that have very little chance of finding anything, because the patient is captive and kept ignorant. I had no idea that medical device was $1100 per week to rent, I assumed it was just part of the treatment and included in the costs of the various appointments. Now I know better. It was weeks after the care was all finished that the bills started coming. Quite a shock to see how they charged defense contractor prices for every little thing. Doctor was $400 per hour, the debridement was another $800, plus an additional $100 for $5 worth of supplies such as gauze, tape, and rubber gloves. Near $2500 per week for a cut! Insurance chopped that way down, to about 30% of their fantasy rates. And then our part was 10% of that 30%. But insurance tried to weasel out of a few items, and on those the doctors came after us for the full 100%. Wasted a lot of time arguing over the bills until I could finally get the insurance to pay up. All that about doctors having to charge such ridiculous rates is garbage. We sure call out banks on the nonsense fees they keep trying to impose. I don't see why doctors should be specially exempted.

      --
      Intellectual Property is a monopolistic, selfish, and defective concept. It is "tyranny over the mind of man"
    456. Re:What other products by Kevin108 · · Score: 1

      That's only in public. Unless summoned to court, you don't really have to appear in public any longer.

      --

      It's a perfect time for being wasted.
      A perfect time to watch the stars.
      - Burden Brothers, "Beautiful Night"
    457. Re:What other products by Anonymous Coward · · Score: 0

      I'm all for the right to be wrong, until any of the following happen:

      1. the consequences for being wrong extend to innocent bystanders, and vastly exceed one's ability to pay just compensation for it ... or related problems with externalities (fire codes, nuke plant inspections, vaccination laws, pollution laws)
      2. the ability of people to accurately assess risk is compromised due to unreasonable complexity or obfuscation (regulations on the financial industry preventing opaque instruments used to "sanitize" risk)
      3. people's pursuit of immediate benefit leads to a pessimal end-state for everyone (vaccinations again, prisoner's dilemma)
      4. people's choices are decidedly *not* free due to circumstances far outside their control (kids born into poverty)

      Come to think of it, those describe pretty much the entire gamut of federal activity, other than corruption and graft.

    458. Re:What other products by MikeD83 · · Score: 1

      The Congress shall have power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common defence and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;

      Article 1, Section 8

      An important concept, which appears lost on some people, is sentence structure. Just like in programming, if an identifier is in the wrong place, a compiler will not just compile something and assume what the author intended.

      to pay the Debts and provide for the common defence and general Welfare of the United States;

      In this particular sentence the subject is the United States. Note: The subject of that sentence is not the people of the United States. In the year the document was written "United States" referred to the states which ratified the constitution; and were therefore United. Therefore, the author intended to promote the welfare of the "states which ratified the constitution"; not the people.

    459. Re:What other products by Fjandr · · Score: 1

      Just because something is law doesn't make it right. Slavery was legal once too, and in the case of the draft, still is.

      I'd rather be serious than be a dick just to be a dick. I know the convention here on /. is to not read follow-ups before posting (for redundancy, which your reply was), but it's not actually a requirement. That you went above and beyond after having it pointed out speaks volumes.

    460. Re:What other products by khallow · · Score: 1

      Yet that difference is irrelevant to the REASON why auto-insurance was mandated. The reasons why auto-insurance was mandated are similar to why health insurance is mandated - the number of uninsured individuals was causing economic inefficiencies and inequalities that began to be overwhelming.

      Hasn't been "overwhelming" for the entire history of the human race.

    461. Re:What other products by CodeBuster · · Score: 1

      Just because a local government can require you to buy electricity or water doesn't mean that the federal government can do the same.

      Unfortunately, that's just too fine a distinction for some people.

    462. Re:What other products by dynamo52 · · Score: 1

      The problem is that you are being forced to buy it whether you want to use it or not. They don't make me buy a motorcycle helmet even if I am never going to ride a motorcycle.

      This is the single greatest misconception about the whole "mandate" issue. The fact is that there is no provision in the law that makes it an offense to not purchase health insurance. The so called mandate is merely a tax penalty imposed on those who fail to do so. If you do not wish to buy insurance you don't have to. You just pay the penalty. Congress can write the tax code pretty much any way it sees fit. There is nothing unconstitutional about it.

      --
      Like this comment? I accept Bitcoin! - 153sc8UUBXyp12ofQqfAWDmJrzyiKCYC1x
    463. Re:What other products by CodeBuster · · Score: 1

      Canadians "buy" their health care through higher taxes, longer waits for life saving procedures and lower standards of care. As most economists will tell you, there are many ways to "pay" for a good or service. Just because you weren't handed an itemized bill doesn't mean that you didn't pay in other, sometime less obvious, ways. If you doubt this, ask yourself why wealthier Canadians come to the United States for heart surgeries, cancer treatments and other major surgeries when they could, at least in theory, receive the same care for "free" in Canada?

    464. Re:What other products by Relayman · · Score: 1

      I am required by federal law to buy seat belts and air bags for my car whether I want them or not. I agree that I'm not required to buy a car, but once I get to that point, I am required to buy parts of the car that I may not want or need.

      --
      If I used a sig over again, would anyone notice?
    465. Re:What other products by joocemann · · Score: 1

      One more note, the Dems who pushed the bill tried to have a public nonprofit option, which was one of the priority targets for removal by conservatives.

    466. Re:What other products by CodeBuster · · Score: 1

      People do not have to wait for life threatening care with single payer,

      While it's true that everyone in such nations will receive some "care" the mileage may in fact vary considerably depending upon age, overall condition and political connections. Is an obese senior citizen going to receive the same standard and quality of care that a young and fit person with their whole life in front of them will? Probably not. As the British might say, the senior citizen doesn't have enough Quality Adjusted Life Years (aka QUALYS) remaining to justify the "expense" of the best available treatments. Medical care is not a fungible commodity; quality matters and quality costs money. This is why the wealthiest people in single payer countries frequently choose to receive treatment in the United States or at private European hospitals; the care is quite simply better than what is available to them in many single payer systems.

    467. Re:What other products by joocemann · · Score: 1

      The opposition didn't want single payer, nor a public nonprofit option. The people still need to be covered because hospitals cannot deny them, and we know that nobody would be 'personally responsible' enough to tell the ambulance to turn around because they don't deserve it (didn't have insurance).

      Single Payer is how OUR government can take one of Maslow's most essential needs out of worry. And we can do it for 33% less than the total we pay as a whole right now.

    468. Re:What other products by joocemann · · Score: 1

      I believe the preamble sets the context to which the constitution should be applied and interpreted. So it would be quite significant that they established the constitution for those specific reasons. Read that again, they say they established the constitution "...to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defence, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity,..."

      You quoted it. You think the reasons they give for establishing the constitution are not exactly what the constitution is aimed at working for? I mean... You quoted it. Its right there. .... You don't see it.... 3... 2... 1... backpedal.

    469. Re:What other products by Snaller · · Score: 1

      This law was the best they could do with the obstruction from the republicans who don't care if their fellow Americans die.

      --
      If Google really cared they would fix Android Chrome to reflow text, instead of discriminating
    470. Re:What other products by Fjandr · · Score: 1

      Not in the slightest. The right to life was specifically meant to protect individuals from actions that actively deprive one of their life, unless that deprivation is caused as the end result of due process. Nowhere was it even hinted that the right covered obligating others to go out of their way to provide services to extend another person's life, at least not in the Federal Constitution. States have much more leeway under the 10th Amendment.

    471. Re:What other products by jackbird · · Score: 1

      You want tort reform? Try single-payer healthcare. That would reform those torts right off the map.

    472. Re:What other products by Fjandr · · Score: 1

      Those non-transparent packaged securities were never a good idea to be involved in. Nobody bothered to question the fundamentals, and they got screwed. Much of this has to do with how complicit the government is in allowing investment firms to do whatever the hell they want.

      I am, by the way, completely opposed to corporations having rights since they are not people. There are many people who claim to be "free market" proponents who are amenable to allowing artificial entities to do whatever they want, which is not really a free market principle.

    473. Re:What other products by bwen · · Score: 1

      When as much money is spent on the last 3 months of people's lives in the ICU because people want "everything" done, there is a need to address patient and family expectations (and healthcare's obligations.) When med mal insurance is over $100,000 a year for some specialties, then yeah, it is a factor despite what some nuts try to debate to further their agenda. My med-mal was $80,000/year before a single suit (emergency medicine.) When an ER doc sees 5000 patients a year and knows most of his tests are nowhere near 100% accurate - numbers dictate more extensive work-ups than you would find in other countries when the next patient could be a career-ender. Somehow a country with the best educated physicians has the largest number and size of settlements in medical malpractice...hmmmm. I understand the costs are sometimes ridiculous - but the insurance companies will pay only a small percentage of the bill- hence, inflated prices. This game has been going on a long time. Going after these insurance companies to dispute the percentage they pay is also costly for the practice- which ultimately the patient pays for also. Many times the bill doesn't get paid at all - and you are also charged more because of that. I've worked in hospitals where literally less than 13% of patients paid for private insurance. Margins are getting thinner in some places - I think some of your frustration is a bit misplaced.

    474. Re:What other products by rochberg · · Score: 1

      Speed limits are set by the states because there is nothing in the Constitution that gives the federal government the power to regulate traffic laws. According to the 10th Amendment, any power not given to the federal government by the Constitution, and that is not prohibited by the Constitution, are reserved for the states, or people. Health care is like speed limits. Since there is no Constitutionally granted power for the feds to regulate it, the power falls to the states. This is why the Massachusetts health care law is Constitutional, but "Obamacare" is not.

      On the contrary, until 1995, speed limits were regulated by the federal government. Specifically, the National Maximum Speed Law, passed in 1974, prohibited states from setting any speed limit above 55 mph. These regulations stayed in place until Congress repealed them with the National Highway System Designation Act. There was never any argument regarding the Constitutionality of the NMSL.

      That's quite a reading of the 10th Amendment you've got there. Too bad it is wholly inaccurate and completely ignores the 200+ years of case law that has been decided ever since...

    475. Re:What other products by FiloEleven · · Score: 1

      Seriously? I'd pay decent money for a B3. Especially if you've got a Leslie cabinet to go with it.

    476. Re:What other products by ultranova · · Score: 1

      As opposed to Communism, which is "shut up and obey your superiors, Comrade."

      The difference between communism and corporatism is that communist leaders consider the whole country their personal property, so they'll at least try to maintain it.

      --

      Forget magic. Any technology distinguishable from divine power is insufficiently advanced.

    477. Re:What other products by Libertarian001 · · Score: 1

      Are you really so ignorant as to believe that tripe?

    478. Re:What other products by travbrad · · Score: 1

      When you have so many parties involved, all of which want (and are obligated) to make huge profits, healthcare is bound to be expensive. Profits are essentially money that was paid for health services which weren't provided. It's not a coincidence that the country of wall-street is the country with the highest health costs by far.

    479. Re:What other products by Anonymous Coward · · Score: 0

      Why? If somebody wants to risk their life recklessly, why shouldn't they be allowed to. The world is overpopulated with idiots as it is.

    480. Re:What other products by Fjandr · · Score: 1

      Educational statutes at the Federal level are not mandatory either. States can opt out, at the loss of Federal funding.

      Education is mandatory in the same way that the Federal speed limit was mandatory: not, but expensive to ignore.

    481. Re:What other products by Anonymous Coward · · Score: 0

      The keyword there is promote, not mandate or require. And general, not individual welfare.

    482. Re:What other products by Verity_Crux · · Score: 1

      The optimal way would be, of course, to use tax dollars to provide health care to everyone.

      You're forgetting the other effects of that policy. First, you've brought in force. Everyone has to pay regardless of whether or not they want the service. Second, you don't get "health care", rather you get the "health care" that the public deems prudent to provide you at the time. In other words, you have no options. Third, when you take this decision out of the hands of the citizens, everyone suffers due to the general atrophy that overtakes society. We're already struggling with that in America. Read Bastiat's fantastic "Private and Public Services" for further arguments in that regard.

    483. Re:What other products by superdave80 · · Score: 1

      ...start turning away people that show up for non-emergencies...

      So who is going to pick up the dead bodies of the people who bleed out and die on the streets because they were turned away from the ER?

      I'm curious as to your theory on how non-emergency situations lead to dead bodies.

    484. Re:What other products by Sumtingwong · · Score: 1

      Are you kidding me? Aren't the Republicans the ones who want to save the children before they are even born?

      Buy a car that does not have airbags, I have one. Don't go on a cruise--I never have. Better yet, why don't you pay for my health insurance because I cannot. A mandated "Plan B" is not health coverage that is required in certain situations, it is required in "ALL* situations, unless, of course, you are a Democrat who bargained their way out of it.

      I suppose you believe that democracy should be suspended so that "things can get done" too, right?

      --
      Word!
    485. Re:What other products by lonecrow · · Score: 1

      You guys should have went the single payer system with a public operated insurance agency. Think of it as open source insurance where the books are open to all. Then you wouldn't have needed a law to force people to buy insurance, they just would have been fools not to buy it because it would be so affordable.

      Did you watch Michael Moores movie "Sicko" ? Remember when he talked to all those Canadian who went on and on about how much they liked the health care system here? Well guess what, it isn't spin and those were not cherry picked people. It just works.

    486. Re:What other products by Anonymous Coward · · Score: 0

      Funny, I don't seem to own a motorcycle helmet. The law says I have to have one? Oh, I have to have one IF I am driving on the road on my motorcycle, not just existing? Same with seatbelts. Also, same with clothes. "Try walking around town naked and homeless." Fine, I won't walk around town. I'll stay inside. Again, I don't HAVE to buy clothes. Also, I could MAKE my own clothes, I don't have to BUY them.

    487. Re:What other products by tragedy · · Score: 1

      How about freedom from being left completely destitute when, despite all your fiscal discipline and planning and hard work, unforeseeable disaster strikes (such as falling seriously ill, even _with_ insurance) and you lose everything? Life isn't fair. It's not fair to the undeserving and it is no more fair to the deserving. One of the legitimate functions of government, in fact of civilisation in general is to take some of the harshness and unfairness out of uncaring, unreasonable, dangerous, anarchic, cruel reality. To that end, providing a safety net so that people, deserving or undeserving as they may be, don't die in the streets, is the sort of think that government should do. It would be nice if they managed it better.

      Personally, of course, I think the healthcare bill is a ridiculous abomination. Everybody gets sick, deserving and undeserving alike. Some worse than others, and you can never really tell who will require more care than others. The proper way for healthcare to work is that everyone is taxed for it, and if you get sick, you're treated. If you want cosmetic surgery or other such treatments, you should pay for it, unless it's corrective after an accident or for some deformity. That should be pretty much all there is to it.

    488. Re:What other products by Caffinated · · Score: 1
      That would be bad, but alas the bonds are real ones that pay interest and everything. The Social Security administration even has a FAQ and everything that cover this, though that'd take actually looking for yourself and perhaps not listening so much to people who're seeking to mislead you.

      http://www.ssa.gov/oact/progdata/fundFAQ.html

    489. Re:What other products by Caffinated · · Score: 1
      I agree that the "negotiation" was incompetently handled, but while conservative Democrats were themselves causing trouble, the focus was on making the bill (sufficiently) bi-partisan. That's what the whole "gang of six" (3 dems, 3 reps) charade was about. Since the lineage of the proposal was essentially republican (heck, it's nearly identical to the 1993 republican plan), it wouldn't have been unreasonable to presume that with some concessions that it could garner republican support. Of course, these are hardly normal times.

      Now, it's possible that if this bill failed, we'd get a saner revamp of our healtcare system, but I don't see any evidence that might happen. This bill was just about the least that one could do which had a chance to impact things.

      Finally, they're real treasury bonds, and like all treasury bonds, the money that they're purchased with is used by the government when they're purchased. That's hardly some sort of nefarious scheme; it's how all bonds work. They get paid back, with interest, over time. Now, since we control the SS administration, we could presumably give the bonds to the treasury or some such, but it'd still be a transfer of real assets. Of course, that'd be the blatent theft of trillions of dollars that were expressly paid by workers into the program, so I guess that it's important that said workers are properly misinformed so they don't notice.

    490. Re:What other products by bryan1945 · · Score: 1

      All wrong. If you go live in the woods, none of what you said applies. But you'd still have to buy health insurance. Also, most of the stuff you mentioned is state/local mandated. If you have no job you don't pay into Social Security. But you would still have to buy health insurance.

      Not really hard to understand.

      --
      Vote monkeys into Congress. They are cheaper and more trustworthy.
    491. Re:What other products by Anonymous Coward · · Score: 0

      Good point. You have offered a powerful rebuttal to the Affordable Health Care Act critics.

    492. Re:What other products by Zenin · · Score: 1

      And there would be nothing wrong with allowing them to sell across state lines...Just so long as the insurance regulations of the customer's state were required to be followed.

      That's the rub; The insurance industry wants to only be subjected to the laws of the state they have their offices in, allowing them to shop around for the most favorable state regulations (meaning those that allow the insurance companies the most flexibility in how they can screw over their customers).

      It would mean the only real regulation would be exclusively at the Federal level; State oversight would be toothless. So much for States Rights...

      ---

      The fact is TODAY, any company in the country can sell insurance to anyone else anywhere in the country...so long as they abide by the laws and regulations of the consumer's state. There are plenty of insurance companies today that operate cross-state.

      --
      My /. uid is better then your /. uid
    493. Re:What other products by Zenin · · Score: 1

      But you're not "simply being alive".

      You are a resident of this land, a consumer of its commonwealth resources both natural and man made. One of those commonwealth resources is a healthcare system that will always treat you first and ask how/if you're able to pay second.

      To borrow your words, "If you don't live in the US, you do not need health insurance".

      --
      My /. uid is better then your /. uid
    494. Re:What other products by roman_mir · · Score: 1

      I take it you didn't look at either of the links to 2 of my journal entries, one on health care and insurance and data (government statistics actually) that shows that private care and insurance were preferred even when 'public' option began, and in fact care was cheap and getting cheaper, and the other link showing that it is government ponzi scam that results in destruction, because it is mandatory.

      Private ponzi scams drain the economy of resources only to the moment that they are discovered to be scams. Then there is a 'bank run' and the scam ends. Public scams are mandatory, so they pretend they can run them forever, by continuously increasing the tax payments and decreasing the benefits.

      The free market never works, it always sinks to the lowest common denominator and that means liars, cheats and thieves.

      - nonsense. Free market gets rid of liars and cheats and thieves much faster and more efficiently than government mixed or command economy, with the proof of Madoff and Enron and housing bubble and Internet bubble before it and the agriculture bubble that inflated starting in 1925, again, all caused by the Federal reserve money destruction.

      Free market always works better, quickly finding and eliminating those, who cheat their customers while promoting the real deal. So Ford's product was promoted, not shunned, but Charles Ponzi was eventually found out to be a fraud and his 'business' stopped.

      Anyway, good luck with your agenda.

    495. Re:What other products by ShakaUVM · · Score: 1

      >>Should a hospital let someone bleeding to death die in their Emergency Room if they have no insurance? I think except for at republican debates the answer is "no".

      Republicans don't even believe that these days. I know, I've asked several Tea Partiers if they think EMTALA should be repealed (the act that requires free medical care in ERs regardless of the ability to pay) and I've yet to hear one say that they do think people should die if they can't pay, though most agree the law should be revised. And rightly so, as it's a total piece of shit, based on the assumption that no-pay ER costs will never be more than a negligible portion of a hospital's costs, a premise which has proven to be quite wrong.

      But, hey, nice tar brush you got there. It's mighty wide.

    496. Re:What other products by Dr_Terminus · · Score: 1

      This sounds like the perfect argument for why government should provide a basic level of healthcare for all Americans. As you say, you're not required to purchase them for your personal use. ... The government purchases those things to ... serve you and the rest of the country. etc

    497. Re:What other products by sumdumass · · Score: 1

      Outside of you sounding like an ideologue idiot, you might want to point out that the US did the same thing with CDs except the distinguished between music CDs and data CDs.

      The fun thing is listening to the best buy drones make crap up when you ask them what the difference is. I liked one excuse where the guy went into great detail explaining the difference in sound quality the CD would produce.

    498. Re:What other products by sumdumass · · Score: 1

      Wow.. are you the unintelligent misinformed idiot of the month.

      None of that is remotely true. the debate is over who controls it and taxes for it. Not whether it happens or not.

    499. Re:What other products by Dr_Barnowl · · Score: 1

      So shouldn't it be protecting Americans against the HMOs?

      The American healthcare system is demonstrably much more expensive, for worse outcomes, than healthcare systems in countries which have single payer or socialized healthcare systems.

      Given the increasing cost of medical care, a single medical emergency can destroy most of those inalienable rights ; your liberty, because you are a slave to your debt, your happiness, because you're not happy about that, and your life, because your insurance company won't pay for your treatment.

      And the insurance company will also refuse to insure you if it knows that you have particular healthcare issues (thus destroying your happiness as you fell insecure), or require premiums that essentially make you their slave, and thus you lose your liberty.

      While your health is not under control of the government, surely allowing these predators to exist is against your inalienable rights. The only way to get rid of them, in a "free market" is to remove their market niche by providing a decent public healthcare system.

    500. Re:What other products by sumdumass · · Score: 1

      Education is not mandated by the federal government.

      They do tie funding to attendance, but there is not federal law requiring anyone to be educated. The federal government was largely absent from education until the mid 1970s. Education is a state matter.

    501. Re:What other products by Dr_Barnowl · · Score: 1

      The point is that resources are actually scarce, government systems make the treatments more expensive by putting government money there, and this ends up costing lives at the end, while in a free market the medical costs would be coming down, not going up all the time

      The USA pays more than double per capita what the UK does for it's healthcare, for much worse outcomes (and far more inequity).

      What you get with the system you have is a vast twisty apparatus designed not to provide as much healthcare as possible for the money it is given, but to provide as little healthcare as possible, and extract as much money as possible. And this has been the intention right from the outset.

      One of the many reasons the UK NHS, is suffering is because technology tends to make the costs of healthcare increase, not decrease. New technology means that you save more lives that need more care. New technology costs more, because it's patented. And these costs increases are very much driven by the corporate side of the equation ; drug companies are not adverse to lobbying to get existing generic treatments off the market, simply so they can make a buck selling exactly the same medicine at 10x the price.

      The medical sector considers 15% a low profit margin. Wal-Mart operates at a profit margin of around 3.8%

      Quite aside from the ethics of making profits from healthcare, when those resources could be diverted into more healthcare instead ; if corporate involvement in healthcare was really operating to introduce competition and drive costs down, you'd expect a margin more like Wal-Mart. Instead they have margins closer to Gucci and Hermes.

      Why are you paying for a luxury healthcare system and getting a Wal-Mart healthcare system?

    502. Re:What other products by cjsm · · Score: 1

      Yes it is. Move to Canada or Europe if you're so in love with socialism programs.

      I'd love to move to Canada or Europe, or someplace with single payer healthcare! Thanks for the idea!

      --
      This ad space for rent.
    503. Re:What other products by Anonymous Coward · · Score: 0

      Neither of those are mandated. I use public transit to get to work and the store so I haven't bought either.

    504. Re:What other products by roman_mir · · Score: 1

      So shouldn't it be protecting Americans against the HMOs?

      - no. As I said - rights are not about you and your private dealings, it's about your rights not to be destroyed by your government.

      Rights are very specific - it's between you and your government, not between you and your physician. What you have between you and your physician is a contract (and there is always criminal law, if he kills you or hurts you on purpose).

      The American healthcare system is demonstrably much more expensive, for worse outcomes, than healthcare systems in countries which have single payer or socialized healthcare systems.

      - TODAY.

      Not before 1965, not before US government got into it with its money and corruptive power of monopoly creation. As to other economies - they would be better off with free market as well.

      Given the increasing cost of medical care, a single medical emergency can destroy most of those inalienable rights ; your liberty, because you are a slave to your debt, your happiness, because you're not happy about that, and your life, because your insurance company won't pay for your treatment.

      - TODAY. That's because the government caused the prices to go up rather than where market was taking the costs - down, while increasing efficiencies and quality.

      Government is CAUSING the prices to go up and it's causing the destruction of the economy in the process, you want protections? Reinstitute the Constitution, get government out of things that it is not authorized to do. It got over that barrier long ago, 100 years ago.

      And the insurance company will also refuse to insure you if it knows that you have particular healthcare issues (thus destroying your happiness as you fell insecure), or require premiums that essentially make you their slave, and thus you lose your liberty.

      - not in a free market, where prices are low and where you are responsible for your own insurance, it's not government and it's not your employer.

      So you have your insurance, they can't stop it, it's a contract. With work insurance you only have your insurance as long as you have that job.

      Before 1965 the cost of insurance for most people was $2/month.

      While your health is not under control of the government, surely allowing these predators to exist is against your inalienable rights. The only way to get rid of them, in a "free market" is to remove their market niche by providing a decent public healthcare system.

      - No. You do NOT have a right to force OTHERS to GIVE you stuff, even through government.

      Your RIGHT is to have government PROTECT you against somebody ACTIVELY trying to deprive you of your right to liberty - that's what border protection is for, but most importantly, your rights are there to protect you against the real threat - your government.

    505. Re:What other products by roman_mir · · Score: 1

      What you get with the system you have is a vast twisty apparatus designed not to provide as much healthcare as possible for the money it is given, but to provide as little healthcare as possible, and extract as much money as possible.

      - AGREE.

      That's because GOVERNMENT is in it. In UK people also would be better off without government in health care, just like they were in USA prior to 1965 (there is plenty of data there, not just an essay).

      One of the many reasons the UK NHS, is suffering is because technology tends to make the costs of healthcare increase, not decrease.

      - nonsense.

      With GOVERNMENT in charge the costs are going up, it's NOT because of new technology, it's because any new technology can be sold to government at a huge premium and costs will go up. In private free market the costs with new technologies and efficiencies always go down while quality goes up.

      Thus you are on the Internet with a computer that is that much better than the first computers and that much cheaper than the first computers, with miniaturization in it that is made possible by very very expensive factories that are built all the time by processor makers.

      The cars are a good example as well, the quality and features go up but prices stay the same (which is great given how much inflation governments creates with money printing). Imagine for a second that government was NOT allowed to print money and inflation didn't exist - prices would be falling rapidly for cars and for computers I don't even know where the prices would be. 10 dollars per new laptop? Maybe.

      So there is no argument that new technology creates new efficiencies even if the technology itself is hard. It's because of real competition and COMPARATIVE LACK OF GOVERNMENT REGULATIONS AND MONEY in those fields.

      New technology means that you save more lives that need more care.

      - no. New technology means that you can find the problem quicker, fix it easier without surgery, with pills likely, you can process more people, and you do NOT allow the disease to get worse before it is found (with all of the new tech the diseases are found much before they show themselves with much more serious symptoms).

      People are getting the treatment faster with new tech, because their problems are identified sooner, this makes the process LESS expensive, because they need LESS treatment.

      People don't need exploratory surgeries with all the scanning and imaging.

      Doctors share information quicker and in more efficient ways with the new information technologies, so mistakes are rarer.

      . New technology costs more, because it's patented.

      - everything is patented (I am against all patents by the way.) Computer tech, TV tech, car tech, phone tech, it's all patented.

      much driven by the corporate side of the equation ; drug companies are not adverse to lobbying to get existing generic treatments off the market,

      - THAT'S WHAT I AM TALKING ABOUT.

      There should NOT be any government involvement into this, government shouldn't be allowed to interfere with normal market forces and competition, it causes prices to go up and resources to be mis-allocated while moral hazards are created and money is printed.

      Quite aside from the ethics of making profits from healthcare

      - I WELCOME profits from health care.

      I WANT THEM TO MAKE PROFITS from health care.

      Profits are the ONLY REAL GOOD MOTIVATOR FOR GOOD RESULTS in real COMPETING markets.

      Government destroys competition, so profits are concentrated in few hands and they can keep prices high because there is government money all over it, government protections, government contracts, regulations that destroy competition.

      There should be no government involvement into any product or s

    506. Re:What other products by zippthorne · · Score: 1

      When the government controls it, you won't be denied care based on your ability to pay. Instead you'll be denied care based on politics and social status. I fail to see how that's an improvement.

      --
      Can you be Even More Awesome?!
    507. Re:What other products by AmiMoJo · · Score: 1

      So there is no such thing as a right to food or clothing or shelter or health insurance or health care or education, it's because this imposes an obligation for somebody to supply you with this stuff, so it cannot be a right.

      Actually those things are human rights in the EU. Furthermore all rights impose obligations on others, such as the obligation to clean up after yourself so that your waste does not cause others to become ill or die. The obligation to share resources others need to live.

      We decided to organise into societies and set up a state, which is charged with protecting human rights on our behalf. It's easier for us to meet our personal obligations to other people's human rights that way. On top of that we decided some other things would be rights, such as healthcare and education, because we are lucky enough to be able to provide them to everyone and because we don't like to see other human beings suffer or become victims ourselves. Human rights represent our minimum standards, below which we refuse to go.

      --
      const int one = 65536; (Silvermoon, Texture.cs)
      SJW, n: "Someone I don't like, and by the way I'm a fuckwit" - AC
    508. Re:What other products by dkf · · Score: 1

      So no, the Constitution does not grant the federal government any say in the welfare of the citizens of the States.

      It depends on the extent to which you believe the welfare of the states is determined by the welfare of the citizens (and other inhabitants) of those states.

      --
      "Little does he know, but there is no 'I' in 'Idiot'!"
    509. Re:What other products by roman_mir · · Score: 2

      Actually those things are human rights in the EU.

      - they are not rights because once the economy dies, nobody can provide you with those, so get your terminology straight, those are entitlements, not rights. Those impose obligations on people to provide you with something, they are not rights.

      A right is not to have somebody provide you with stuff. A right is about relationship between an individual and the government (collective), in order to limit the government from depriving you of your sovereign (unalienable) rights.

      You can call it whatever you like, but as long as somebody must GIVE you something in order for you to have that, that's an entitlement and an obligation. You believe that somebody must give you something and the State forces them to give it up.

      So somebody gains a benefit and somebody loses a benefit by force of the State. That goes against the concept of individual rights, and that's why Europe is also going to have an economic collapse, though the US economic collapse is going to be more dramatic because of the amount of spending that US is doing and the dependency that it built upon other nations to cover the production for all that counterfeiting and borrowing.

      However, once USA economy collapses it will have a choice - return to the Constitution and then quickly rebuild the real economy or go all the way to totalitarianism and become a poor, institutional, welfare state, where people are FORCED to give up their labor to feed the mob, but the wealth is not really increased or produced, it's basically a starvation based system.

      That's what EU has, it just doesn't spend as much as USA. What's funny is all the people that say: rich are stealing from us, that's why they are rich.

      No, rich people (majority, those who are not feeding at the public trough but those who produce the wealth people consume) are actually building the economy and the wealth that the government confiscates in order to 'spread' to gain political power, since majority are employees and not employers.

      But what is funny is that Germany (where I am right now, and going to Switzerland tomorrow), is the place that can called 'rich' compared to those other European countries. So is it that Germany STEALS from those other countries? No. Those other countries made themselves dependent by not working and thus by having Germans supply them with stuff. But basically any WORKER in Germany can be considered 'rich' now compared to a Greek resident for example. So I find this funny and tragic.

      USSR destroyed millions of people in the fit of socialist/communist agenda throughout thirties, forties and fifties, when the information started coming out about all of the collectivization and murder, the European countries (especially France and Germany) hid these facts from their population, because Communism was basically winning in Europe. I mean, hell, France had basically a Communist government come to power at the time, so they were scared to let people know what REAL socialism and communism LEADS to, when taken to the max - destruction of people.

      I hope USA doesn't destroy itself and chooses the right path, and Ron Paul is elected and then the people are allowed to have competition in what money is and then income taxes are abolished, SS and Medicare and welfare and EI and minimum wage and all so called "civil rights" (which are again, obligations on some and entitlements to others, which destroy jobs), and all of the wars - drug war, Afghanistan, Libya, Iraq, Pakistan, all of this is stopped and abolished.

      All government involvement into business needs to go away the way of the Dodo bird. I will be able to do business in USA again, because now it's all monopolies and public trough feeders and currency destroyers and gamblers and there is no production.

      USA imports 90% of its seafood from Asia. It's SURROUNDED with oceans. It has lakes and rivers and it imports 90% of its seafood. It has 53Billion USD/month trade deficit. It has over 100 Tri

    510. Re:What other products by dkleinsc · · Score: 1

      A few of the major reasons why health care is more expensive in the US than other developed countries:
      1. A significant portion of the cost of health care in the US goes to profits for pharmaceuticals, medical devices, hospitals and other providers, and insurance companies. Government-run systems aren't run for profit, so they don't have as much of this.
      2. Another significant portion goes to medical billing, as hospitals and other providers try to get paid and insurance companies try to avoid paying. Again, a non-issue in a government-run system.
      3. Most providers operate on Fee-For-Service. That means that the more services they provide, necessary or not, the more money they make. For instance, there are podiatrists that make very good money going to nursing homes once a week and clipping toenails and sending the bill to Medicare. This also motivates hospitals to use the $1500 MRI test rather than the $150 test that is just as good 999 times out of 1000. Again, a non-issue for those systems that have state-run hospitals and clinics with salaried doctors.

      The tried-and-true solution to these problems, namely an entirely public system, is politically unacceptable because those very profitable health care companies bribe Congress and the President to prevent it from being a reality. And if for some reason the President or Congress doesn't look like they'll cave, they run Harry and Louise ads to ramp up the public pressure.

      --
      I am officially gone from /. Long live http://www.soylentnews.com/
    511. Re:What other products by said213 · · Score: 0

      Aww... somebody needs a hug! And... maybe a cookie?

      Seriously... lighten up. These here be ye boards for commenting, not ye boards for planking.

      That i "went above and beyond after having it pointed out speaks volumes" about having a healthy sense of humor. Cookies are medicine, you know... take two and maybe your sense of humor will recover!

      --
      help me fix this "Terrible" karma, please!
    512. Re:What other products by Politburo · · Score: 1

      A law cannot render another law unconstitutional. The existence of McCarran-Ferguson isn't relevant to the Constitutional question.

    513. Re:What other products by Anonymous Coward · · Score: 0

      You are spot on. Health Care law should be upheld but it's a Republican leaning court and I can see no way for the "Justices" to uphold this good law.

    514. Re:What other products by makomk · · Score: 1

      That wouldn't be so bad if they weren't also deliberately closing down DMV branches in Democrat-leaning areas...

    515. Re:What other products by Anonymous Coward · · Score: 0

      Welfare is the environment, not services... Research your history.

    516. Re:What other products by Anonymous Coward · · Score: 0

      The point for me is that the same people that are fighting compulsory insurance in this case, are the same people that fought tooth and nail to prevent the service being provided by the government. They even fought the idea that government should provide insurance, let alone healthcare. As much as I would like to agree that compulsory health insurance is a bad thing, I can't because then I would be agreeing with those that took away all the preferable options. I come from a country with a national healthcare system where insurance is only for the rich and everyone else gets some sort of middling quality of care and no one is ever refused. It seems like the debate in the US runs like "shall we do it wrong, or ruin everything?". Glad I don't live there

    517. Re:What other products by Politburo · · Score: 1

      It's in response to the "argument" that liberals want to turn the US into China or North Korea. Absurdity begets absurdity, no one actually believes these things (I hope).

    518. Re:What other products by AmiMoJo · · Score: 1

      they are not rights because once the economy dies, nobody can provide you with those, so get your terminology straight, those are entitlements, not rights.

      If the economy dies we can't afford to have police or an army, so people can kill us freely violating our right to life. Does that mean life is an entitlement?

      Come to that we sometimes decide to revoke a person's right to life, e.g. in war. Rights are not these abstract things you seem to think they are.

      A right is something that everyone has a duty to attempt to uphold, and which you cannot arbitrarily refuse to give to someone. For for example the right to an education means that the state must off all children schooling, children must attend school and parents cannot decide their children will remain ignorant. We must provide that to the best of our ability, as a society, and with certain exceptions such as providing it in English and allowing the mentally handicapped to be absolved.

      --
      const int one = 65536; (Silvermoon, Texture.cs)
      SJW, n: "Someone I don't like, and by the way I'm a fuckwit" - AC
    519. Re:What other products by DaveV1.0 · · Score: 1

      Personally, I think the fed should look into buying failing hospitals and starting a kind of HealthCorp, where the government pays for people to enter the healthcare profession and provides training in exchange for a service-year-for-training-year contract. If it takes one 8 years to become a doctor, one then does 8 years as a doctor in the HealthCorp. Enlistees would get a living wage and an education, and the population would get less expensive health care.

      --
      There is no "-1 offended" or "-1 you don't agree with me" mod options for a reason.
    520. Re:What other products by Anonymous Coward · · Score: 0

      Really? You don't use freedom? I find it pretty naive that you believe that the military (albeit some decisions more questionable than others) isn't a service consumed by ALL Americans.

    521. Re:What other products by Politburo · · Score: 1

      Actually there are a ton of bridges on the Turnpike. How do you think grade-separation is achieved?

      As you go through Elizabeth near the airport, it's mostly viaduct, 14 lanes wide. Same with the area around the Meadowlands, as swamp doesn't make for a good roadbed.

      They are also expanding the roadway on a 20-mile stretch, which is the biggest reason for recent toll increases.

    522. Re:What other products by roman_mir · · Score: 1

      If the economy dies we can't afford to have police or an army, so people can kill us freely violating our right to life. Does that mean life is an entitlement?

      - you are again, completely oblivious to the meaning of the word 'right'. Your rights are only meaningful in relationship to your government - the force that can come and destroy you, kill you, because it is a collective force (supposedly based on some form of Democracy in case of US or EU, but even that's questionable.)

      You cannot ARGUE with another INDIVIDUAL over your right. You don't fully understand what I am talking about, are you? When a thief and a murderer comes to your house, he is NOT concerned with your so called 'rights', because you and he do not have the same relationship that you have with the government.

      He is not your government, he is an individual. As an individual, when he kills you he is not 'denying your a right', he just kills you. There is no 'right violation' there. Now, when you protect yourself against an individual, you may want to get private security and you may want to establish a local police service (that won't help you likely if somebody is after you.)

      You cannot argue about rights with individuals, because it's not the concept that is in any shape or form meaningful there.

      Will a tiger argue with a lamb about the right to live? Well - both want to survive. The lamb wants to live and so does the tiger. If tiger doesn't eat - he dies. If lamb becomes tiger's food, it doesn't eat.

      Same with people. However when people establish government - the most powerful entity within the borders of the State, then the concept of rights must be created and upheld, otherwise any individual within the State is just property of the State's government system. It will oppress the individuals for the purpose of governing body feeding on them.

      Come to that we sometimes decide to revoke a person's right to life, e.g. in war.

      - and I said that in a different reply in this thread. You can lose your right to life to the state, so that's why you want a very strict process and then you are entitled to this process.

