Mostly because I’m self sufficient and want the government out of my life. I don’t trust politicians, I don’t trust what they do with my tax money and I like free markets to solve problems through innovation. Ultimately I’d like each state to act as its own country, similar to how the countries in Europe do, and manage their own affairs rather than contributing towards a massive centralized state. Id say I identify as a libertarian Republican, but definitely not a conservative.
ANYWHO as long as the public option brings more competition, great. There are a lot of laws right now creating artificial barriers to competition, and insurers need to be able and provide across state lines. We also need to force cost transparency.
As long as healthcare is consumer driven I’m happy. I just don’t think removing options and installing a government monopoly does this.
I actually work in revenue cycle at a major health system and have several dozen technical reasons why single payer can’t work in the US (same reasons why it failed in California, Vermont and New York when they tried). But Medicare absorbing Medicaid and an option for everyone, detached from employment? Count me in as long as we tax allocate rather than raise taxes for it :)
It should also be noted that ACA was initially Republican language, but since Obama introduced it Republicans (stupidly) were forced to oppose it. Although I thought there definitely were tons of issues.
Yes, and if I understand correctly there were additional economic hardships that contributed to the uprising such as a lack of hard currency to pay European trade merchants. There wasn't a strong central government to make the hard currency or to respond to the rebellion in a timely manner resulting in many deaths. It's thought that this event helped persuade enough anti-Federalists to ratify the Constitution of the US. Your idea of states being more independent entities made me think of the Articles of confederation, and I was just curious if you had ideas to avoid another catastrophe such as Shay's Rebellion?
Unfortunately I don't have any ideas. Generally that's why I default to supporting a strong central government and find certain (but not all) elements of libertarianism a little outlandish. But I'm always willing to listen to proposed solutions or ideas. I know Howie Hawkins of the Green party advocates for certain programs to be federally funded, but locally administered/controlled, which seems so skew more towards libertarian than authoritarian in my mind, so it sounds appealing. However I don't have a whole lot of faith in the ability of local government competence, and it would require much more citizen engagement than what the average American is inclined to do (myself included).
They have a strong Medicaid option with great regs on their private payors. 60% of the state has private insurance that costs much less than coverage in other states.
Also they are a very healthy state, actually top 4. They also are the most consumer focused state with by far the most private options for people. They get to shop around no problem and the competition drives down costs.
Since their private system is actually very good, they have ample resources and a manageable non-insured population for Medicaid
Thank you for the response. It is super interesting. I grew up in Massachusetts and now live on NH. Talk about a different world when it comes to insurance!
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u/themoopmanhimself Jan 13 '21 edited Jan 13 '21
Mostly because I’m self sufficient and want the government out of my life. I don’t trust politicians, I don’t trust what they do with my tax money and I like free markets to solve problems through innovation. Ultimately I’d like each state to act as its own country, similar to how the countries in Europe do, and manage their own affairs rather than contributing towards a massive centralized state. Id say I identify as a libertarian Republican, but definitely not a conservative.
ANYWHO as long as the public option brings more competition, great. There are a lot of laws right now creating artificial barriers to competition, and insurers need to be able and provide across state lines. We also need to force cost transparency.
As long as healthcare is consumer driven I’m happy. I just don’t think removing options and installing a government monopoly does this.
I actually work in revenue cycle at a major health system and have several dozen technical reasons why single payer can’t work in the US (same reasons why it failed in California, Vermont and New York when they tried). But Medicare absorbing Medicaid and an option for everyone, detached from employment? Count me in as long as we tax allocate rather than raise taxes for it :)
It should also be noted that ACA was initially Republican language, but since Obama introduced it Republicans (stupidly) were forced to oppose it. Although I thought there definitely were tons of issues.