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| quote: | Originally posted by eckmek
Hey guys, seriously what's your thoughts on the chances of reforming the health care system, who could get it done, and how do you think they'll do it?
I think it's interesting, and also i'm writing a project on this |
Governance in the US is divided between state and federal governments. Historically, when one is fucked up, the other steps in to provide leadership.
Right now, the federal government is highly ineffective, and during periods of divided government - the Dems controlling Congress and the Republicans controlling the Presidency - nothing regarding health care will be passed, especially because of the war being so unpopular. But because so many Americans are without health care and it is increasingly affecting middle class Americans who bear the tax burden - my own family is uninsured, yet we were in the highest federal tax bracket until a couple of years ago - it is only a matter of time before the private health care system creates universal access.
The best opportunity for reform is in the state governments. Lots of states have taken initiatives to expand access to health care and to reduce health care costs. There are major obstacles to forming a single-payer federal health care system like they have in other countries because of the lobbying power of HMOs and pharmaceutical companies, but at the state level, we've seen more success.
In my opinion, the best possible way to guarantee health care would be for Congress to say health care is a right, and require universal health care and require states to have it. The costs would be split between being absorbed by the states and supplemented by federal appropriations. That way, the bureaucracy of the federal government would be involved less and states would take a more active role in regulating what is best for their citizens. And it would be easy to do - you just have to simply expand the qualifications for entering into pre-existing state or federal programs. The poor and the elderly already qualify for state-funded health insurance and they could expand the pool to include the middle class, which pays for large portions of it already.
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If you choose to pull the trigger - should your drama prove sincere - do it somewhere far away from here.
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