      Rights are not these abstract things you seem to think they are.

      - no no no no no, I am being the most specific here, the most precise. You are talking about entitlements as if those are real rights, and you don't understand that the meaning of the word does not define your relationship with other individuals or businesses.

      There you have criminal and contract laws.

      For the government however, rights are very specific things, and the procedures to deprive you of these rights must be very specific too.

      A right is something that everyone has a duty to attempt to uphold

      - NO.

      No. As an example: freedom of speech.

      Freedom of speech is a right, but it defines the relationship between you and the government. So government cannot prevent you from speaking. On the other hand an individual does not have to provide you with anything that helps you to speak. Individual does not have to listen to you speak. Individual can deny you access to their property so you cannot express your 'freedom of speech' there on his property.

      You are wrong, and you misunderstand the concept of rights and entitlements.

      For for example the right to an education means that the state must off all children schooling, children must attend school and parents cannot decide their children will remain ignorant.

      - those are obligations and entitlements, they are not rights at all.

      The kids are given this entitlement to so called 'free' education, which is also an obligation, they are forced into schools. This also puts obligations on tax paying base to provide this. The parents are forced into an obligation as well, where they are forced by law to send their children to schools, so that the government system can indoctrin

    523. Re:What other products by zyzko · · Score: 1

      Actually - is it not. For an example here in Finland where ownership of firearms is very high - about 1.6 million guns (with another 200 000 unlicensed ones) to 5 million people. And yet we are still quite high in homicide rate. (We are above Japan, Sweden and Turkey for example....).

    524. Re:What other products by khallow · · Score: 1

      Since the lineage of the proposal was essentially republican (heck, it's nearly identical to the 1993 republican plan)

      What was "the" 1993 Republican plan? I've read that some people claim the 2010 plan was similar to Senatar Chafee's (of Rhode Island) plan in 1993. But that didn't go anywhere. So it didn't experience the feedback from the public that the current health care "reform" did.

      Further, from reading the summary of that bill, while it used excise taxes on employers who failed to comply, it didn't have similar enforcement provisions for individuals (which is one of the unconstitutional parts of Obamacare). So this lawsuit wouldn't have happened with the Republican plan of 1993.

      With respect to Social Security "bonds", I wasn't speaking of "transfer" of these alleged bonds, but merely making them no longer exist. As to theft of trillions of dollars from workers paid into the program? That already happened.

      The thing about the Social Security bonds is that they don't matter. How much is put in and paid out doesn't depend on this illusionary machinery. If the bonds were to go away in a legitimate way (say by Social Security running deficits for long enough that the bond amounts got paid out), then Social Security payments would probably be paid out of the general budget rather than being cut back as one would expect from the propaganda.

      Similarly, if the general budget experiences serious trouble (such as it is today), then one can draw from the Social Security fund in various ways. The current gimmick is to tinker with the CPI.

    525. Re:What other products by Thaelon · · Score: 1

      No it doesn't. A consumption tax invariably places a much larger tax burden on the lower classes because they spend a much larger portion of their income on consumables. I'm not saying an income tax makes much sense. But a consumption tax is incredibly jilted in favor of the rich.

      --

      Question everything

    526. Re:What other products by roman_mir · · Score: 1

      Oh, and by the way, while just arguing about the definition of what a right is, I also would like to note that any obligations and entitlements that the system enforces upon an economy eventually ends up destroying that economy. I am against all entitlements and obligations obviously, be it for corporations or individuals.

    527. Re:What other products by cayenne8 · · Score: 1

      ...since they apparently got a law that said you can't bill an uninsured patient less than an insured patient.

      Hmm....are you sure about this being a law?

      I remember back in the day, my uncle was a Dr. private practice...he often charged people as they had means. As did another Dr. I worked with about 15 years ago.

      I know recently, when I was 1099 contracting...I had a high deductible insurance set up, so I could have a HSA to sock medical monies back into.

      I often went to the Dr. and told them I'd be paying for myself, and most places, would automatically knock 15% off the bill, right there when I wrote them a check for the office visit or procedure (had an MRI one time).

      So, I'm not sure that's a law....?

      --
      Light travels faster than sound. This is why some people appear bright until you hear them speak.........
    528. Re:What other products by DaveV1.0 · · Score: 2

      McCarran-Ferguson delegates the insurance regulation exclusively to the states and prevents interstate trade in insurance policies. See Article 1, Section 8, last paragraph for Congresses authority to do this. Because Congress is constitutionally limited to regulating interstate trade (U.S. Constitution Art1, Sec8 , Para3), Congress does not have the constitutional authority to regulate, including mandating the purchasing of, insurance policies.

      Basically, by banning the interstate trade of insurance policies and explicitly putting the regulation of insurance in the hands of the individual states, Congress gave up it's right to control insurance. If Congress actually wants to mandate the purchasing of insurance, first it needs to repeal McCarran-Ferguson. Insurance companies don't want this because they have a state based monopolies. In each state there is a single large insurance company, which is a subsidiary of a national company which sells no policies but collects profits from it's subsidiaries, with no significant competition. Which company is the largest varies, but, as they are protected from competition and anti-trust laws, it is extremely hard to remove the entrenched companies.

      --
      There is no "-1 offended" or "-1 you don't agree with me" mod options for a reason.
    529. Re:What other products by Q-Hack! · · Score: 1

      The difference between communism and corporatism is that communist leaders consider the whole country their personal property, so they'll at least try to maintain it.

      You mean like in East Germany? Or any eastern block country for that matter.

      --
      Some days I get the sinking feeling Orwell was an optimist.
    530. Re:What other products by Politburo · · Score: 1

      Preamble aside, the Court typically assumes that there is no syntactic sugar in the Constitution (or any other law or regulation). I think there's a fancy latin name for the concept.

      Regardless, the general welfare clause appears in Article I, Section 8 and relates to taxation. And there's the rub. PPACA requires you to pay a tax if you do not have health insurance. It clearly fits into taxation for the purpose of the general welfare.

    531. Re:What other products by pnutjam · · Score: 1

      A 15% discount, HAHAHA!!!

      I routinely get notices from my insurance company listing the amount charged, the amount payed, and the amount disallowed (the discount). The difference is rarely as little as 15%. It's usually at least 30-40% and I have seen it as high as 90%. My wife had a test that was billed around $70 and the amount payed was something like $4.95. It's not uncommon to see the billed amount 10 times higher then the paid amount.

      This is why it is impossible to negotiate your own bill, you have no idea what a procedure is worth, and good luck getting anyone to give you a price ahead of time.

    532. Re:What other products by Anonymous Coward · · Score: 0

      Your assertion is that the clause really reads:

      "The Congress shall have power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common defence and pay the Debts of the United States..."?

    533. Re:What other products by pnutjam · · Score: 1

      Way to cherry pick his arguments. I'm just going to leave this here, Commerce Clause. This give us federal rights to navigate waterways among other things. It imposes an obligation on landowners that are adjacent to waterways, in fact several obligations.

    534. Re:What other products by claytongulick · · Score: 1

      Referring to people you disagree with on the political spectrum in a purposefully derogatory manner is a banal ad-hominem attack that weakens your point, and calls into question any presumption of intelligence or objectivity that may have otherwise been granted to your argument and your personal character.

      --
      Drinking habits can be dangerous. You can choke on the cloth and the nuns will wonder where their clothes are.
    535. Re:What other products by pnutjam · · Score: 1

      bzzt.. Incorrect.

      excerpted from my link: (and not an amendment)
      Article I, section 8 of the U.S. Constitution

      The Congress shall have Power To lay and collect Taxes, Duties, Imports and Excises, to pay the Debts and provide for the common Defence and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States; [Altered by Amendment XVI "Income tax".]

      To borrow money on the credit of the United States;

      To regulate Commerce with foreign Nations, and among the several States, and with the Indian Tribes;

      To establish a uniform Rule of Naturalization, and uniform Laws on the subject of Bankruptcies throughout the United States;

      To coin Money, regulate the Value thereof, and of foreign Coin, and fix the Standard of Weights and Measures;

      To provide for the Punishment of counterfeiting the Securities and current Coin of the United States;

      To establish Post Offices and Post Roads;

      To promote the Progress of Science and useful Arts, by securing for limited Times to Authors and Inventors the exclusive Right to their respective Writings and Discoveries;

      To constitute Tribunals inferior to the supreme Court;

      To define and punish Piracies and Felonies committed on the high Seas, and Offenses against the Law of Nations;

      To declare War, grant Letters of Marque and Reprisal, and make Rules concerning Captures on Land and Water;

      To raise and support Armies, but no Appropriation of Money to that Use shall be for a longer Term than two Years;

      To provide and maintain a Navy;

      To make Rules for the Government and Regulation of the land and naval Forces;

      To provide for calling forth the Militia to execute the Laws of the Union, suppress Insurrections and repel Invasions;

      To provide for organizing, arming, and disciplining, the Militia, and for governing such Part of them as may be employed in the Service of the United States, reserving to the States respectively, the Appointment of the Officers, and the Authority of training the Militia according to the discipline prescribed by Congress;

      To exercise exclusive Legislation in all Cases whatsoever, over such District (not exceeding ten Miles square) as may, by Cession of particular States, and the acceptance of Congress, become the Seat of the Government of the United States, and to exercise like Authority over all Places purchased by the Consent of the Legislature of the State in which the Same shall be, for the Erection of Forts, Magazines, Arsenals, dock-Yards, and other needful Buildings; And

      To make all Laws which shall be necessary and proper for carrying into Execution the foregoing Powers, and all other Powers vested by this Constitution in the Government of the United States, or in any Department or Officer thereof.

    536. Re:What other products by pnutjam · · Score: 1

      Any government involvement into any industry causes costs to go up, never down.

      Does this mean you are against contracting government services and government outsourcing, just curious. I am.

    537. Re:What other products by pnewhook · · Score: 1

      Canadians "buy" their health care through higher taxes

      For the same level of health care, the cost is much lower in Canada compared to the US. This has been shown to be true many times.

      longer waits for life saving procedures and lower standards of care

      Complete nonsense. My father needed a pacemaker immediately and got a brand new one, top of the line within about 12 hours of being admitted. In the US this would have cost about $40k, something hew would never have been able to afford. My child was born 10 weeks premature. He had amazing care for 6 weeks he was hospitalized, with a full team of doctors, nurses and various healthcare workers. He will continue to receive checkups until he is around 3. This type of service in the US has cost people hundreds of thousands of dollars, for me all I had to pay was parking. In both cases, we received the best health care available and without wait. The statement you made is a myth thrown about in the US as a fear tactic.

      Also for lower standard of care, the vast majority of Americans receive much lower standard of care than we get in Canada, for the simple reason that they cannot afford the best care that is available - the insurance companies will not cover it. Having it available and affording it are two completely different things. I know this as I make medical devices and I know a number of top surgeons. They all say the same thing - yes the US has the best equipment/care in the world, but only the upper elite (say 5% of the population) ever gets to use it when needed. The rest of the population gets the basic stuff which is on average worse than what we get in Canada.

      If you doubt this, ask yourself why wealthier Canadians come to the United States for heart surgeries, cancer treatments and other major surgeries when they could, at least in theory, receive the same care for "free" in Canada?

      Several reasons. When my son was born premature, there was little room in the hospitals for the level of care he needed. One of the options was being flown to the US for treatment. This would have been covered by our healthcare, except we would be responsible for our own cost of living expenses. (turns out we did not have to do that). Another reason is that some people want specific doctors based on reputation. And if that doctor resides in the US, then they can go pay for it if they want. But in no case is it ever because they would die in Canada waiting in line. That is just sheer nonsense.

      --
      Tesla was a genius. Edison however was a overrated hack who liked to torture puppies.
    538. Re:What other products by roman_mir · · Score: 1

      again and again, those things have nothing to do with 'inalienable rights', those are obligations and entitlements. You may not like the fact that something is not an inalienable right, but it's not. Call it what it is. In fact that specific clause is about CIRCUMVENTING a right. That's a way to take away a right from somebody by writing a clause into the law, that allows such thing to happen. It's basically a way to go around private property rights.

    539. Re:What other products by Uberbah · · Score: 1

      Referring to people you disagree with on the political spectrum in a purposefully derogatory manner is a banal ad-hominem attack that blah blah blah blah

      Fainting couch or bag of prunes for you? If I engage in blatant intellectual dishonesty, by all means mock me for it.

    540. Re:What other products by roman_mir · · Score: 1

      All of that text, and still it says absolutely nothing that has to do with the topic.

      The RIGHTS of individuals are about relationship between individual and the State, it's not about relationship between two individuals or relationship between an individual and a business or business and a business. That's what criminal and contract laws are for.

      Also if your point is about the specific things that Constitution authorizes federal government to do, they are irrelevant to the thread at hand. We were discussing health care here if I didn't misunderstand the story.

      With all that text, you have not a single actual thought.

    541. Re:What other products by pnutjam · · Score: 1

      Modern Health Care did not start until 1920, and the odds of doctor involvement giving you a reliably better outcome was at least 10-15 years later, some would argue 30 years later around 1950.

    542. Re:What other products by pnutjam · · Score: 1

      I think the thousands of people sued for violating civil rights would disagree with your definition of rights. Rights are god given and the government has a duty to protect them, NOTjust avoid infringing on them.

    543. Re:What other products by Anonymous Coward · · Score: 0

      As far as I know, the laws requiring helmets and seatbelts in the US are all from state/local governments.

    544. Re:What other products by pnutjam · · Score: 1

      Compare these scenarios and tell me our system is not broke.
      1. Well off, company VP gets treatable cancer. Insurance kicks in, he is given paid or unpaid leave and his savings pay his insurance premiums. He spends 6 months recovering since the first bout of treatment does not get it all. Company holds his job because of people he know or kindness of company board. Company pays their portion of insurance during entire 6 months.
      2. Hard Working lower middle-class (or upper middle-class) person with little savings gets cancer. Company gives him gov mandated FMLA (unpaid). They pay their portion of the insurance, He pays his tapping savings and selling off assets. Cancer is in remission, but starts to come back. FMLA is used up, so company lets him go, COBRA kicks in so his insurance costs double. He collects unemployment, which barely covers his insurance. He either loses his house, goes on foodstamps, and relies on the charity of family and friends or misses an insurance payment and loses his insurance.
      3. Poor person on medicaid gets cancer. They continue to collect their welfare and food stamps. Medicaid pays their hospital bills and 6 months later they are better.
      4. Older retired person on medicare gets sick. They continue to collect their SS and medicare pays their bills. They are judgement proof with only a primary residence and SS income. They recover after 6 months and die 2 months later of a heart attack.

    545. Re:What other products by pnutjam · · Score: 1

      Read about Ponzi The Free market did a poor job, state and federal regulations were instrumental in uncovering his scheme.

    546. Re:What other products by roman_mir · · Score: 2

      I think the thousands of people sued for violating civil rights would disagree with your definition of rights.

      - they are given entitlements, not rights. There are no 'civil rights'. It's a ruse. There are entitlements and obligations.

      Rights are only about your relationship with the government.

      "Civil rights" are about government imposing itself upon individuals and taking away their individual rights to liberty and property and pursuit of happiness in order to give entitlements to some other individuals. The reasons for government doing anything is to gain political power, that's all.

      People suing OTHER PEOPLE over 'civil rights', are not people suing over rights. That's people suing other people over entitlements that they believe they ought to be provided by those, who are then forced into obligations of providing something. The government is basically using this to gain votes, as majority are employees, while employers are a minority.

      Now, if we look at the Civil Rights act of 1964, we will find that there are rules there to ensure that government treats people equally regardless of their race/skin color, but the government was supposed to treat all people equally.

      In reality that particular "rights act" has nothing to do with government, it had to do with the rest of the act, which imposed obligations upon the minority - employers, to hire people in exactly the manner that the government prescribed at that point.

      The reason was political, to get more votes (and politicians get many more votes from employees than employers) and at the same time it became possible to collect more REVENUE by issuing fines and having law suits, this helped the lawyers mostly, but if you look at the unemployment rate for blacks in USA, prior to 1964 and now, you will find that blacks had many more opportunities BEFORE the act than after it.

      That combined with another obligation and entitlement - minimum wage, created a situation where employment for young blacks went down from 85% prior to 1964 all the way to 50% today.

      The reason is too obvious not to understand it - making employing people more expensive, decreases the demand for employment. By instilling obligations upon employers to provide a minimum wage (especially if the benefit from the job does not outweigh the obligation of paying 7.25/hour), and having special entitlements given to a specific group of people made it very expensive to hire those individuals, because now they could sue the employer.

      This is a LOSS of rights for the employers and this is a NET LOSS for the ECONOMY.

      Anything that government does in pursuit of 'good' that it is not authorized to do, ends up creating the consequences that are the exact opposite of the expected effect.

      Outcome of any government action can be understood only by examining the way that the government action will MODIFY HUMAN BEHAVIOR and eventually the economy.

    547. Re:What other products by roman_mir · · Score: 2

      Does this mean you are against contracting government services and government outsourcing, just curious. I am.

      - no, that's not the point.

      I am saying that government shouldn't be in business even trying to provide any of the services that it provides today. In the system that it this deeply corrupt (and I am talking about government corruption, with it doing things it is not authorized to do), any outsourcing is likely to result in even worse consequences because it will be done for reasons of personal gain.

      WHO is going to profit from outsourcing of that MONOPOLY service?

      --

      No no, the real fix is in getting government OUT of providing any services and letting real market provide the services and have competition.

      Having a government provide some service, and then outsourcing it, is just taking a monopoly that government had and handing it over to a private entity, which will use the unfair advantage of that monopoly and I am pretty sure it will end up costing more, not less.

      Government needs to stop doing things and this means it must get out of business of dealing with businesses and individuals as if it is a business.

      Government is not a business, it's not there to take care of your broken car or your broken rib. It's there so that you know what occupies the space of ultimate power over you, so you can establish the rules (rights) that you have against that force. Government is there to provide certain services at the cost of giving up certain amount of CONSUMPTION by the individuals. Note, I said consumption - because government is an ultimate CONSUMPTION system, not a production system.

      So government cannot be allowed to feed itself based on your production, only based on your consumption so it is proportionate to what you are SPENDING, not to what you are earning, saving and investing, because that gives gov't force over the economy and allows it to grow where otherwise the economy would grow.

    548. Re:What other products by Uberbah · · Score: 1

      Perhaps you should read my post again, then the Constitution? General Welfare is the same sentence as Common Defense in Article 1.

      The army was specifically mentioned in order to provide a restriction on how appropriations are to be made. The Navy was mentioned specifically so that that requirement would not be imposed on it.

      Air Force: not a part of the Army or the Navy.
      CIA: not a part of the Army or the Navy.
      NSA: not a part of the Army or the Navy.
      NORAD: not a part of the Army or the Navy.
      FBI: not a part of the Army or the Navy.

      Either Article 1, Section 8 is a strictly enumerated list of powers granted to Congress, or it's not. You can't have it both ways. If General Welfare is strictly limited, than so is Common Defense. If Common Defense is expansive, so is General Welfare.

      But you never see conservatives complaining that the Air Force is unconstitutional. It's almost like they're making arguments of convenience that only apply to things they don't like (social spending) but not things they do like (war spending and spying). Like they're partisan hacks, or something.

    549. Re:What other products by sgt+scrub · · Score: 1

      Exactly. We are already paying for medicare to protect people in emergencies. Why not pay more to get full health care protection. Dictating the money has to go to the private sector just leaves medicare hanging.

      --
      Having to work for a living is the root of all evil.
    550. Re:What other products by sgt+scrub · · Score: 1
      --
      Having to work for a living is the root of all evil.
    551. Re:What other products by indyogb · · Score: 1

      This is very true. However, the Federal government does throw its weight around with the money. For instance, years ago, the Federal government would threaten to withhold money for repairing roads if the states didn't set a speed limit they (the Federal government) approved of (e.g. 55MPH speed limit on interstates). Nevermind the fairness of the Federal government taxing state residents, and then threatening to withhold the state residents' taxes from the state if the state didn't comply with Uncle Sam's wishes. I don't know why in 2000+ pages of legal garbage, the writers of the bill didn't just work it that way. The way it is written is without a doubt unconstitutional. Should the Supreme Court agree (and that is no sure thing - when the expansion of power of the Federal government is at stake, the Supreme Court tends to side with the Federal government), I think they'll only strike down that part. They don't have the balls to kill it outright.

      Also, before most of the states required auto-insurance, the supporters of such laws often cited that insurance premiums would drop dramatically since everyone would be in the pool. I'm sure you can guess how that ended.

      My general feelings about Obamacare - I would consider myself a Libertarian, but I would agree that something needs to be done about healthcare - tort reform, ER refusals, and probably gov't all probably need to be included. Unfortunately, the solution we arrived at was a compromise when only all or nothing would have probably worked. In the end, I think my cost of health insurance will go up (and it would, anyway), a few more people will be covered (but at a higher than necessary $ cost), and my life will go on relatively as it has.

    552. Re:What other products by Uberbah · · Score: 1

      Eh? I think you're crossing multiple topics here. How is universal health care going to deplete resources from other countries? Who are Norway and France depleting with their socialized medicine?

    553. Re:What other products by compro01 · · Score: 1

      Left unattended, non-emergencies (Barring temporary things that will fix themselves) tend to become emergencies.

      --
      upon the advice of my lawyer, i have no sig at this time
    554. Re:What other products by operagost · · Score: 1
      Ok... so thanks to the payroll tax cut, contributions are insufficient to cover outlays this year and SS is having to dip into its fund. So SS is cashing in some of its treasuries. Where does the money come from? The Treasury. Well, we know that revenue is far below expenditures this year... that's the definition of a deficit. So the US has to borrow the money to pay SS. So to pay SS recipients, we have to ISSUE MORE TREASURIES.

      The problem is so obvious, I don't know why everyone doesn't understand it. It's really like filling your piggy bank with IOUs and claiming you're saving for the future.

      --

      Gamingmuseum.com: Give your 3D accelerator a rest.
    555. Re:What other products by Anonymous Coward · · Score: 0

      Are you sure you know the difference between fact and opinion?

    556. Re:What other products by roman_mir · · Score: 1

      Modern Health Care did not start until 1920, and the odds of doctor involvement giving you a reliably better outcome was at least 10-15 years later, some would argue 30 years later around 1950.

      - you are also wrong on this fact. Modern health care can be said to have started in the Mayo clinic in USA, where doctors started sharing information with each others, which allowed them quickly to build a reputation of a hospital that had very high success rates. How did they achieve it? First things first: sanitation - washing things between patients, washing instruments, washing hands, etc. They started using more and more modern instruments, which THEY invented there. This was mid 19 century.

    557. Re:What other products by _0xd0ad · · Score: 1

      Did you actually see it? The "hypothetical poor" wasn't hypothetically poor at all. As the question was presented, the hypothetical guy had enough money to pay for health insurance but had chosen not to because he didn't think he "needed" it.

      Here is the original question:

      Let me ask you this hypothetical question: A healthy 30-year-old young man has a good job, makes a good living, but decides “you know what? I’m not going to spend 200, 300 dollars a month for health insurance ‘cuz I’m healthy, I don’t need it”. But something terrible happens and all of the sudden he needs it. Who’s gonna pay for it if he goes into a coma, for example. Who pays for that?

      I might have some sympathy for a guy who can't afford health insurance, but I see no reason to bail out a guy who can afford it and decides to risk not having it anyway. He had the choice; he gambled; he lost. Now he pays the penalty.

    558. Re:What other products by Myopic · · Score: 1

      I can answer your meaningless rhetorical rant simply: the general-welfare clause gives to Congress the powers which the Judiciary and the Executive branches agree to, as well as voters. Congress can't euthanize anyone; only the executive branch could do that. If the executive branch won't do it because it's unconstitutional, then it doesn't happen. (Remember all those Bush signing statements? That's what I'm talking about. Congress can say stuff, and then that stuff is never acted on, because the executive thinks its unconstitutional.) Congress can't lay down a capital conviction against a person for trivialities; only the judicial branch could do that. If the judicial branch won't do it because it's unconstitutional, then it doesn't happen. Finally, Congress is beholden to the voters, who have a direct voice in the definition of the general welfare.

      The general welfare clause can't endorse an institution of religion, either; nor impose slavery; nor change the length of a Presidential term, because of other Constitutional constraints.

    559. Re:What other products by Anonymous Coward · · Score: 0

      Republicans had no trouble with forcing you to buy counseling to file bankruptcy.
      All completely bogus except the ones making money off it.

    560. Re:What other products by Myopic · · Score: 1

      You can say that, but it isn't true. We DID have a weak federal government -- you might recall the Confederacy. That failed so we came back with a stronger federal government. There was a national conversation about the Constitution, and it was adopted. You saying that the states would never ratify our Constitution is nonsense because the states did in fact ratify our Constitution.

      It's cute that you tried to invent your own definition of what general welfare is, but if you aren't a Supreme Court justice, then you don't have any more prerogative for that definition than any of your 300 million fellow voters. It's cute that you tried to negate 99% of the plain meaning of "interstate commerce", but if all it meant was that licenses transferred between states, then we wouldn't need the commerce clause at all, because the full-faith-and-credit clause would take care of it.

      Hey, look, if you want to make it so that Congress can't promote the general welfare, then all you need is a simple Amendment:

      The Congress shall not have the power to promote the general welfare. All laws premised on the general welfare are null and void.

      Boom, done. Good luck with that. Until then, what you've said is nonsense.

    561. Re:What other products by Duhavid · · Score: 1

      Very realistic, and true. I have grown to question the proposition that wealth is value with time. I do not hold it true today. I know many do, and that I have to live in that world. I find it disagreeable that so many bright people still hold it true. It strikes me as a modern day "divine right of Kings".

      I commend you for your insight, you read much of me from a short post.

      --
      emt 377 emt 4
    562. Re:What other products by jwhitener · · Score: 1

      OK, the new way, the care will perhaps be rendered in more appropriate and efficient settings than the emergency room. .

      That is the entire point. Preventative care is orders of magnitude more efficient than waiting until a condition becomes an emergency.

      As long as our society believes that anyone (that includes illegal immigrants, by law) with an emergency should be treated, whether they can pay or not, I'd rather have a system that attempts that care in the least expensive way possible.

    563. Re:What other products by jwhitener · · Score: 1

      I worked for a hospital for 5 years. The vast majority are not turned away.

      I was downsized because of that fact.

    564. Re:What other products by jwhitener · · Score: 1

      The distinction here is that health care ,,,

      We are talking about health insurance, not health care.

      And that's why single payer makes so much more sense. The government should directly give free health care to its citizens.

      But as long as we insist on having private insurance companies, the only way to 'promote the general welfare' is by easing access to health insurance.

    565. Re:What other products by _0xd0ad · · Score: 1

      They weren't prohibited from setting their own speed limits. Read the article more carefully.

      The Emergency Highway Energy Conservation Act was a bill in the U.S. Congress that enacted the National Maximum Speed Law. States had to agree to the limit if they desired to receive federal funding for highway repair.

      States could have set higher speed limits or had no speed limits at all - at the cost of no more federal funding for their highways.

      That's typically how the federal government gets control of powers that were never granted to it by the constitution: "We can't take these powers from the states, but if you don't voluntarily give them to us you'll get no more federal funding for your state." Also, the federal government can also operate under a budget deficit while states cannot, giving the states a distinct disadvantage in such transactions.

    566. Re:What other products by Anonymous Coward · · Score: 0

      And this is exactly how we, Canadians, think. They'll start saying: Don't let people die. Hmm that's not a bad idea.
      And then they'll do the same for medication, because of course, why should we let people die if they don't have money to pay for medication?
      Then pay for all the unemployed... we can't let someone die because he can't work.
      Give 1year paid time-off (paid by the government) to all mothers after they gave birth.
      And of course, if the mother gets time off, the father should get some too. so we'll give him 5weeks.
      Free school for EVERYONE. Doesn't mather if you fail your classes and have to take them 3 or 4 times. Let people get 2,3,4 degrees, it doesn't matter if they don't need it to work after.

      All good intentions.... that do not work out as great as you think. You guys don't have any idea what you are getting yourselves into.
      People will abuse.

    567. Re:What other products by pnutjam · · Score: 1

      I thought this part of the thread had veered off into, "it's not in the constitution" territory.

    568. Re:What other products by pnutjam · · Score: 1

      I was responding to this, Federal government is not authorized for anything else than protecting your liberty, life and pursuit of happiness from government itself and from foreign invasion..

    569. Re:What other products by lgw · · Score: 1

      Ultimately, people should pay out of their own ockets when dealing with ordinary medical care just as they do with ordinary car maintenance or other such shopping - that will do more than anything to limit the total cost of the system. But expecting people to cover a sudden $50k (or $500k) obligation, while morally attractive, just won't happen.

      Medicare would need to be taxed at about 10x its current rate to sustian it. That would certainly push the total tax rates for the country past the peak of the Laffer curve, so while we'd be labeling some money "for medicare" it wouldn't help the overall dire financial straights. Federal payment to the old and poor currently exceeds 100% of federal revenue. We must do something cheaper, not something "just a little more expensive", and soon - Germany won't bail us out if we go the way of Greece!

      --
      Socialism: a lie told by totalitarians and believed by fools.
    570. Re:What other products by AmiMoJo · · Score: 1

      you are again, completely oblivious to the meaning of the word 'right'.

      Actually I think it is you who misunderstands. I am saying that your definition of a "right" is incorrect. You seem to think it has some existential meaning that cannot be altered from your opinion, but I'm afraid you don't get to define the English language or universal definition of human rights.

      You need to come up with your own name for this idea you have, rather than trying to hijack an existing one. Trying to convince people of your argument by taking over the common name for something rather than thinking of a new name and explaining it to people is not a very effective tactic and makes them think you don't know what you are talking about.

      --
      const int one = 65536; (Silvermoon, Texture.cs)
      SJW, n: "Someone I don't like, and by the way I'm a fuckwit" - AC
    571. Re:What other products by pnutjam · · Score: 1

      What about DOD contracting? DOD is constitutionally mandated? You don't think the gov should do that? What about building interstates? They should not do that either?

    572. Re:What other products by roman_mir · · Score: 1

      I read plenty on the Ponzi scheme, so I know it was even possible due to government in the first place, since it was government exchange of payments that made it possible for him to do arbitrage of postage fees (international reply coupons), this resource imbalance is IMPOSSIBLE without government intervention.

      Ponzi scheme was eventually found and eliminated but SS scam cannot be eliminated that easily because it is government mandated.

    573. Re:What other products by Anonymous Coward · · Score: 0

      Just some friendly advice: talking/writing and listening/reading are two different things

      You can write all the journals with all the research and good intentions you want. It's you freedom of speech/expression.

      But that doesn't mean anybody have to read it or listen to your thoughts.

      It certainly doesn't mean they have to respond to you in ways you want them to (i.e. leaving a comment). It's their freedom to express in however they want, including but not limited to just marking you down as a troll because they don't like you/what you say

      It's one of the things you have to live with if you believe in freedom, liberty, and all that jazz: other people have the same freedoms as you do (if you were a moderator, you can mod people down as trolls too), and they might use their freedom in ways that annoy you, to say the least

    574. Re:What other products by pnutjam · · Score: 1

      We could argue what constitutes that start of modern medicine, or how long it took to spread to the majority of practitioners. However, my main point is the efficacy of treatment. Here is an example, note the sudden decrease in maternal death rate around 1930. Antibiotics were not discovered until the 1920's. Hospitals and doctors were just not that effective before the mid 20th century. Now that they are effective, there is increased demand. We are trying to grapple with something less then 100 years old. There is not enough data for economic models to interpret.

    575. Re:What other products by roman_mir · · Score: 1

      You seem to think it has some existential meaning that cannot be altered from your opinion

      - it's not an opinion. "Right" is literally everything that you can do that you are not limited in except by criminal and contract law and except by the obligations that are imposed onto you by the government.

      So you better be careful when you give up your rights, as giving it up is easy, getting it back is so hard, people had to go through wars to do that, people had to die to get their rights back.

      When you impose an obligation upon somebody in order to provide an entitlement to somebody else, well, if you agree to that, then you are giving up one (or more) of your intrinsic rights (not to be coerced into some form of behavior you would not otherwise engage in).

      Right is an artificial construct, but it is a very specific construct. It's like metal. Metal is a word, but it means something and what it means is not wood or plastic.

      rather than trying to hijack an existing one.

      - you want to call obligations and entitlements 'rights'? Go ahead, who am I to stop you? But you will be met with harsh reality, when you will expect to have those so called 'rights' ( which I am telling you are just entitlements that are only possible to due obligations imposed onto somebody else), when the system collapses due to the financial and economic burden of the welfare state.

    576. Re:What other products by roman_mir · · Score: 1

      yes, it is the correct reason to have the Constitution.

      You were talking about all sorts of instruments that are given to government, which obviously impede on human rights, but are understood to be necessary in order to achieve the goal that the Constitution defines that the government exists to fulfill.

      There is a difference between the goal and the means to achieve it.

    577. Re:What other products by pnutjam · · Score: 1

      SS can easily be fixed, and there are plenty of Ponzi schemes that had nothing to do with government, http://en.wikipedia.org/wiki/List_of_Ponzi_schemes.

      Dickons also wrote about one, http://en.wikipedia.org/wiki/The_Life_and_Adventures_of_Martin_Chuzzlewit

    578. Re:What other products by roman_mir · · Score: 1

      Long ago I said: taxes kill infrastructure - this answers the interstate highway question, and obviously gov't is not authorized to do that and shouldn't be allowed to do that.

      As to DOD - this is the part of government that is one of few things that are legitimately authorized, however, giving government ability to regulate business and start wars while giving private contractors ability to gain from those wars is obviously a conflict of interests.

      You can't have government that can start wars indiscriminately without any reason, so that contractors would gain from it (*and obviously this leads to insane levels of spending*).

      Government needs to abide by the rules, so Congress MUST vote before going to war, a war must be declared, it must have goals, goals must be achievable, wars must be winnable, taxes MUST be raised in order to pay for the war.

      All of this MUST happen, otherwise you end up with a system, where money is borrowed and printed, taxes are not raised, so constituents don't care if you have another war, in fact they are happy about the empire building and certain level of employment that the 'semi-private' businesses involved in this enterprise provide.

      This is the military industrial complex you've been warned about. Eisenhower? Rings any bells?

    579. Re:What other products by pnutjam · · Score: 1

      I also disagree with you about rights. Just because somebody does not respect your rights (i.e. a thief or murderer) does not mean they are not violating your rights. You have to protect your own rights, but the gov has a duty to protect your rights as well. I consider it part of the social contract we have as a society. We all have a duty to protect each others rights.

    580. Re:What other products by wayne34567 · · Score: 1

      If the goals listed in the preamble were to be fulfilled by any means that any person considered appropriate, then why didn't the founders just stop there? Why did they continue on for seven more articles containing the particulars about what the federal government is permitted to do? Do you think they just didn't have anything better to do with their time?

    581. Re:What other products by pnutjam · · Score: 1

      I agree that our military should be purely defensive. Congress should be the only one's authorized to declare war. However I disagree on your point about Interstates. They are clearly covered under interstate commerce and ability to establish post roads and offices. Do you think anything such as that could ever have been accomplished without government intervention? You don't think railroads and interstates are worthwhile? At the very least they have always required a mandated right of way or eminent domain seizure. Eminent domain should never allow seized property to be given or sold to private companies or individuals.

    582. Re:What other products by Anonymous Coward · · Score: 0

      It's pretty sad when some people's idea of "American liberty" is "if you don't like it, you can leave".

    583. Re:What other products by wayne34567 · · Score: 1

      "Should a hospital let someone bleeding to death die in their Emergency Room if they have no insurance?" This is the most ridiculous argument put forth in favor of this corporatist monstrosity. Would you, if you had the means to help someone, let them die at your feet because that person did not have the money to pay you for your help? How many people do you know who would do that?

    584. Re:What other products by AmiMoJo · · Score: 1

      it's not an opinion. "Right" is literally everything that you can do that you are not limited in except by criminal and contract law and except by the obligations that are imposed onto you by the government.

      Wrong again. A few laws passed in the UK have subsequently been ruled in violation of human rights and thus removed from the books. You also cannot give away your human rights via contract. The government cannot oblige you to give up your human rights or to violate the rights of others.

      When you impose an obligation upon somebody in order to provide an entitlement to somebody else, well, if you agree to that, then you are giving up one (or more) of your intrinsic rights (not to be coerced into some form of behavior you would not otherwise engage in).

      You can't have rights without any obligation to anyone else. For example the right to life is meaningless if others can deny you food, and so they are obliged to share enough to sustain you.

      Metal is a word, but it means something and what it means is not wood or plastic.

      Yes, and my point is that if you start calling water "metal" that doesn't change the meaning for the word for everyone else. Metal has a specific meaning because speakers of the English language commonly agree on what that meaning is.

      --
      const int one = 65536; (Silvermoon, Texture.cs)
      SJW, n: "Someone I don't like, and by the way I'm a fuckwit" - AC
    585. Re:What other products by Anonymous Coward · · Score: 0

      We are talking about health insurance, not health care.

      the health care system is set up in a way where you can no longer differentiate the two. Without health insurance, health care is not attainable, just as without money housing is unattainable. In the days of the founding fathers neither of these connections were well defined as one could "provide for one's self". The thing is that if you are going to participate in the system, you may not need to buy in to all of it but you do need to accept that our country wasn't set up to create winners and losers, it was set up to create equality and opportunity.
      It is impossible to walk in to a doctor's office with any issue w/o health insurance as the system exists right now without at the very least, crippling costs that threaten one's livelihood. The proper solution would be to remove insurance companies and employers health plans from the system but as that isn't going to happen, you need to provide some sort of a short term solution to the problem.

    586. Re:What other products by Anonymous Coward · · Score: 0

      You can't have rights without any obligation to anyone else. For example the right to life is meaningless if others can deny you food, and so they are obliged to share enough to sustain you.

      You have it reversed. People sharing food with you is what's meaningless if you're dead - that's why you/we have a "right to life".

      Right to life is the prerequisite to being able to eat food, not the other way around.

      You're given your life, but that's it. That's the extent of the "right to life". What happens to your life is what you make of it. This doesn't exclude the sharing of food, but it does not guarantee it.

    587. Re:What other products by cayenne8 · · Score: 1

      ...good luck getting anyone to give you a price ahead of time.

      Actually...I've done just that..asking what office visits...procedures cost...and shopped around.

      And the MRI with %15 off....was about right.

      I used to work for a radiologist in another state years back...I know about what things cost....

      --
      Light travels faster than sound. This is why some people appear bright until you hear them speak.........
    588. Re:What other products by roman_mir · · Score: 1

      I am now not sure what your point is any longer. My point remains simple: keep government out of it unless you want it to grow to a point where the system, the entire economic system collapses.

