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« Opioids and Sleep Disorders | Main | Microsoft Makes Life Easier »

Clinton Health Plan: Bad

Category: MedicinePublic Health
Posted on: September 25, 2007 12:04 PM, by Joseph j7uy5

The long-awaited details of the Hillary Clinton health care finance plan have been revealed.  The plan has received lukewarm support from columnists at NYT () and .  It has been criticized by , oddly, as it is quite similar to the plan he enacted while governor of Massachusetts.

The Massachusetts plan has, in turn, been criticized (by Steffie Woolhandler and David Himmelstein), and the criticism has been critiqued at A Healthy Blog (by Brian Rosman and Lindsey Tucker).

The main criticism that opponents have, is the cost of the program.  Mrs. Clinton claims it will cost $110 billion per year.  She claims that she has ways of paying for it.  This cost is not too bad, considering that many people who have insurance now are paying thousands per year, and still have significant out-of-pocket expenses.  

No, the real problem with the plan is that it ignores the best and most obvious way of paying for it.  The way to pay for it is to get rid of health insurance companies.  That alone would pay for all the currently uninsured to have insurance, and the total outlay would be no more than what we are paying now.

The existing Medicare plan is among the most efficient known, with overhead costs running 3-4%.  (contrary to the ideological belief that private companies are always more efficient that government programs.)  Hospitals and doctor's offices would become much more efficient too, having only one third-party payer to deal with, and already having the mechanisms in place.
 

Comments

Gee, could all that money from insurers have clouded HRC's thinking?

Posted by: natural cynic | September 25, 2007 1:12 PM

I would nitpick the idea that we should get rid of insurance companies altogether. We should still have private companies to provide complementary care. While the state program can handle health necessities, peripheral concerns (e.g., cosmetics) should probably be left to the private sector.

Posted by: Tyler DiPietro | September 25, 2007 1:54 PM

The problem is that health insurance racket isn't really an insurance business.

Compare it to life insurance. If you have $250,000 in life insurance and you die, there is no way the company could pay out only $10,000, or simply not pay at all, without getting into trouble with the courts. Unfortunately, it would be handled by civil courts, rather than criminal courts, which have jurisdiction for fraud and theft.

The health insurance racket is much like the car insurance racket, where the company gets to decide how much of what you are due they will actually pony up. They can even stiff completely you and not go to jail. They can certainly outwait you, delaying payments until you give up trying because you died.

The way to fix this is to use existing laws against fraud and theft. When insurers don't pay like they should, there are no settlements: the bad guys go to prison. As a result, insurance companies will quit the rackets where they can't play fair and still make money.

Posted by: Grackle | September 25, 2007 5:29 PM

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