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RE: Fred and top sirloin (ridiculously long) by SlyW2007-10-22 08:10:59
  I'd welcome socialized healthcare by tesla_koil2007-10-22 09:09:23
    You evil plutocrat! by esbita2007-10-22 09:14:09
      I could give a rats a2 by tesla_koil2007-10-22 09:21:37
        The trouble is... by esbita2007-10-22 09:36:47
          consider the effect socialized medicine would by tesla_koil2007-10-22 09:57:11
            Kindasorta. by esbita 2007-10-22 10:07:27
Depends on how the rules are set up. Currently doctors/hospitals aren't allowed to charge anyone equal or less than what Medicare/Medicaid pays.

If we switched to "universal" health care but allowed a private system to operate, there could be no restrictions on how high/low they set the prices. And current Medicare rules allow a doctor to "balance bill" by only so much. They can charge up to 15% more than normal rates (15% higher than crap is still crap).

So I doubt the government would allow private pay to work as an "overlay" on the public system- it would have to be direct and separate competition with no funding crossing between.

Remember also that insurance is a risk-based business- it needs the healthy people in the risk pool along with the ill ones. Employers might yet offer health insurance to employees as a job perk, depending on the price. But most healthy people are not going to bother with it- they don't now. And without being able to use the state's system as a "foundation" for the plan, I doubt the costs would be any better. Efficiences won would be overshadwed by a muddier risk pool.
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