      I think hyperinflation is actually possible in USA, given current inflation levels (11-15% if you look at numbers the way they did during Nixon, who implemented *wrongly* wage and price controls. I count 13% inflation, which means GDP has been going down steady by 10% a year for years now.)

      --

      I see all this people in this thread (and if you look at my comments page, you'll see just how many people are replying, so it's hard), and they would never be able to answer a fairly simple question, which I do have an answer for.

      Here is the question:

      What's 'fair'? What is the number that you believe people must pay into the system via taxes? (I of-course am completely against all income, corporate, payroll and investment taxes). What's the number?

      They will never be able to say what it is.

      I know why they can't say it. It's because they don't know what the cost will be, but the one thing is for sure: cost will be going up. There is just NO WAY for cost to go down. The way that gov't deals with the cost and run-away pyramid scheme is by increasing the revenue through higher taxes and lower benefits (the way Reagan did it for SS).

      So taxes are sure to go up, not just in absolute numbers but percentage wise. Benefits are sure to go down.

      But in the inflationary system and government ran medical system this means that you can NEVER put a finger on the number that you want to collect from people, because you in fact will ALWAYS have to increase that number in a government system. Of-course inflation by gov't is some of it (costs going up), but most of it is gov't ran medical care and insurance, just because it's gov't.

      Some people make very little money, maybe 12K USD / year. Well, in extreme cases that's how much ONE DAY of hospital stay may cost in USA!

      So that's interesting. Imagine that health care costs go up to 100K/day for some cases. What if they go up to 500K/day?

      What is the appropriate taxation then to provide medical care through gov't system and is it even possible?

      Well, that would be the reason why nobody will answer the question of: what's fair.

      --

      Of-course those who actually own businesses and create jobs (cliche, but then again, poor people don't create jobs), those who do create jobs already do more than their fair share before they pay 1 cent in taxes. That's because they increase the wealth of the society by increasing economic production output and they provide jobs, and salaried people pay taxes and they don't have to ask for gov't assistance, etc.

      Sure, there are people who are feeding at the gov't trough - certain Wall Str. bankers benefit from the collapse by getting hundreds of millions in bonuses - well that just another reason to stop the government from economic participation. It doesn't know what it's doing by bailing out banks. It doesn't know what kind of damage it's causing by messing with the economy this way and by propping up zombie banks at the expense of everybody.

      Anyway, I gotta write a few more responses and split, it's late and I have a day trip tomorrow. Cheers.

    589. Re:What other products by Zanthor · · Score: 1

      You choose to purchase a vehicle.
      You choose to ride a motorcycle.

      In both examples you are making a choice, and choosing to comply with laws passed around those activities. If for example I do not believe in utilizing vehicles, I am not forced to purchase seat belts and helmets.

      I personally choose to use the medical facilities available, and as such I choose to have insurance. If I didn't choose to use the facilities, forcing me to purchase insurance is a clear violation of my rights.

      Other posters have mentioned water... only if you choose to own property within city limits, etc...

      --

      Zanthor

    590. Re:What other products by Anonymous Coward · · Score: 0

      God didn't want us to wear clothes. He also didn't want us to or have pain and suffering and hard work and get sick and eventually die.

      He wanted us to act as reflectors of his glory. Nobody would look at you and see you; they'd see God's glory. Only after we shot ourselves in the foot with that regard did we need clothes to cover up our naked bodies.

      Contrary to popular belief, Adam and Eve may have been innocent but they certainly weren't entirely stupid. It wasn't a "holy shit, she's been right in front of me for my entire life and how did I never notice she's naked?" moment. It was more along the lines of "she's naked now (she wasn't before) - hey I'm naked too. What's going on?"

      Moses reflected God's glory for a while and it was so bright that nobody could look at him. He ended up having to put on more clothes (a veil) just to keep from blinding everyone. Ironic, huh...

    591. Re:What other products by roman_mir · · Score: 2

      Wrong again. A few laws passed in the UK have subsequently been ruled in violation of human rights and thus removed from the books

      - I don't see how this applies to me or makes me wrong, but hey, UK is a back ass place. Every time I go to London I sort of enjoy it, but I enjoy much more when I leave.

      You also cannot give away your human rights via contract.

      - I didn't even say you can, YOU ARE THE ONE SAYING THAT YOU CAN.

      At point in time that you are talking about government forcing you to give up whatever you make with your life, any amount of your work so that somebody else can have an entitlement, you have just allowed them to take away your right to property and pursuit of happiness, and you did it due to coercion, because otherwise they would come after the other 2 rights that they are supposed to protect of yours: your liberty and your life.

      The government cannot oblige you to give up your human rights or to violate the rights of others.

      - you are so confused. On one hand you are saying government is there to give you something it takes from somebody else and supposedly it makes it YOUR right, on the other you are saying that government cannot do so, cannot take away your right so that somebody else's 'right' (obligation actually) can be fulfilled.

      You can't have rights without any obligation to anyone else.

      - Ah, now MAYBE here I can agree with you to the extent that you have to COOPERATE with other people to set up a functioning government. So what you are giving up is part of your sovereignty the moment you say that it is government's job to provide you border security and uphold your criminal law.

      Now, if you just said that, I would have agreed. This is because criminal law and border protection will never work without the power of government over you in cases when you VIOLATE the law, so your rights could be then suspended or even taken away - like life and liberty and pursuit of happiness. You could be thrown to jail.

      Of-course you are not making a nuanced statement like that, you are just trying to justify entitlements being 'rights' somehow and you want to justify the power of the state to enforce obligations upon others to provide you with those entitlements.

      This is all fun and good until you crash your economic system.

      For example the right to life is meaningless if others can deny you food, and so they are obliged to share enough to sustain you.

      - Let me put it into 3 year old talk:

      If I am a good person or I just feel like it I can give you food if you are starving.

      If I am a bad person and maybe I don't like you I can refuse giving you food.

      Me giving you food or not giving you food has nothing to do with your rights. It has everything to do with my right of property and liberty and pursuit of happiness. Maybe it makes me happy to see you starve, or maybe it makes me happy to see you well fed.

      But the point is, if you believe that I am OBLIGED to give you food for some strange reason, then your ideology has nothing to do with rights at all. Your ideology is then that you can force anybody to give you stuff that you want just because you believe you are entitled to it, because you are in a mistaken assumption that your rights trump mine.

      Your rights do not trump mine. I could give you food or deny you food and this has nothing to do with your 'right' to life.

      However if I take one of my favorite guns or knives and kill you, THEN there is CRIMINAL law. Criminal law is devised to resolve such conflicts, assign blame and punishment, but it's not about rights.

      If GOVERNMENT came to you and killed you WITHOUT any reason and WITHOUT any trial, etc., THEN it would be a violation of your rights.

      NOBODY OWES YOU FOOD, DUDE.

      NOBODY.

      Dude, you are completely confused. I have to go to sleep, I have a trip tomorrow.

    592. Re:What other products by roman_mir · · Score: 2

      No, there is no individual contract between you and me on what constitutes your or my rights. If I kill you, I am only liable because the criminal code says so, which basically a set of laws that define what criminal offenses are between private parties.

      The concept of 'rights' has nothing to do with relationships between individuals.

      Does your wife or husband (if you have one, or whatever you may have) have a right to impede on your 'free speech' for example? Well, even he/she/it doesn't have to provide you a forum. Doesn't have to listen to you. Doesn't have to help you with your free speech. You may divorce/dump them, but there is no way for you to go after them for violation of that 'right', because there is no contract between individuals that is about 'rights'.

      The contract on 'rights' is between individuals and the government, nothing else.

      Nobody owes you anything personally unless you have a personal contract with them and it says that they do.

      Cheers.

    593. Re:What other products by roman_mir · · Score: 1

      They are clearly covered under interstate commerce and ability to establish post roads and offices.

      - both a mistake.

      Do you think anything such as that could ever have been accomplished without government intervention?

      - obviously. It's done all the time. Do I have to enumerate every private road and every private shipment company in the world?

      You don't think railroads and interstates are worthwhile?

      - only if there is an economic reason for them that puts some private money at risk and does not force public to pay for it. That's why government bailing out banks is wrong for example, it's just it's a more 'in your face' sort of an example rather than interstate. Interstate highways destroy infrastructure, they destroyed private rail roads and they put enormous tax burden upon airline companies to do that.

      They gained the economic and political advantage over separate States, which allowed them to pressure the States politically and economically into submission on all sorts of things. They destroyed a better transit system and they created unsustainable infrastructure, which is subsidized and once subsidies end, the infrastructure will come to an end as well.

      At the very least they have always required a mandated right of way or eminent domain seizure

      - eminent domain - what a terrible violation of private property rights. That's the problem with the people - they don't understand how gov't gets out of control and completely denies them their rights, because they think it's for the 'common good'.

      NO. There should be no eminent domain allowed to the government at all. All of those highways that did that shouldn't have existed OR they should have been built privately and they should have negotiated with the private property owners privately. That's the way to have the REAL costs in all of those things, not socialized via various economy destroying taxes and money printing.

      I think this is the last comment I am replying to today.

      Bye.

    594. Re:What other products by bzipitidoo · · Score: 1

      Has it occurred to you that some people go for the lawsuits because of medical expenses? Just because some people sue is no reason to charge everyone such extreme prices. A few people blow up or crash a few airplanes, therefore we should have security grope millions of people who are trying to board a plane?

      I've also seen the lawyers tacitly egging on the doctors. Lawyers want sky high prices, to inflate their own portion of any settlement. And what do the doctors do? Enthusiastically play along, of course! We weren't just any old pieces of meat, we were filet mignon! Made for distinctly unsettling hospital visits.

      We were in an auto accident, and got a few cuts and bruises, and one broken ankle. Totalled both cars. It was entirely the other guy's fault. Could also make a case for it being a badly designed intersection. He simply did not see the red light and jumped into the intersection as we were passing through. So while recovering from the beating I took, I was faced with a lot of decisions. My first decision was whether I should accept medical care. I refused. I was only bruised, and I do not have insurance and was not at all sure how the billing would work out. Next, should I get a lawyer, or not? I asked around. Insurance companies all said I did not need a lawyer, lawyers all said I did, and I didn't ask any doctors. Neutral parties mostly favored getting a lawyer. Insurance companies have to be threatened, or they won't pay. So I got a lawyer. I don't like them, but I really don't trust insurance companies. The lawyer wanted medical bills, lots and lots of medical bills. And he wanted photos of us looking our very worst, all black and blue and bandaged. He regretfully informed me that since I had "foolishly" declined medical care, he couldn't do anything much for me, and would concentrate on the others. We sent him copies of everything, and gave necessary permissions for his organization to get medical records. He didn't mind any waste on the part of the medical providers, quite the contrary. He wanted more waste! When the medical care wound down, the game between the lawyer and the insurance started. He made an outrageous demand on our behalf, and insurance countered with an equally outrageous lowball amount that wouldn't cover the expenses, even before the lawyer's cut. Since the lawyer was getting 1/3rd, the expenses were much higher, of course. He scared the insurance company with stories of what nice, reasonable people we were. Sounds like they felt they would look very, very bad in front of a jury, so they made a very good offer, and we settled. What firmed up my resolve not to give the enemy insurance company any mercy was them cheating me on the value of my car (10% below private party Kelly Blue Book value for a good condition car, which they of course insisted didn't mean a thing), and then conveniently losing my title for a month.

      The whole thing was dirty, but I was afraid to forgo the lawyer. What a messed up system! Where do you start on bringing some sanity to the whole thing? I realize that the system is a vicious cycle. Party A does outrageous things because of party B's outrages, which they do because of party C's outrages in response to the outrages of party A. I would very much liked to have been nice to the insurance company, in hopes they would reciprocate. If no lawyer had been involved, they could have paid 2/3rds of what they did pay, and we would have received the same as we did. But the way they chiselled me on the value of my car showed what I could expect. I did what I could, short of taking it all on the chin. I tried to save on expenses. I argued over the prices the doctors charged, I found cheaper alternatives for some of the medical products, I took over some of the nursing duties to save on the very expensive home visits, and I even backed the lawyer off when he was hunting around for even more excuses to run up medical expenses and amplify our pain and suffering. What are you doctors doing?

      --
      Intellectual Property is a monopolistic, selfish, and defective concept. It is "tyranny over the mind of man"
    595. Re:What other products by Fjandr · · Score: 1

      There was nothing remotely humorous in any of your comments. I have a perfectly functional sense of humor.

    596. Re:What other products by AmiMoJo · · Score: 1

      I didn't even say you can, YOU ARE THE ONE SAYING THAT YOU CAN.

      This is a direct quote from your previous message:

      "Right" is literally everything that you can do that you are not limited in except by criminal and contract law

      You said that a right can be limited by criminal and contract law. That is not true.

      you have just allowed them to take away your right to property and pursuit of happiness, and you did it due to coercion, because otherwise they would come after the other 2 rights that they are supposed to protect of yours: your liberty and your life.

      You only seem capable of thinking in extremes. You can own property, just not if you retaining it would cause someone else to die of starvation. Of course that never happens in the real world because the situation where you are the only person who this other unfortunately individual can get food from, but if somehow it did and by sharing you yourself would not die of starvation then yes, they have a right to your stuff. I suppose maybe some remote village might suffer a disaster and only one person has stores left with no way to get any more in, and in that case the immediate needs of the starving come first. Even then the person with the stores does not necessarily have to have their right to own property violated because they could be paid for the food at some later date.

      What actually happens is that everyone pays taxes and through them the government makes sure people don't starve and by buying food. Some people don't like paying tax and consider it theft, but not paying it would not absolve them of their obligations to other people's rights so actually tax is about the best way to go about this.

      --
      const int one = 65536; (Silvermoon, Texture.cs)
      SJW, n: "Someone I don't like, and by the way I'm a fuckwit" - AC
    597. Re:What other products by HereIAmJH · · Score: 1

      Medicare would need to be taxed at about 10x its current rate to sustian it.

      10x? Doubtful. Currently Medicare payroll taxes are 2.9%. (supposedly 1.45% employer, 1.45% employee, but ALL expenses directly related to an employee are calculated against the cost of employing someone and offset the salary an employer is willing to pay). 4 years ago my former employer (with ~4000 employees) was paying $5000/yr per employee for HMO healthcare. So roughly 10% of median income is going to healthcare. Taking that into account, there could be a payroll tax of nearly 13% without reducing an employee's take home pay. And that's without taking into account recovered costs of the uninsured. Uninsured go to the emergency room because they can't afford regular clinic visits; you can't be refused treatment at the ER. (At least stabilize and transfer) Years ago when I had to go to the emergency room (chest pains, no insurance), the wait was 1-2 hours at 2am for non life threatening cases. (severe bleeding and chest pains moved you to the front of the line) It was a very busy place. In my case if I had been seeing a doctor regularly he could have given me the same diagnosis (ulcer) much earlier and avoided the ER.

      Oh, and the first thing neglected on a car when the owner is having financial problems is maintenance. I could probably skip changing the oil on my car for 30-40,000 miles without seeing a long term effect if I drove sensibly. But what happens if I skip a Dr visit to get a flu shot, get the flu and it turns into pneumonia? FYI, diabetics are on the short list for flu shots because they are more susceptible to getting pneumonia, and diabetes is nearing epidemic levels.

      If you want lower healthcare costs, removing the profit from the equation with a single payer system is a proven method.

      --
      Another day, another update to a Google android app.
    598. Re:What other products by lgw · · Score: 1

      Remember that the number of people receiving medicare (if everyone gets it) is far higher than the number of people working, so you need to add a 2x-3x (depending on when your projecting to) multiplier to your equation. Also, I spend very little on my healthcare, no where near $10k, and I'm in my 40s. I spend more helping with my Mother's medical bills and she's already on Medicare. Charity for people you care about is joyful. "Charity" at gunpoint is slavery.

      But what happens if I skip a Dr visit to get a flu shot, get the flu and it turns into pneumonia?

      A flu shot is, what, $20 at Target? Abd you get one every year - insurance is for unexpected expenses. You don't expect your car insurance to pay for oil changes. Ultimately, people who take crappy care of themselves don't burden the system - they die young, so their total healthcare costs are thereby reduced.

      If you want lower healthcare costs, removing the profit from the equation with a single payer system is a proven method.

      If you want only doctors who couldn't find a real job, and no technological progress, removing profit from the equation is a proven method. Smart, competant people work at jobs that pay very well (which is why so many doctors today simply refuse medicare patients). R&D money is spent where expected profits are highest.

      --
      Socialism: a lie told by totalitarians and believed by fools.
    599. Re:What other products by said213 · · Score: 0

      Oh, I beg to differ. That you could take a word I've said seriously sort of points you in the direction of being dysfunctionally uptight.

      Or, a bit dumb, but; That doesn't really appear to be the case.

      --
      help me fix this "Terrible" karma, please!
    600. Re:What other products by Psyborgue · · Score: 1

      And those are pretty stupid ideas as well. If people want to risk their own lives, why exactly is it necessary for the government to intervene? That's up to private education. If people care about seat belts, they should fund some foundation and create public awareness -- maybe shock commercials or something. I bet you could Google some studies that show it works. Some still might choose to risk their lives -- knowing full well the risk, but that's their choice. And if you believe the individual to be sovereign -- for you to own yourself -- it's also their right. I always put on seatbelts -- but that's just because I don't personally want to die. Those who want to take risks should be allowed to as long as they don't put others at risk. Not wearing a seat-belt, or a helmet, is a risk to no one but one's self.

    601. Re:What other products by Psyborgue · · Score: 1

      And those are pretty stupid ideas as well. If people want to risk their own lives, why exactly is it necessary for the government to intervene? That's up to private education. If people care about seat belts, they should fund some foundation and create public awareness -- maybe shock commercials or something. I bet you could Google some studies that show it works. Some still might choose to risk their lives -- knowing full well the risk, but that's their choice. And if you believe the individual to be sovereign -- for you to own yourself -- it's also their right. I always put on seatbelts -- but that's just because I don't personally want to die. Those who want to take risks should be allowed to as long as they don't put others at risk. Not wearing a seat-belt, or a helmet, is a risk to no one but one's self.

    602. Re:What other products by riverat1 · · Score: 1

      Of course there is interest to be paid on the Social Security Trust Fund T-Bills. The average interest paid 2010 was 4.642%. For new SSTF T-Bills in 2010 the average rate was 2.76%. Read all about it here.

    603. Re:What other products by riverat1 · · Score: 1

      No, if the cost is truly several times what your mother(s) makes they will be subsidized to make it affordable.

    604. Re:What other products by Risen888 · · Score: 1

      That's not a very good argument. "They" (whoever they are) also won't make you buy health insurance if you're never going to...live.

      --
      Hey, I finally got my first freak! Took you long enough!
    605. Re:What other products by CodeBuster · · Score: 1

      First off, thank you for sharing your experiences; they were interesting to me.

      As to whether or not the Canadian system is a good deal cost wise; it probably depends upon the income level of the Canadian whom you ask. The lower income citizens almost certainly receive a better deal than they would otherwise. The rich, as you pointed out, are rich enough not to care. However, the middle class is often the group that gets squeezed the most when it comes to taxation, at least that's true here in the United States and Canada also employs payroll and progressive income taxes like what we have down here. You're experiences were positive, but I wonder if every Canadian is quite as satisfied as you seem to be with their health care.

      As for Americans not being able to afford healthcare, many of them *could* afford it but they choose to buy larger homes, multiple vehicles and generally live a bit beyond their means instead. The Great Recession is changing attitudes, albeit slowly, but those of us here in the United States who manage their finances responsibly don't have too much trouble finding and paying for decent care; it's available to those who are willing to pay and at prices much lower than what is typically charged in an ER setting. If it isn't an emergency, it sometimes pays to research procedures and prices ahead of time and then negotiate. Most doctors are willing to be reasonable and particularly if at least partial payment is offered up front.

      The fact that the American health care system, as it exists today, needs to be reformed isn't really in dispute by either the right or the left in this country. What we have now, at least in terms of cost efficiency, is really the result of decades of bad legislation and policy decisions dating back to the wage and price controls of WWII. However, I remain unconvinced that National Single Payer healthcare, ala Canada and the UK, is the best way to go here in the United States.

    606. Re:What other products by Fjandr · · Score: 1

      You've finally managed to say something amusing.

    607. Re:What other products by PrinceAshitaka · · Score: 1

      Food for your children, school supplies, some sort of shelter ( rent or buy), and of course the worst of all, clothes to cover your nudity.

      --
      quis custodiet ipsos custodes
    608. Re:What other products by smelch · · Score: 1

      If the rich aren't spending their money, then what good is it doing them? I'm not sure I fully understand why people who have money can't just not pay taxes on it until they spend it. If they aren't spending it, they may as well not have it. When they are investing it, they are essentially giving back, when they spend it they would get taxed. Sure, the poor might be spending a bigger percentage of their income, but the percentage of income not being spent by the rich effectively makes them live like they're poorer, right? The only difference is you don't have these ridiculous schemes like approved retirement programs for investments that have weird rules, HSAs and FSAs (again with weird rules), and all kinds of tax loopholes that only serve to prove that we aren't really taxing based on income anyway but more along the lines of what you're spending that income on. The way things are now they simply take the money up front then refund it to you later based on what you spent it on.

      What do you think about the capital gains tax? Isn't that a rich-people-pay-less tax? I know it isn't income but if we taxed consumption, when people spent their investment income it would be taxed at the same rate as everybody else's wages. Isn't that more fair? On top of it with consumption taxes you can choose not to tax the essentials, like food, which would greatly shift the tax burden back over to the rich.

      --
      If I can just reach out with my words and touch a butthole, just one, it will all be worth it.
    609. Re:What other products by gurps_npc · · Score: 1
      I do have a home and I do pay federal income taxes. I write off about $8,000 in deductions for it. Of course I live in New York City. It would not surprise me if your fairly large home costs less than mine. But wealthy people often spend a lot on their home and get large mortgage deductions. I don't disagree that you need more deductions to get rid of all your taxes, but the home owner one is the single largest - and according to my source below - is used by the large majority of people that make it to zero federal income tax.

      My source is here.

      Note, I do know about the payroll tax and sales tax. You also left out local taxes. I don't agree with the GOP when they imply that the people that don't pay federal income taxes are evil. In fact, my blog has a scheduled post for Oct 2 that deals with this fallacy.

      But my point is that that we already charge people tax penalties for not doing things. Not buying a home is one of the biggest examples.

      --
      excitingthingstodo.blogspot.com
    610. Re:What other products by bwen · · Score: 1

      Wow! So first, you don't have insurance - auto? health? But you ran to the legal system and are somehow blaming doctors for the ambulance chaser you employed. And just how is someone who is apt to run to lawyers who run up the costs of healthcare damning doctors? You stuck with this lawyer who appears to have no problem misrepresenting the facts? Guess what, you pay higher prices for plane tickets because of blown up airplanes. You pay more in healthcare bills for frivolous lawsuits. You pay for the healthcare of the homeless guy in the next room. This is the cost of doing business. Even Medicare pays a certain amount for malpractice with their RVUs. People expect to be treated like "filet mignon," not pieces of meat. If you think I am enthralled by patients coming in saying their lawyer told them to, well..., I have more important things to attend to in the ER. ER doctors don't want that kind of business - there are enough "real" patients. As far as blame, you managed to blame the other driver, the intersection, the insurance company, the lawyers, doctors, costs of medical products and costs of nursing visits. And to answer the first question, yes, considered, not correct. Most people who sue doctors are not in it to just recoup medical expenses.

    611. Re:What other products by danlip · · Score: 1

      Your source doesn't support your assertion. In fact it directly contradicts it in every way. It doesn't mention mortgages or home ownership and shows itemized deductions as responsible for only 5% of the people who don't pay taxes (mortgage interest is an itemized deduction). It clearly shows that most people who aren't paying federal income taxes are very low income. From the abstract

      About 46 percent of American households will pay no federal individual income tax in 2011, roughly half of them because of structural features of the income tax that provide basic exemptions for subsistence level income and for dependents. The other half are nontaxable because tax expenditures— special provisions of the tax code that benefit selected taxpayers or activities—wipe out tax liabilities and, in the case of refundable credits, result in net payments from the government. Most important of those tax expenditures are provisions that benefit senior citizens and low-income working families with children. While those factors particularly affect lower-income households, different provisions eliminate taxes for other households. Itemized deductions and credits for children and education are more important for middle-income households, while the relatively few high-income nontaxable households benefit most from above-the-line and itemized deductions and reduced tax rates on capital gains and dividends.

    612. Re:What other products by bwen · · Score: 1

      Hospitals do go under with the ER's. Classically, ER's were the loss leaders for the hospital- but that has changed for many over the past several years. ER's are typically not funded by the state unless you are referring to Medicare/Medicaid which is billed as it is elsewhere in the hospital. A few ER's are subsidized by the county, but they are the exception.

    613. Re:What other products by Rakarra · · Score: 1

      One of the prime rules in investing is that as your tolerance for risk gets lower (i.e., you get closer and closer to retirement), you shift your investments to more and more conservative investments - money markets, and high quality bonds. THAT is disciplined investing. "I want to retire in 2010, but I can leave my entire portfolio in high-risk derivatives, international growth stocks, and complex unregulated hedge funds right up until the day I retire" is pretty much the *definition* of undisciplined investing.

      Well one of the problems with the financial meltdowns of 2008 was that these poisoned mortgage-backed securities were given the highest/safest rating available. That's why I scoffed a bit at the credit agency's downgrade a little while back, since they had blown all their credibility already.

    614. Re:What other products by bzipitidoo · · Score: 1

      Dammit, read what I wrote. NO DOCTORS WERE SUED OR THREATENED! The insurance company of the driver at fault was the one that got threatened.

      I have auto insurance. I don't have health insurance. I did not "run" to the legal system. I asked for advice first. I was strongly advised to get a lawyer, because of insurance. And so I went with a lawyer because of insurance, not doctors. Insurance cheated me on the value of my car, which I saw as confirmation of the sage advice I received to retain a lawyer. Just a few hundred more was all I wanted, to get it to KBB private party value (which is quite a bit less than dealer value), and they wouldn't. Why shouldn't they also cheat me on the cost of the health care? No reason I can see. No doctors were sued or even threatened in all this, only the other party's insurance company was threatened. I don't like it, but that's the way our system works. What am I supposed to do, let the insurance company screw me? Pretty cheeky of you to suggest I bear some blame for getting an ambulance chaser. And just what do you mean by "managed to blame"? You surely aren't suggesting that I'm not telling this straight, are you? Are you?

      You didn't answer my question of what you doctors are doing about the horrendous expense of medical care. Am I to take it then that you are doing nothing, and you don't care? Doesn't it matter to you if in saving a life you bankrupt a family? But I know most doctors have zero financial sense. So I will tell you what I expect. I expect to be treated like a person, not a cut of meat however expensive. Meaning, you doctors will not keep me in the dark about costs, you will not ask me to sign blank checks, you will post prices of routine procedures and appointments. Obviously, that doesn't apply to ER. I'm talking non-emergency care, of which there was plenty. When I ask, you will tell me prices, you won't fob me off with "don't worry, insurance will cover it" or breezily dismiss it as not that expensive, or as not important next to my precious health. Oh yes it is important. I will decide whether something is worth the cost. But I can't, if you can't be bothered to give me prices. You will keep the costs of supplies and drugs reasonable, not 10 times what Walmart charges. Or I will bring my own. And you won't use that homeless guy down the hall as the excuse for why you are trying to charge me ridiculous rates. None of that is unreasonable. You, I suppose, think what I'm asking for here is unreasonable? I have never seen any other business operate the way the US medical business does. Even car sales, sleazy as it is, isn't that sleazy. Maybe I should double my rates, because medical care is so expensive? Think that would fly with any of my customers? No!

      You're being unreasonable. We paid our part of all the medical bills, and paid on time. The doctors did very well out of the whole affair. We didn't sue or threaten any doctors with lawsuits. What exactly is your beef with that?

      --
      Intellectual Property is a monopolistic, selfish, and defective concept. It is "tyranny over the mind of man"
    615. Re:What other products by sumdumass · · Score: 1

      The federal government gives you an out called bankruptcy. But i really wanted to chime in with your comment on HMOs.

      Do you realize that HMO's were created by the government in the mid 1960s? They have been governed by the federal government ever since then. What you see with the HMOs that is wrong with the health care system is what government health care will be like under any system they control. Why do we know this, because we already have HMOs that the government created with the HMO act and has regulated for more then 40 years. Obama's answer to death panels was that these decisions are already being made either by HMOs or family members who can't afford the treatments.

      BTW, before the HMO act, companies would employ doctors or set up private hospitals and offer services as a benefit of working for that company. The larger operations were usually conglomerations of efforts between several companies. Firestone as early as 1915 or 1925 had a state of the art company medical facility in Ohio that people not even employees by them came to from out of state to seek treatment.

      If those facilities and benefits weren't available, there was always insurance. This type of insurance was called indemnity insurance and could be purchased for any single illness or a variety of them. You can still get accidental indemnity insurance today that covers just about any accidental injury you might encounter like falling and breaking a hip or wrecking your bike into a telephone pole and needing 60 stitches or something. Minor illnesses didn't cost as much because people had to pay them out of their own pocket and they would only pay so much before declining treatment.

      Now, HMO insurance covers everything and they charge as much as possible. But that is more of a function of medicare then HMO's. HMO's piggyback on the same payment systems as medicare uses. Medicare pays only a percentage of the actual bill based on an average cost of the procedures or illness in the geographical area. It's in the interest of the medical providers in those areas to inflate their bills to as high as possible in order for the medicare rate to increase by causing average costs. HMOs collect people for a network of health providers who get the same or similar discount as medicare/medicaid does so providers are again, encourage by design to increase their prices to raise the average costs so the discount is more inline with their expected profits.

      The US government saw this inflation happening and addressed it by limiting the amount of markup on certain/most providers or the supplies used in the treatment of illnesses and conditions over costs to them. The interesting thing is that once these limits were in place, all markups were the max and health costs soared yet again.

      I know this sounds counter to what you have been lead to believe, but in all reality, the state of US health care as it exist today and you just complained about, is largely the result of the federal government being involved already. After reading the health care law and hearing discussions on it, I see nothing that will change what seems to be upsetting you.

    616. Re:What other products by sumdumass · · Score: 1

      This argument, valid or not, is sort of irrelevant here. Nothing in this health care law is going to limit or decrease the costs of medical care. The only thing it will do is cause more people to share the costs.

      I'm not saying this to be for or against the health care law, just to note that it doesn't address the issue you brought up. And it should also be noted that one of the reasons why health care in the US is so expensive is because of government involvement in the first place. Social security/medicare pays a set max amount for any medical procedure or treatment based on the average in the area. This encourages the providers to inflate the costs so the average increase and the government pays them more. It gets a little more complicated when medicare started not paying full price and HMO's get discounts on the full price instead of the average price being correlated to what they actually pay.

    617. Re:What other products by RobNich · · Score: 1

      The Federal government has the right to regulate commerce.

      "To regulate Commerce with foreign Nations, and among the several States, and with the Indian Tribes" does not mean "regulate all commerce" and your interpretation is in stark contrast with the stated intent of the framers of the Constitution. They designed the federal government to be federal:

      having or relating to a system of government in which several states form a unity but remain independent in internal affairs, and of, relating to, or denoting the central government as distinguished from the separate units constituting a federation

      if this really is that obviously unconstitutional they shouldn't have been pushing for it in the past.

      Truer words are rarely spoken. Republicans are sometimes constitutionalists, but like Democrats are almost always advocates for more Federal power.

      --
      Hello little man. I will destroy you!
    618. Re:What other products by roman_mir · · Score: 2

      You only seem capable of thinking in extremes.

      - in limited space and time this is the only way to demonstrate a point.

      You can own property, just not if you retaining it would cause someone else to die of starvation.

      - nonsense. "just not"? You can't be a touch pregnant and you can't believe in 'touch' of rights.

      Either you have a right to life, liberty and pursuit of happiness or you do not. You cannot have that right unless..... somebody can define a reason why you shouldn't have that right and bring up any argument.

      Your individual rights are sovereign, which means the collective cannot abuse them (if that's the government that you set up, where government must protect your individual rights, and where that's the only real function of the government).

      , but if somehow it did and by sharing you yourself would not die of starvation then yes, they have a right to your stuff

      - nonsense. At the point where this is an accepted ideology you lose your rights. You don't have any rights if the government turns the argument this way, because it means that a good lawyer on the government's side, working with government assigned judges will use this to argue anything - that you must do this and that or other, because that's necessary for somebody to survive, etc. This is the actual reason why in USA there is such a huge loss of liberties and freedoms right now. This very argument, and soon there will be a choice - either to accept that individual rights cannot be violated in any such case, or there will be another USSR created, but probably worse, once US dollar and bond collapse and Western and USD economies go to hell.

      No, you do not have a right to survive by robbing me of my rights.

      But when it's between 2 individuals, this has nothing to do with rights. Again and again, between any 2 private parties there is only the criminal and contract law.

      Rights only are a meaningful expression of relationship between an individual and a collective - the government system. I have explained time and again that your personal individual rights that government must not violate (well, in case of USA it must not violate, your country and the way it set up the government is your business), that these rights have nothing to do when 2 private parties are dealing with each other. There is no such thing as a 'right to free speech' when 2 individual parties are dealing. This is about government not establishing roadblocks for you to speak your mind. This is because the power of government is the ultimate power, which needs to be kept in check.

      The only reason even to have such a concept, as a 'right', is to establish the relationship between individual and the collective. When 2 individuals are dealing with each other - this is covered by contract and criminal law, however that's maintained.

      2 people come to kill you, they are not denying you a 'right' to live, they are just there to kill you. When they are CHARGED and TRIED for your murder, there is NO ARGUMENT about your right in court.

      There is no argument. Nobody will be able to make an argument that you DID NOT HAVE A RIGHT TO LIVE.

      However when GOVERNMENT takes you to court (or when the president just kills you with his order, which obviously goes against the Constitution), they are making that exact argument.

      The huge difference is that government is a SYSTEM and private individuals are PEOPLE. There needs to be a way to deal with the SYSTEM that does not involve SPECIFIC PEOPLE.

      So you are not suing or trying a specific person when you argue that you have a RIGHT to SPEECH or to LIFE. You are arguing against the SYSTEM.

      So that's the main purpose of defining what a 'right' is, it's to establish a way for you to deal with the system that has all of these various powers that you do not have.

    619. Re:What other products by Shotgun · · Score: 1

      It isn't a tax, so you can think of it as one, but you'd be wrong.

      And you don't "need" health insurance, especially one that is required to meet federal requirements.

      -There is a growing cadre of fee-for-service doctors. Combine that with a catastrophic insurance policy, and I would meet my comfort level.
      -There are groups who refuse to use modern medicine. You can legitimately argue that they're nucking futs, but that doesn't remove their right to freedom. Now, you're requiring them to buy a product that they are opposed to.

      --
      Aah, change is good. -- Rafiki
      Yeah, but it ain't easy. -- Simba
    620. Re:What other products by SETIGuy · · Score: 1

      Yeah, because private health care is working just great in America. And the universal models in other countries suck so much. The struggle with public services in America is primarily due to people who think it's a great idea to pull resources out of the public services and give them to private service provider who do less at higher cost. And, of course, due to privatization of services, that results in at best in adequate or nonexistent services and at worst theft of public resources for profit motive.

    621. Re:What other products by bwen · · Score: 1

      "Has it occurred to you that some people go for the lawsuits because of medical expenses? Just because some people sue is no reason to charge everyone such extreme prices." This quote seems to imply suing for medical malpractice. Otherwise, yes, people without health insurance and/or mounting debt are more likely to seek legal recourse- and not just against doctors. "Enthusiastically play along, of course!" Don't know any doctors collaborating with lawyers to drum up expenses- they do exist - definitely a few bad apples- but definitely the exception. To try to get "Just a few hundred more" from an insurance company for your car through the legal system seems like a waste since time and legal fees seem to mount quickly. If you were able to win a large amount from the insurance company (or what you believe is reasonable) - than I guess congrats. As far as "cheeky," you were the one who described your lawyer in a less than flattering way- and continued to use him. As far as blaming - lots of finger pointing- just saying... I fail to see where doctors are to blame for any of this. This isn't some grand plan to bankrupt you. Not all of us have "zero financial sense" :) The costs of health care are too high - that is not even debatable. I have never told a patient not to worry about the cost of a work-up. Most of my experience is with emergency care- which I deal with first-hand. Yes, I try to write for less expensive outpatient medication, but ER doctors are usually pretty removed from billing/costs issues. I can't give you a deal on an X-ray, ER med, lab test as I am unable to. As far as medicine/supplies costing 10x more- picking up package of advil at walmart is different than a doctor determining if you need a medication, ordering it, having a nurse obtain the single dose from a Pyxis machine, and dispense it. Not to mention the overhead of the machines, programs etc.. used for that dose of medication. Supplies are expensive, and they are often stolen from ER's. That and medical equipment walk off frequently. Margins are getting thinner for hospitals, and the patients paying for the people who show up at the ER saying they are there because they have no insurance is becoming more commonplace. Oh, and collections on the uninsured is almost nil in South Florida. Also, Medicaid doesn't apply to a significant amt of patients as they are undocumented illegals. I know what you think is reasonable is reasonable to you - but there are a lot of variables that you may not be aware of. The fear of medical malpractice is difficult to convey to the layman. You seem to be pretty sure of your expectations and you don't appear to have much faith in doctors. If you felt wronged, I wouldn't find it difficult to imagine you seeking "legal recourse" against a doctor. Now imagine seeing thousands of people like you a year who are suspect of everything you do who might have an ailment that could kill immediately or slowly (days, weeks, months.) As a health care professional, how conservative would you be working a patient up? As far as lack of competition, the rise of urgent care centers partly addresses this - and you can pay cash and lower fees for most work-ups secondary to significantly lower overhead. In getting non-emergent care, I suggest you find a physician you trust and stick with him. You said you did argue over the medical bills, but I guess you said you paid your part or whatever percentage. As far as "sleazy," the vast majority of people in healthcare aren't. Ranking below car sales, wow! Usually doctors rank pretty highly as far as respectability.

    622. Re:What other products by bzipitidoo · · Score: 1

      For the value of my car, I talked directly with the other driver's insurer. They lowballed me, and after much arguing, they came up but were still a few hundred dollars low. The lawyer was not involved with that.

      During the course of the medical treatment, I saw a lot of outrageous billing. No, of course it isn't a grand plan to bankrupt patients. It's more just cavalier sloppiness with expenses that verges into fraud. Glad to hear some of you do have some financial sense. And that you at least try to keep the costs of drugs down.

