Will they have courage?

Three titans of American business – Jeff Bezos, Warren Buffett and Jamie Dimon – want to fix health care. One can only applaud the way Warren Buffet summarized the problem: “The ballooning costs of health care act as a hungry tapeworm on the American economy.” Jeff Bezos added that they “enter into this challenge open-eyed about the degree of difficulty,” believing that what is at stake “would be worth the effort.” Jamie Dimon clarified: “Our goal is to create solutions that benefit our U.S. employees, their families and, potentially, all Americans.” In brief, their aims are high.
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Less fight more work

The fight over Obamacare repeal is over, at least for now. The GOP can start to work on a new proposal that each of us can look at it, and then compare how my particular health care solution would play in it, as compared to Obamacare.
In a television interview, HHS Secretary Tom Price said that Obamacare “may be working for Washington, it may be working for insurance companies, but it’s not working for patients.” Maybe it is time to consider patients’ involvement in the preparation of an Obamacare alternative? It could be that Obamacare repeal failed just because it has been prepared by Washington with consultation from insurance companies. Let us start with addressing 19 health care issues that politicians avoid talking about.

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19 health care issues that politicians avoid talking about

 

Republicans are struggling with their attempts to repeal Obamacare because they avoid addressing the fundamental questions about the role of the government in health care. Without defining the principles of what health care policy should do and how it should be executed, every petty issue becomes an obstacle that’s hard to overcome. It is almost like a poorly planned road trip without a defined destination, where at every intersection the bus stops as passengers — with different ideas of what the destination should be — cannot agree on which way to turn.
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Obamacare is not the problem

 

At the inception of the Affordable Care Act, Republicans were very vocal against it, expressing many lofty and creative ideas, but did not produce any solid proposal that each of us could look at it, and then compare how my particular health situation would play in Obamacare and how it would be in the health care policy proposed by GOP. Six years later, they still do not have a plan. It is puzzling, as GOP politicians criticize Obamacare endlessly and try to repeal it repeatedly. They did not prepare any rock-solid, meticulous alternative because – it appears – that despite all the lofty talk about implementing market forces to lower the cost and enhance patients’ choices, in their understanding of the economy and politics, GOP elites do not differ much from their Democratic colleagues. In other words, if they went into the nuts and bolts of designing a well-functioning health care policy, they would not arrive with anything much different or much better than Obamacare.
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Obamacare will never work

 

Obama care does not work and never will. The Harvard Law School graduate does not know the definition of insurance. He does not understand that by its definition insurance can cover only possible but unlikely events. There cannot be insurance covering preexisting conditions, as it cannot be insurance covering the leaking roof. If we loosened up the grip of government regulations, the market would come up with the insurance for permanent health deterioration; hence, it would make sense for young people to pay this insurance for if they develop “preexisting conditions” next year or 50 years down the road, they would have coverage. With this simple approach of insurance as a life cycle affair, not an one year deal, Obamacare is not needed at all.
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Untouchable fundamental disagreements…

 

…in the health care reform debate

In the final push for passing his concept of health care reform, President Barack Obama concluded that there is no reason for debating health care reform any further due to “honest and substantial differences between the parties.” Why we should not discuss fundamental disagreements; especially, when a major reform hinges on them? Parallel, one may question the integrity of an attempt of passing a significant political reform by a fragile majority, when the meaningful minority strongly opposes its very concept. One may understand why leaders of the Democratic Party are not eager of getting into any debate about fundamental issues. It is puzzling however, why Republicans are not challenging Democrats into debating the “substantial differences.”
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A better approach to health care reform

 
My response to the request voiced by President Obama in his State of the Union address.

Dear Mr. President,

In the State of the Union Address, referring to the health care reform proposal, you said: “But if anyone from either party has a better approach that will bring down premiums, bring down the deficit, cover the uninsured, strengthen Medicare for seniors and stop insurance company abuses, let me know.”
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Will Republicans ever have a viable alternative to the public option?

 

The House health care overhaul bill passed not because Democrats prepared a good proposal but because Republicans showed amazing inability in presenting a viable alternative.

In particular, young and healthy people tend to not buy health insurance. However, without their contributions any health insurance system cannot work. Democrats address this issue, yet none of the Republican proposals does. Democrats believe that the government, in its wisdom, should command asocial citizens to purchase health insurance and severely punish those that do not obey. Republicans claim that they have alternative proposals of health care reform, but none of them even touch the subject of creating a system in which the majority of the young and healthy would buy health insurance out of their own will.
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We need life-cycle health risk insurance

 

Among opponents of the health reform proposal, the public option draws most of their criticism. Pundits speculate whether Obama will drop it or not. All the energy put in debating the public option is futile. It misses the problem.
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Stone Age politics in the health care reform debate

 

Fans of the TV serial House, will notice that every time Dr. House diagnoses a problem he scrawls on a white board. In scientific terms, he creates a decision table.
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