RiceLad15
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RE: Millions Flee Obamacare
(05-03-2017 09:59 AM)illiniowl Wrote: (05-03-2017 06:36 AM)RiceLad15 Wrote: (05-03-2017 02:10 AM)illiniowl Wrote: (05-02-2017 11:12 PM)RiceLad15 Wrote: (05-02-2017 10:54 PM)illiniowl Wrote: Excuse me, but I'll take the guy who straightforwardly acknowledges what proposed changes might mean, even if they may not be what some people want to hear, over limousine liberals using emotional manipulation (Kimmel) and disingenuous statements (Jonathan Gruber, Jon Favreau, Obama) to sell something they have readily acknowledged they could not do straight up. I guess it must be "war" because nothing seems to be off limits. For one side, anyway.
And on a tangential point, I fail to see how incentivizing people to move out of states/areas they can't afford, or to where the jobs are, is so abominable. Yes, I would be in favor of some government subsidies toward that end - that's what compassionate conservatism would look like if people gave it a chance instead of snarkily declaring it an oxymoron. Vast swaths of the high-cost-of-living metro area I live in (Chicago) are dead-end job deserts, the lower cost-of-living states on all sides of us (Iowa, Wisconsin, Indiana) have far lower unemployment (not to mention crime) rates, yet the only "solution" people want to talk about is raising the minimum wage to $15 - which we all know will not only speed up automation of low-skill jobs, but advantage higher-educated, higher-skilled job seekers (i.e., not the people the "Fight for $15" crowd is ostensibly fighting for) in the race for the few minimum-wage jobs remaining - so they can magically afford to continue living right where they want to. Meanwhile if they moved just a couple of hours in any direction their standard of living would unquestionably, immediately, and significantly improve.
Similarly there are lots of economically depressed rural counties in this country, especially in the Rust Belt, Appalachia, and the Southeast, where people essentially try to get on Social Security disability on rather flimsy pretenses (and many succeed) because they wouldn't think of moving to where the jobs are.
And in both otherwise completely different places, a similarly diseased culture of dependence and narrow thinking develops that fetishizes the infertile ground around them. (I am aware that I am channeling Hillbilly Elegy now although I honestly haven't read it.) It's madness. Interstate mobility has plummeted in this country and it's a pernicious trend that needs to be reversed. There is no reason that present generations should be above the migratory travels that were much more common in previous generations, even in just the last century.
But the first guy doesn't recognize what the proposed changes might bright - he makes the false equivalency that good choices must = good health. Plenty of healthy people who live good lives fall victim to health issues that are outside of their control every day.
So yeah, I'd rather stick with the limousine liberals over the let 'em die conservative when it comes to the foundational belief of what our healthcare system should do - and that is to attempt to assist those in need without risk of bankrupting them and ruining their life. Be that through direct government intervention (e.g. a single payer) or a more conservative approach (the Bismark model Owl#s always talks about). I firmly disagree with the notion, in this day and age, that you must have done something wrong to get a preexisting condition.
I wasn't defending the "preexisting conditions won't be a problem if you live a healthy lifestyle" guy. I agree that is asinine. I was defending the first guy, who I presume was advocating a 50-states experimental laboratory approach. Is there some fundamental reason Kansas simply has to have the same healthcare system as Massachusetts?
Ah, I assumed only the tangential reply was about the moving comment - that each section was related to each of the two non-Kimmel comments.
There's no reason each state needs to have the same healthcare, but I would still argue that we shouldn't be forcing citizens to move states based on the condition of their health, unless they absolutely desire to do so to get treatment above a standard level. I think you have a much stronger argument for employment than for getting treatment for say, a heart abnormality that is a sudden development.
Is it really a good idea to basically tell people they need to uproot their family just to move to a state where, if your body craps out on you suddenly, you will have slightly better coverage?
Well, if another state has some specific element of coverage you need, such as coverage of your specific preexisting condition, it's not just "slightly better," it's lifesaving, right? Health insurance prevents death, or so I've been told. So the coverage that you allegedly need to live would seem worth moving for. There are worse things in life than uprooting one's family, death being one of those. Or there is always the option of staying in place and advocating through the political process for your state to reform its healthcare system to your liking. But as I said, I would be in favor of helping the truly needy to move (maybe through tax deductions or credits for moving expenses?) to access the coverage they truly need if their state doesn't have it.
As we have seen, finding a "standard level" to apply across all 50 states is a rather tendentious process and resulted in a raw power play, top-down diktat that all policies must include all sorts of bells and whistles. Which is why we are still having a national debate about this issue 8 years later.
But what if it isn't a condition you are aware of until you need emergency care, a la Kimmel?
I understanding moving around based on career, but not because one state offers health care plans that better cover catastrophic injuries or sudden illness. To me, that seems a bit off.
But this gets to the crux of the disagreement between a lot of liberals and conservatives - the idea of whether or not the federal government should (or can) dictate where the bottom is with regards to healthcare coverage.
I'm all for letting states experiment with ways to provide better coverage, but I think all of them should have a robust bottom.
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