      One doctor had us keep this WoundVac for an extra week, unused, "just in case". If I'd known at the time that it cost $1100 per week to rent, I would have squelched that in an instant. That office could never bill consistently either, and I wasted a lot of time arguing with insurance about it. While I was trying to get that straightened out, the hospital decided to sic the debt collectors on us. Just wonderful to have a slimy debt collector harassing us several times a week, calling us lowlife deadbeats who won't pay the doctors (pot, kettle, black), when the problem was that the bills and insurance coverage were wrong. I admit my manner with the billing department was hostile, and I suspect that figured in them deciding to turn us over. I suppose they thought I was just lying and stalling, and putting on a big act of umbrage. Insurance kept trying to characterize these appointments as "emergency", and therefore eligible for the emergency services deductable. They blamed billing for messing up the insurance claims, while billing blamed insurance for making it extremely difficult to get the claims right. Both sides were right, but that wasn't getting the bill straightened out. When they at last figured out that I was indeed correct about the bills, the hospital finally took us off their list of people to harass (cue Gilda Radner saying "never mind"). At a private hospital where one of us was sent for rehab on the broken ankle, they had her sign this "blank check" form for a wheelchair she did not need, just as they were discharging her. The form said that if insurance didn't cover it, we were responsible for paying. I asked how much the wheelchair cost, and was told that they didn't know but insurance would cover it. Then, why did they want that form signed? They hustled us through that form and others, and out of there, with the wheelchair. I should have fought that harder, but wasn't expecting to be taken like that by the hospital. One of the family friends offered us his deceased wife's wheelchair; we sure didn't need to buy one. And she wasn't supposed to use it anyway, she was supposed to use a walker and hop on the good leg, to keep her strength up. Turned out the wheelchair was $818, about 6 times what it should have cost.

      Do you think those specific examples I gave, about the WoundVac and the wheelchair, are acceptable uses of and charges for medical resources? I do not. Nevertheless, I trustingly went along with most of it. When I learned the full truth, the fraud made me furious. And less trusting of doctors. You think I don't have reason for a bit of distrust? I trust your medical knowledge just fine. It's your billing I have little faith in. But I didn't threaten to sue any doctors, didn't even threaten to report them to the insurance's fraud division. If that kind of crap is common in the US, and I suspect it is, it's no wonder health care is so expensive here. This was all in the Dallas area. Perhaps Miami is different. I hear poorer cities have less wasteful medical care?

      And do you think I was scrapping for every penny, for myself or family? No! I was doing it to do my small part to keep medical expenses down for the nation. I returned that wheelchair, and the guy who was taking it couldn't understand why I was turning down such a cheap wheelchair. After all, it cost us only $28, after insurance. Except I don't think of it that way. You know the drill. Hospital says the wheelchair is worth $818, insur

      --
      Intellectual Property is a monopolistic, selfish, and defective concept. It is "tyranny over the mind of man"
    623. Re:What other products by jank1887 · · Score: 1

      thank you for the clarification.

    624. Re:What other products by bwen · · Score: 1

      Yeah, totally understand dealing with the car insurance- tough to get KBB value, but usually pretty close-rarely enough to involve lawyer. I know I don't recommend renting something expensive predicated on the possibility of using it. If there was still some discharge from a wound-maybe keep it available... really don't understand- again, not your treating MD. You are right about the dance between insurance and billing. Insurance companies will try to weasel out of paying, or, offer to pay a low percentage of the bill, all the while you pay a deductible based on the hospital bill price. Many times patients won't pay, even a copay, and then the bill won't get paid at all- collections agencies are not that efficient with med bills. A hospital will often get an aggressive billing dept to deal with lower collections, but this is not a direct reflection on the doctors. I know this might sound funny, but doctors don't run hospitals, suits do. I doubt you will be denied care secondary to fear of legal matters, unfamiliar with such cases - there are other doctors if such case should arise. I'm not in a position to deny care for emergencies and I have to take care of them despite threats they may make at the time. Give me sovereign immunity and we can talk more about cost cutting. And poorer cities are not necessarily less wasteful with health care expenses - Miami Dade actually has the highest Medicare fraud in the country. The poor are more likely to sue; do you think a doctor would be more conservative with working up that patient?

  2. Applied First Glance by ArhcAngel · · Score: 1

    At first glance I read "Healthcare Law Applied To Supreme Court". I bet that would get it struck down pretty fast!

    --
    "A person is smart. People are dumb, panicky dangerous animals and you know it." - K
    1. Re:Applied First Glance by Eunuchswear · · Score: 1

      At first glance I read "Healthcare Law Applied To Supreme Court". I bet that would get it struck down pretty fast!

      Of course it would. The supremes al reasdy have a great health care package.

      So do all those Senators and Congressmen who voted against you getting one.

      --
      Watch this Heartland Institute video
  3. Nothing good comes of this either way by hsthompson69 · · Score: 2

    Strike down ObamaCare, and you've got years of unraveling to do (especially in IT, which has been starting work in anticipation of several key dates coming up), as well as a apoplectic progressive left. Uphold ObamaCare, and you've got a drum upon which every libertarian and conservative will beat any time there's the slightest increase in health insurance costs, and who knows what kind of crazy social conservative will be the one to carry the mantle of the White House (even though most people just want fiscal conservatives).

    The sad part, though, is that none of this fight is about health care - it's about insurance. We could mandate universal auto insurance (even for non drivers, since they are either passengers or pedestrians who interact with cars), or we could mandate universal fire insurance (even for non homeowners, since they might start a fire that spreads, or be affected by smoke inhalation from someone else's house), or we could mandate universal food insurance (since hey, everyone eats food). None of that changes the facts about risk and scarcity in our world.

    1. Re:Nothing good comes of this either way by sandytaru · · Score: 3, Interesting

      I heard on NPR today that while 2% of the latest increases in health insurance costs could be attributed to the ACA, the other 98% of the increases were a combination of insurance companies pre-emptively raising rates in case health care costs went up further in the future, and actual increases in current health care costs that had nothing to do with the Affordable Care Act.

      --
      Occasionally living proof of the Ballmer peak.
    2. Re:Nothing good comes of this either way by Anonymous Coward · · Score: 0

      This sounds great, but it is logical to assume that the pre-emptive raising of rates is due to the restrictions in the ACA on their ability to raise rates in the future. When you tell an organization that you are going to limit future increases, they are going to go overboard on their last increase without the limits and probably will take the maximum of your future limits to ensure that one year doesn't come up short.

    3. Re:Nothing good comes of this either way by Brett+Buck · · Score: 1

      So, given all these issues, perhaps we should just stick to following some written guidelines about the limits of federal power. If only someone had written such a document and if only every single elected official in the federal government had sworn an oath to uphold it, then we would know what to do.

            Brett

    4. Re:Nothing good comes of this either way by Anonymous Coward · · Score: 1

      Comments like this are exactly what is wrong with this country. Let me explain: instead of comparing the ups and downs of the law and then making a judgement as to whether we'd be better off with or without it, you make of comparison of the public opinion tradeoffs for striking it down or not. That is to say: your not actually concerned with the actual programs in question, just the public opinion battle, and the partisan ideology. I'm not blaming you so much as the news organizations. (not some of them, all of them, yes that one too) They do this all the time, talk about the actual program, law, or other particular for 5 seconds then spend 5 minutes on how it hurts reelection chances for so and so. I think oblivious is the word im looking for.

    5. Re:Nothing good comes of this either way by TemporalBeing · · Score: 1

      I heard on NPR today that while 2% of the latest increases in health insurance costs could be attributed to the ACA, the other 98% of the increases were a combination of insurance companies pre-emptively raising rates in case health care costs went up further in the future, and actual increases in current health care costs that had nothing to do with the Affordable Care Act.

      So to break it down:

      • 2% of current increases are directly related to existing requirements that are presently in effect or close to being in effect per ACA
      • The remaining 98% splits into
        • preemptive increases as ACA limits the amount that rates can be raised on an annual basis
        • preemptive increases in anticipation of other requirements in ACA that are still a ways down the road but for which they cannot increase rates sufficiently to cover due to the previous point
        • non-related ACA increases

      Too bad we can't get a better breakdown of those preemptive rate changes, because that would certainly point out the different ACA is already costing us. My guess is that the preemptive rate changes per ACA are likely to cover 90% or so of that rate changes.

      --
      Truth is like the sun. You can shut it out for a time, but it ain't goin' away. - Elvis Presley (source: imdb.com)
    6. Re:Nothing good comes of this either way by Caffinated · · Score: 1

      I'd say that it's more logical to assume that the insurance corporations are acting as the sociopathic "persons" that they are. They want to make more money and see an opportunity to do so and thus are. For them, there's the added benefit that our generally worthless press coverage will muddy the waters enough that they'll able to blame the rate increases on the ACA, and so add pressure (along with the industry's prodigious lobbying dollars) to repeal the parts of the law that might cut into their profits. It's a win-win! (well, aside from society which loses, but some "persons" are more equal than others of course)

    7. Re:Nothing good comes of this either way by JustinKSU · · Score: 2

      I heard on NPR today that while 2% of the latest increases in health insurance costs could be attributed to the ACA, the other 98% of the increases were a combination of insurance companies pre-emptively raising rates in case health care costs went up further in the future, and actual increases in current health care costs that had nothing to do with the Affordable Care Act.

      Props for calling it ACA instead of Obamacare.

    8. Re:Nothing good comes of this either way by nschubach · · Score: 1

      You don't mean let the States figure it out, do you? It's unspeakable! Obviously, since that was the way of the country at one time, the States will bring back slavery! You don't want slavery, do you?

      [/sarcasm In case anyone is not reading sarcasm into that.]

      --
      Every time I start to have faith in humanity, I ruin it by driving to work between 7 and 8 am.
    9. Re:Nothing good comes of this either way by shutdown+-p+now · · Score: 1

      The problem with ObamaCare is that it represents the worst about American politics - namely, meaningless "compromises" between two fanatically hostile sides that "compromise" the very things that make something work, just so that they have the law passed and can boast such to their constituents. If a government mandates purchasing some service from a private company, the government should also directly regulate the prices set by that company for the mandated services (this is, essentially, how healthcare works in Canada). If you take away one part, the other is worthless, and is in fact actively harmful.

    10. Re:Nothing good comes of this either way by geoffrobinson · · Score: 1

      Could you explain why their profit margins compared to other industries are so low?

      --
      Except for ending slavery, the Nazis, communism, & securing American independence, war has never solved anything.
    11. Re:Nothing good comes of this either way by jmorris42 · · Score: 1

      > it's about insurance.

      No, it is about control. Government has no hope of 'bending the cost curve' so the cost must zoom out of control. The government will ration care. Do you really believe they won't politicize those decisions in exactly the same way every other allocation of government resources is politicized? Welcome to the machine. Party members at the front of the line for transplants, enemies get cost controlled into early graves.

      --
      Democrat delenda est
    12. Re:Nothing good comes of this either way by Anonymous Coward · · Score: 0

      Too bad we can't get a better breakdown of those preemptive rate changes, because that would certainly point out the different ACA is already costing us. My guess is that the preemptive rate changes per ACA are likely to cover 90% or so of that rate changes.

      Or at least that's what the insurance companies are telling us. They'd just use some other excuse to gouge us if it weren't for ACA. Rates go up every year like clockwork.

    13. Re:Nothing good comes of this either way by Anonymous Coward · · Score: 0

      "Someone" did. They are commonly called "the founders", and the guidelines are known as "the Constitution", and every officeholder must swear an oath to uphold it upon being sworn in. It all just comes down to interpretation, doesn't it?

    14. Re:Nothing good comes of this either way by Twanfox · · Score: 1

      Consider, too, that if the ACA is struck down, do you honestly think the insurance premiums are going to come down at all? Have they come down ever?

    15. Re:Nothing good comes of this either way by fyngyrz · · Score: 1

      ...and *I* think you didn't understand what the GP post said; what the underlying rationale is for what he said; or what the correct, authorized path is to make changes.

      Of course, that just makes you like 99% of the rest of the population. Utterly ignorant of the entire basis for the federal government in the first place.

      --
      I've fallen off your lawn, and I can't get up.
    16. Re:Nothing good comes of this either way by hedwards · · Score: 1

      Which is why the insurance commissioner in my home state has the power to evaluate premiums and the new healthcare law requires that insurers that spend too much on non-healthcare costs have to pay rebates to the customers for the difference.

    17. Re:Nothing good comes of this either way by Magius_AR · · Score: 1

      The problem with ObamaCare is that it represents the worst about American politics - namely, meaningless "compromises" between two fanatically hostile sides that "compromise" the very things that make something work, just so that they have the law passed and can boast such to their constituents

      Blue Dog Democrats and non-Blue Dog Democrats are fanatically hostile to each other?

    18. Re:Nothing good comes of this either way by zippthorne · · Score: 1

      They would if there was competition. It's too bad that ACA didn't do anything about the real problem - in many geographic areas, you can count on one hand the number of health insurers, due at least in part, to the fact that each state imposes different and sometimes incompatible restrictions on the products they can sell.

      In a mature, well-functioning market, the price of insurance should approach the marginal cost like any other commodity. That "marginal cost" is the payout * risk, so anything reducing the risk or payouts should result in price drops. If it does not, then the market is not mature or well-functioning, so you have to look at the reasons it might not be, one of which I stated in the above paragraph.

      --
      Can you be Even More Awesome?!
    19. Re:Nothing good comes of this either way by sandytaru · · Score: 1

      Compared to what other industries? What is their profit margin as a percentage of gross revenues? Many retailers, for example, run on a 3% profit margin or less. HMOs run at about a 4% profit margin; other plans run just a bit higher. This is lower than some other insurance industries (such as life insurance, which ran at an average 8% profit margin in 2007), but certainly not as low as other businesses. (Newegg ran on a razor thin 1.7% profit margin last year.)

      --
      Occasionally living proof of the Ballmer peak.
    20. Re:Nothing good comes of this either way by FrellMeDead · · Score: 1

      This would be a valid reason/breakdown for the increases except that the insurance companies have consistently had massive increases/rate rates increases for the past 8+ years. Prior to ACA even being mentioned and I had seen rate increases nearly double for no reason other then to fuel profits and add complexity to an industry that shouldn't have been allowed to sprawl out of control to the point that it has gotten to. Also I had received a notice of B.S. increases less then a month after ACA was signed saying that the prescriptions are going to cost more as a result of the ACA starting immediately. Although I don't doubt that some cost increases may occur especially during transitions to digital records, etc. I think a large amount of these expected increases are exaggerated or inflated by the industry itself to further complain about a lot / reform of any kind being put upon them. Also as another stated I applaud you as well for keeping it civil and calling it the ACA.

  4. Ridiculous argument by Hatta · · Score: 4, Interesting

    It's clearly established that the US government can force you to pay a tax for services you never use. The health care law is less restrictive than that. It still forces you to pay, but you can choose the entity you pay. If the government can force you to buy something from a single source, then it certainly should be able to force you to buy something from one of many sources.

    However, I have no reason to believe that the Supreme Court will come to the obvious and logical conclusion here. That's not their job. Their job is to provide legal cover for the corporate agenda.

    --
    Give me Classic Slashdot or give me death!
    1. Re:Ridiculous argument by Anonymous Coward · · Score: 1

      What's not established is that the government can force you to do business with a private entity.

      Because they can't.

      And if they do, they're no longer acting within the bounds of the law, and the law itself is therefore legally null and void, and thus disobeying it can never under any circumstances be a crime. Any punishment levied against those who do is also illegal.

      On a separate but related note, trying to solve the health care problem by forcing people to buy insurance is like trying to solve the homeless problem by forcing people to rent apartments.

    2. Re:Ridiculous argument by Hatta · · Score: 1

      Sure they can. Every time the government uses your tax dollars to hire a construction agency to build a road or building, they are forcing you to do business with a private entity.

      --
      Give me Classic Slashdot or give me death!
    3. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      The vast majority of people will use healthcare services, or should use healthcare services.

      It isn't the individual mandate that these businesses want to get rid of, it is the Wal-Marts of the US that want to reduce benefits to lower their prices and put their competitors that support their employees out of business. I mean, they could offer 'do not resuscitate' insurance for $0, or have some way for people to self-insure if they have $500,000 and are willing to take the risk they won't get sick.

      The big question is what would you replace it with.

      And the next question, is why didn't Obama also come out with a "healthy and active plan" to help reduce costs and make people's lives better in the weeks following?

    4. Re:Ridiculous argument by Anonymous Coward · · Score: 1

      In my state, it is illegal to buy alcohol from any distributor but one. Even if you brew your own, you are supposed to sell it to that distributor then buy it back.

    5. Re:Ridiculous argument by johnny+cashed · · Score: 2

      Can I choose a government run health care plan? Or do I have to choose private insurance? See the difference? It's very slight. If you want to say that the private industry can run it better, that isn't my argument. If the Federal government is going to force me to buy something, and not call it a tax, they had better offer what they are forcing me to buy. If they force me to pay some private corporation for health insurance, that is wrong.

    6. Re:Ridiculous argument by Altus · · Score: 1

      But they aren't. Effectively they are giving you a tax break for buying something. They do that all the time.

      --

      "In America, first you get the sugar, then you get the power, then you get the women..." -H. Simpson

    7. Re:Ridiculous argument by Solandri · · Score: 1

      I learned long ago that "law" and "logical" don't go together. There's a law that makes it illegal to charge extra if a customer pays with a credit card. But it's legal to offer a discount if the customer pays by any other means.

    8. Re:Ridiculous argument by Hatta · · Score: 1

      By your logic it's illegal for the government to use private contractors. This is no different, except that you get to choose the private contractor.

      --
      Give me Classic Slashdot or give me death!
    9. Re:Ridiculous argument by johnny+cashed · · Score: 1

      No, that is supported by TAX money.

    10. Re:Ridiculous argument by Hatta · · Score: 1

      Same thing by a different name. There is no effective difference between giving your money to the government, who gives it to a private contractor, and giving your money directly to the private contractor. In fact, the latter is even preferable as it will be more efficient for everyone.

      --
      Give me Classic Slashdot or give me death!
    11. Re:Ridiculous argument by Azghoul · · Score: 1

      That is incredibly sloppy reasoning.

      There is a vast difference between taxation that representatives then turn and use to provide services vs. requiring any individual to do business with another.

      In your view, the ends are all that matter. However, the means used to reach those ends are critically important.

    12. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      "Taxes are theft"

      The concept of "theft" is meaningless in a system where there is no taxation.

      Theft => Property rights => Rights => Enforcement => Taxation

    13. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      If the money I used to purchase health care goes into a large pool that is controlled by people that I elect, the companies bid for the lowest cost that provides the service required by the aforementioned elected people, and it's possible to get summaries of how the money was being spent, then yes, it's no different.

    14. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      It's clearly established that the US government can force you to pay a tax for services you never use. The health care law is less restrictive than that. It still forces you to pay, but you can choose the entity you pay. If the government can force you to buy something from a single source, then it certainly should be able to force you to buy something from one of many sources.

      However, I have no reason to believe that the Supreme Court will come to the obvious and logical conclusion here. That's not their job. Their job is to provide legal cover for the corporate agenda.

      your statement is so far off the mark and full of personal generalization that it's almost typical to find it now on /. Don't make me post more stupid comments from Wikipedia about what the Supreme Courts job is, you goof. They do not cover the Corporate "agenda", omg please Hatta.

      No one here is a constitutional scholar and therefor should stfu.

    15. Re:Ridiculous argument by Uberbah · · Score: 1

      No one is forcing you to buy alcohol....so WYFP.

    16. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      That's not against the law, that's against the agreement the merchant has with the credit card company.

    17. Re:Ridiculous argument by shutdown+-p+now · · Score: 2

      It's clearly established that the US government can force you to pay a tax for services you never use. The health care law is less restrictive than that. It still forces you to pay, but you can choose the entity you pay. If the government can force you to buy something from a single source, then it certainly should be able to force you to buy something from one of many sources.

      The difference is that tax rate is also set by the government - that is, by your elected representatives. So a law mandating that you pay a certain amount that is also codified in the law is reasonable. With healthcare, the law mandates that you buy a service from a private party, and "the market" sets the price. That is what's wrong about it.

    18. Re:Ridiculous argument by johnny+cashed · · Score: 1

      Oversight and bidding processes? Aside from times of war, the government has some strict purchasing policies to help prevent gouging and abuse. Do I get that with by mandatory insurance payment?

    19. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      This law doesn't force you to pay a tax... it forces you to purchase a product on the private market.

    20. Re:Ridiculous argument by superdave80 · · Score: 1

      Tax to the government =! payment to a private company

    21. Re:Ridiculous argument by geoffrobinson · · Score: 1

      The 21st amendment and 10th amendment gives states the leeway to do what they will with alcohol. It isn't a federal matter.

      --
      Except for ending slavery, the Nazis, communism, & securing American independence, war has never solved anything.
    22. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      Translation: I want the benefits of government, like protections on my life and property. I just don't want to have to pay for these things in the form of taxes, because that somehow becomes 'theft' when filtered through my welfare mentality.

    23. Re:Ridiculous argument by Toonol · · Score: 1

      State law, not federal. Most people acknowledge that states have far more regulatory power over their economy than the federal government has.

    24. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      No, that's an example of the government doing business with a private entity themselves, using money provided by me according in accordance Constitutionally-valid laws. The difference matters a great deal.

      Your construction analogy maps properly if you change it so that the government is telling me that I have to hire a construction firm to build a new structure on my property every year whether I want to or not. But then of course it doesn't end up supporting your position very well.

    25. Re:Ridiculous argument by ZombieBraintrust · · Score: 1

      Saying "Taxes are theft" is about as meaningfull as "Private Property is theft". This opposite attitude assumes that your work is owned by society. Not working and not paying taxes is theft from society. A mixed economy sits between these two extremes.

    26. Re:Ridiculous argument by ZombieBraintrust · · Score: 1

      A public option was included in the original bill but was blocked by republicans.

    27. Re:Ridiculous argument by Hatta · · Score: 1

      OK. What is that difference? I see none that matters. The only real difference is that the individual has more power when the government is not a middle man. That's a good thing, right?

      --
      Give me Classic Slashdot or give me death!
    28. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      Case 1:
      You can say what you want because you have that right, from birth.
      You can not legally be murdered because you have a right to live.
      Case 2:
      You can say what you want because the government's "banned words" list is empty.
      You can not legally be murdered because the government has a "no murder" policy.

      Do the differences in theses cases matter to you? They do to me.

    29. Re:Ridiculous argument by Slashdot+Assistant · · Score: 1

      And if they do, they're no longer acting within the bounds of the law, and the law itself is therefore legally null and void, and thus disobeying it can never under any circumstances be a crime. Any punishment levied against those who do is also illegal.

      Is that illegal illegal, as in there's law to support this, or is it illegal in same way that I cannot be liable for taxes if demands from the IRS were written under a full moon, with my name in all caps?

    30. Re:Ridiculous argument by Hatta · · Score: 1

      They certainly do. I dont' see how they have the slightest bearing on the current topic though.

      --
      Give me Classic Slashdot or give me death!
    31. Re:Ridiculous argument by shutdown+-p+now · · Score: 1

      Does your state also regulate prices set by that distributor? or are they free to charge whatever they want?

    32. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      The difference is that the collection of taxes is a power that has been explicitly granted to the Federal government by the Constitution. The power to mandate the existence of a private business relationship has not been granted to the government by the Constitution. As the Constitution is effectively a whitelist of powers for the Federal government, any action it takes not specifically authorized in that document is illegal.

    33. Re:Ridiculous argument by Hatta · · Score: 1

      It is a tax.

      --
      Give me Classic Slashdot or give me death!
    34. Re:Ridiculous argument by RightSaidFred99 · · Score: 1

      Wait, I don't get your hippie logic. Is the SC a "corporate arm" for enforcing ObamaCare (which makes people buy products from...corporations) or for shooting it down (...?...).

    35. Re:Ridiculous argument by RightSaidFred99 · · Score: 1

      Did you strain any of your muscles making that ridiculous contorted argument? I pay tax money, and elected officials spend that money. This is somehow the same as forcing me to purchase a product? Right...

    36. Re:Ridiculous argument by Hatta · · Score: 1

      No it's not the same. It infringes fewer of your rights than traditional taxation does. Regular taxation deprives you of your money, your choice, and you don't necessarily get anything in return. The current mandate deprives you of your money, but not your choice, and you get health insurance out of it.

      The set of rights infringed by the mandate is a subset of those infringed by taxation. If taxation is legal, than the mandate must be too.

      --
      Give me Classic Slashdot or give me death!
    37. Re:Ridiculous argument by RightSaidFred99 · · Score: 1

      You have choice - you elected people to spend your money.

      And you get more than you paid in in return from taxes. Maybe you're a big spender, but I can't afford to implement the Air Force, or to pave my own roads, my own private police force, etc.. Furthermore, you don't have to pay taxes if you don't work.

      More importantly - taxes go towards a public concern, they are spent by all of us collectively.

      This mandate is closer in relation to a citizenship requirement which is not legal. "You must purchase this product to be a US citizen."

    38. Re:Ridiculous argument by Hatta · · Score: 1

      You have choice - you elected people to spend your money.

      That's a pretty poor excuse for choice, but I'll accept it for the sake of argument. As far as choice goes, this mandate is equivalent to a tax.

      And you get more than you paid in in return from taxes.

      Only some taxes. In other circumstances you get nothing from your taxes. In still other (qutie common) you are forced to fund your own oppression.

      Furthermore, you don't have to pay taxes if you don't work.

      And the unemployed will have vouchers to pay for their mandated health insurance. It's a slightly different implementation of the same thing.

      More importantly - taxes go towards a public concern, they are spent by all of us collectively.

      Universal health care is a public concern. One of the major roles of government is to solve the free rider problem.

      This mandate is closer in relation to a citizenship requirement which is not legal. "You must purchase this product to be a US citizen."

      Don't be ridiculous. No one is suggesting stripping citizenship from anyone.

      --
      Give me Classic Slashdot or give me death!
    39. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      Protip: "taxes are theft" does not imply "taxes should be abolished"

    40. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      You're missing the point. The tax is used to do something the federal government is not authorized to do.

    41. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      It was blocked precisely because WITH a public option, the bill made sense.

    42. Re:Ridiculous argument by Anonymous Coward · · Score: 0

      Healthcare reform guarantees that one will only pay a certain portion of his income for coverage. One pays on a sliding scale determined by comparing income to the Federal Poverty Level. The maximum price one can pay is 9.5% of his income.

      I'd argue that this method more reasonable than the Congress setting a fixed dollar amount and arguing over that amount for the next 100 years.

    43. Re:Ridiculous argument by Sumtingwong · · Score: 1

      That your comment was actually modded up to a five is a perfect example of the state of idiocy that /. has become.

      Long live the educated!

      --
      Word!
    44. Re:Ridiculous argument by Azghoul · · Score: 1

      No it's not. The means matter, whether you like it or not.

    45. Re:Ridiculous argument by poofmeisterp · · Score: 1

      Interesting logic, but maybe I should figure out how to start an insurance company of my own, with only one benefit group, and 15 members (family). Then I'm up to the law.

    46. Re:Ridiculous argument by Uberbah · · Score: 1

      Remedial logic. Buying alcoholic is a choice. Needing medical care after an injury or during a nasty illness: not a choice.

      And that's before getting to the apples to irrelevant oranges nature of the comparison in the first place: if you buy alcohol from a state run store, you get what you pay for. Alcohol. As opposed to for-profit insurance companies, who's profitability is derived by increasing your premiums while trying to find any reason, any reason at all, to deny your claims for health care.

  5. Subsidizing Healthcare by h4x0t · · Score: 1

    Just what we need to drive up costs a bit more.
    (Current Most Relevant Search Engine) is my Family Physician, Specialist Omnibus, and triples a plumber.
    Dental is where things get tricky.

    1. Re:Subsidizing Healthcare by Kenja · · Score: 1

      You act as if uninsured people cost us nothing. Who do you think pays for their emergency room visits?

      --

      "Have you ever thought about just turning off the TV, sitting down with your kids, and hitting them?"
    2. Re:Subsidizing Healthcare by Rockoon · · Score: 1

      You act as if insured people cost us nothing. Who do you think pays for jacked-up health care prices?

      --
      "His name was James Damore."
    3. Re:Subsidizing Healthcare by Anonymous Coward · · Score: 0

      Apparently all the sick people which is pretty much everybody if you see obesity as an indicator of disease.

    4. Re:Subsidizing Healthcare by Anonymous Coward · · Score: 1

      Someone has to pay. Insurance and public healthcare are just two mechanisms for spreading the cost. They don't actually pay for anything - they are just based on the idea that no person should be driven to financial ruin or death by the simple bad luck of falling ill.
       
      That's the idea, anyway. In practice it tends to not work out so well.

    5. Re:Subsidizing Healthcare by archer,+the · · Score: 1

      In his opinion, he may think that having health insurance will encourage them to get preventative medicine that prevents the emergency room visit. An ounce of prevention, yadda yadda yadda.

    6. Re:Subsidizing Healthcare by Rockoon · · Score: 1

      Someone has to pay.

      Thats the problem. When someone *has* to pay, providers (not insurance companies) can raise rates like crazy, which is what they have done.

      Take a dog to the vet for a broken leg. Observe low price.
      Break your own leg and head off to a doctor. Observe high price.
      Confess to the doctor that you don't have insurance. Observe medium price.

      They don't actually pay for anything

      Nobody pays! Yay! Its FREE!

      Are you thick?

      --
      "His name was James Damore."
    7. Re:Subsidizing Healthcare by HotBBQ · · Score: 1

      So the tax payer is on the hook regardless. Why not cut the bullshit and just implement single-payer healthcare? At worst it's as expensive and ineffective as what we have. At best it is cheaper and more efficient.

    8. Re:Subsidizing Healthcare by h4x0t · · Score: 1

      Their emergency room visits wouldn't cost tens of thousands of dollars if insurance didn't jack up the prices of the procedures involved. Then they could pay for it out of pocket reasonably.

  6. News for nerds by Anonymous Coward · · Score: 0

    Just noticed "News for nerds. Stuff that matters." is not in the banner anymore. Don't know how long that's been but at least they're being honest by taking it down.

    1. Re:News for nerds by bwintx · · Score: 1

      Still on the home page in the tag, at least. For how long, "no man can say."

      --
      Discussion System prefs link: http://slashdot.org/users.pl?op=editcomm
    2. Re:News for nerds by Microlith · · Score: 1

      Yeah, because a nerd would never care about politics that may affect them.

    3. Re:News for nerds by Hatta · · Score: 1

      I always considered /. to be the union of those two sets, not the intersection.

      --
      Give me Classic Slashdot or give me death!
  7. Wait, what? by Sez+Zero · · Score: 1

    opponents say it represents an unconstitutional encroachment of federal power.

    Don't you mean encroachment of state's power?

    1. Re:Wait, what? by sandytaru · · Score: 1

      Encroachment OF the fed's power ONTO the states. The state's technically can't encroach on the fed's power, per the Constitution. (All powers not granted to the federal government are reserved for the states.)

      --
      Occasionally living proof of the Ballmer peak.
    2. Re:Wait, what? by ArcherB · · Score: 1

      opponents say it represents an unconstitutional encroachment of federal power.

      Don't you mean encroachment of state's power?

      Don't you mean "encroachment ON state's power"?

      encroach (nkrt)

      — vb (often foll by on or upon )
      1. to intrude gradually, stealthily, or insidiously upon the rights, property, etc, of another
      2. to advance beyond the usual or proper limits

      It's not the states power that is doing the encroaching. It is the states rights that are being encroached upon.

      --
      There is no "I disagree" mod for a reason. Flamebait, Troll, and Overrated are not substitutes.
    3. Re:Wait, what? by nschubach · · Score: 1

      ... or to the people. Don't stop reading at States.

      --
      Every time I start to have faith in humanity, I ruin it by driving to work between 7 and 8 am.
    4. Re:Wait, what? by hedwards · · Score: 1

      OK, so what's your proposal for keeping these issues from transcending state lines? I'm being serious, if this is a states' rights issue, then how do you keep the issue of uninsured people in one state from costing people in other states? Around here we have a Level 1 trauma center that covers 5 different states, and it's funded entirely by my county. For people who are in need of that degree of medical care that's where they end up unless there's somebody there that's authorized to say no on behalf of the victim.

      That alone justifies this being a federal fix, unless you think it's more cost effective to build facilities like that in every single state.

  8. Single-payer, like Medicare, would have been fine by Animats · · Score: 5, Insightful

    Single-payer national health insurance, like Medicare, would have had no constitutional problems. If the "public option" had been retained in the bill, it might have ended up as the only option.

    That's not a bad thing; Medicare's overhead is about 3%, while private insurers run a lot higher.

  9. Re:Single-payer, like Medicare, would have been fi by Kenja · · Score: 1

    had the argument been framed as "medicare for all" I think it would have gone much better and would have cut back on the people with "keep the government out of my medicare" signs.

    --

    "Have you ever thought about just turning off the TV, sitting down with your kids, and hitting them?"
  10. Libertarian drivel by Brannon · · Score: 1, Insightful

    Why don't you move to Somalia? Libertarian paradise.

    1. Re:Libertarian drivel by Anonymous Coward · · Score: 0

      He's posting from Somalia... where taxes *actually* take the form of theft. I think that's what he meant.

    2. Re:Libertarian drivel by Anonymous Coward · · Score: 1

      Somalia has a failed government and power players.

      You could make the same argument that we should not have any government at all because they always fail and results in situations like Somalia.

    3. Re:Libertarian drivel by AlphaWolf_HK · · Score: 1

      I think there's a pretty significant distinction between Libertarianism and Anarchism.

      --
      Careful with names containing L slashdot.org/~AiphaWolf_HK slashdot.org/~AlphaWoif_HK slashdot.org/~AiphaWoif_HK
    4. Re:Libertarian drivel by LoyalOpposition · · Score: 1

      My country; love it or leave it?

      ~Loyal

      --
      I aim to misbehave.
    5. Re:Libertarian drivel by TheFlamingoKing · · Score: 2, Insightful

      Oh look, it's the new Godwin's Law - As an online discussion of libertarianism grows longer, the probability of a comparison involving Somalia approaches 1.

      Will be waiting for your next response, maybe something regarding privatized roads or police departments.

    6. Re:Libertarian drivel by Anonymous Coward · · Score: 1

      Libertarians are not anarchists, just like American liberals are not communists. Wanting less government does not mean wanting no government.

    7. Re:Libertarian drivel by Anonymous Coward · · Score: 0

      So rather than disagree when somebody points out the clear and obvious holes in your ideology you are simply going to bring up the fact that a great number of people have also noticed those same holes as though that somehow makes those holes any less glaring? The fact that everybody aside from unstable nutjobs and gun-toting loners has long abandoned libertarianism as a completely unworkable form of government because of flaws that any five year old can identify should give you pause.

    8. Re:Libertarian drivel by Uberbah · · Score: 1, Insightful

      Oh look, it's another Libertarian whining when someone points out what actual Libertarianism would actually look like.

    9. Re:Libertarian drivel by Anonymous Coward · · Score: 0

      That's an idiotic argument. In Somalia the warlords run the show. He takes what he wants. He tells you want to do. He makes the laws. He decides when to uphold them. It isn't anarchy, it's just a constant state of war between the despots.

    10. Re:Libertarian drivel by Uberbah · · Score: 0

      Sure, Libertarians want anarchy with property rights. Except with no publicly funded services to enforce said rights, it's a free for all where the amount of justice afforded to you is the amount you can afford to hire from Blackwater.

      Huh, maybe not so different from anarchy in the end after all....

    11. Re:Libertarian drivel by Anonymous Coward · · Score: 0

      I don't believe there are much in terms of property rights in Somalia which are incredibly important to libertarians. But I'm guessing you're just an ignorant political hack that doesn't understand, or bother to try to understand, what libertarians believe.

    12. Re:Libertarian drivel by Anonymous Coward · · Score: 0

      I don't believe there are much in terms of property rights in Somalia which are incredibly important to libertarians. But I'm guessing you're just an ignorant political hack that doesn't understand, or bother to try to understand, what libertarians believe.

      How do you enforce property rights? With a police force. How do you pay for a police force? With taxes. But taxes are theft, which means they're not respecting your property rights, but you can't enforce the existence of your property rights without taxes.

      Norman, coordinate!

    13. Re:Libertarian drivel by Toonol · · Score: 2

      Quoting another poster: Libertarians are not anarchists, just like American liberals are not communists. Wanting less government does not mean wanting no government.

      You've already been answered by someone in this thread. Somolia has no government, and no support of individual rights. That is very clearly not what libertarians advocate or desire, so it does not serve as a invalidation of libertarianism.

      The next question is... will people in this thread stop using that invalid Somolia comparison? I bet I know the answer to that....

    14. Re:Libertarian drivel by nharmon · · Score: 1

      There might be a few libertarians who want that. But most of them do not. Care if I apply to you the beliefs of the nuttiest members of whatever group you belong to?

    15. Re:Libertarian drivel by TheFlamingoKing · · Score: 1

      Honestly, do you believe the parent to my original post "points out the clear and obvious holes in my ideology". Or is it just a worthless, throw-away straw man argument? Do you want to tell me about those "flaws that any five year old can identify", or is that your equally worthless straw man argument?

      I mean, how could I ever hope to attain a level of argument with the nuance of "Somalia = Libertarian government, therefore Libertarianism is wrong"?

    16. Re:Libertarian drivel by SirGarlon · · Score: 1

      Wanting less government is a legitimate and defensible, even sensible, position. I want less government, and I am a Northeast urban latte-drinking liberal.

      However, I believe the traditional trigger for the Somalia comparison is the polemical (I daresay inflammatory) assertion that "taxes are theft." That sure looks like a call for anarchy to someone who can think through the implications. If there is some nuance in the message that people are missing, maybe try toning down the rhetoric and explaining it.

      --
      [Sir Garlon] is the marvellest knight that is now living, for he destroyeth many good knights, for he goeth invisible.
    17. Re:Libertarian drivel by Anonymous Coward · · Score: 0

      Actually, I thought Somolia was experiencing anarchy.

      From Wikipedia, for what it's worth:
      " Economist Peter T. Leeson, in an event study of "the impact of anarchy on Somali development", found that "the data suggest that while the state of this development remains low, on nearly all of 18 key indicators that allow pre- and post-stateless welfare comparisons, Somalis are better off under anarchy than they were under government." Powell et al. concur that in absolute terms, Somalia's living standards have improved and compare favorably with many existing African states, but also report that living standards have often improved "relative to other African countries since the collapse of the Somali central government."

      The Libertarian Party favors a limited government that protects its citizens from force and fraud, as opposed to no government, or a government that violates basic human rights.

    18. Re:Libertarian drivel by nschubach · · Score: 1

      You have a deep misunderstanding of Libertarianism. I'm not surprised considering the rampant trolling going on.

      --
      Every time I start to have faith in humanity, I ruin it by driving to work between 7 and 8 am.
    19. Re:Libertarian drivel by Uberbah · · Score: 0

      Just because Libertarian ideology can't stand up to five minutes of scrutiny from a 2nd grader, doesn't mean that I don't understand it just fine....

