health insurance is a doozy that doesn't fit the common insurance mold.
You may go your whole life without ever crashing a car....
But the odds are almost 100% that you will need a doctor at some point in your life for something.
I disagree entirely with making it mandatory.
But I understand the need and desire to hedge the healthy people into the pool.
I think they are disproportionally charged, though.
The other option is government run and funded med centers. it eats taxes. middle class people with insurance still foot most of the bill this way too, so its in fact worse.
There's no good answer.
Either you're a heartless bastard or you're a socialist. There's really no middle ground with this topic.
I think everyone should have access to AFFORDABLLE care.
I don't think it should be required.
But I also think that if you can't pay at time of service, you are left to die/rejected as that is the choice you made when you decided to not purchase.
That's fine for most 'sick' cases until you come in 99% dead from a car wreck and your wallet is no where to be found or burned down.... do they hunt for your insurance card, or save your life?
And I think that's where I differ and would like to see DIFFERENT types of insurance.
3-tiers.
1st tier is mandated, but not by law or penalty, but rather as a sales tax so EVERYONE who buys something pays in including illegals and hookers who don't pay taxes. I propose a 1% federal sales tax on ALL items, including food, etc that are normally exempt. A few cents a 100000000 times a day adds up nicely and hurts no one.
This tax will fund only catastrophic stuff like accidents, car wrecks, broken arms, bullet wounds, and so forth were an otherwise normally healthy person becomes immediately in serious condition. Additionally, it will cover anyone born with something.... like cystic fibrosis, muscle dystrophy, and things of the sort. Refuse all lawsuits on these events, thereby reducing costs astronomically. "If you want our help, you take it at your own risk". Opt out by wearing a medical bracelet that states you don't want care and leave you to die. Your choice, but you still pay for the 1% tax.
I would then offer optional tier 2 and tier 3 coverage through whatever medium consumers want. work, benefits, online, etc... Cap lawsuits. Reduce malpractice costs.
Teir 2 would cover non-accident 'sick care'. Cancer, heart attacks, etc etc.
And since most of these are results of poor choices, I would fund the majority of these by sales tax on the leading items that contribute to them.
Tobacco, alcohol, corn syrup, trans fats, sodium nitrate, etc etc... any item containing any of these items pays 5% at the mfg'er level, there by increasing the price of the product and making healthier choices more cost-competitive, while funding the program by those who are statically more likely to use it. Avoid the tax by consuming better. This promotes a healthier nation as well.
Due to the consumption tax, rates for this level can be kept low and affordable for those who don't consume a lot of or any of the black label items, but want coverage.
The list will be the tricky part on this item. It will always change. I suggest using 'families' of products, such as 'non-cane based sugars' so they won't make rice syrup, wheat syrup, etc etc to avoid the tax on corn syrup.
Tier 3 includes your maintenance programs. normal doc visits, pills, flu/colds, etc.
This is the #1 payer cost. I suggest the idea of pre-paying for reduced rate.
ie, if you know you go twice a year, you buy 2 doc visits on your plan at 50% cost.
if you go a 3rd time, it costs full price.
this allows you to hedge yourself and mimics some HSA style funds that let you only pay for what you really need, but if something comes up, you can still get treated.
I think something like this, while a ton of red tape involved, and not exactly 'libertarian', could work well for the country. I think its a good compromise of coverage and payments. I think it's a plan that allows those who need it but can't afford it to get coverage at better prices without a subsidy paid for on the backs of those who already pay for their own.
But, progressives will immediately dismiss it as regressive.
And it is.
But it has to be.