    20. Re:Libertarian drivel by Uberbah · · Score: 1

      If someday I join a belief system with less credibility than Scientology, that's entirely devoted to rationalizing selfish, self-centered attitudes from "screw you, I got mine" navel gazers that treats a social security check as an abomination and a deadly coal mining disaster as a cost of doing business....by all means, mock me without mercy.

    21. Re:Libertarian drivel by roman_mir · · Score: 1

      Oh look, somebody forgot the history of their country once again.

  11. Re:Single-payer, like Medicare, would have been fi by goldspider · · Score: 1

    Except single-payer wouldn't have primarily benefited the healthcare industries like the HCR law does.

    --
    "Ask not what your country can do for you." --John F. Kennedy
  12. Tea... by Anonymous Coward · · Score: 0

    While I am a supporter of the healthcare law, ultimately I can't see how it will pass constitutional muster. Anyone remember the Boston Tea party?

    1. Re:Tea... by Altus · · Score: 1

      are you suggesting that the people who are covered by this law don't have the right to vote or do you not remember the rallying cry of the Boston Tea Party. It wasn't "No taxes" it was "No taxation without representation." If you are still allowed to vote then the Tea Party reference isn't very appropriate.

      --

      "In America, first you get the sugar, then you get the power, then you get the women..." -H. Simpson

  13. Fuck yeah America! by guybrush3pwood · · Score: 2

    Citizens of USA should pay exclusively for the maintenance of the roads they use, the electricity of the lampposts that light their garages' entrances, and the police man-power required to patrol their neighborhoods. Anything else means the communists won.

    Disclaimer: perhaps I'm trolling, perhaps I'm not.

    --
    Perhaps I'm trolling, perhaps I'm not.
    1. Re:Fuck yeah America! by Anonymous Coward · · Score: 0

      You mean the roads that I drive 1000 miles a year on? or the street lamps that I want removed because it interferes with my astronomical viewing? or the police that snuck up on me with guns drawn because they are too stupid to know the difference between a Makita and a gun? or the police that told me not to go near my father that passed away because it was a crime scene?

    2. Re:Fuck yeah America! by Amtrak · · Score: 1

      Citizens of USA should pay exclusively for the maintenance of the roads they use,

      Gas taxes effectively do this unless you're an electric driving hippy damn free loaders

      the electricity of the lampposts that light their garages' entrances,

      Wait don't those benefit other people trying to walk in front of my garage? Oh! We could get rid of all the decrepit public lampposts and have private ones, then I could charge a toll for my well lit private sidewalk.

      and the police man-power required to patrol their neighborhoods.

      Yeah it's call property taxes, but then again maybe the police should be private then I can hire my own security firm I can only see that being a good idea right?

      Anything else means the communists won.

      Disclaimer: perhaps I'm trolling, perhaps I'm not.

      I must agree with your last point I may very well be trolling.

    3. Re:Fuck yeah America! by guybrush3pwood · · Score: 1

      Gas taxes effectively do this unless you're an electric driving hippy damn free loaders

      Yeah, fuck them all in the ass with a carrot! Those vegetables are quite renewable, right? Har har har!

      Wait don't those benefit other people trying to walk in front of my garage? Oh! We could get rid of all the decrepit public lampposts and have private ones, then I could charge a toll for my well lit private sidewalk.

      That's the spirit! Care for a suggestion? Everybody carries an RFID patch; the lamp-post are on-line and query the IRS; if the citizen didn't pay... the lampport turns itself off. Another upside: they get off your lawn!

      Yeah it's call property taxes, but then again maybe the police should be private then I can hire my own security firm I can only see that being a good idea right?

      Wait a second there, sport! Are you suggesting the police protects outsiders? From OTHER neighborhoods? Even (Flying Spagetti forbid) other states? Fuck that shit! I was kidding before, but that last one convinced me that the commies did win. I really hope those two you mention are the only taxes the american citizens pay. Thank's for the heads up, mate!

      But hey, once I again, I might be trolling, I might not be.

      --
      Perhaps I'm trolling, perhaps I'm not.
    4. Re:Fuck yeah America! by Anonymous Coward · · Score: 0

      No, we mean the roads that the products you use to live on are driven to your house upon, the street lamps that keep accidents from happening on those roads at night, and the police that hopefully arrested whoever killed your father, but if not, at least they tried.

      You may assert you are rustic wilderness survival man if you wish, but even in those cases you're probably getting benefits from them you don't realize.

      I know if the government wouldn't stop me I'd bulldoze your precious woods...because I hate trees. They're EVIL!

    5. Re:Fuck yeah America! by Anonymous Coward · · Score: 0

      I dont know I think we should pay for Mexico and Canada's roads too! Even if we do not use them, they need roads. Everyone needs roads to get by. If you do not have roads, doctors cannot get to you to save your life, so there is lack of life which is against our 'general welfare' clause. Since Mexicans are becoming Americans, we should build their roads also.

  14. Re:Single-payer, like Medicare, would have been fi by spidrw · · Score: 2

    Medicare's overhead is 3% because they don't pay anyone (relatively speaking anyway) to investigate and then deny false claims.

    Fewer than 5% of Meidcare claims are audited.

    http://www.washingtonpost.com/wp-dyn/content/article/2008/06/12/AR2008061203915.html

  15. What about the parts BESIDES Romneycare? by Oh+Gawwd+Peak+Oil · · Score: 1

    Everyone always talks about the part of the healthcare law that mandates insurance--the part that was supported in the past by Romney, Gingrich, and, I think, Nixon.

    But what about all the rest of it? There's quite a bit of it besides that, like eliminating pre-existing conditions and many other things. Repealing everything is throwing out the baby with the bathwater.

    Of course, not including a public option made the new law only a pale substitute for what it could have been. But the public option will never happen, because the huge corporations and their paid big-media mouthpieces (and the millions of gullible believers in that big media) will never let it happen.

    1. Re:What about the parts BESIDES Romneycare? by Bob+the+Super+Hamste · · Score: 1

      So lets say that only the individual mandate part gets struck down but everything else is left intact. Now what would a reasonable person do. It now would make financial sense for me to drop my current insurance save that money and then when I get sick go and buy insurance to cover my expenses while I am ill. Once better I will be dropping my coverage like a bad habit. Now do you think this will make insurance more or less expensive? Also they only time it starts to make sense to carry continuous insurance is if you are someone who is likely to need medical attention, so for me at present I wouldn't carry it but my mother who is overweight, diabetic, smokes, and in general has a laundry list of problems (her own doing) it would make sense to carry insurance. I only see my doctor once a year for my annual physical and that would only cost me $50 out of pocket if I didn't have insurance, now instead it costs $15. My kids on the other hand would cost an arm and leg with all the check-ups and vaccinations.

      Personally I think the affordable care act is garbage and probably should be thrown out as unconstitutional (it is going to be argued on the interstate commerce clause BS which I hate since I can't buy health insurance from an out of state provider so it is intrastate commerce), and even though I wouldn't have supported it during the debate a single payer system instituted as a tax on everyone with benefits would have at least been constitutional. This is the debate we should have had.

      --
      Time to offend someone
  16. Heath care by Anonymous Coward · · Score: 0

    I bet they wish they had got behind the public option now.
    F_cktards.

  17. Re:Single-payer, like Medicare, would have been fi by Altus · · Score: 2

    Yea, because its not like there was a shit ton of lobbying done by the insurance industry to kill the idea of a single payer system.

    --

    "In America, first you get the sugar, then you get the power, then you get the women..." -H. Simpson

  18. Car Insurance by mx+b · · Score: 2

    I feel as though if I have a savings account for accidents, why should I have to buy car insurance? Usually I'm told something to the effect of "well they have to make it law or there would be too many people driving around causing accidents and not paying for it". OK, so how is that ok but health insurance is off-limits? Seems like people without health insurance going to emergency rooms are also not paying and racking up bills. Nobody has been able to give me a straight answer. I suspect much of it is irrational hatred of Obama. But I would love to hear a rational argument, either for or against, why I need health and/or car insurance. The government has been mandating one for ages and the other more recently, and so I'm trying to reconcile it in my head (though its likely futile I'm sure, society doesn't have to always do things that are rational and consistent).

    1. Re:Car Insurance by PCM2 · · Score: 2

      Suppose you got in two car accidents in two weeks? Is your savings account big enough? If your kid gets sick the following week and has to go to the hospital, now you're a burden on society.

      The thing is, we already have universal health care, as many people have pointed out, because if you took your kid to the hospital, the kid would get treated, irrespective of your ability to pay. So we already have a universal health insurance system; it's just the least efficient it can possibly be, because it's completely unregulated, unsupervised, and managed by no one except at the municipality level. All this health bill really does is establish a formal public health insurance system, make the costs explicit, and balance them across every American, instead of the few who choose to participate now.

      --
      Breakfast served all day!
    2. Re:Car Insurance by superdave80 · · Score: 1

      I know that in California you can skip buying insurance if you are willing to leave a $35k cash deposit with the DMV. It's just that most people would rather fork over the money for insurance instead.

    3. Re:Car Insurance by randyleepublic · · Score: 1

      This, like so many other things in the modern world, is so bleedingly obvious I am going to die young of emotional horror. Automobile liability insurance should be purchase by the state from funds collected by a surcharge at the gas pump. Just like health insurance should be provided by the state from funds collected by the tax man. Yes that is socialized medicine. What other kind is there????

      --
      Social Credit would solve everything...
  19. Should have gone with single payer.... by Beelzebud · · Score: 5, Insightful

    The only way this will ever get better in the U.S. is when we have a single payer system, that covers everyone. There is simply no excuse for us to not have it. This is what has been most disappointing about Obama. He's passing center-right and right wing policies (mandates were originally the Republican idea, folks, Clinton rejected it in the 90's), and The Left is taking the blame for it. If we had a real liberal in there, he would have fought for "Medicare For All", and not a 1990's Republican plan.

    1. Re:Should have gone with single payer.... by Above · · Score: 5, Interesting

      I've long thought the best thing for health care in this country would be for the law to be struck down. Too many people in this down economy already like provisions of it (no pre-existing conditions, keeping kids on your insurance longer). Were it to be unconstitutional I think there would be a large swell of folks pushing for them to find some way to re-establish the law and make it constitutional.

      Single payer becomes the obvious choice. It may be that the way to single payer is to lose in the Supreme Court.

    2. Re:Should have gone with single payer.... by Uberbah · · Score: 4, Insightful

      Simple economic theory dictates that one provider = higher costs. Many providers = competition = lower costs. But feel free to enjoy your liberal pipe dream.

      Speaking of pipe dreams, explain why no one in France loses their house due to medical bankruptcies. Explain why other countries spend 1/3 as much as the U.S. does while receiving better care. Explain why Cuba has comparable health stats to the U.S. while spending less than $300 per patient per year. Explain why men in their twenties die in the U.S. from an infection that spread from a goddamn toothache, because they couldn't afford to have it treated.

      Explain why a for-profit system that depends on increasing your premiums while denying your claims is magically "more efficient" than a system where you get what you pay for: health CARE.

    3. Re:Should have gone with single payer.... by ArdraDiva · · Score: 1

      You're suggesting that Bill Clinton rejected Hillary Clinton's health care efforts? You must not remember those years, what you're saying is utter nonsense if you don't remember Hillarycare.

    4. Re:Should have gone with single payer.... by PeanutButterBreath · · Score: 1

      Simple economic theory dictates that one provider = higher costs. Many providers = competition = lower costs. But feel free to enjoy your liberal pipe dream.

      Meanwhile, actual observation of health care policy in the industrialized world indicates that one provider yields lower costs and better outcomes and many providers yield higher costs and inferior outcomes.

      But feel free to enjoy your "simple economic theory".

    5. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      There are plenty of reasons for the US not to have a single payer healthcare system. Unfortunately, those ideas are systematically rejected by both parties in power. And instead we get stuck with a quasi-bastardization of both systems.

      As for your 'center-right' and 'right wing' policies comment... what planet are you on?!

    6. Re:Should have gone with single payer.... by 0123456 · · Score: 1, Troll

      Speaking of pipe dreams, explain why no one in France loses their house due to medical bankruptcies.

      Because their costs are offloaded onto others, who lose their house because they can't afford to pay for it after they've paid all the taxes.

      Explain why other countries spend 1/3 as much as the U.S. does while receiving better care.

      Because they pay doctors less, have no incentive to perform unneccesary procedures becuase they know the insurance will pay for it, and let the old farts die rather than spend hundreds of thousands of dollars keeping them on life support when they're going to die anyway?

      Explain why Cuba has comparable health stats to the U.S. while spending less than $300 per patient per year.

      Because they're commies and lie all the time to make themselves look good?

      From what people who've actually travelled to Cuba have said, they appear to have good healthcare for the 'important people' and 'good luck' healthcare for everyone else.

    7. Re:Should have gone with single payer.... by ArdraDiva · · Score: 1, Troll

      Lovely platitudes without a shred of empirical evidence. Worthy of Obama. Better care is seriously debatable, I read all the time that heads of state and others come to USA for their surgeries, etc., so why didn't they get their "better health care" at home? Those men in their 20s could have gone to the dental college and been treated for free. Or the general hospitals, who treat people who are uninsured. You probably don't know we have those in USA. I can make an appointment and be seen TODAY. You can't do that in socialized medicine. You talk like someone who knows absolutely nothing about health care in America.

    8. Re:Should have gone with single payer.... by davide+marney · · Score: 1

      Why have one-size-fits-all healthcare? That'd be like having one OS, or one brand of clothing, or one chain of restaurants, or one make of car. We don't ask government to manage our food purchases, or where we choose to live, or what jobs we work at. Why this fascination with government-run healthcare?

      --
      "We receive as friendly that which agrees with, we resist with dislike that which opposes us" - Faraday
    9. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      Mostly because comparing health care with a "product" is stupid.

    10. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      Never an option with Obama. He once in a while spouts some left sounding rhetoric, but his record is 100% right-wing politics (in spite of the crazies on the right who hate him anyway ?racists?).

      The obama care bill with its insurance mandate is not about universal health care, it is a health insurance bailout bill. It is also almost identical to a Republican "health care" plan proposed a few years earlier (including the individual mandate).

      Obama is at least as corporate bought and paid for as any Democrat or Republican politician.

    11. Re:Should have gone with single payer.... by DeadCatX2 · · Score: 1

      The planet where Obama claims the power to assassinate US citizens with no due process.

      The planet where Obama promotes indefinite detention without habeas corpus rights.

      The planet where Obama chooses to use military commissions to try terrorists, in contrast to just about every other country which tries terrorists in criminal courts in the city which was attacked.

      The planet where Obama has prosecuted more whistleblowers than all previous presidents combined.

      The planet where Obama has imposed harsh, pre-trial punitive measures for an Army private, including solitary confinement for almost a year, in violation of the Sixth Amendment of the Constitution, and Article 10 of the UCMJ.

      The planet where Obama ditches proper progressive principles for health care in favor of a mandate which will be a boon to private industry.

      The planet where Obama....aw, hell, you get the point.

      --
      :(){ :|:& };:
    12. Re:Should have gone with single payer.... by NoSig · · Score: 1

      The US spends a larger proportion of GDP on health care than any other member of UN except East Timor. The US also has an enormous GDP compared to most other countries. So costs are definitely not lower in the US compared to most single payer countries. Those are just the facts, I don't know where you got the idea that US health care costs were low. You are not getting good health outcomes compared to other countries either, by the way. I'm also not sure that I want to negotiate a good price and shop around for an ambulance company to come get me while I'm having a heart attack. I also don't want to have a discussion with 911 while I'm having a heart attack about which insurance company I've got so they can look up in their files which ambulance company they should be calling. When the only sensible choice is to use whatever service you can get in touch with right now, competition is meaningless.

      Treatment of infectious diseases must be a government issue for the same reason that putting out fires must be a government issue - letting the fire burn is obviously stupid, yet then you end up putting out fires for people who didn't pay you. The only people who can do that is the government. Making poor people go around sick isn't just a moral problem, it's not cost effective. It's not one of those questions where you can either sell your soul for a million dollars or keep your soul but get nothing. This is a question of whether you want poor people to die and infect you or whether you want to save money.

    13. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      So the fact that the more the gov has gotten involved in health care management (VA, medicare, medicaid) over the years, the worse the actual level of care, efficiency of $ flow, etc. has gotten means nothing.

    14. Re:Should have gone with single payer.... by Rich0 · · Score: 4, Interesting

      Funny that you mention the pre-existing conditions bit - that is what drove the requirement for everybody to have insurance or pay a tax.

      It is a compromise:

      1. Insurance companies are forced to sell insurance to everybody whether they want to or not.
      2. People are forced to buy insurance, whether they want to or not.

      You can't really have the one without the other. Insurers would either go out of business, or policies would become far more unaffordable than they already are.

      There is no way the courts would strike this down. If they did insurers would just start denying pre-existing conditions again, and then fight that out in the courts for another 5 years while people die untreated in hospitals. One way or another they'd find a loophole since anything else would be financial suicide.

    15. Re:Should have gone with single payer.... by DeadCatX2 · · Score: 1

      one provider = higher costs. Many providers = competition = lower costs

      A significant portion of health care costs is wrapped up in dealing with the administrative bullshit and bureaucracy. A single provider would streamline a lot of administrative work, potentially reducing costs. It's called standardization, and without it, much of our technology never would have matured.

      --
      :(){ :|:& };:
    16. Re:Should have gone with single payer.... by geoffrobinson · · Score: 0

      I always thought the problem with not getting the single payer is that liberals wouldn't realize they were wrong.

      The problem is that costs are hidden from those who demand services. So either the government or HMOs or insurance companies have to deny coverage to contain costs. And when HMOs tried to contain costs in the 1990s the public raised hell. They will do the same if the government tries to contain costs in a brute force fashion.

      There really are no easy answers like "single payer" or "let everyone fend for themselves."

      --
      Except for ending slavery, the Nazis, communism, & securing American independence, war has never solved anything.
    17. Re:Should have gone with single payer.... by LateArthurDent · · Score: 3, Insightful

      Or the general hospitals, who treat people who are uninsured.

      Hospitals are required to help anyone at the ER. They stabilize you and kick you out. If it's a condition for which you don't need immediate attention NOW, you're screwed.

      Have you been shot, and don't have insurance? You'll be ok. Do you have cancer and don't have insurance? You're screwed.

      I can make an appointment and be seen TODAY. You can't do that in socialized medicine.

      First, where do you live? Because I have insurance, live in columbia, SC and had a bad cough that lasted a month. When I decided it was time to see a doctor (obviously not an emergency room), I was told the soonest they could see me was in a week.

      Second, have you ever lived somewhere with socialized medicine? I used to live in Brazil, where they have a mix of private and public care. You can say a lot of unflattering things about the public care there, but not that they can't schedule you for an appointment on the same day. I used to call right before leaving the house and make an appointment for however long it would take me to get there. The waiting lists you hear about are for things with limited supplies, such as organ transplants.

      Never lived in either of those places, but I hear places like Canada and the UK don't have the same issues Brazil has with public health care.

    18. Re:Should have gone with single payer.... by migla · · Score: 1

      I can make an appointment and be seen TODAY. You can't do that in socialized medicine.

      We have drop-in on our socialized health center over here where I live in Sweden, so I don't even have to make a call. (nyah! nyah!)

      After that there could be a longer wait to see a specialist, than in the US, but you know, people are healthier and it costs less with our system.

      Many world-leading specialists are probably from the US. That's good in itself, but compared to health of and cost for everyone... So what? Great that you can provide the best care for the richest people?

      --
      Some of my favourite people are from th US; Vonnegut, Chomsky, Bill Hicks.
    19. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 1

      Better care is seriously debatable, I read all the time that heads of state and others come to USA for their surgeries, etc., so why didn't they get their "better health care" at home?

      Are you aware that many of those are ordinary citizens doing so at the expense of the single payer systems in Northern European countries at least (Norway, Sweden, Finland)? The reason being that for such small countries it's not cost-efficient to have every single type of specialist in the country and thus doctors have the authority to refer patients to specialists abroad. That's right, at least as good access to the best specialists as you have. Although, based on what I've read some Americans travel abroad for cheapercare...

      I can make an appointment and be seen TODAY. You can't do that in socialized medicine.

      Yes we can! Sorry, I can't resist the pun when you're so wrong. Where I live, it's so convenient that I don't even have to wait on hold when calling - the system is automated so that it registers your number and you get an approximate time when they will call you back, usually 15 minutes or so later.

      You talk like someone who knows absolutely nothing about health care in America.

      And you talk like someone who knows even less about socialized medicine. However, I don't claim to know all that much about health care in the US but I cannot help drawing certain conclusions from the fact that health care seems to have been a major issue in politics over there - unlike here - and usually the issues brought up in politics are what people are unhappy with...

      Whilst we enjoy the benefits of capitalism in most areas of our economy, it does seem to me that a socialized system works better for needs that are identical for everyone - i.e. staying healthy. No system is perfect but common sense tells me that there are quite a few advantages for consumers in a system which (1) prioritizes getting people back to work (and paying taxes), (2) doesn't have a profit incentive and (3) because of no profit incentive has less overhead. Furthermore, a system which is paid for by taxes can introduce certain fairness with ease - i.e.. tobacco and alcohol taxes and soon-to-be-implemented higher VAT on unhealthy food and lower VAT on healthy food. So if you have a healthy lifestyle, you pay less and the bureaucracy involved is simple. And finally, we do have private health care as well but it mostly provides cosmetic surgery which obviously isn't covered but if you choose to use it for other treatments that are covered, your costs are subsidized to some extent since the public system has one patient less then. The frills provided by private clinics are mostly what I consider unnecessary, though - I'm quite content without a peronsal TV and playstation as long as the medical equipment is state-of-the-art (yes, I have been vain enough to go through with one minor cosmetic procedure).

    20. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      Not going to happen soon. Obama does not have the political will to ask Republicans for the time of day, let alone to ask for an expansion on the very plan on which he's been most opposed. We'll have to wait at least four more years, when we have a chance at getting a different Democrat in the White House.

    21. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      From what people who've actually travelled to Cuba have said, they appear to have good healthcare for the 'important people' and 'good luck' healthcare for everyone else.

      Yeah, that sounds about right for Cuba, New York.

    22. Re:Should have gone with single payer.... by MobyDisk · · Score: 1

      There is no way the courts would strike this down.

      You seem to be assuming the courts would rule based on what would make for a nice system, not based on what the constitution says. They may very well rule that the mandate is unconstitutional, at which point we would either need to amend the constitution, or change the mandate into a tax, or implement this on the state level.

    23. Re:Should have gone with single payer.... by shutdown+-p+now · · Score: 1

      Simple economic theory dictates that one provider = higher costs.

      Said theory is not applicable when buyer and provider are effectively the same person.

    24. Re:Should have gone with single payer.... by thomasw_lrd · · Score: 0

      He didn't fight for shit. Remember only one Republican voted for it. They could have passed any fucking system they wanted. They did pass this stupid system. And it was passed with no representation. Therefore it is taxation without representation. Only 44% of people were for it, that means that the majority did not want this passed.

      I for one am not against some form of single-payer system. But I am against a larger federal govt in any capacity. These types of systems should be implemented in a more regional (probably state-wide, possibly smaller than that, city-wide?). The federal govt should not have this much power. They should be only there to protect our sovereignty, and to enforce interstate commerce.

    25. Re:Should have gone with single payer.... by thomasw_lrd · · Score: 0

      Is that why people cram onto small rafts, and travel several hundred miles through stormy shark infested water to leave there?

    26. Re:Should have gone with single payer.... by Nimey · · Score: 1

      The Republicans would never allow it. You'd have to raise taxes to pay for Medicare for all, and that goes against their religion.

      --
      Hail Eris, full of mischief...

      E pluribus sanguinem
    27. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      Single payer is a dumb idea but nobody wants to look at from the right lens. This isn't all about government and businesses making a profit. The 800lb gorilla that nobody wants to talk about is that this is about asking people to subsidize other peoples lifestyles.

      It would be one thing if we were all in the same boat as far as health is concerned, then I may support single payer (this from a very staunch conservative...). The problem is that we have smokers, obese people, drug addicts, lazy people that don't exercise, etc... all with self inflicted medical conditions. They think they have some sort of "right" to live their lives however they want and when their choices catch up to them, come back to the taxpayer and ask for a bailout to pay for their medical care. Why does nobody raise the BS flag on this because this is really what this debate is about...

      I say, you want single payer health care?... Great! First, pee in this cup so we can drug test you on a yearly basis, Second, pass this fitness test so we know you are exercising. Third, let's measure your waist line and make sure you don't have any extra pounds. What's this, your a smoker? Nope, sorry, smokers need not apply.

      Think this is a bit excessive? I don't think so... I didn't ask others to support my lifestyle, so don't ask me to support yours.

    28. Re:Should have gone with single payer.... by DarkOx · · Score: 1

      Oh certainly Single Payer is the obvious choice, both sides new that when they let it get dropped from the law.

      The Liberals who wanted there nation bankrupting wet dream knew the law as written will fail with out it.

      The Conservatives wanting to keep the status quo figured this was the best way to get the entire thing struck as unconstitutional.

      Notice how there is no separation clause in the law, its written so that its all enforce or none is, for a reason. The question is which side will win this little gambit. Which BTW was completely irresponsible!

      Its bad policy that endangers peoples access to care, if a social justice type, its a wild government power grab if allowed to stand that destroys any concept of limited government going forward if you care about basic freedoms.

      WE NEED THE TROW OUT ALL THE LEGISLATORS WHO WERE INCUMBENT WHEN THIS LAW WAS BEING NEGOTIATED. NOT ONE OF THEM IS FIT TO GOVERN, most on both sides should be executed for TREASON.

      --
      Repeal the 17th Amendment TODAY! Also Please Read http://www.gnu.org/philosophy/right-to-read.html
    29. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      People do not die untreated in hospitals. You go into any hospital anywhere in the US and they have to treate you. It is illegal not to. Now, you may not like the bill, but is isnt like we have debtors prisons either if you dont end up paying it.

      No one is dying in hospitals because they dont have insurance.

      Anyone who makes that claim is an idiot.

    30. Re:Should have gone with single payer.... by roman_mir · · Score: 1

      I explained it with government backed data. If you care to read, it's not extremely long, but it's not a one pager either.

    31. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      Hilarious. You do realize it won't be declared unconstitutional until next spring or summer at the earlier. There will be no time to craft new legislation and it would be a hot election issue in which the majority of the voting population does not agree with or condone.

    32. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      Yes, people do die by being untreated. Hospitals are only legally required to treat people if they suffer an emergency. Once a person is stabilized, the hosipital is under no legal obligation to provide services. The large number of people that use emergency rooms as a form of clinic do not change the dynamic at all; doctors write treatment plans and prescribe drugs where the patient must provide payment or the services will not be rendered.

      There are no debtor prisons but medical bills going to collections affect credit, and people still go into bankruptcy because of them.

    33. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      If a SCOTUS ruling strikes down the law before November 2012, it would be disaster for us all-- not because Democrats would suffer a landslide defeat, but because Republicans would very likely enjoy a victory they do not deserve.

    34. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      If it's a pre-existing conditiion, it's not insurance, it's welfare. Insurance is predicated upon risk assessement, with the premiums charged determined by the potential costs. If you have a pre-existing condition, the risk is 100%, and since they ( by law ) can't charge you in premiums what it's going to cost, someone else is paying for you.

    35. Re:Should have gone with single payer.... by CrimsonAvenger · · Score: 1

      Speaking of pipe dreams, explain why no one in France loses their house due to medical bankruptcies.

      Alas for your argument, no one in the USA loses their house due to medical bankruptcies (or any other kind of bankruptcy), since homes are one of the protected assets (along with a man's tools - yes, a bankruptcy court can't take your tools away from you) in a bankruptcy.

      --

      "I do not agree with what you say, but I will defend to the death your right to say it"
    36. Re:Should have gone with single payer.... by CrimsonAvenger · · Score: 1

      Do you have cancer and don't have insurance? You're screwed.

      MY cancer was diagnosed during a period when I was uninsured.

      When it reached the point that treatment was required, my doctor told me to go to the Emergency Room RIGHT NOW, then called the ER, told them I was coming, and told them to check me in immediately.

      Long story short, my cancer was treated. The hospital sent me bills. I paid what I could, and they continued sending them (and I continued paying) until they stopped - I don't know why they stopped, since by my calculations, I'd not yet paid the full amount owed.

      So, no, having no insurance doesn't mean you automatically don't get treated for things that aren't immediate problems.

      --

      "I do not agree with what you say, but I will defend to the death your right to say it"
    37. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      I agree that single payer is the right way to go. But Obama was not in favor of a mandate for private insurance. He opposed it in the primary debates while Hillary supported the mandate. Obama signed the bill but that's because he didn't have any other bills in front of him to sign. Obama is all about the art of the possible.

    38. Re:Should have gone with single payer.... by sjames · · Score: 1

      Yes you can. You can implement single payer socialized medicine.

      The healthcare situation in the U.S. is deplorable. A big tip of the hat to the healthcare bill, about the only thing they could possibly do to make it worse short of banning the practice of medicine.

      Insurance simply can not possibly address the issue of something everyone needs being unaffordable. It just means that now you get to pay that still unaffordable price PLUS an extra percentage for the insurance company.

      If the courts do NOT strike it down, they negate their own legitimacy. The Constitution has no escape clause for expediency.

      I guess Congress will just have to get off of their overpaid asses and do it right this time. That or squabble like exceptionally bratty children for a few more years.

    39. Re:Should have gone with single payer.... by dkf · · Score: 1

      Why have one-size-fits-all healthcare? That'd be like having one OS, or one brand of clothing, or one chain of restaurants, or one make of car. We don't ask government to manage our food purchases, or where we choose to live, or what jobs we work at. Why this fascination with government-run healthcare?

      Because there's ample evidence from elsewhere in the world that having a single mandatory system reduces costs in healthcare, which are massively out of control in the USA. It also helps in that with a single system bearing all the costs, those running that system are strongly motivated to find cheap ways to alleviate situations (which in healthcare means that there's much more of a focus on prevention rather than treatment; it's better to not get sick at all than to get better.) That's not to say that it's necessary to have no private sector involvement at all, but with a very large government buyer about that everyone is eligible to use, the private sector is motivated to provide better service (less waiting, better care) to justify their extra charges and to show people what they are getting for the money. (This is the system that the UK has; it's definitely not 100% government run.)

      --
      "Little does he know, but there is no 'I' in 'Idiot'!"
    40. Re:Should have gone with single payer.... by Rich0 · · Score: 1

      1. Insurance companies are forced to sell insurance to everybody whether they want to or not.
      2. People are forced to buy insurance, whether they want to or not.

      You can't really have the one without the other. Insurers would either go out of business, or policies would become far more unaffordable than they already are.

      Yes you can. You can implement single payer socialized medicine.

      You simply proposed solution #2. A single payer socialized insurance system forces everybody to buy insurance whether they want to or not. Now, the payment system typically is lumped in with taxes, and the premiums are usually not shared equally in that system. That is what makes it socialized. However, if you want pre-existing conditions to be covered, then you have to have universal coverage one way or another. How that coverage is paid for is really a separate matter, though they tend to get convoluted.

      Insurance simply can not possibly address the issue of something everyone needs being unaffordable. It just means that now you get to pay that still unaffordable price PLUS an extra percentage for the insurance company.

      Insurance does nothing to make something more or less affordable. All insurance does is evenly divide risk when individuals cannot predict their exposure to it except in a general sense. Auto insurance doesn't make owning a Bugatti any cheaper, but if you can generally afford to own one it prevents your car from being more expensive than your neighbor's if yours is stolen and theirs is not.

      Socialism is about making things more affordable for people who couldn't otherwise afford it, whether you are talking about food, housing, cable TV, or healthcare.

      Part of the mess of the healthcare debate is that people tend to mix up issues which really are separate (but related). The US healthcare system is messed up on numerous models, and that is why nobody has an easy fix. There are cost issues, insurance issues, legal issues, and as you point out, social justice issues. Individual changes can address some of these issues and yet leave others completely untouched.

      If the courts do NOT strike it down, they negate their own legitimacy. The Constitution has no escape clause for expediency.

      I guess Congress will just have to get off of their overpaid asses and do it right this time. That or squabble like exceptionally bratty children for a few more years.

      Well, the constitution has no clause for universal healthcare either, really, unless you count the ICC, and if you're willing to go that route then forcing people to buy stuff is just more of the same.

      In any case, the reality is that the healthcare system will not work if individuals can choose not to buy insurance, but private insurance companies are forced to sell it to them later and cover pre-existing conditions. What idiot would ever buy insurance in such a situation if they didn't have a stack of medical bills larger than the premium?

      And, while my point wasn't to discuss socialized medicine, I do think it is inevitable eventually. The short-term driver is that people don't like to see people dying in the street, and if you're going to help somebody there are cheaper ways to do it than to stiff the ER with acute care bills but let people waste away chronically. The long-term driver is that I suspect that advances in genetics will make it possible to predict disease risk and insurance doesn't work in a world where there is little uncertainty (who would buy insurance if they won't get sick, and how could anybody afford insurance that ends up only covering very sick people?).

    41. Re:Should have gone with single payer.... by Rich0 · · Score: 1

      Yup, and that's why there is a requirement to buy insurance.

      A big problem with heathcare is that we conflate insurance and socialism. You can have either, but they're not the same thing, and a big part of the problem is that people can't really agree on whether socialism is a desired outcome.

    42. Re:Should have gone with single payer.... by Uberbah · · Score: 1

      Alas for your denialism, medical bills are the cause of more than half the number of bankruptcies in the U.S., and we've had this little thing called the foreclosure crisis. Things must be nicer on planet Teabaggia, maybe I'll visit sometime....

    43. Re:Should have gone with single payer.... by Uberbah · · Score: 1

      Except your explanation is Randian fantasy:

      In a free market economy, the unemployment is very low, anybody with a job can afford * health care and insurance, because those services are very cheap, just like they were prior to 1965 **.

      In a free society, a person deserves to keep 100% of his earnings. However he does not deserve anything if he is not willing to protect his earnings. The only way that a person deserves to keep 100% of his earnings is by him participating in the voting process and voting only for his liberties and always against any government intervention against his liberties.

      Demand creates jobs, not a "free market economy". And we already know about this so called free society.

    44. Re:Should have gone with single payer.... by Uberbah · · Score: 2

      Lovely platitudes without a shred of empirical evidence.

      Just because you willfully ignore it, doesn't mean it isn't there. Single payer provides better care for less money. Deal with it.

      I read all the time that heads of state and others come to USA for their surgeries, etc

      Because they're rich, and they can afford it. Duh. Rush Limbaugh thinks nothing of paying $30,000 for a trip to the hospital because $30,000 is pocket change for him. Meanwhile a 24 year old father dies from a toothache because he couldn't afford to get treatment, and not everyone lives next door to a fucking dental school.

    45. Re:Should have gone with single payer.... by LateArthurDent · · Score: 1

      When it reached the point that treatment was required, my doctor told me to go to the Emergency Room RIGHT NOW, then called the ER, told them I was coming, and told them to check me in immediately...Long story short, my cancer was treated.

      So you had something that was operable? Because as far as I know, ERs can't provide chemotherapy treatments.

    46. Re:Should have gone with single payer.... by Uberbah · · Score: 1

      Because their costs are offloaded onto others, who lose their house because they can't afford to pay for it after they've paid all the taxes.

      Randian drivel. They also don't have health insurance CEO's worth three quarters of a billion dollars, funny how you left that part out. How do you think that happens? Because United Health pays for prompt medical care, or because they delay and deny care?

      Whine about scary socialism as much as you want, but under the scariest scenario you at least get what you pay for: health care. As opposed to in the U.S., where your insurer takes your double digit increase in your premiums and strives to find new ways to deny your claims. Like calling a severe miscarriage an "elective abortion", calling acne an "undisclosed precondition" to deny coverage for breast cancer treatment, or Vietnam vets that lose coverage because were two cents short on their payment.

    47. Re:Should have gone with single payer.... by Disfnord · · Score: 1

      Even with the mandate, insurance companies will still look for and find loopholes, because those loopholes save them money and are therefore profitable, and at the end of the day, insurance companies are still companies, and profit is the name of the game.

    48. Re:Should have gone with single payer.... by davide+marney · · Score: 1

      OK, for the sake of argument, let's assume that government-run healthcare is less expensive. Is the principle that anything the government can do more cheaply ought to be government-run? How is this a justification for giving up freedom of choice?

      I suppose the government could mandate that we all eat the same healthy, nutritious meals every day. The government could buy, process, and distribute the food. It would be far cheaper than letting people choose between McDonalds or Ruth Chris Steak House, and healthier, too.

      I suppose the government could mandate that we all wear the same types of clothes. It's so expensive letting people have too many choices. If we all wore the basic jumpsuit design, like the military does, it would undoubtedly be cheaper.

      I don't think you're arguing to live in that kind of world. I don't think anybody wants to live in that kind of world. All I'm saying is that that is the logical direction we'll be taking if the government is allowed to take over our healthcare.

      In the name of cost savings, of course.

      --
      "We receive as friendly that which agrees with, we resist with dislike that which opposes us" - Faraday
    49. Re:Should have gone with single payer.... by roman_mir · · Score: 2

      Demand creates jobs, not a "free market economy". And we already know about this so called free society.

      - production creates jobs, demand is a trivial consequence of production.

      Demand always exists, which is easily proven by the fact that USA has 53Billion USD /month trade deficit and the debt is constantly growing, as almost half of the money spent by US government is borrowed.

      Production comes first, it needs savings to be used as legitimate investment and it needs real risk to be present in order to ensure risk aversion and balance and proper capital allocation.

      Production comes first, that's why iPads were created first and then they were consumed.

    50. Re:Should have gone with single payer.... by Rich0 · · Score: 1

      Well, I'm not sure how you find a loophole when the law says to cover everything, but that is really a separate issue which is that we make the law into some kind of game. The solution to somebody saying "but that technically isn't what you said!" is "tough luck - watch us take you to the cleaners anyway."

    51. Re:Should have gone with single payer.... by sjames · · Score: 1

      Yes, in a sense, I proposed #2, but it IS without #1. There are, however, a few big advantages to my (admittedly unoriginal) proposal that aren't there in the case of mandatory insurance from the private sector.

      Firstly, the incentives and pressures shift. Suddenly the corporations who have been vastly overcharging Americans (and they have, that's why an American pharmaceutical shipped to Canada and back into the U.S. again is cheaper than the same drug that never leaves the U.S.) now find themselves overcharging the very same government that can declare their patents null if necessary. In short, the excessive healthcare costs that our legislature has done nothing about for years now becomes their personal heartburn. That should get them to fix it.

      Next, the feds tend to tax us as a percentage, which doesn't completely address affordability, but does at least move in the right direction as long as they don't put too many poison pills in the bill.

      Single payer also wipes out vast amounts of administrative overhead from the process. Yes, government billing procedures are a byzantine mess, but at least health providers would only have to deal with one byzantine mess rather than 5 or 6 different ones. It eliminates the need for each individual to waste a bunch of time dealing with the insurance confuseopoly.

      It could also do a lot to restore the doctor-patient relationship. No more changing doctors every time your employer saves 0.5% by switching insurance yet again. That, in turn would do a lot to improve the quality of healthcare in the U.S. Everything from better treatment compliance to not having to re-explain everything every few months to the doctor being able to spot trends from subtle clues that get lost when a patient has to be condensed into a few notes in a chart.

      Finally, it turns behavior control into a constitutional matter. Private insurance is perfectly free to add in a $10,000/year surcharge if you do anything they don't like. Your personal freedom doesn't matter to them in the slightest. They are not bound by the Constitution to not punish you for legal behaviors.

      As a side note, socialized medicine actually resolves a few ethical problems our society has now (but ignores). For example, I know what medication I need for a lot of potential illnesses and could treat myself quite easily. However, I cannot obtain those drugs myself due to prescription laws. I am bound by law to see a doctor first. IMHO, that creates an ethical obligation to provide me that doctor visit or do away with restrictions on buying pharmaceuticals. They refuse to do away with prescription laws since amongst other things, it would mean a junkie could legally get all the Oxy they want.

    52. Re:Should have gone with single payer.... by Dragoness+Eclectic · · Score: 1

      No, they refer you up to the department of the hospital that does chemo. Hospitals do not means-check you before they treat you--they just have you sign a piece of paper saying you are responsible for paying the bill. They are even pretty agreeable about letting you set up payment schedules for paying it back--they'd rather have you pay it back a little at a time than get zip because you default on the bill.

      Now the fact that chemotherapy without insurance costs about as much as a high-end luxury car is an atrocity--but at least they don't require you to pay for it upfront. Or sign a contract for financing.

      --
      ---dragoness
    53. Re:Should have gone with single payer.... by Rich0 · · Score: 1

      So, you have a bit of a mixed bag here and I won't go point by point. I will comment that socialized medicine and single payer healthcare are actually not the same thing - you can have either without the other. Some of the items you list have more to do with one than the other.

      Drug patents seem to come up a lot in these conversations. I'm a proponent of moving the R&D (and the patent rights) to the NIH, but I'd prefer to see this actually start working in practice before dismantling the current system. I think that the reality is that it won't really change the cost of drugs much, although it will shift around how they are paid for (ie instead of $5/pill it will be more like 10cents/pill and a bunch of checks for $10M here and there). If you want drug development and trials than somebody has to pay for it one way or another. Having the NIH do the whole thing soup to nuts would at least help answer questions around established treatments that right now don't get much attention since they are unpatented. Right now the NIH funds very little of the expensive part of drug development (which is mainly the clinical trials).

      I'm also a fan of getting rid of prescription drug access laws, but I doubt that I'll see this in my lifetime even if we have socialized medicine. This is really a separate issue.

      I do agree that single-payer would clean up a TON of administrative overhead. The current system is an incredible mess.

      As far as behavior control goes - this is actually one of the bigger problems with government-provided healthcare. Insurance can add some surcharges, but they're often powerless to detect or prevent certain behaviors. Government on the other hand can do stuff like ban particular foods, practices, business, and you name it. They also have more access to find out if people are doing banned activities, though this clearly will be about as successful (and tragic) as the war on drugs. I'm not under any illusions that the Constitution will do much to prevent anything like this - once Congress pays for treatments for lung cancer you can bet they'll take a hard look at smoking, and rightly so. If you want me to pay for your medical bills, then guess what, I'm now a part of your life choice decision making process whether you want me there or not.

      I don't disagree with many of your points, otherwise.

    54. Re:Should have gone with single payer.... by LateArthurDent · · Score: 1

      No, they refer you up to the department of the hospital that does chemo. Hospitals do not means-check you before they treat you--they just have you sign a piece of paper saying you are responsible for paying the bill. They are even pretty agreeable about letting you set up payment schedules for paying it back--they'd rather have you pay it back a little at a time than get zip because you default on the bill.

      Now the fact that chemotherapy without insurance costs about as much as a high-end luxury car is an atrocity--but at least they don't require you to pay for it upfront. Or sign a contract for financing.

      Well, I stand corrected, I had been informed otherwise.

      And I'm glad you came out of that alright. Cancer is bad enough without having to worry about paying for the treatment without insurance.

    55. Re:Should have gone with single payer.... by Maladius · · Score: 1

      FYI, as of right now the insurance companies are still denying people with pre-existing conditions. If you're under 19 they can't deny you now. But if you're over 19, you have to wait until Jan 1st 2014 before the insurance companies are forced to insure everyone. This date was made to coincide with the time that everyone is forced to have insurance (which further enforces your point of the compromise.)

    56. Re:Should have gone with single payer.... by sjames · · Score: 1

      I have to agree with moving the trials to the NIH. I don't agree with the assumption (at least I *assume* that you're assuming :-) that the cost of our drugs is caused by the clinical testing. The same companies willingly sell the same drugs that had to have the same level of testing to the rest of the free world at a substantially lower price. I presume they're not choosing to treat the U.K. and Canada as charity cases.

      I propose that they charge so much here because markets function poorly where the "choice" is buy or die and little else here forces them to be reasonable about it. Other countries set a fair price and tell them take it or leave it. They freely choose to take it (and so I conclude it really is a fair offer). We should do the same. Nullifying patents of critical drugs is just one potential way to encourage them to do the right thing.

      The behavior control has to be watched, but doesn't seem to be a bigger problem in countries with socialized medicine than it is here already (The sin tax on a pack of cigarettes is 56% of the retail price, we are expanding helmet laws, our drug laws are amongst the most draconian, etc). From an ethical standpoint, there is not actually much call for behavior control. If you demand I not ride a motorcycle, I get to demand that you don't skateboard or try to put up your own rooftop antenna, etc. We all do things that raise our risk of needing medical care.

      I'd say we agree more than disagree overall.

    57. Re:Should have gone with single payer.... by Gen_Music · · Score: 1

      Because it's been done and worked brilliantly elsewhere (UK). The NHS is constantly in billions of pounds of debt but the people are good and healthy and the government turns a blind eye to their debt. In fact now that you mention it, its probably hard not to turn a blind eye to their debt, seeing as it's dwarfed by the UK governments own debt!

    58. Re:Should have gone with single payer.... by Rich0 · · Score: 1

      Actually, the reason drugs are cheaper in the UK is similar to the phenomenon on aircraft where the guy sitting next to you can pay $100 for a seat you paid $3000 for.

      Imagine a plane has 100 seats, and it costs $100k to operate the flight. It manages to sell 10 seats for $3k, and 50 seats for $2k. At this point it is making money. However, it still has 40 seats left. It could just fly them empty and still make money, but if they sold those extra seats for $100 each they'd make an extra $4k and it really wouldn't change the cost of the flight much. However, that doesn't mean that the true cost of those seats is only $100 each - if the airline sold every ticket for $100 it would lose money.

      The situation is similar with drugs. Drugs have an odd pricing model. The first pill costs $100M to make, and every pill after that costs 10 cents. The problem is that nobody will pay $100M for the first pill, so instead they all sell for about $5 each for the first 10 years or so. Now, suppose the UK comes along and says that they won't pay more than 50 cents each. The manufacturer basically can take that price or leave it. They are still making 40 cents per pill at that price, so 40 cents is better than nothing. However, if EVERYBODY paid 40 cents for the pill they'd never make the $100M it cost to develop the pill in the first place.

      If the NIH just funded R&D end-to-end and public domained the pills, then a bunch of companies would step in and sell the pills for 15 cents or whatever and would be perfectly happy, since they didn't have to come up with the $100M. Sure, the taxpayers are out that money instead, but we all end up paying that money one way or another. Drug discovery is just another form of knowledge advancement and so the model of publicly funded research tends to make sense.

      The downside I see to having the NIH do the work is that you can end up with special interests taking over. Suppose the party in power thinks AIDS is a punishment for perverts - boom, there goes your AIDS research. Now, suppose the next party in power things that diabetes is what you get when you eat more than is good for you, boom, there goes diabetes research. The good thing about private investment is that as long as the money is green they really don't care what they research. That is also the bad thing about it - problems that impact poor people get under-represented in R&D.

      In any case, there is no reason you can't have both models. Have the NIH fund R&D, and pills they come up with are patent free. Let private industry patent drugs they come up with. If the private drugs really demonstrate value then the medical system can pay for them, and if not they can stick with the cheap stuff. Either way the state of the art advances for the benefit of all.

    59. Re:Should have gone with single payer.... by sjames · · Score: 1

      There is some of that in the pricing, though they actually spend more on advertising than R&D. However, it does suggest that if we would like to stop subsidizing everybody's healthcare but our own, we'll have to insist on more fair pricing.

      There is evidence in favor of my theory though. Colchicine is a rather old drug grandfathered in since it was in wide use before the FDA existed. As a generic, it cost $0.09 per pill. Because the FDA has a hole in it's head, it granted 3 years exclusivity to a single company because they did some fairly minimal safety and efficacy studies the FDA wanted. It now costs $4.85 per pill.

      That costs the medicare program alone an extra 49 million a year. That 185 subject study must have been conducted with incredible inefficiency if it cost enough to justify that. I can't help thinking that the FDA might have attracted more heat from Congress if they had to find budget for the entire amount that bonehead move added to healthcare costs in the U.S. It only adds insult to injury that the consensus is that the study added nothing whatsoever to the body of medical knowledge.

      Granted that there is danger of special interests taking over if NIH does it, but I'm not sure it's worse than the current situation where half of the "breakthrough" drugs are minor re-mixes of existing drugs and many are more risky and less effective than the older drugs they replace (but far more profitable).

    60. Re:Should have gone with single payer.... by infodragon · · Score: 1

      our previous discussion is archived. If you wish to continue email me temp101 at rdrtech.com. This is an alias and you'll get my real one once you contact me.

      --
      If at first you don't succeed, skydiving is not for you.
    61. Re:Should have gone with single payer.... by Rich0 · · Score: 1

      Agreed that more is spent on advertising than R&D, and that is waste that would be eliminated in an NIH model.

      I also agree that the reality is that drugs are priced at what the market will bear. That doesn't mean that the model works if everybody pays what the UK pays, but price and cost aren't directly coupled.

      The colchicine situations is obviously a good example of how not to do things. If the FDA wanted data on an existing drug they should have just ran their own trial on it (or had the NIH do it or whatever). But, the reality is that no private company would pay for it unless they got exclusivity, even if it only cost a few million dollars. Unpatented drugs are the perfect example of the tragedy of the commons - they're the best bang for the buck for everybody, but they're worthless to any company in particular.

      As far as new drugs being minor tweaks or worse than old drugs, what is the harm in that? If they aren't as good, then don't take them! At least in the private model when a company comes out with a lousy drug it doesn't cost you (as a taxpayer) a dime.

      I actually think that "me-too" drugs are a good thing. I know somebody with serious health problems and in some cases the "best in class" drugs just don't work for them. However, they can still take the "me too" drug and get some benefit from it. Antibiotics are the perfect example of the "me too" drug - 95% of the time most of them are equivalent, but the 5% of the time that they aren't can mean the difference between life and death. This is also the reason why nobody develops new antibiotics - 95% of the time they have no market since older cheaper drugs work just as well. The NIH could solve this with a steady stream of new antibiotics developed to head off resistance without regard to profitability. One of my fears of an NIH takeover is the "good enough" mentality where we stop researching treatments for diseases when we have something that works moderately well, and when that one treatment doesn't work for somebody we just write them off.

      Oh, and NIH-funded R&D doesn't need to mean the end of private industry either. First, they can still come up with their own novel patented drugs (which have to compete against cheap new publicly-funded ones). Second, they can always subcontract to the NIH - they have huge infrastructure for doing development and often do it reasonably well. The NIH simply would pay fee-for-service and would not award any kind of exclusivity or patents for work done. The industry has no risk so they can make do with low margins on this work, and it could help give them a baseline level of work/profit for when they are in dry cycles with their own R&D efforts.

    62. Re:Should have gone with single payer.... by sjames · · Score: 1

      As far as new drugs being minor tweaks or worse than old drugs, what is the harm in that? If they aren't as good, then don't take them! At least in the private model when a company comes out with a lousy drug it doesn't cost you (as a taxpayer) a dime.

      The problem with the tweeks and re-mixes comes in when their massive marketing/FUD campaigns convince doctors that only the new still patented and expensive drug should be prescribed.Naturally, the de-coupling between who decides which drug and who pays for it helps the pharmaceutical companies. OTC drugs tend to be less outrageously priced because the person paying for it will see them side by side and choose one.

      ]

      I have no problem with multiple drugs that treat the same thing. For one, we can't know which is best in class until we try a few in the real world. As you say, some people can't take the preferred drug for some reason. Here again, I object to the massive marketing and FUD to drive prescriptions to the more expensive less suitable drugs in all cases rather than for the corner cases where it is medically justified. In some cases, the new drug has absolutely no benefits for anyone over the older drug (this will almost always be the case where a topical drug is replaced with the same thing in pill form).

      The real travesties happen when an old drug is discovered to have a new use. We then see the pharmaceutical companies scrambling to launch a FUD campaign against the old drug while developing new and less effective drugs.

      Fully agreed that the NIH should be centrally involved in the development process. This is especially true given that many of the really interesting developments start at a university from research funded by public grants already. The pharmaceutical company's part is to work out details for mass production and to get the FDA approval. Keeping the benefits of publicly funded research public (rather than privatizing the profits) seems only fair.

    63. Re:Should have gone with single payer.... by Cable · · Score: 1

      Uh yeah. Taxing everyone to pay for healthcare is communism. Against Fundamentalist Christian beliefs. Republicans can never go for that. Communism is based on atheism no belief in God. Democrats want to tax the rich for it but never do and lie about it, that goes against their religion as that is Satanism.

    64. Re:Should have gone with single payer.... by Anonymous Coward · · Score: 0

      What the fuck are you talking about?

      Communism is not against "fundamental christian beliefs". Nor is it based on atheism. Communism is based on the idea that a group of people will be sufficiently unselfish to support the less fortunate among them. For any sufficiently large group of people, that idea fails. However, it can (and has) succeeded for small groups of people. They are usually called "communes", or in Israel they are called "kibbutzes" - which I make a point of mentioning because, although the Israelis don't believe in the Christian God, many of them do believe in a God, so your statement about communism being based on atheism is still false.

      There have been many communistic Christians. It is in no way incompatible with christian beliefs. What is incompatible is the notion that a communistic society can survive with dead weight - individuals who aren't willing to be unselfish enough to work for the benefit of the whole, rather than just benefiting themselves as much as possible with as little work as possible. To succeed, any communistic society has to have some way of either forcing those people to pull their own weight, or cutting off the support that they're leeching from the community without contributing anything in return.

      Government-sponsored communism, when it occurs, generally tends to be unsustainable because the people running the government are themselves the leeches. Typically they target anyone (or any group) with a high work ethic, and once they've worked those individuals to death the government collapses.

    65. Re:Should have gone with single payer.... by Uberbah · · Score: 1

      - production creates jobs, demand is a trivial consequence of production.

      Um, what? So if Ford produces 10 million new Pintos, there will magically be a demand for them?

      Demand always exists

      There's five unemployed people for every new job opening. Even in the great depression, there was "demand" as yes, some people were hired for jobs...with hundreds of applicants showing up.

      So saying "demand always exists" is a red herring. Is there enough demand for the existing labor force. Is there enough demand to dig us out of the Reaganomic hole: no.

      Production comes first, that's why iPads were created first and then they were consumed.

      Because there was a demand for the device, not merely because the devices were produced. Otherwise, no companies would release failed products, ever....

  20. Re:Single-payer, like Medicare, would have been fi by Anonymous Coward · · Score: 1

    Private insurance companies also spend much more than Medicare to investigate and deny legitimate claims.

  21. Re:Single-payer, like Medicare, would have been fi by Eunuchswear · · Score: 2

    had the argument been framed as "medicare for all" I think it would have gone much better and would have cut back on the people with "keep the government out of my medicare" signs.

    Except the Republicans (and blue dog dems) fought to get this option removed.

    --
    Watch this Heartland Institute video
  22. Quoting the law by erroneus · · Score: 1

    "You can't win... If you strike me down, I shall become more powerful than you could possibly imagine."

  23. if only it were war by md65536 · · Score: 1

    Ah, if only it involved killing foreigners. Then you don't have to worry about laws.
    Bush is really lucky that Cheney did that whole 9/11 thing. After that he did whatever he wanted.

    1. Re:if only it were war by JustinKSU · · Score: 1

      Ah, if only it involved killing foreigners. Then you don't have to worry about laws. Bush is really lucky that Cheney did that whole 9/11 thing. After that he did whatever he wanted.

      Off topic but so true.

    2. Re:if only it were war by shutdown+-p+now · · Score: 1

      Are you suggesting that they make a proper single-payer healthcare bill, and slap a rider on top of it to harvest organs in Iraq and Afghanistan?

  24. What would Americans comment to this? by SmallFurryCreature · · Score: 0

    American Dream becomes nightmare

    I will translate it for those poor follows that are not gifted with the understanding of the Dutch language:

    46 miljoen Amerikanen leven onder de armoedegrens; 41 miljoen Amerikanen kunnen zichzelf en hun gezin niet voeden zonder gratis voedselbonnen; 30 miljoen basisschoolkinderen kunnen op school ontbijten dankzij het National Breakfast Program; 10 miljoen kinderen krijgen ook een gratis of goedkope lunch op school; 48 miljoen Amerikanen hebben geen ziektekostenverzekering; 38 miljoen Amerikanen zijn onderverzekerd voor ziekte of arbeidsongeschiktheid; 2 miljoen Amerikanen moesten dit jaar hun huis veilen; 5 miljoen huiseigenaren hangt dit boven het hoofd; 14 miljoen Amerikanen hebben volgens de officiële cijfers geen baan, deskundigen schatten het werkelijke cijfer op 25 miljoen werklozen.

    46 million Americans live below the poverty line; 41 million Americans can't feed themselves and their familye without free food coupons; 30 million primary school kids can eat breakfast at school thanks to the National Breakfast Program; 10 million kids get a free of cheap lunch at school; 48 million Americans have no health insurance; 38 million Americans are insured to low for disease or becoming unable to work; 2 million Americans have to sell their house this year; 5 million are awaiting a similar fate; 14 million Americans have no job according to official figures, experts estimate the true figure at 25 million.

    Are these figures accurate? I know that for instance mortgage is a different thing in the US, in Holland the debt stays with you and if selling the house doesn't cover the debt you get to keep paying, whereas Americans can apparently just abandon the house and walk away, the debt is with the house. That changes things a lot, in Holland loosing your house often results in personal bankruptcy.

    Neither do I want to pretend that Holland is much better, we have foodbanks here and they were appealing last winter for extra funding and donations to deal with the increased demand. And the Dutch government happily pretended that none of it was needed. Health insurance cost keep going up, hold you hats Americans, De basispremie voor de zorgverzekering gaat omhoog van 1107 euro dit jaar naar 1211 euro volgend jaar, verwacht het kabinet. De precieze bedragen verschillen per verzekeraar en worden later bekend. Ook de inkomensafhankelijke premie stijgt: van 7,05 naar 7,75 procent. the base insurance which covers a LOT but not everything (the basics real medicine is covered for ill or injured people, the fruity stuff less and less) is going up from 1107 euro this year to 1211 euro for the next year.

    Insurance by the way is mandatory.

    The increase is just more prove for most that the commercialization of health care isn't working at all in Holland. What are the American insurance rates for a single male who won't see 40 again and doesn't like taking to much risk? Both under the new system and the old system?

    --

    MMO Quests are like orgasms:

    You may solo them, I prefer them in a group.

    1. Re:What would Americans comment to this? by molo · · Score: 1

      I know that for instance mortgage is a different thing in the US, in Holland the debt stays with you and if selling the house doesn't cover the debt you get to keep paying, whereas Americans can apparently just abandon the house and walk away, the debt is with the house.

      This is not true. When people say they walk away from a mortgage, it essentially means they are declaring bankruptcy and their credit is destroyed. If you sell a house below the price you paid for it, you will take a loss and still have to pay off the loan.

      -molo

      --
      Using your sig line to advertise for friends is lame.
    2. Re:What would Americans comment to this? by toadlife · · Score: 1

      When you abandon your house here the bank forecloses on it; i.e. they take possession of it and sell it. They absorb any losses, and your credit record is marked in a similar way to how it would be marked if you go bankrupt.

      Typically, someone whose house is foreclosed on in unable to get another home loan for several years.

      the base insurance which covers a LOT but not everything (the basics real medicine is covered for ill or injured people, the fruity stuff less and less) is going up from 1107 euro this year to 1211 euro for the next year.

      hah!

      My health insurance costs around 882 Euros PER MONTH.

      --
      I don't always use unix-like operating systems; but when I do, I prefer FreeBSD.
    3. Re:What would Americans comment to this? by PCM2 · · Score: 1

      I know that for instance mortgage is a different thing in the US, in Holland the debt stays with you and if selling the house doesn't cover the debt you get to keep paying, whereas Americans can apparently just abandon the house and walk away, the debt is with the house. That changes things a lot, in Holland loosing your house often results in personal bankruptcy.

      You can't legally walk away. The situation in the U.S. is pretty much the same as you describe in Holland, with maybe two differences:

      1.) What should happen and what does happen may be different things. In some cases, American mortgages have changed hands so many times that quite literally nobody knows who owns the paper on your house. In the wake of the mortgage crisis of a couple years ago, if you walk away, it might take more than a year for someone to come knock on your front door to find out why you haven't been paying your mortgage. That doesn't absolve you of the debt, but who cares about debt when you don't have to pay the money every month?

      2.) Bankruptcy in America is really not so catastrophic a scenario. It can create hardships, making it more difficult for you to obtain credit, but the bankruptcy laws are designed so that bankruptcy doesn't really destroy you financially (what would be the economic purpose of that)? I know several people who filed for bankruptcy at a fairly young age and have since paid their way out of it. In the meantime, life goes on. Donald Trump -- a famous, rich real estate developer -- has filed for bankruptcy several times. So while walking away from a mortgage will probably end with you filing for bankruptcy, so what? Especially if you're in the last 1/3 of your life, maybe in retirement and on fixed income, default and bankruptcy can be strategic decisions.

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      Breakfast served all day!
    4. Re:What would Americans comment to this? by im_thatoneguy · · Score: 1

      the base insurance which covers a LOT but not everything (the basics real medicine is covered for ill or injured people, the fruity stuff less and less) is going up from 1107 euro this year to 1211 euro for the next year.

      Average rate is now almost $5,000 USD per year. Yay America!

      http://www.usatoday.com/money/industries/health/2009-09-15-insurance-costs_N.htm

    5. Re:What would Americans comment to this? by dkleinsc · · Score: 1

      I'm not sure whether the figures are quite right, but the basic story they tell is quite accurate.

      The cheapest health plans I could find (via a quick search) for a 50-year-old non-smoking male were about $2160 (1585 euro) per year. However, all of those plans have a high deductible, so even if you are sick or injured you have to pay up to $10,000 (7340 euro) before the insurance company pays anything. And if they can, the insurance company will attempt to avoid paying the bill entirely, leaving you stuck with the bill but still requiring that you pay the insurance premiums.

      The new health care law requires everyone to get insurance, and also puts a dent in some of the tricks insurance companies use to avoid paying the bill. At best, it makes the US system more like the Dutch system.

      --
      I am officially gone from /. Long live http://www.soylentnews.com/
    6. Re:What would Americans comment to this? by PCM2 · · Score: 1

      What are the American insurance rates for a single male who won't see 40 again and doesn't like taking to much risk? Both under the new system and the old system?

      This is a difficult question to answer, because the plans are fairly complex.

      I'm a male who is not quite 40. I pay about USD $250 per month for health insurance. I'm willing to bet, however, that the level of coverage my insurance gives me is different than what you get in Holland.

      For one thing, my insurance only covers 60 percent of most health care costs. I'm personally responsible for the other 40 percent. This also assumes that I'm using doctors and other health care providers who have agreed to my insurer's terms (they are "preferred providers"). My plan allows me to use any doctor I want, even if they are not "preferred"; some plans don't. If I use non-preferred services, however, the rate my insurance pays goes down (I think it still pays half).

      There is a hidden savings here also. Doctors tend to bill as much as they can for their services, but the insurance companies dictate how much they will pay for each class of service. It's illegal for doctors to bill insurance companies a different rate from individuals. But in practice, if an insurance company will only pay a certain amount, doctors will usually write off the difference between what they billed and what the insurance company actually allows. They would not do that if they were billing you as an individual. Therefore, if you don't have insurance, the actual amount you'll end up having to pay will be significantly higher. You can often negotiate such bills if you can make the case for financial hardship (which is easy to do -- medical bills are a leading cause of bankruptcy in the U.S.) but that's obviously not as easy as to sit back and let your insurer do the negotiating for you.

      The insurance also has a "deductible," which means your bill must reach a certain amount before insurance will pay anything. I believe my deductible is $1,700 -- so I must pay $1,700 out of my own pocket in any one calendar year before insurance will pay anything. Really basic services, such as doctor visits, X-rays for broken bones, and things of this nature tend to be exempt from the deductible, though. These things aren't free, but you get them for a flat rate. So a doctor visit with insurance might cost $35; the same visit, without insurance, might cost $170.

      Maybe the most important thing with my plan is that it sets a maximum amount that the patient must pay in any calendar year; in my case, I think it's something like $6,500. That might sound like a lot of money, but a friend of mine twisted her ankle on the street, broke it in several places, and by that afternoon she had a hospital bill for $30,000. To me that's completely unmanageable, but $6,500 per calendar year is not.

      There are many other factors, such as whether your plan will pay for non-generic drug prescriptions, whether it covers eye care and other types of care, and so on. One of the biggest factors for women is whether their plan covers pregnancy. If a woman got a similar plan to mine at a similar rate, it would not cover pregnancy. If she got pregnant, pretty much every insurer would offer her a plan that does cover it at a significantly higher rate, and she would be able to switch. (In San Francisco, however, the city offers prenatal care and similar services essentially for free.)

      Anyway, like I said, the whole thing is very complicated, and there are further options I have not discussed, such as insurance combined with a health savings account. It's too much to go into everything, and even what I have written here is simplified.

      I spent a long time weighing different plans and imagining different scenarios in which I might need to file claims against them. The bottom line I came to was: Different plans pay for things in different ways, but unless you can predict exactly what injury or illness you'll get in the future, there's no way to know which one

      --
      Breakfast served all day!
    7. Re:What would Americans comment to this? by PCM2 · · Score: 1

      Replying to my own post: I should add, I'm talking about insurance rates because you asked what insurance costs. I am self employed and therefore buy insurance as an individual. Most people in America get their insurance through their employer. That means they usually get a better level of coverage than individuals who buy insurance on their own, but their out of pocket expense is less. Their employer pays for the majority of their insurance premiums (in addition to their salary). They must pay the rest out of their salary, but it's usually no more than 20 percent of the total cost of the plan, and the money is taken out of their salary before taxes are assessed (so the money they spend on health insurance is tax-free). Like I said before -- it's all very complicated.

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      Breakfast served all day!
    8. Re:What would Americans comment to this? by SirGarlon · · Score: 1

      Are these figures accurate?

      They sound about right. For reference, the total population of the U.S. is ~300 million. Despite decades of social programs we have not been able to get the poverty rate below about 15%.

      --
      [Sir Garlon] is the marvellest knight that is now living, for he destroyeth many good knights, for he goeth invisible.
    9. Re:What would Americans comment to this? by RightSaidFred99 · · Score: 1

      Amazing, you mean if I pay a shitload more in taxes I can save less of that shitload on cheaper insurance?! Why, sign me up - I don't like money!

    10. Re:What would Americans comment to this? by Anonymous Coward · · Score: 0

      But what people don't realize is that the complexity you've illustrated is a glimpse of how things should be in a free market. I personally want a high deductible plan paired with a health-savings account: that's much closer to real insurance than what most places provide (I have a PPO account through work that I take only because my employer pays. If they gave me the option to take the extra $600 a month and get my own plan, I'd do so. Except that I'm pretty sure that real insurance wouldn't pass muster when it comes to the good old mandate here in Mass.). The thing is, insurance is risk shifting: I pay them to cover me in the event that I get hit with more costs than I'm willing to risk. I'm a healthy 22-year-old, so the odds of that are pretty low, so my premiums should reflect that. What people of both parties are pushing is a strange bastardization of privatized socialized healthcare where we pay one rate and virtually everything is covered. Checkups aren't a risk: I have no desire to insure myself against checkups. Government mandates to cover these types of things are a major source of the problem: they mutate health insurance from risk transferring from one party to another and into cost spreading from one person to the rest of the population. This is by definition inefficient for the majority of people. So, rather than keeping the status quo and debating if private or public is better, let's back off on some of the mandates and make it easier for people to get real insurance again.

    11. Re:What would Americans comment to this? by PCM2 · · Score: 1

      What people of both parties are pushing is a strange bastardization of privatized socialized healthcare where we pay one rate and virtually everything is covered.

      Actually, I don't know what newspapers you've been reading, but unless I'm misunderstanding you I'm pretty certain nobody in either party is pushing that.

      Checkups aren't a risk: I have no desire to insure myself against checkups.

      I don't even do annual checkups. I don't think they've been shown to have any significant preventative effects for young men. On the other hand, most things you go to a doctor for at a young age are just simple doctor visits, for things like a sinus infection. Those aren't generally billed any differently than a checkup is; they're just "doctor visits." If the doctor discovers something unusual, however, you may be sent somewhere for further tests. Thus, the whole process should be insured. It's unforeseen medical treatment and that's precisely what you get insurance for.

      --
      Breakfast served all day!
    12. Re:What would Americans comment to this? by CrimsonAvenger · · Score: 1

      Are these figures accurate?

      They sound fairly reasonable. Note that the definition of "poverty" varies from country to country. and even from State to State in the USA. In the USA, in general, the poverty line is 300% of the cost of food for a family (with government assistance such as Food Stamps NOT counted as part of the income).

      Note that if you are in poverty in the USA, the whole health insurance issue is meaningless sound, since you're covered by Medicaid (assuming you're under 65 - if you're over 65, you're covered by Medicare), not by private insurance.

      --

      "I do not agree with what you say, but I will defend to the death your right to say it"
    13. Re:What would Americans comment to this? by CrimsonAvenger · · Score: 1

      They sound about right. For reference, the total population of the U.S. is ~300 million. Despite decades of social programs we have not been able to get the poverty rate below about 15%.

      Umm, we haven't gotten the poverty rate below 15% because we redefine poverty upwards fairly regularly. Today's poverty isn't the poverty of 1940. Or even of 1980.

      --

      "I do not agree with what you say, but I will defend to the death your right to say it"
    14. Re:What would Americans comment to this? by SirGarlon · · Score: 2

      First of all, I have to correct myself. According to Wolfram Alpha, the U.S. poverty rate in 2010 was 12%, with "poverty" defined as annual income at or below $11,139 for a single person. I think we can agree, no matter where you are in the U.S., it is tough to get by on $11K per year.

      So I took a look at the poverty level in 1980, and it was $4,190, again for a single person. Adjusting for inflation to 2010 dollars, Wolfram Alpha gives me $11,237. So I disagree with respect to adjusting the definition of poverty: the definition does get adjusted upward, but in fact is increasing a tiny bit slower than inflation, with the net effect that it's basically stable when viewed in inflation-adjusted dollars.

      --
      [Sir Garlon] is the marvellest knight that is now living, for he destroyeth many good knights, for he goeth invisible.
  25. Historical law by slyrat · · Score: 2

    I looked it up and found that John Adams signed a law mandating sailors to purchase health insurance. Here is a link to the law: 5th congress passed law and an article talking about it: daily KOS article So if precedent means anything it doesn't look like the law will be struck down. Though stranger things have happened before.

    1. Re:Historical law by ZombieBraintrust · · Score: 1

      Precedent only applies to court rulings. It doesn't apply to the passage of laws. Also John Adams was a douch bag when it comes to the constitution. http://en.wikipedia.org/wiki/Alien_and_Sedition_Acts

    2. Re:Historical law by Amtrak · · Score: 1

      From a legal point of view this whole thing is about nit picking. The truth is that the dems when they passed the bill didn't want to say they were creating a new tax, so they said that they were mandating health insurance and only if you didn't have it would you be charged the tax. This is problematic, in your above example the government was taxing sailors and then providing a service for there tax. This is the same thing that medicare does now and they aren't challenging that in court. No they are challenging the mandate for insurance. This whole thing could have been avoided if the spineless pukes who didn't want to lose their seats had just passed what they meant to pass. AKA a tax to cover the costs of medical care for the poor who can't afford medical care and a new tax deduction totaling the cost of the tax for anyone who can prove that they have medical insurance that is up to a defined standard. That little bit of rewording and the thing is constitutional because there is no mandate for insurance just a tax break if you got it. Same result different words no constitutional madness. That or they could have just done what they really wanted and pushed through a single payer universal health care bill. But then no one would get Big healthcare's campaign contributions so.....

    3. Re:Historical law by sjames · · Score: 1

      THAT was actual socialized medicine. A specific tax that would provide any and all required healthcare. It was even more socialism given that it mandated a fair rate of pay

      What we have now mandates paying a private corporation (rather than the government) and makes no provision for being able to actually afford to pay for it. Once it's manditory, prepare for sticker shock.

      Adams plan would cost the lowest paid less than half a month's pay for a year of coverage (A private made $5/month plus daily rations and would pay $2.40 a year for this tax). Today, the average annual premium is over $5000. To keep things even close to being in proportion today $120,000 plus meals would be considered a low end annual pay (note that the average annual pay is around $40K now).

    4. Re:Historical law by wayne34567 · · Score: 1

      John Adams also promoted and signed into law the Alien and Sedition Acts. This allowed Adams to imprison anyone who criticized him. When Jefferson became president, he pardoned and released everyone convicted under this law (although the scumbag didn't release all the people he imprisoned as his slaves). I would hardly hold the actions of John Adams to be precedent-setting with regards to the constitution.

  26. Individual Mandate originally a Republican idea by QuietLagoon · · Score: 3, Insightful
    If you go back to 1989, you'll see that The Heritage Foundation (a very conservative think-tank) floated the idea of the individual mandate for health insurance.

    .
    Through the 1990's, various Republicans submitted health care bills specifying the individual mandate.

    The Republicans are, as usual, being quite hypocritical in their objections to the individual mandate in the Patient Protection and Affordable Care Act of 2010. Perhaps it is time for the Republicans to back away from their objection to everything and roadblock generation, and get down to the business of governing.

    1. Re:Individual Mandate originally a Republican idea by geoffrobinson · · Score: 2

      I forgot where Heritage commented on their past support of the idea, but so what?

      There's two things we need to take note of.

      1) Do we see the individual mandate bringing down costs in MA? No, we don't. It increases coverage, but it doesn't lower costs. We didn't know that then.

      2) It is unconstitutional to do at the federal level. Feel free to do it at the state level if you think it is such a great idea.

      --
      Except for ending slavery, the Nazis, communism, & securing American independence, war has never solved anything.
    2. Re:Individual Mandate originally a Republican idea by Anonymous Coward · · Score: 0

      Thank you for the sources. The 1993 health care bill was very similar to the ACA, and amazingly, these were some of the Republican cosponsors (some of them still in office to this day):

      Chuck Grassley (R) from Iowa
      Bob Dole (R) from Kansas
      Orrin Hatch (R) from Utah
      John Warner (R) from Virginia
      Bob Bennet (R) from Utah
      Mark Hatfield (R) from Oregon

      That's just a handful. This law would have required "each citizen or lawful permanent resident to be covered under a qualified health plan or equivalent health care program by January 1, 2005".

      I get nauseous and disgusted when I think about what the Republican party has become.

    3. Re:Individual Mandate originally a Republican idea by Anonymous Coward · · Score: 0

      Perhaps it is time for the Republicans to back away from their objection to everything and roadblock generation, and get down to the business of governing.

      Yeah, the Republicans are trying to make government as dysfunctional as possible, and then blaming everyone else for not "comprimising". (Reminds me of Mr Nyet.) It is rather absurd, but people are still voting for them. I wonder if there will ever by a revolt against Republican weasal-words. The Democrats really need to call them out on the projections. Have a spine.

    4. Re:Individual Mandate originally a Republican idea by salesgeek · · Score: 1

      You should look at what Nixon wanted to do in the 1970s.

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      -- $G
    5. Re:Individual Mandate originally a Republican idea by laird · · Score: 1

      In July of 1798, Congress passed – and President John Adams signed - “An Act for the Relief of Sick and Disabled Seamen.” The law authorized the creation of a government operated marine hospital service and mandated that privately employed sailors be required to purchase health care insurance.

      http://www.scribd.com/doc/29099806/Act-for-the-Relief-of-Sick-DisabledSeamen-July-1798

      Keep in mind that the 5th Congress did not really need to struggle over the intentions of the drafters of the Constitutions in creating this Act as many of its members were the drafters of the Constitution.

      And when the Bill came to the desk of President John Adams for signature, I think it’s safe to assume that the man in that chair had a pretty good grasp on what the framers had in mind.

      So much for the claim that “The Constitution nowhere authorizes the United States to mandate, either directly or under threat of penalty.”

      As for Congress’ understanding of the limits of the Constitution at the time the Act was passed, it is worth noting that Thomas Jefferson was the President of the Senate during the 5th Congress while Jonathan Dayton, the youngest man to sign the United States Constitution, was the Speaker of the House.

      http://bakka111.wordpress.com/2011/02/01/the-individual-mandate/

      Though perhaps modern day Republicans know the founders' intentions better than John Adams?

    6. Re:Individual Mandate originally a Republican idea by sjames · · Score: 1

      In other words, as usual the Democrats, faced with an insurmountable Republican minority, "compromised" by giving the Republicans exactly what they wanted. In gratitude, the Republicans are crying bitterly about it and disclaiming all responsibility.

    7. Re:Individual Mandate originally a Republican idea by Anonymous Coward · · Score: 0

      As I recall, various Democrats were opposed to civil rights in the '60s. Does that make Democrats today hypocrites?

    8. Re:Individual Mandate originally a Republican idea by randyleepublic · · Score: 1

      >> Perhaps it is time for the Republicans to back away from their objection to everything and roadblock generation, and get down to the business of governing.

      Why? Assholes keep voting for them. Oops did I say "assholes"? I meant *stupid* assholes.

      --
      Social Credit would solve everything...
    9. Re:Individual Mandate originally a Republican idea by Anonymous Coward · · Score: 0

      If you go back to 1989, you'll see that The Heritage Foundation (a very conservative think-tank) floated the idea of the individual mandate for health insurance.

      .

      Through the 1990's, various Republicans submitted health care bills specifying the individual mandate.

      The Republicans are, as usual, being quite hypocritical in their objections to the individual mandate in the Patient Protection and Affordable Care Act of 2010. Perhaps it is time for the Republicans to back away from their objection to everything and roadblock generation, and get down to the business of governing.

      To be fair, many Republicans in Congress today were not there when individual mandates were discussed in the 1990s.

  27. AMA - World's greatest Union by Anonymous Coward · · Score: 0

    You act as if uninsured people cost us nothing. Who do you think pays for their emergency room visits?

    Yep to the above and some of the money comes out of the margins of the hospital - which is what SHOULD happen for non-profits.

    This debate is getting irksome. The medical lobby (AMA) jumps in with non-sense like "we to pay physicians high wages to attract the best and brightest" or "we need to do all these expensive tests because of lawsuits" or "physicians have hundreds of thousands of dollars in student loans!"

    1. THE best and brightest go to Silicon Valley to be a billionaire before they're 30.

    2. All those expensive tests are a BIG revenue stream and a BIG profit center. The "hedging against lawsuits" is for PR purposes.

    3. The payments for med school student loans are chump change to a specialist who's pulling in $500k a year. And as for the GPs and internists - everyone I know are children of physicians who got free ride in Med school. They also LOVE being a family doc.

    What's my point? Docs get paid waaayyyy too much for what they do and too much for the training they receive.

    Life and death decisions? Really? Say that to a brake mechanic.

    Training received? Tell that to a chemistry, physics, biology, or other scientific post-doc.

    Expensive training? Well, let's put it this way: med school is the last place where some bright person can almost be guaranteed a career where you'll be rich - unless you're a complete idiot with your money.

    Insurance premiums too high? *snicker* Docs just pass it on to us.

    And let's look at the insurance industry. They charge too much for their services. Period. Every reason they give for charging as much as they do is horseshit. It's all about keeping the margins for those assholes on Wall Street.

    My solution? Single payer government healthcare. Don't like it? Get private insurance.

    Secondly, stop caving into AMA lobbying. Allow nurse practitioners and PAs to do more. Please, you don't need an MD to prescribe an antibiotic or some other meds. As a matter of facts, MDs are over qualified for 90% of what they do. In other words, they're too many docs and they're overpaid for what they do.

  28. Republicans cheered to end this by Anonymous Coward · · Score: 0

    About a week ago, some Republicans cheered at a debate when Ron Paul implied letting a 30 year old die without the money to pay for treatment. Requiring ERs to treat people is shifting the cost onto other people. This country should be one way of the other. The hard core Republicans know which way they want it to be.

    1. Re:Republicans cheered to end this by Anonymous Coward · · Score: 0

      Don't be stupid. He implied no such thing. The question (which was cheered) was posed by the moderator - Ron Paul answered it by saying nobody should be left to die without treatment, he just didn't believe it was the Fed's responsibility to pay for it.

    2. Re:Republicans cheered to end this by Quiet_Desperation · · Score: 2

      This is why I have no hope for anything anymore. Even little things like this are parsed into unreality and woven into the tapestry of myth, lies and nonsense that represents "truth" for most people. I can;t even talk politics to anyone anymore because it's constant triage figuring out which lies they believe to fix first, and you can't fix them anyway, because they "know what they know". This applies to ideologues from one end of the spectrum to the other.

  29. Stop skrewing around and do it already by Bardwick · · Score: 1

    For those that are in favor, answer me this.. Why shouldn't ALL income go to the government first, have all programs paid for, and then (if anything is left over) divided by 340 million is our "new" income. What is your argument against that? Everyone is dancing around the most obvious. We simply can't afford everything we want.

    1. Re:Stop skrewing around and do it already by h4rr4r · · Score: 1

      Because that is total nonsense?
      For those who are opposed answer me this... Why should the government build bridges, everyone should just carry a stout log.

      I agree we simply can't afford everything we want. First thing to cut is the two wars we don't need or want.

    2. Re:Stop skrewing around and do it already by Mashiki · · Score: 1

      As a canuck I can answer that. Because a bureaucrat in washington should never be the one determining the level of care and where. In Canada, fundamental idea behind the 'basic level of care' is that all provinces will cover it. Those that can will get coverage of it. But that provinces know where and what best to do with those resources.

      Never should someone at the top determine who gets what. The person in your home state, or province should. Never should strong provincial or state power be arbitrarily stripped away for something so damn stupid.

      --
      Om, nomnomnom...
    3. Re:Stop skrewing around and do it already by Anonymous Coward · · Score: 0

      Laftier curve is not your friend.

    4. Re:Stop skrewing around and do it already by White+Flame · · Score: 1

      Tech analogy: Single point of failure. The bigger the pie is that you assemble, the more focused corruption will target it wanting a free slice.

  30. About Time by Maltheus · · Score: 1

    It was inevitable it was going to get there. Guess they wanted the economy to wallow a little longer in uncertainty while they waited to take this up. Too bad Obama blew his wad on a coverage bill rather than focusing on spiraling costs. Now no one is gonna touch that for several more years.

  31. IANAL, but... by dvoecks · · Score: 1

    The net effect of a lack of a mandate is that we absolutely cannot eliminate preexisting conditions (something with near-universal support).

    Maybe a Constitutional lawyer will come along and straighten me out on this, but that seems to be a clear-cut instance of regulating interstate commerce.

  32. Re:Single-payer, like Medicare, would have been fi by dkleinsc · · Score: 1

    If the "public option" had been retained in the bill, it might have ended up as the only option.

    That's not a bad thing

    Unless, of course, you were an insurance company, or on the take of insurance companies (in other words, most of Congress).

    If Congress were really trying to create the highest quality health care system the world has ever seen for the lowest cost possible, we'd be talking about how to introduce a completely socialized system into the US. That's because all of the top-notch health care systems are completely socialized, and even within the US the most socialized systems (like the VA) do far better than the most privatized systems in terms of providing care at low prices. There are ways of getting kinda close to that with a highly regulated private system, but there's very little question that's the best you can possibly do.

    --
    I am officially gone from /. Long live http://www.soylentnews.com/
  33. Yeah, but they might get that chance. by whovian · · Score: 1

    If the SC kills the healthcare law, the Republican model will be considered dead for good, having been rejected by Clinton and now the Supremes. The elections would then very likely include a proposal from the Left in the form of single payer unless something else can be envisioned.

    Currently it looks like a win-win for Obama et al.

    --
    To-do List: Receive telemarketing call during a tornado warning. Check.
  34. Queues? by fyngyrz · · Score: 1

    Hope you like ambulances forming a queue outside hospitals.

    Right now, we're at about 300 million population. By some estimates, about 30 million are uninsured. That's about 10%. Let's say that ALL of them become insured under Obamacare, or whatever it devolves to. This should represent, on average, a 10% increase in health care load.

    I don't think you can make a legitimate case that this will create "queues of ambulances" or any other kind of major change in the quality, delivery, or cost of health care.

    But it sure will make a difference in many of the lives of those who were previously uninsurable, or simply uninsured.

    --
    I've fallen off your lawn, and I can't get up.
    1. Re:Queues? by dave420 · · Score: 2, Informative

      Mandatory health insurance doesn't just benefit those who are ill, it benefits the rest of society who have any interaction with that person, or their dependants. The more people who are fit enough to work and be productive the better it is for society, which means more people paying taxes. It's like people complaining about funding schools - they don't realise what it would be like if huge swathes of society was deprived of adequate education - society would grind to a halt. But meh - logic doesn't matter to those folks.

    2. Re:Queues? by Anonymous Coward · · Score: 0

      Schools? Socialist nonsense. In some parts the state even requires that children attend school for x number of years. Home schooling was an option until some states actually required home-schoolers to submit a curriculum! I like the Texas approach: No need for a curriculum - just make sure you teach them youngins words, numbers and to take off their hat when a lady's approachin'

    3. Re:Queues? by jmorris42 · · Score: 0

      The problem is bigger. Look at the early parts phasing in already. Wow, it is nice your 26 yr old can not only keep living with you because his degree in basket weaving is worthless in the Great Recession but you can keep him on your insurance. Thank you Obama! Oh, the rates went up? Those filthy bastards at the evil insurance companies and their actuarial tables. And just wait until the full effect kicks in and most employers boot everyone into the government pools because the penalty/tax is far less than the employer portion of the policies they are carrying for their employees. The system was carefully designed to cause a cascade failure leading to single payer. I do give the sons of bitches who designed it credit for being very clever evil communist bastards.

      --
      Democrat delenda est
    4. Re:Queues? by sycodon · · Score: 0

      What you morons seem to be missing is that ObamaCare does not just require people buy health insurance.

      It is a comprehensive take over of the health care system by the federal government. New regulations that were ill thought out or not even thought out at all (let's pass the bill so we can know what's in it).

      Anyone, and I mean anyone who thinks what came out of Congress comes even close to being a well considered, even and fair plan is an idiot. It's filled all kinds of nonsense and back handed intrusions into everyone's life.

       

      --
      When Fascism comes to America, it will call itself Anti-Fascism, and tell you to give up your guns.
    5. Re:Queues? by Fallingcow · · Score: 4, Insightful

      Seriously, considering how big a boost single payer or similar would be to economic mobility and entrepreneurship Free Market(tm) loving Republicans should be clambering for it. Trading a shitty "freedom" like picking which insurance company rapes you for a better one like dramatically improved job mobility is a no-brainer, and pretty much the exact kind of thing we have government in the first place.

      Any Free Market worshipper who wouldn't support something like single payer is almost certainly a hopeless ideologue ("who cares that the end is closer to my proclaimed goal, the means to get there are technically counter to my idea of how things should work so screw the whole thing!"), a lying douchebag shill, or a complete dumbass. Maybe all three.

      Want to help the "job creators" hire people? Enact a "socialist" health care law modeled on any of a couple dozen successful systems tomorrow and watch as 50,000 new businesses show up seemingly out of no-where, wages rise, health care costs drop, and offshoring slows.

    6. Re:Queues? by RobertLTux · · Score: 1

      "Home schooling was an option until some states actually required home-schoolers to submit a curriculum"

      and the response was for home-schoolers to link up with a school to get access to a formal curriculum (which most of the good home schoolers already had done).

      Some version of Home Schooling is legal in all 50 states of the US http://www.hslda.org/laws/

      Even Attempting to make Home Schooling illegal is a great way for a Critter to get a phone call from Mr Smith
      http://www.hslda.org/about/staff/attorneys/Smith.asp. If you as a Critter make a serious effort then Mr Smith will be at your office NEXT DAY to explain to you why in no uncertain terms why this is a Bad Idea.

      --
      Any person using FTFY or editing my postings agrees to a US$50.00 charge
    7. Re:Queues? by mccrew · · Score: 1
      Not trying to be (too much) of a wise guy here, but could you fill in the missing steps below? What is the magic in steps 2 through 4 that cause the illogical conclusion in step 5?

      1. Enact a "socialist" health care law modeled on any of a couple dozen successful systems
      2. ???
      3. ???
      4. ???
      5. 50,000 new businesses show up seemingly out of no-where
      and of course,

      6. PROFIT!

      --
      Hey, Windows users, there is no such thing as "forward" slash, there is only slash and backslash.
    8. Re:Queues? by NiteShaed · · Score: 1

      It's filled all kinds of nonsense and back handed intrusions into everyone's life.

      And there are just so many of them that you became overwhelmed and unable to pick any to actually mention as being problems?

      --
      Some bring out the best in others, some the worst. Some bring out far more.
    9. Re:Queues? by Tepic++ · · Score: 1

      When you remove transaction costs and risks (probabilistic transaction costs) a number of previously unprofitable businesses become profitable, therefore new businesses start. This was clearly visible in the Internet and financial bubbles when one cost of business, credit, become much cheaper than before.

      In hindsight its obvious that credit was too cheap in these situations, so the businesses that started in the credit bubble were unsustainable. The US health care system on the other hand is simply inefficient and therefore an unnecessary transaction cost on the labour market (we have existential proof of this by looking at other health care systems in the world).

      Which leads us to:

      6. PROFIT!

    10. Re:Queues? by spiralx · · Score: 1

      The costs of health care for small businesses are disproportionately high, discouraging entrepreneurship.

    11. Re:Queues? by HereIAmJH · · Score: 2

      Not the original poster, but here are a couple pluses for (new) small businesses.

      1. If your health insurance is tied to your current employer, can you afford to quit and start your own business? New businesses tend to be cash poor, depending on the owner's sweat equity to survive until they can become established. Do you go without insurance until then?

      2. In a normal job market, if you are a small business trying to hire talented technical people, you have to compete with companies in a much larger insurance pool. There is no way you can match the benefit costs of a business 10x or 100x your size. So you have to pay more to attract the same level of candidate. Single payer instantly levels the playing field on the most expensive benefit.

      Another thing that would help is fixing intellectual property laws, but that's out of scope for this discussion.

      --
      Another day, another update to a Google android app.
    12. Re:Queues? by Fallingcow · · Score: 1

      How many people can't get health insurance for anything approaching an affordable price on the open market (that is, without joining a group plan provided by an employer)? How many of those would like to start a business?

      How many more would-be entrepreneurs are fine themselves, but can't get insurance for a child or spouse without an employer's pool to join?

      How many people are too responsible start a business when they know they'll need employees but won't be able to give them the basic stability of health care coverage?

      I'd call 50,000 a conservative estimate.

    13. Re:Queues? by RazorSharp · · Score: 1

      they don't realise what it would be like if huge swathes of society was deprived of adequate education - society would grind to a halt.

      Kind of like what has happened to the U.S. over the past decade?

      --
      "From the depths of my skeptical and rationalist soul, I ask the Lord to protect me from California touchie-feeliedom."
    14. Re:Queues? by NiteShaed · · Score: 1

      Are you Sycodon posting as AC for some reason, or just an AC who's pretending to be Sycodon? Either way, translation for what you just said: "I don't really know why I don't like healthcare reform, but my favorite right-wing talkshow host says it's bad and that's good enough for me". The question wasn't what can Google tell me about healthcare reform, the question was what don't *you* like about it.

      --
      Some bring out the best in others, some the worst. Some bring out far more.
    15. Re:Queues? by riverat1 · · Score: 1

      People who would not consider quitting their current jobs with employer provided health insurance because otherwise they would be unable to afford it on their own could then consider doing that to start a business. Small start-ups don't have to worry about whether to provide health insurance coverage for their employees and the employees are likely to be more productive since they have easy access to health care when needed.

    16. Re:Queues? by SETIGuy · · Score: 1

      It's funny, but it could use some polishing. First, everyone knows that the proper redneck tea party misspelling is "morans". Keep on with it though, and I'm sure that you'll be ready for a failed bid on America's Got Talent.

  35. No Profit by Anonymous Coward · · Score: 0

    The GOP doesn't make money off healthcare. Life insurance is a different story.
    Come on, we all know where this goes...

  36. Perfectly reasonable. by pavon · · Score: 4, Informative

    Except the Constitution explicitly gives congress the power to collect taxes. It is not at all clear that it has the power to "mandate that individuals enter into contracts with private insurance companies for the purchase of an expensive product from the time they are born until the time they die".

    All laws where similar things are done (such as requiring car insurance, requiring contractors to be licensed and bonded,etc), differ in significant ways. Some are enforced by the state, not the federal government, who have different powers granted to them. Some only apply when participating in an arguably optional activity not to everyone alive. Some are only required to engage in business, and thus more clearly fall under the interstate commerce act. This is an open legal question, one that was bound to challenged when the law was passed. The faster it gets resolved in the Supreme Court the better.

    However, I have no reason to believe that the Supreme Court will come to the obvious and logical conclusion here. That's not their job.

    No it isn't their job. Their job is to interpret the law and constitution as it is written, not according their own personal opinion/logic nor yours.

    1. Re:Perfectly reasonable. by gilbert644 · · Score: 1

      Yes and the mandate is simply a tax on people who don't have health insurance.

    2. Re:Perfectly reasonable. by Myopic · · Score: 1

      Yeah. It's a problem. The individual mandate SHOULD have been implemented as a tax: raise taxes for everyone, and give an equal rebate to anyone with insurance. I can't fathom the reason why they didn't choose that route, but instead they choose a straight-up normal civil fine for failing to have insurance, thus opening the law to a constitutional challenge. It was foolish, but I'm still not sure how the SCUSA will rule on it.

    3. Re:Perfectly reasonable. by Hatta · · Score: 1

      Except the Constitution explicitly gives congress the power to collect taxes.

      Quite true.

      It is not at all clear that it has the power to "mandate that individuals enter into contracts with private insurance companies for the purchase of an expensive product from the time they are born until the time they die".

      That's just a wordy way of saying taxation. Or a specific subset of taxation. Whether the government collects the tax and sends it to a private contractor, or allows the private contractor to collect the tax himself, is an irrelevant administrative detail.

      The real rich part of all this is that we have Libertarians arguing that the government should have done something more restrictive of their rights than they actually did. From the Libertarian rhetoric going around, you'd think that they'd prefer single payer.

      --
      Give me Classic Slashdot or give me death!
    4. Re:Perfectly reasonable. by MobyDisk · · Score: 1

      The mandate is not a tax. A quick definition of tax from Google:

      A compulsory contribution to state revenue, levied by the government on workers' income and business profits or added to the cost of some goods, services, and transactions

      The mandate to buy health insurance is not added to anything or levied on income. If they made it a tax than many of the dissenters would not have any ability to argue with it. Ironically, they probably made it not be a tax because taxes are politically bad. So they did this instead, and possibly made things worse.

    5. Re:Perfectly reasonable. by MobyDisk · · Score: 1

      They chose that route because taxes are politically bad, especially given the recession. I think they believed this would be more palatable. I think they guessed wrong.

    6. Re:Perfectly reasonable. by Galestar · · Score: 2

      It doesn't mandate that you enter into these contracts. It says that if you don't, its going to tax you and put that money into a public option. You have a choice.

      --
      AccountKiller
    7. Re:Perfectly reasonable. by Anonymous Coward · · Score: 0

      You're delusional if you think the Supreme Count will interpret the law irrespective of their own prejudice.

      The constitutionality of the Affordable Care Act is not as convoluted a question as people make it out to be. The "mandate" is simple: if you can't prove coverage, you are assessed a penalty defined in the Internal Revenue Code. A penalty is a tax. As mentioned in a thread above, under Article 1, Section 8 of the Constitution, the Congress has broad authority to tax whatever the hell it wants.

    8. Re:Perfectly reasonable. by cjc25 · · Score: 1

      It actually says you have to pay a penalty, and part of the argument that "this bill raises no taxes" is that it wasn't a tax. A justice cannot (should not?) read "tax" into a bill where "penalty" is written. To my mind, that argument is disingenuous. Of course who really knows what will happen, and lots of people know more about interpreting the Constitution than I do.

      On the other hand, it is an open question whether or not this is Congress regulating commerce "among the several States" as now you are not allowed to purchase health insurance across state lines, making it (for the most part, mobility of the population and so on) an intrastate issue as opposed to an interstate one. Nevertheless I'm not well informed about the way healthcare prices are set in the market, and so if a single state's dropping the mandate would significantly affect other states' healthcare costs the argument becomes much more interesting. That's where I expect the majority of the claims with no factual basis and the strongest words to be thrown around.

      The argument will be inherently partisan, since even a substantiated claim like "prices (went up | went down | stayed the same) in state X when insurance coverage (increased | decreased) in state Y" is still not a causal relationship. It will definitely be an interesting case.

    9. Re:Perfectly reasonable. by Anonymous Coward · · Score: 0

      Shut up indentured servant sorry Citizen and welcome your new corporate overlords.

    10. Re:Perfectly reasonable. by njvack · · Score: 1

      Except the Constitution explicitly gives congress the power to collect taxes.

      The funny thing is that the "individual mandate" is actually structured as an income tax ($695/year or 2.5% of income, whichever is greater) -- having health insurance merely exempts you from the tax. There are no special criminal penalties for not having insurance. See this article for more details.

      It is not at all clear that it has the power to "mandate that individuals enter into contracts with private insurance companies for the purchase of an expensive product from the time they are born until the time they die".

      Well, if you're a minor, you'll be covered by Medicaid. If you're a senior, you'll be covered by Medicare. So it's more accurate to say the government is "giving a tax exemption to people between the ages of 18 and 65, if they buy an expensive product from private insurance companies." Which is pretty definitely in their power.

      Constitutional arguments against the mandate tend to be based on an incomplete understanding of the law. Which, given media coverage, is not surprising.

  37. Holy Shit by sycodon · · Score: 1, Insightful

    Not the auto insurance thing again.

    If you don't have a car, you don't have to buy auto insurance.

    I guess if your dead, then you don't have to buy Health Insurance under Obamacare...but don't quote me on that. Odds are that some idiot bureaucrat will insist some recently deceased person is required to show proof of health insurance.

    --
    When Fascism comes to America, it will call itself Anti-Fascism, and tell you to give up your guns.
  38. I knew this was coming by shoehornjob · · Score: 1

    Republicans and affiliated constituents have been trying to tear this healthcare bill down from the moment it was passed into law. Obama blew all of his political capital on this stupid bill. Only now when he knows that he needs to boost his approval rating (if he wants to get elected) does he start pushing jobs. meh what a total waste.

    --
    "We are just a war away from Amerikastan. When god vs god the undoing of man." Dave Mustaine
  39. Freedom of Association by geoffrobinson · · Score: 1

    Not only does Congress not have the power under the Commerce Clause to regulate inactivity, but I have the freedom of associate. If I don't want to buy something from any private entity, I still retain that right.

    --
    Except for ending slavery, the Nazis, communism, & securing American independence, war has never solved anything.
  40. Once again! by Anonymous Coward · · Score: 0

    Nothing gets modded up quite like a seething hatred for an ideology we've never experienced in our lives and never will.

    (If you think libertarianism/decentralization is an actual threat to your own ideology of consolidated/centralized power, then you are dreaming. History has proven over and over again that governments only expand in power and revenue over their lifetimes, never willingly or permanently relinquishing power.)

  41. Problem w/ Medicare for All by geoffrobinson · · Score: 1

    Medicare pays above the marginal costs but not the average cost, so putting everyone into Medicare wouldn't work without controlling costs. In other words, everyone else subsidizes Medicare.

    It's like the jerk driver who cuts in front of everybody at the last second waiting for an exit. If everyone engaged in that behavior, it wouldn't work.

    --
    Except for ending slavery, the Nazis, communism, & securing American independence, war has never solved anything.
  42. states are trying single payer by Anonymous Coward · · Score: 0

    Hawaii, Tennessee, and Washington have tried partial single payer exercises, but pulled back on them. Vermont is going to try it. California is looking into single payer. I want to see how those states fare, before doing it nation wide.

  43. Somalia isn't libertarian by any stretch by Quila · · Score: 3, Insightful

    Libertarianism requires a framework of laws to protect the rights of all parties, and provide for legal recourse should the rights of one party be infringed by another.

    Even at its worst, Somalia operated under a combination of religious law (Sharia), feudalism and anarchy.

    1. Re:Somalia isn't libertarian by any stretch by SirGarlon · · Score: 2

      Libertarianism requires a framework of laws to protect the rights of all parties, and provide for legal recourse should the rights of one party be infringed by another.

      And how is that framework achievable, without taxes and police and stuff?

      --
      [Sir Garlon] is the marvellest knight that is now living, for he destroyeth many good knights, for he goeth invisible.
    2. Re:Somalia isn't libertarian by any stretch by SteveFoerster · · Score: 1

      Loser pays.

      --
      Space game using normal deck of cards: http://BattleCards.org
    3. Re:Somalia isn't libertarian by any stretch by Anonymous Coward · · Score: 0

      Dude, your idea of libertarianism is just plain skewed. First off, libertarianism does not imply anarchy, it implies laws that protect the liberty of the individual. Secondly, libertarianism does not imply "no taxes", but taxes that are used responsibly to pay for the bare minimum of laws and services which must be provided by the government.

      There are precious few of those services which must be provided by the government. The first moron shouts "You don't like having police?!?!!" and misses the mark entirely. It's an old and tired retort that only demonstrates the ignorance of the person saying it. Police protecting the liberties of the individual are perfectly welcome in a libertarian world. The Thought Police are not.

      Once again, libertarianism is NOT EQUAL to anarchy. Not even close.

  44. Libertarianism in Somalia? WHERE??? by mangu · · Score: 2, Interesting

    Please, tell me: which one of the many different governments in Somalia has implemented a Libertarian society?

    1. Re:Libertarianism in Somalia? WHERE??? by i+kan+reed · · Score: 1

      That's the point. Anarchy creates new smaller governments that are brutal, violent and inefficient.
      Welcome to humanity's self-organizing nature. The fundamental theorems of libertarianism have never been demonstrated at any level.

      It's a ridiculous thought experiment about 10% of people seem to think needs to be implemented on a grand scale with supporting evidence culled only from a massively outdated school of economics. Libertarian philosophy is internally relatively consistent, but externally completely invalidated. The fact that the seminal writing of the libertarian movement is fiction should be a hint.

    2. Re:Libertarianism in Somalia? WHERE??? by Uberbah · · Score: 1

      WHOOOOOOSH.

      Make sure and read the video summary while you're at it.

    3. Re:Libertarianism in Somalia? WHERE??? by mangu · · Score: 1

      Anarchy creates new smaller governments that are brutal, violent and inefficient.

      The largest and most powerful government in the world hasn't managed to create anything much better in Iraq and Afghanistan either, despite having spent a trillion dollars there.

    4. Re:Libertarianism in Somalia? WHERE??? by i+kan+reed · · Score: 1

      That is not a convincing response. Wherein the initial goal was the toppling of existing governments, the result being similar to other governmental collapses is not exactly surprising.

      On the subject my core disagreement with libertarians: The idea of governments being a completely unnecessary construct predates Galt by several centuries. The most complete, thorough, and still valid rebuttal of that idea was published by Thomas Hobbes in The Leviathan. While it's a fairly specific thing to refute, I've never seen a libertarian response to the points that were made 350 years ago. There's never been a solid rebuking of the idea that libertarian/anarchistic governance lead to a war of all men against all others.

  45. Yes! by alexander_686 · · Score: 2

    Rhode Island does not require auto insurance. Others let you self insure.

    By the way, what is a "Federal Road"? - and are they not goverened by state laws - not national ones?

    1. Re:Yes! by Grishnakh · · Score: 1

      There's no such thing as a "Federal road". The OP is an idiot. There's roads (interstate highways) that are funded with Federal money and have to meet Federal interstate highway standards, but they're entirely governed by the states. There's no Federal highway patrol to catch you doing something wrong on these roads.

    2. Re:Yes! by Leebert · · Score: 1

      There's roads (interstate highways) that are funded with Federal money and have to meet Federal interstate highway standards, but they're entirely governed by the states. There's no Federal highway patrol to catch you doing something wrong on these roads.

      Slightly off-topic, but still interesting: There are absolutely general-access Federal highways which are patrolled by Federal law enforcement. A few in particular around Washington, D.C. (e.g., the Baltimore/Washington Parkway and the George Washington Parkway) When you get a ticket one one of those, it's issued by the US Park Police, and you go to Federal court. (I know from personal experience).

    3. Re:Yes! by DarkOx · · Score: 1

      The forest Service would beg to differ with you. They actually have IIRC more miles of road under their management than another entity in the US, and they are very much Federal Roads. Just because you don't use them does not mean they don't exist.

      --
      Repeal the 17th Amendment TODAY! Also Please Read http://www.gnu.org/philosophy/right-to-read.html
    4. Re:Yes! by Grishnakh · · Score: 1

      Do the park rangers check for insurance? And if so, under which Federal law?

    5. Re:Yes! by Anonymous Coward · · Score: 0

      > Rhode Island does not require auto insurance.

      What? No, that's wrong. In RI you need to either have insurance, or plunk down $75,000 in advance. (Functionally similar to being "self-insured"; it's to cover the same minimum liability that an insurance policy would cover).

    6. Re:Yes! by CrimsonAvenger · · Score: 1

      There are absolutely general-access Federal highways which are patrolled by Federal law enforcement. A few in particular around Washington, D.C. (e.g., the Baltimore/Washington Parkway and the George Washington Parkway) When you get a ticket one one of those, it's issued by the US Park Police, and you go to Federal court. (I know from personal experience).

      This is a special case necessitated by the fact that the District of Columbia is not part of any State.

      --

      "I do not agree with what you say, but I will defend to the death your right to say it"
    7. Re:Yes! by Leebert · · Score: 1

      This is a special case necessitated by the fact that the District of Columbia is not part of any State.

      Not really, the example parkways are not in the district, they are in Maryland (BW) and Virginia/DC(GW).

      Another example is Skyline Drive, but I chose the DC parkways because of their similarities to Interstate highways and my personal familiarity with them.

      The District has its own police department, who mostly function as any other municipality.

  46. Since they aren't doing that now by publiclurker · · Score: 1

    Your complaint is rather baseless. Of course if you were to stop existing that would be a plus, since I'm tired of having to subsidize the parasitic tendencies of self important idiots like you in the first place.

  47. Marriage penalties by fyngyrz · · Score: 1

    ...and don't forget that being married can raise total income to the point where the married individuals (and sometimes their children) can no longer qualify for medical care, educational benefits, etc. Or how it affects whose bank accounts can be attached for what, particularly in the case of the IRS. Or the cost of divorce, almost inevitable in today's society. Or the cost of many marriage ceremonies/events themselves.

    The best possible arrangement is two separate pieces of property, one owned by each person, no marriage, so you both have independent addresses, independent security, and immunity from the abuse the government and society will dish out to married persons as a consequence of the actions/positions of just one of them.

    --
    I've fallen off your lawn, and I can't get up.
  48. The preamble only explains why by Quila · · Score: 1

    It is not authoritative, but an aid to interpretation. The Constitution is about granting limited powers to governments and securing the rights of the people. The founders thought this framework would "...promote the general Welfare..."

    Note I said "governments." There are two levels of governments involved, and each is granted powers. The federal government's powers are limited and very narrowly specified. The states' powers are much broader and undefined, expected to have more to do with the day to day lives of the people.

    Universal healthare could be accomplished under the Constitution, but it must be accomplished by individual states. A lot of people complain about "RomneyCare" in MA, but at least he did it within the powers of the state, according to the Constitution.

    The federal government was given nothing close to the power it attempts to seize under ObamaCare. Its multiple conflicting arguments defending this have been absurd.

  49. Re:Single-payer, like Medicare, would have been fi by Anonymous Coward · · Score: 0

    Single-payer national health insurance, like Medicare, would have had no constitutional problems. If the "public option" had been retained in the bill, it might have ended up as the only option.

    That's not a bad thing; Medicare's overhead is about 3%, while private insurers run a lot higher.

    ... and Medicare fraud and abuse is around 20% while Medicare denies coverage at a rate twice that of private insurers, all the while heading directly toward insolvency at break-neck speed.

    One more handful of grist for the mental mill. How exactly would you appeal coverage denial in a government-dictated single-payer insurance system? Another insurer? No, there are none. The government? No, they already have a vested interest in the denial.

    Single-payer national healthcare has huge Constitutional problems (it is not granted under Article I, Section 8). It also has the virtue of being the worst solution possible.

  50. Re:Single-payer, like Medicare, would have been fi by Anonymous Coward · · Score: 0

    Except I don't want a system like the UK that has overcrowded hospitals that let people die in hallways. Or wait months to see specialists. Or the tax increases that come with single payer.

  51. Re:Single-payer, like Medicare, would have been fi by Anonymous Coward · · Score: 0

    IMHO, it would make more sense to get rid of all of them and expand Medicaid (the program for the poor). At the rate we're going, we'll all be on it anyway.

    While we're at it, we should consolidate all the social programs, including social security. What we should *not* do is means test the programs. Instead, we should tax cash benefits (ie, social security) as ordinary income. Why? Because means testing beurocracies have proven to be too expensive. Turns out, it's actually cheaper to send social security checks to Bill Gates and then tax him.

    Another thing we shouldn't try to do is guarantee equality of outcome. We shouldn't outlaw premium plans for the wealthy. When you try to guarantee equality of outcome, you find yourself in a regulatory and/or black market hellhole. The rich will always do better than the poor. You can't change that. Social programs work well at providing a minimum standard, a "floor", "safety net", or whatever you want to call it.

    For example, safety regulations put airbags in all our cars and it hasn't made cars too expensive. Safety regulations do NOT give us all BMW M5s, or force us to all drive Hyundais so everybody is equal. The former would result in a Soviet-like car shortage. The latter would result in V-12s installed under the hood with full power available at the flip of a switch, and well-connected people paying cops to look the other way.

  52. I'm a liberal, and I hope for a loss by dokebi · · Score: 1

    Please read this through.

    What was struck down by the lesser court was the mandatory requirement that says everyone must buy (private) insurance. This clause was put in *by the insurance companies* because otherwise the "cannot deny anyone health coverage", and "no lifetime benefit limit" clauses will bankrupt them. Only by forcing the healthy to participate by law would the insurance companies be able to stay afloat.

    Now, if this clause is struck down, then insurance companies will all go bankrupt up or must ask government for subsidies, which means we'll end up with basically a government paid health insurance (single payer), or a government run health insurance.

    There is really no way the insurance companies can wiggle out of this one. They either have to accept a single payer system to stay in business, or pay the conservative governors to drop the law suites. Oh the sweet irony.

    --
    In Soviet Russia, articles before post read *you*!
    1. Re:I'm a liberal, and I hope for a loss by MobyDisk · · Score: 1

      What would keep them from simply raising rates to compensate?

    2. Re:I'm a liberal, and I hope for a loss by RightSaidFred99 · · Score: 1

      Yeah, this is the obvious left wing loon's wet dream. Out here in the real world the entire bill would be struck down. They're not going to keep everything else but get rid of the mandate. But good luck in fantasy land.

    3. Re:I'm a liberal, and I hope for a loss by avoiceinthewildernes · · Score: 1

      The bill has no severability clause. If the mandate is struck down, the whole thing dies (almost certainly--the court could strike down just the mandate, but they won't, for just the reasons you've identified).

      I'm actually in favor of an individual mandate, but not this steaming pile of a "pass it to know what's in it" power grab by federal bureaucrats that will politicize every medical decision into the foreseeable future. Don't believe that? Think back to how politicized the mammogram report became when this bill was under discussion. (A taste of that.) We had Congress Critters lining up to denounce the science on both sides of the aisle. That's a preview of what will happen on every medical decision if this law stands as it is. A mandate to carry a high-deductible catastrophic plan makes sense; having the government micromanage healthcare is stupid when there are other options that don't assume godlike knowledge on the part of bureaucrats and politicians. At least, that my judgment now; I'm willing to put it to an experimental test.

      Let's experiment with 50 systems and see what all the unintended and unexpected consequences are. Then, if you want to expand the power of the feds to impose such a mandate, there is a procedure for that: constitutional amendment. If the idea is so great, why not put it to the test in a few states before imposing it on everyone? That's how we actually learn something.

      To a related point: Wasn't it Barry who said we can't expect to pass something as huge as healthcare reform with 51%?

  53. You don't understand libertariansim by Quila · · Score: 1

    Taxes are admitted to be required to maintain the basic level of services necessary to secure the rights of the people.

    Libertarianism does have a large diversity of thought regarding the degree of the role of the state, but in no case does it look anything like Somalia. Where you see the rights of people being violated by those in power, you do not have libertarianism.

    1. Re:You don't understand libertariansim by SirGarlon · · Score: 2

      Taxes are admitted to be required to maintain the basic level of services necessary to secure the rights of the people.

      In that case I think it's the people who say "taxes are theft" who don't understand libertarianism.

      --
      [Sir Garlon] is the marvellest knight that is now living, for he destroyeth many good knights, for he goeth invisible.
  54. Re:Single-payer, like Medicare, would have been fi by lgw · · Score: 1

    Just try finding a specialist who accepts Medicare, even with supplamental insurance. You may not find one in your city. Quality of care under Medicare is pretty crappy, much like trying to do anything else on the cheap.

    And even so we can't afford it. The unfundd liabilities of medicare exceed the total wealth of every citizen, corporation, and small business in America combined. It's somewhat pointless to talk about "Medicare for all" when we have no sort of plan to pay for Medicare as it is now.

    --
    Socialism: a lie told by totalitarians and believed by fools.
  55. The fundamentals under a prosperous civilization by malkavian · · Score: 2

    Are health and justice.
    Without a method of law and justice, there's anarchy. And a civilization can't exist in an anarchy (well, not a big one anyway, and certainly not a world player).
    Hand in hand with that is health. When you're sick, you're returned to work, or the ability to go and get the next job.
    Without both of those, life would be hard. That's what prompted the NHS in the UK years ago, and much as though it's a popular whipping boy sometimes, and a big money sink, we do have a well functioning medical body that will fix most things.
    If you want it faster, by all means, take up private insurance as well (hell, when things go wrong at the private hospitals, they pack the patients back to the NHS where they know it'll be fixed).
    If you really don't think the state should be involved in the general wellbeing of the people, then how do you feel about a completely privately owned police force and court system. You think you get it rough now with the MPAA and RIAA lobbying to get through a heavily one sided deal? It would be orders of magnitude worse under a completely private, for profit, arrangement.
    Personally, I rate my health as highly as I rate a chance at getting a bit of justice (the legal system doesn't always give you the answer you want, same as a hospital won't always give you good news, but at least everyone should have a shot at getting some, without having to reach for a credit card).
    That's part of what I call freedom. If the world falls apart around you, at least you have your health 'eh? What, you can't afford the medication, and you have to put yourself in someone's debt to be able to do so? Hmmmm...
    Healthcare should be a function of government, with commerce adding the nice bits on top.. Faster, newer, hopefully better, but definitely more expensive. The real grunt work of keeping the masses healthy should be simple and cheap.. Not necessarily profitable.

  56. Not anarchy by Quila · · Score: 1

    Those warlords build their own fiefdoms, with alliances and fealty going up and down. That part of the operation of Somalia is more like feudalism.

  57. State vs. federal again by Quila · · Score: 1

    There's quite a bit of it besides that, like eliminating pre-existing conditions and many other things.

    Currently health insurance companies are licensed and regulated in each state individually. In many cases the larger name (such as Blue Cross Blue Shield) is just a cooperation between multiple state-level insurance companies. IMHO, those proposals don't fly because insurance doesn't always constitute interstate commerce.

    The simple solution is to allow insurance to go national. A company in New York can sell insurance anywhere in the US. That is absolutely interstate commerce, and the federal government could say, for example, if you want to sell inter-state, you must not discriminate on the basis of pre-existing conditions.

    But the liberals don't want to lift the state-specific operation. The reasoning is that insurance companies will supposedly all move to the one state with the most lax insurance laws, and everybody will be subject to them. They forget the federal law aspect taking over as insurance becomes a national, inter-state operation.

    1. Re:State vs. federal again by Anonymous Coward · · Score: 0

      Actually they just remember that the conservatives will fight tooth and tail to prevent any kind of effective federal legislation of health care, so...they're quite right to oppose it.

  58. The Cuch already lost this once by Anonymous Coward · · Score: 0

    Our esteemed nutbag AG of Virginia took it upon himself to jump out in front of this suit with his own to grab some attention ( "hello, fox & friends? this is the Cuch... why yes, I can be there by 9")
    His suit was recently put to bed by the supreme court... would assume this one will be as well.

  59. Why should people in prison get better health by Joe_Dragon · · Score: 1

    Why should people in prison get better health care? then sick people? What about people with jobs with very poor plan?

    1. Re:Why should people in prison get better health by sp0tter · · Score: 1

      I have family that work in a prison. Let me just say that while they appear to be getting a "free ride" in so far as they get healthcare without paying money, I vastly prefer staying out of jail. You have a toothache in prison? It gets pulled. You don't get to decide on a plan of care, the state decides that. Remember you have no rights in prison. You cannot decide to wait, save up, and get a dentist to do what you want done to your teeth. The state decides it is cheapest to pull the tooth so that is what happens.

      --
      you don't eat crackers in the bed of your future--or else you'll get all scratchy
  60. Not necessarily. by mosb1000 · · Score: 1

    I'm not sure that's true. There's not any innovation at all going on in health insurance. For a long time, the innovation was just them looking for new and inventive ways not to pay out. And innovation in health care is limited to developing new drugs and treatments, not streamlining old ones and increasing efficiency. Health care in the US is shockingly poorly managed. You might be surprised what cost pressures will do for the industry, if they ever come to pass.

    That said, anything is better than what we have now. Even if it does turn into a single payer system, I'd count it as a win, and I'm an anarchist.

  61. They're taxing you based on your purchases by Anonymous Coward · · Score: 1

    Just like you are taxed differently if you purchase a house, buy stocks, take out a business loan, or a zillion other products and services.

  62. Re:The fundamentals under a prosperous civilizatio by mosb1000 · · Score: 1

    Health care is not necessary for civilization, because people will usually heal on their own. It's more of an efficiency and quality of life improvement. People say that it's absolutely necessary are deluding themselves. Here is a list of things that are more important for a society:

    actually necessary:
    Nutritious Food
    Clean Water
    Breathable Air

    more important than health care (in no particular order):
    Shelter
    Transportation Infrastructure
    Education
    Currency
    Mineral Resources
    Communication Infrastructure

    I don't know how much I missed, but there's probably a lot more.

  63. False Premise by Boawk · · Score: 1

    health care is pretty vital to "promote the general Welfare" (US Constition - Preamble)

    Your premise is that Obamacare promotes the general welfare. One point of disagreement between proponents and detractors is whether, on balance, healthcare provided by The State results in lower quality care at greater expense. This is far from a settled question and so it is premature to hide behind the "general Welfare" argument.

    1. Re:False Premise by tysonedwards · · Score: 1

      But general welfare could also be defined as simply enabling those who currently are without health insurance, and are thereby unable to afford to go to see a doctor to seek medical care in non-life-threatening situations.

      Whether another group could perform the same benefit for less cost, or at a higher quality does not play into the discussion. The fact of the matter is that a better, more cost effective solution that applies to all citizens of the United States has not yet materialized.

      For many people with pre-existing conditions, the situation quite simply is that either an entity steps in to mandate that everyone be able to receive medical coverage, or they continue to remain without coverage, or with insurance that explicitly denies coverage.

      --
      Thirty four characters live here.
  64. Re:Single-payer, like Medicare, would have been fi by shutdown+-p+now · · Score: 1

    Why does there even need to be a national health insurance system on federal level? Why can't the states figure that out on their own - those that want it - and then those that do want it work with the feds to arrange for cross-state agreements, account balancing etc?

    You know, just like it works in Canada.

  65. It is a bit over the top rhetoric by Quila · · Score: 2

    Technically, anything forced from you under threat is theft or, more correctly, robbery. Taxing (at least income taxes) is forcing you to give the government money under threat of being put in jail. Businesses are forced to collect sales tax under threat of being fined and put out of business.

    However, if you consider your relationship with the government to be consensual, and individual taxes as being consented to, then there is no theft. But in our current system the individual taxes really don't have much to do with the consent of the people.

    The end goal of libertarianism is liberty -- the free and consual association of people. At a minimum you need enough government to guarantee that. But government can very quickly be the agent that restricts that freedom and the consensual nature of the association.

    1. Re:It is a bit over the top rhetoric by SirGarlon · · Score: 1

      However, if you consider your relationship with the government to be consensual, and individual taxes as being consented to, then there is no theft. But in our current system the individual taxes really don't have much to do with the consent of the people.

      Oh, I disagree with that! While I admit that few people carry placards saying "raise taxes now" or words to that effect, the people pretty strongly favor social programs like Social Security and Medicare -- and (less strongly) Obamacare, which brings us back to the original subject. Those programs in turn require a higher tax rate.

      So here's a hypothetical question. If a strong majority of the population, say 75%, says we want X for a tax rate, and you want less than X, which is more important: the will of the people, or your individual preference? The upside of a democracy is that you get to influence policy. The downside of a democracy is that your fellow citizens also get to influence policy. It is all well and good to try to sway your fellow citizens around to your point of view, but at the end of the day, if you don't acknowledge their right to impose certain taxes, obligations, and constraints on you, then I have a hard time accepting you as a fellow citizen. Case in point: I think the drinking age is stupid, but I obeyed it when I was underage, because I respect the duly enacted laws passed by the people's representatives. Even when the people are wrong, which, let's face it, is pretty often.

      In order for democracy to be tolerable, there have to be limits on what "they the (often-wrong) people" can foist upon you. That, I submit, is what the U.S. Constitution is for.

      Taxes are definitely permitted in the Constitution, so I think anyone who disputes the authority of the government to collect taxes is basically undemocratic, a whiner, and a freeloader at heart. Health insurance is not in the Constitution, so as much as I want to fix the mess we call health "care" in this country, I think it's a clear-cut overreach by Obama and the Democrats.

      --
      [Sir Garlon] is the marvellest knight that is now living, for he destroyeth many good knights, for he goeth invisible.
    2. Re:It is a bit over the top rhetoric by Quila · · Score: 1

      I think we're pretty much in agreement on this.

      The Constitution set us up not to be a democracy, but to be a federal republic operating on democratic principles. With this came safeguards against the tyranny of the majority.

      Far too many people forget both facts. There are things my wishful thinking would like to happen, but I know it cannot due to the nature of the country and the Constitution. I accept that. Too many don't, and think their wishful thinking overrides the Constitution.

    3. Re:It is a bit over the top rhetoric by SirGarlon · · Score: 1

      There are things my wishful thinking would like to happen, but I know it cannot due to the nature of the country and the Constitution. I accept that. Too many don't, and think their wishful thinking overrides the Constitution.

      Yeah. That mainly becomes a problem when the ones who think their wishful thinking overrides the Constitution belong to the majority party in Congress. :-(

      --
      [Sir Garlon] is the marvellest knight that is now living, for he destroyeth many good knights, for he goeth invisible.
    4. Re:It is a bit over the top rhetoric by SirGarlon · · Score: 1

      I think we're pretty much in agreement on this.

      I think where we disagree is that I would support a Constitutional amendment to allow nationalized health care, and I will hazard a guess that you wouldn't. Call me a socialist if you think that fits. But I think also think that lacking a Constitutional amendment, any form of national health care is a violation of the Tenth Amendment and should be thrown out. So we end up in the same place -- wishing bad luck to the Obama administration on this particular court case.

      --
      [Sir Garlon] is the marvellest knight that is now living, for he destroyeth many good knights, for he goeth invisible.
    5. Re:It is a bit over the top rhetoric by Quila · · Score: 1

      I think where we disagree is that I would support a Constitutional amendment to allow nationalized health care, and I will hazard a guess that you wouldn't.

      I'm on the fence, mainly because amending the Constitution in this environment is dangerous. I would support it with a compromise. While we're giving the fed this (very narrowly-defined) power, we should have a clause that that restricts the fed's ability to otherwise abuse the Commerce Clause in general. This whole "effect upon commerce" reasoning has to go. If the stoner down the street wants to grow pot, or if I want to make a machine gun for myself, it should be none of the fed's business.

  66. Re:Single-payer, like Medicare, would have been fi by goldspider · · Score: 2

    Hospitals here are already overcrowded with people dying in emergency room waiting areas, and we're already subsidizing them. Just at a much higher cost than we would for a single-payer system.

    --
    "Ask not what your country can do for you." --John F. Kennedy
  67. Ubi libertas ibi patria by SteveFoerster · · Score: 1

    That's only the case if you believe the hype that the U.S. is the world's most free country. Sure, it's a reasonably free and pleasant country, but Americans, even libertarian ones, seem to have this strange tendency to think that only darkness and chaos lie beyond the border, and that's not so. Americans' seeming disinclination to emigrate in search of a better life is all the more strange in that they're (almost) all descended from people who did exactly that, in most cases not many generations ago.

    --
    Space game using normal deck of cards: http://BattleCards.org
    1. Re:Ubi libertas ibi patria by nschubach · · Score: 1

      Packing up everything, getting a new job, moving far away from family... it's not about Freedom.

      The closest option is Canada (I don't consider Mexico an option...) and I'm not a fan of having more cold days in my year. I moved south of where I grew up because the winters were less harsh.

      --
      Every time I start to have faith in humanity, I ruin it by driving to work between 7 and 8 am.
    2. Re:Ubi libertas ibi patria by SteveFoerster · · Score: 1

      Fair enough. As for me, I alternate between the Eastern Caribbean and the U.S., and feel much more free in the former than the latter, both economically and socially.

      --
      Space game using normal deck of cards: http://BattleCards.org
  68. The grass is always greener on the other side by KiltedKnight · · Score: 1

    Having experienced what happens in a socialized, European system through what happened to my grandparents, I can tell you that you really don't want it. When they finally identified the cancer with my grandmother, they only would give her pain medication. They would not treat her with surgery, chemo, radiation, or whatnot. She died in the hospital and there was a state-mandated autopsy. When my grandfather needed anything, they gave him pain meds and sent him home... no matter how my mother or my aunt argued with the doctors. The "death panels" are quite real... though they aren't necessarily called that. They do make decisions in those systems regarding what they will and won't do based on a person's age, condition, etc.

    Socialized medicine works fine for an overall healthy population that takes care of itself and doesn't have junk food shoved down its collective throat. Until you can get the corn refiners and big pharma out of their shared bed, the US will continue to be a generally unhealthy population.

    --
    OCO is Loco
    1. Re:The grass is always greener on the other side by Anonymous Coward · · Score: 0

      Except the problem you describe DOES happen in the US as well. There was a recent example I saw of a woman who had her arms and legs amputated because her private insurance provider wouldn't cover a procedure. I myself was almost allowed to die because somebody didn't want to make the effort to keep me alive. They thought I would wake up brain dead. Unless I'm still in that coma, I think my cognitive functions are just fine.

      On the other hand, my own grandfather refused chemotherapy and other treatments because he didn't want to go through all that hassle which he had been through with my grandfather. And his own father had also wanted to die, and decided to just get in bed and wait for pneumonia to happen. Why? Because he was no longer able to read, and all his friends were dead. He would have welcomed a real death panel, he just didn't want to live anymore.

      So anyway, your experiences come out one way, other peoples come out a different way. Go figure.

    2. Re:The grass is always greener on the other side by Logger · · Score: 1

      The "death panels" are quite real... though they aren't necessarily called that. They do make decisions in those systems regarding what they will and won't do based on a person's age, condition, etc.

      In the USA we have them too, they are called insurance companies and HMOs. No matter what you call it (death panels vs health board), or who is doing it (insurance company vs government), it is rationing. Rationing is not an evil word, it is simply a description of reality.

      When there is limited supply (of resource or money) the amount of the resource consumed (health care) is rationed. In a purely market based solution the rationing is accomplished by those with $$$ buying up the supply and leaving those without, well without. In a regulated (insurance or government) system, some panel will determine the rationing.

      In the USA, we pay a lot more per subscriber for our insurance, so the insurance company will provide more services before cutting you off. However we do not distribute this evenly over the entire population, as those without insurance get poorer (although they still get emergency) service. Europe smears the service evenly among its citizens, but funds it at a lower level per subscriber so they have to ration it earlier.

      In Europe, if you bought private insurance on top of the public health, you can get USA style health care for similar cost. Although due to the small number of people participating it can be hard to find private providers.

      My grandfather died recently. He was 91 and had been in extremely poor health for 5 years. After a recent infection the doctors wanted to go to drastic measures to treat him. Why? He was miserable, wanted to die years ago. After the infection he was in much worse shape and the little quality of life he had was completely gone. They would have done exploratory surgery to find the source of some bleeding in his urine. Most likely he had a cancer of some sort. They would have wasted hundreds of thousands of dollars on a procedure that would have put him in much greater pain, and in his condition would probably have killed him anyway.

      Thankfully grandpa's health directive was clear, and all his kids supported it, so the doctors were fine with putting him in hospice. However, they told us if one of his three children would have complained, they would have treated him with heroic efforts even despite his health care directive and the objection of the person assigned as power of attorney.

      They said it happens frequently, they don't even agree with it, but they have to do it to protect themselves from wrongful death law suits. I don't have statistics to back this up, but my gut feeling tells me its this last 2 weeks of futile expensive health care that is going to make Medicare insolvent. And the reason it's expensive now when it didn't used to be, is simply that the surgery technology now exists to be used and it didn't before. 30 years ago, the only option for someone in my grandfather's situation was hospice.

      Its an awful moral dilemma. Assume that 20% of those procedures turn out well. Well then it seems horrible to not try it on everyone in case they're one of that 20%. But if we simply can't afford it what do we do?

      So, I say the good outcome rate for the procedure needs to be greater than 50% for Medicare to pay for it. Lower than that and you have to pay for it yourself. Assuming I'm right about the cause of Medicare insolvency, this probably would solve it.

    3. Re:The grass is always greener on the other side by Anonymous Coward · · Score: 0

      Socialized medicine works fine for an overall healthy population that takes care of itself and doesn't have junk food shoved down its collective throat. Until you can get the corn refiners and big pharma out of their shared bed, the US will continue to be a generally unhealthy population.

      It's not the bedfellows of corn refiners and big pharma necessarily. American workers are:

      1. excessively productive
      2. easy to fire
      3. have too much debt by reason of those dreams that must be chased.

      Shield workers from market forces and their health cannot help but improve.

    4. Re:The grass is always greener on the other side by Anonymous Coward · · Score: 0

      I don't know exactly what you mean with a socialized European system but here in Belgium we have social security which chips in for medical bills and medicine purchase. On top of that you can get a hospital insurance for the remaining 10-15% the social security doesn't pay back and even some banks give this for free if you have an account with amount X on it or in my case my employer pays this for me.

      From my experience everyone here gets the treatment they need or will leave the choice to the patient. It was no problem for my 69 year old father to get a hip replacement this year and a second new hip next year. My friends father who is around 60 got surgery and cancer treatments when he was diagnosed and he is cured now. I don't know about my fathers medical bill but the cancer treatment and surgery of my friends father cost around 300K euros of which he maybe paid one or two percent.

    5. Re:The grass is always greener on the other side by spiralx · · Score: 1

      Don't be ridiculous, having socialised medicine is nothing to do with the ability to refuse treatment. If anything you're more likely to have your wishes respected due to the fact that doctors are less likely to be hit with lawsuits. As for "doesn't work", you keep on paying twice as much as the rest of the world for comparable quality.

    6. Re:The grass is always greener on the other side by zyzko · · Score: 1

      You should not judge the system by your experience - when dealing with close relatives people tend to get very emotional. You are not telling how old your grandmother was - yes, she might have had a few more years with chemo and/or surgery but on the other hand she also might have died painfully while receiving those hard treatments.

      There are no "death panels" in socialized medicine, but when there is no open tab which pays for everything you have to make priorization. Humanly. And the insurance system doesn't work in this matter - it is not human (got no coverage, get lost) and not efficient (there are too many people keeping up the system vs. actually treating people). Yes - USA has the best medical care in the world - and also one of the most expensive ones when looking at results.

  69. I think you've got your facts mixed up, chief. by Chibi+Merrow · · Score: 1

    The United States Public Health Service came into being in the early twentieth century, I believe. What you're referring to was a loose collection of hospitals on the east coast for merchant marines paid for by taxing merchant marines. It wasn't a mandatory, universal payroll tax. The only people who received its benefits were those who paid into it. This organization eventually DID grow into the Public Health Service (isn't mission creep grand?), but its mission has NEVER been to provide universal health care.

    This is also the organization that provided fake medical treatment to black men for forty years (without their knowledge or informed consent) to collect research data on syphilis. Obviously a stellar example of the benefits of government health care.

    --
    Maxim: People cannot follow directions.
    Increases in truth directly with the length of time spent explaining them
    1. Re:I think you've got your facts mixed up, chief. by C10H14N2 · · Score: 1

      The point was that, even in its limited original scope, a mandatory federal income tax, to be collected and remitted by the employers, for the express purpose of providing health services to those so taxed, was deemed constitutional -- and, yes, that act, tax included, was established in 1798.

      You can argue all you want about the quality and mission creep, but the constitutionality is pretty clear.

    2. Re:I think you've got your facts mixed up, chief. by Chibi+Merrow · · Score: 1

      Except that its "limited original scope" is the entire point. The Merchant Marine isn't just any old business, it's an auxiliary to the US Military. This is no different than VA benefits being provided to reservists. Yes, I realize that this was established in 1798, but considering the Merchant Marine's existence predates both the Coast Guard and the Navy, that seems only reasonable. It was a matter of national security that we have experienced sailors and well maintained vessels to be called up in a time of war.

      So no, I'd still say that the constitutionality of the government forcing you to pay money to a private company is constitutionally on very shaky ground.

      --
      Maxim: People cannot follow directions.
      Increases in truth directly with the length of time spent explaining them
  70. Re:Single-payer, like Medicare, would have been fi by Anonymous Coward · · Score: 0

    Please stop making sense.

  71. Re:Single-payer, like Medicare, would have been fi by RightSaidFred99 · · Score: 1

    Insurance company profit margins are typically in the 3-4% range. I'd love to see a reputable study and an apples to apples comparison. Considering all the Medicare fraud, I'd say 3% is a hopeful and blatant lie.

  72. Re:Single-payer, like Medicare, would have been fi by SlippyToad · · Score: 1

    The unfundd liabilities of medicare exceed the total wealth of every citizen, corporation, and small business in America combined.

    That number is manufactured by assuming all sorts of impossible things, such as zero economic growth, etcetera. I'm not sure which fake "medicare crisis' number you're pulling out of your ass, but would you mind terribly producing your sources before we just swallow this fantastic lie whole?

    --
    One day I feel I'm ahead of the wheel / the next it's rolling over me / I can get back on / I can get back on
  73. Re:The fundamentals under a prosperous civilizatio by rwa2 · · Score: 1

    Hmm, interesting.

    The thing with healthcare is that hospitals don't really turn away people from the emergency room. So it could be cheaper for everyone to take that ounce of preventative maintenance to keep themselves out of the expensive emergency care when they let a chronic condition go unchecked.

    I think the U.S. is actually doing pretty well with regards to shelter & infrastructure (at least in populated areas). As to the rest, there's that old saying "health before wealth". Invest in getting your population healthy and well-educated, and the wealth will follow. But I suppose that depends on whether you see people as a resource or a liability.

  74. Re:The fundamentals under a prosperous civilizatio by rwa2 · · Score: 1

    Are health and justice.
    Without a method of law and justice, there's anarchy. And a civilization can't exist in an anarchy (well, not a big one anyway, and certainly not a world player).

    Hey, anarchy might not be the best form of government, but it's better than no government at all! ;-)

    And there is no justice, but social justice. There's not really anything completely logical right or wrong, or fair or unfair, just some increasingly formal system of mob rule by whatever mob is in power. The best you can do is just try to fit in with the mob, and maybe push the envelope in whatever direction the balance of power allows.

  75. Re:Single-payer, like Medicare, would have been fi by Anonymous Coward · · Score: 0

    You ignore the obvious alternative that we're not considering: rolling back mandates where the government actively distorts healthcare (such as requiring that things like birth control be covered) and letting an actual market for various tiers of insurance develop, instead of the cost-spreading mess we've got now. High deductible low premium plans would be best for most people, and it would likely have the added benefit of getting the market into actual healthcare and letting it drive down costs, something that a single payer still removed from the actual situation is far less likely to do. Add in a health savings plan that keeps more of my money around to help me, and things would be far better than what we've got now. Modern companies make some pretty bad decisions, but the whole concept of an HMO is basically here because the government (at the behest of the AMA, incidentally) got tired of fraternal orders like the Elks providing affordable, high quality healthcare and figured that they needed to get their grubby hands into the pot.

  76. How do you pay for police without taxes? by Brannon · · Score: 1

    Aren't taxes theft? that's how this thread started.

    1. Re:How do you pay for police without taxes? by Anonymous Coward · · Score: 0

      Irrelevant. You falsely compared the situation in Somalia to libertarianism so I gave you a proper response stating the two are not comparable without using blanket statements and strawman arguments.

      --
      A vote against a Libertarian candidate is
      a vote to abolish the Constitution itself.

  77. If "taxes == theft" then any form of government by Brannon · · Score: 1

    is criminal. Agreed?

    So do you disagree with the original post which says that all taxes are theft?

  78. Separate laws by Anonymous Coward · · Score: 0

    Too bad they didn't pass each section as a separate law. We're going to lose all the good things of HCR over the healthcare mandate. I know my insurance company isn't going to call once this is repealed and tell me my rates have gone down by as much as they went up due to HCR being passed.

  79. Re:Single-payer, like Medicare, would have been fi by Slime-dogg · · Score: 1

    Medicare's overhead is 3% because they don't pay anyone (relatively speaking anyway) to investigate and then deny false claims.

    Medicare also doesn't pay very much, nor does it pay very often. There is a shortage of professionals that will entertain Medicare patients for this reason.

    --
    You need to restart your computer. Hold down the Power button for several seconds or press the Restart button.
  80. So are all taxes a form of theft? by Brannon · · Score: 1

    Because that was the original post.

    My experience is that moderate libertarians are unable to agree amongst themselves what things should be paid for with taxes, but they all agree it should be "less". In most ways they are indistinguishable from fiscal conservative Republicans or the slightly washed fraction of tea partiers.

    Answer this question, someone who chooses not to (or cannot) purchase any insurance in your Libertarian utopia and then develops a serious and expensive to treat medical condition--should they be allowed to die? Children included? Physically disabled? Elderly?

  81. You f**cking communist!!! by Anonymous Coward · · Score: 0

    Why don't you get a fucking job and earn you perks instead of trying to mandate that someone else should pay for you! MAN UP!!! Be responsible for YOURSELF! YOU FUCKING COMMUNIST!!!

    If you want a single payer system then WHY DON'T YOU offer to pay for everyone else? That's a single payer system too! Oh wait, I forgot, you want someone else to give you FREE STUFF!!!

    As I said GET A FUCKING JOB!!! You hippie COMMUNIST!!!

    1. Re:You f**cking communist!!! by Beelzebud · · Score: 1

      If we had universal coverage, you'd get the psychological help that you clearly need.

  82. No! by alexander_686 · · Score: 1

    When park rangers are driving they are on duty, thus the goverment cover's any issues that might come up. And the Fed Goverment "self insures". i.e. they don't pay a private insurance company to pool their risk - they just write a check.

    1. Re:No! by Grishnakh · · Score: 1

      No, I'm asking if the park rangers can pull random drivers over and check for insurance (or check when pulling them over for some other violation, as would be more likely), and if the driver has none, issue a ticket for that. And if so, which Federal law are they following?

      If they can issue any such ticket, I'm sure it's under State law, not Federal law, and they're simply enforcing the laws of the State they happen to be located in.

  83. I so fucking love the health care debate by GodfatherofSoul · · Score: 1

    And, there's not an ounce of sarcasm in that statement. It's like a microcosm of politics in our country. One group drops in spewing talking points they've had jackhammered into their earholes since 2009. The other group comes at it with factual arguments whether they're for or against the program. Unfortunately, it's easier, cheaper, and more effective for politicians to appeal to and incite the former group.

    --
    I swear to God...I swear to God! That is NOT how you treat your human!
  84. What does it matter? by Anonymous Coward · · Score: 0

    insurance was effectively priced out of my budget 3 years ago, getting fucked for more money every year for less coverage from big box insurance, or getting fucked by the government for yet again ever increasing costs and jack shit coverage? It doesn't matter I still cant afford the shit, and my shit ass employer like most, just gets a expensive ass plan, pays 1% of it and offers me something that cost more than my rent and car does every month

  85. Re:Single-payer, like Medicare, would have been fi by Anonymous Coward · · Score: 0

    As opposed to the US, where we have overcrowded hospitals, people dying in *and* out of hospitals. And my last specialist visit took me 4 months and I have good insurance; this is extremely common here. Many single-payer health care systems work rather well, at a per-capita cost below what we pay. Please look into this further, assuming you want to do more than parrot talking points.

  86. Re:The fundamentals under a prosperous civilizatio by Anonymous Coward · · Score: 0

    Any person holding any academic degree (except awarded by Hillsdale College) has no choice but to agree with the following:

    Nutritious Food

    Ban anything that has a pleasant taste. People MUST be miserable eating. It helps to de-link pleasure from food and thus eliminate obesity since people will HAVE to engage in something that they don't like so there will be less of that activity. The usual exceptions hold for the members of the Party. They by reason of holding power get to enjoy that which once defined individual liberty. It is the reason why some are allowed to eat cheeseburgers and the rest MUST EAT THEIR PEAS, (Science) damn it!

    Clean Water

    Prohibit human presence from any undeveloped land. Concentrate humans into cities where they can be closely monitored. Remember, everyone is a criminal, everything is a weapon and every act is a crime. The usual exceptions hold for the members of the Party. They by reason of holding power get to enjoy that which once defined individual liberty.

    Breathable Air

    Ban the internal combustion engine and any form of locomotion the satisfies the human yearning to be free and move about. Remember, everyone is a criminal, everything is a weapon and every act is a crime. The usual exceptions hold for the members of the Party. They by reason of holding power get to enjoy that which once defined individual liberty.

    Shelter

    Soviet style hi-rise human warehousing, complete with bugs and cameras. and remote control poison gas delivery systems with fast acting window gates and door deadbolts. Remember, everyone is a criminal, everything is a weapon and every act is a crime. The usual exceptions hold for the members of the Party. They by reason of holding power get to enjoy that which once defined individual liberty.

    Transportation Infrastructure

    The whole purpose of public transportation exists for one reason and one alone: To continue calling driving a privilege. Of course this will be tightly regulated and monitored. Remember, everyone is a criminal, everything is a weapon and every act is a crime. The usual exceptions hold for the members of the Party. They by reason of holding power get to enjoy that which once defined individual liberty.

    Education

    This is the cornerstone of any utopian society so as to cultivate the next generation of members of the Party. The rest are taught their place. Remember, everyone is a criminal, everything is a weapon and every act is a crime. The usual exceptions hold for the members of the Party. They by reason of holding power get to enjoy that which once defined individual liberty.

    Currency

    Eliminate public pricing. Prices start at as base for the most obedient and rise for the less obedient. A person who discloses what they pay for something to another person gets both disappeared. Remember, everyone is a criminal, everything is a weapon and every act is a crime. The usual exceptions hold for the members of the Party. They by reason of holding power get to enjoy that which once defined individual liberty.

    Mineral Resources

    The government is in the business of control [BEWCK! BEWCK! BWECK!][sexual moaning][ooooh][AAAAAAH!]. Weapons come first. If the people get rowdy, kill a large enough percentage of the population until the remaining obey. Every product must be examined so as to determine its danger to the state from its misuse, complete with the reformulation and/or elimination of consumer products to preclude their use as weapons.

    Communication Infrastructure

    A communication system so intelligent that the Chinese Communist Party will orgasm in perfect harmony over the mere thought of its implementation in the PRC. It would be something like Skynet but obedient to the Party.

    After reading this, ever

  87. Repeal it! by amightywind · · Score: 1

    Repeal that stinking healthcare bill. Destroy Obama. Get behind Paul Ryan's plan to end Medicare/Medicade as we know them. Pay your doctor, ya deadbeats. I'm tired or paying for freeloaders.

    --
    an ill wind that blows no good
    1. Re:Repeal it! by riverat1 · · Score: 1

      You're paying for them whether you like it or not. Something like 10-20% of what health care providers charge is to cover the costs of the people that can't or won't pay. The only way to eliminate that is to execute the freeloaders and even that costs money.

  88. The Funny Thing About That by Greyfox · · Score: 1
    Is that Paul as a Doctor could not refuse a dying patient. But the Libertarian philosophy is exactly that. You can't afford to pay for care, you don't get care.

    We have the FDA and the EPA because we don't like the air being brown and having formaldehyde used as a preservative in our food. The free market brought us these things in the late 1800s and early 1900s. There was a story about a river that was so polluted that it caught on fire. The water was burning. We didn't like that. Richard Nixon, a Republican, gave us the EPA. Want to see what life was like before it? Visit Beijing.

    I'm sure I couldn't even begin to list the things our taxes pay for that we take for granted. The Libertarians and the Tea Party have this utopian vision of a world without those things, but I bet they'd be squealing like a stuck pig as the Interstate Highway system collapses and grows over, air traffic grinds to a halt and the country breaks up into a very loose collection of nation-states. Services that Mr. Paul blithely says should be supplied by the states if at all would be much more expensive on a state-by-state level, and no state is going to take responsibility for many of the services supplied by the Federal government. The Tea Party, in particular, are nothing but a bunch of spoiled children whose agenda is clearly to destroy this country and everything that made it great. Their reactions during the debates make their intentions and mentality clear. These are not the people you want in charge of this country. These are not people you want in a position of power.

    --

    I'm trying to teach myself to set people on fire with my mind... Is it hot in here?

  89. Re:Single-payer, like Medicare, would have been fi by Greyfox · · Score: 1

    You'd think the public option would be easy to push through. Just treat it like military service. You pay the monthly fee into the public option (Just make it part of your withheld taxes) and use their doctors. But you can't sue them for malpractice if something goes wrong! Try it in the military and see how far you get! I'm pretty sure the Republicans would be all over that.

    --

    I'm trying to teach myself to set people on fire with my mind... Is it hot in here?

  90. Nice try at deflection by Quila · · Score: 1

    That is an argument I've heard from leftists quite often. They talk of descending to the lowest common denominator of state protections for the insured.

  91. States do this too by Anonymous Coward · · Score: 0

    Colorado has a required health insurance policy for university students. If you can't provide proof of insurance you have to buy their insurance which is really expensive.

  92. Re:Single-payer, like Medicare, would have been fi by Anonymous Coward · · Score: 0

    Have you ever actually dealt with the Medicare system? I have aged parents that I'm trying to help out with that task right now. Trust me, private insurance is absolute HEAVEN compared to Medicare - at least you can find someone on the phone that actually has a clue.

    When did "low administrative costs" become the primary measure of merit in a healthcare system???

  93. The Whole Point of the Mandate... by Anonymous Coward · · Score: 0

    is to broaden the base. The move was 2 fold, 1) prevent insurance providers from discriminating against people who are part of a group deal, and 2) make everyone part of a group deal.

    It's a dirty, rotten, underhanded trick, but he had to, the morons in congress left he no other choice. He literally got to the least he could do, and did it.

  94. Re:Single-payer, like Medicare, would have been fi by CrimsonAvenger · · Score: 1

    That number is manufactured by assuming all sorts of impossible things, such as zero economic growth, etcetera.

    Actually, last I checked, that number is manufactured by assuming that Medicare must meet the same standards as a private pension does in terms of money set aside to pay for the eventual payout.

    Medicare, if it were a private pension, would have most of its upper management under indictment by the Federal Government for flouting laws governing that sort of thing.

    Fortunately for Medicare, the government can ignore its own rules, and just increase taxes as needed to make things work out in the end....

    --

    "I do not agree with what you say, but I will defend to the death your right to say it"
  95. Passing Congress by Oxford_Comma_Lover · · Score: 1

    That's not really the worst case--the new legislation would need to *pass Congress* again, which would be really hard.

    --
    -- IANAL, this isn't legal advice, and definitely isn't legal advice for you. Also, Squee!
  96. How about patient's responsibility? by Anonymous Coward · · Score: 0

    How about 90% of the UN-NECESSARY demand of health care due to your option to harm yourself? Smoking, taking drugs, drinking & driving, eating junk food, drinking coke instead of water? How is the society responsible for preventable consequences and ignorance of some? Too many people are ignorant of themselves yet want the "society" to take care of them, so they have "fun". As far as I am concerned, you are a binge drinker or take drugs, or smoke like a furnace, you deserve no "socialized" health care. Why should the society slow the speed of destroying yourself?

    1. Re:How about patient's responsibility? by WorBlux · · Score: 1

      But if people start living longer, Social Security will go broke a lot faster!

  97. I can't wait. by cshark · · Score: 0

    It's not that I don't support Obama or anything, but I think that this set of events is very interesting. Mainly in that the government requires you to buy things all the time. For example, if I want to drive, the government has the right to force me to buy auto insurance. By the same rational, that too must be unconstitutional.

    --

    This signature has Super Cow Powers

  98. health care law by Anonymous Coward · · Score: 0

    Luckily It was well vetted when it was the republicans idea.

  99. STUPID to even talk about this case or to allow it by Anonymous Coward · · Score: 0

    How is forcing a person to give up money anything other than a tax? Jesus you don't have to DO or NOT DO a damn thing, just spend. Big deal. Id10ts up in here and in the general public. What a surprise ROTFFLMFAO that anyone anywhere believes this is litigate-able in the first place it's like believing in UFOs or Fairies. Courts should be closed entirely to argument about opinion and idiotology.

  100. Required Health Insurance by Anonymous Coward · · Score: 0

    I have no problem with an opt out provision for health care insurance as long as is is coupled with the provision that hospitals and medical facilities can refuse treatment in all cases if a person has no insurance or proof of ability to pay.

  101. A society needs universal health care. by lsatenstein · · Score: 1, Insightful

    I am 71. I cannot buy health insurance that leaves me with money for food or housing or clothes. I have no disabilities, mental or other and I am writing this note to you Americans on Slashdot. My BP is 120/70, I have only the degradation in functions (ears, eyes, speed) that comes with ageing.

    I live in Canada in Quebec. If I need immediate attention, as happened two years ago when the flesh eating bacteria caught hold, starting at my toes, if it were not for universal healthcare, I would not be typing this note and my family would be with memories of me.

    I went to the emergency at the hospital, they immediately did a triage, and within 30 minutes I was admitted and within an hour I was on intravenous antibiotics. I was in the hospital for 6 days before being given antibiotics that I would inject at home for another ten days.

    Given my financial situation, what would be my situation in the majority of the 50 states? Would I come out with zero debts? My total expenses were around $400.00 due to having antibiotics to inject while not in the hospital. The $400 is tax deductable.

    We in Quebec have a prescription plan with the government that is a fallback one. It is obligatory if one does not have group insurance. In my case, there is a max filling fee of $20/mo, plus the benefit of a percentage discount that the government assumes. There is also a ceiling per year for any citizen for his medication costs. (I am fortunate, no medication).

    I have free examinations, xrays, mri's etc. I do not abuse the system. What is my cost? About $1,000 per year on my income tax. If I earned ten times more, it would be about $3,500 . Yes, I have a wife, and she is included in that annual medical portion of income tax that I pay.

    Ask yourself this, does your private plan have a ceiling on expenses? We in Canada have Cancer patients and they are not subject to "your allotment of money ran out, sorry".

    Hurrah for universal health care. Europe, Canada, Latin America, Australia, Israel, Russia (I think China as well) has Universal health care. The people in all countries are the resources, not corporate profits.

    --
    Leslie Satenstein Montreal Quebec Canada
  102. Thank God For The Pre-Existing Condition Change by Anonymous Coward · · Score: 0

    My family and I have worried for years about this... myself for mental health treatment and my father due to Chron's Disease. We're not exactly customers that would be given preferential treatment were we to have to find coverage ourselves, and obviously loss of employment would result in us having to do so if either of us were unemployed long (which is a good possibility in this economy). I really hoped for the fallback of a public option, meant to provide that basic care that we might need, but obviously this Congress wasn't going to get that through so I guess this is the best we can hope for.

  103. Re:Single-payer, like Medicare, would have been fi by lgw · · Score: 1

    Link's in my sig, Toadly one. Check the cites from there - it's actually based on absurdly optimistic numbers, IIRC, because it assumes that Medicare will pay doctors 20% less than it actually pays (the doc fix problem), but you should check the details yourself if you are skeptical.

    But the liability would still be impossible to meet at 1/2 the projected size, or 1/3. We're really far away from funding Medicare properly, and we're so vastly overspending the federal income in the first place that we just have to spend less going forward - there's simply no more "more" to be had.

    --
    Socialism: a lie told by totalitarians and believed by fools.
  104. I don't think I've ever met a Libertarian by Brannon · · Score: 1

    who couldn't be easily defeated in debate by a 12 year old. It's actually kind of boring.

    Okay, fine, whatever, Somalia is only one possible example of Libertarianism--you know, the one which taxes==theft.

  105. Re:Single-payer, like Medicare, would have been fi by Anonymous Coward · · Score: 0

    Single payer is good idea (WAIT FOR IT) but unfortunately I cannot see how the gov would not mess it up.

    With single payer, we would no longer have Medicare, Medicaid, Congressional Medical Plan, DoD medical plans, Federal Worker medical plan, etc. POTUS and a homeless person would get the same coverage for everything. People would go to a doctor for everything that pops up when it happens and that would probably save a lot of money from early detection too.

    Of course private insurance would not want this and BCBS, et al is a huge lobby. Plus this would bring about price regulation to doctors and hospitals and they do not want that. So a lot of rich people and corporations would be done for with the stroke of a pen.

  106. goodbye by AmiMoJo · · Score: 1

    nonsense. "just not"? You can't be a touch pregnant and you can't believe in 'touch' of rights.

    That doesn't even make sense. I didn't ever say "touch", you apparently just imagined it. To be honest if you are so retarded you can't even read for respond to the things I actually say there is little point continuing this debate. How can anyone talk to you when not only do you insist on re-defining words but you assume that when someone else uses a word they mean your definition, not the commonly accepted one? And then you start imagining things they didn't even say.

    What a complete waste of time.

    --
    const int one = 65536; (Silvermoon, Texture.cs)
    SJW, n: "Someone I don't like, and by the way I'm a fuckwit" - AC